a community hct model for integrated hiv and tb testing in cape town, south africa

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www.ias2011.org A Community HCT model for Integrated HIV and TB testing in Cape Town, South Africa. Presented by: Sue-Ann Meehan 20 July 2011

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A Community HCT model for Integrated HIV and TB testing in Cape Town, South Africa. Presented by: Sue-Ann Meehan 20 July 2011. Background. Why: High dual burden of disease What: Increase access to HCT, early detection of TB, access to care How: Community non-medical HCT sites. - PowerPoint PPT Presentation

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Page 1: A Community HCT model for Integrated HIV and TB testing in Cape Town, South Africa

www.ias2011.org

A Community HCT model for Integrated HIV and TB testing in

Cape Town, South Africa.

Presented by: Sue-Ann Meehan20 July 2011

Page 2: A Community HCT model for Integrated HIV and TB testing in Cape Town, South Africa

www.ias2011.org

Background

Why: High dual burden of diseaseWhat: Increase access to HCT, early

detection of TB, access to careHow: Community non-medical HCT sites

Page 3: A Community HCT model for Integrated HIV and TB testing in Cape Town, South Africa

www.ias2011.org

Results/Conclusions for HIV• 34 287 clients accessed, 47% males, 95% tested• 9% positive screening test (8% outreach, 15% site)• Outreach accesses “well” population• Outreach challenge: access to care

Outreach Site0

5000

10000

15000

20000

25000

3000026262

6325

1997 9221093 588

TestedHIV PositiveHIV Access

Page 4: A Community HCT model for Integrated HIV and TB testing in Cape Town, South Africa

www.ias2011.org

Results/Conclusions for TB

• 100% clients had symptom screen for TB• 11% symptomatic (10% outreach, 17% sites)• 142 clients early TB diagnosis, treatment

Outreach Site0

500

1000

1500

2000

2500

30002695

1201

2272

992

93 9466 76

TB SymptomsTB testTBTB Treatment

Page 5: A Community HCT model for Integrated HIV and TB testing in Cape Town, South Africa

www.ias2011.org

Conclusion• Necessity for integrated HCT community model• Outreach & Site components work together• Reach populations that don’t usually access HCT• Early TB detection• Access to care