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A Community HCT model for Integrated HIV and TB testing in
Cape Town, South Africa.
Presented by: Sue-Ann Meehan20 July 2011
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Background
Why: High dual burden of diseaseWhat: Increase access to HCT, early
detection of TB, access to careHow: Community non-medical HCT sites
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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
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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
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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
