Antiretroviral treatment uptake and attrition among HIV-positive patients with tuberculosis in Kibera, Kenya
Tayler-Smith, K.; Zachariah, R.; Manzi, M.; Kizito, W.; Vandenbulcke, A.; Sitienei, J.; Chakaya, J.; Harries, A.D.
Tropical Medicine and International Health Tm and Ih 16(11): 1380-1383
2011
ISSN/ISBN: 1365-3156 PMID: 21831116 DOI: 10.1111/j.1365-3156.2011.02863.xDocument Number: 565230
Using data of human immunodeficiency virus-positive patients with tuberculosis from three primary care clinics in Kibera slums, Nairobi, Kenya, we report on the proportion that started antiretroviral treatment (ART) and attrition (deaths, lost to follow-up and stopped treatment) before and while on ART. Of 427 ART eligible patients, enrolled between January 2004 and December 2008, 70% started ART, 19% were lost to attrition and 11% had not initiated ART. Of those who started ART, 14% were lost to attrition, making a cumulative pre-ART and ART attrition of 33%. ART uptake among patients with TB was relatively good, but programme attrition was high and needs urgent addressing.