Title:
Integration of TB and HIV Services in Resource-Constrained Countries: Experience from Low and Middle Income Countries and a Way Forward for TB/HIV Service Integration In Vietnam
Authors:
Nguyen, Phuong Thuy
Year:
2013
PAGE:
vi, 37
Language:
En
Subject:
Governance & HIV and AIDS
Keywords:
HIV, Tuberculosis, TB, Service Integration, Low and Middle Income Countries, Vietnam
Abstract:
Objective: To review literatures on the outcomes of integrating tuberculosis (TB) and HIV service in Vietnam and resource-constrained countries in order to provide recommendations for Vietnam to effectively implement TB/HIV service integration. Method: Literature review. Both published and grey literatures were obtained from search of electronic databases and snowball searching (manually search articles in reference list of publications obtained). Literatures were reviewed and categorized by 05 models of TB/HIV integration developed by H. Legido-Quigley et al. Results: 40 publications were included in the review. The integrated models based on referrals only (“TB refers” and “HIV refers”) were seen more often in countries with low HIV prevalence while the more integrated models were more common in countries with generalized HIV epidemic. More integrated models required more resources to set up but tended to provide better outcomes and reduce referral failure. Stigma remained the main barrier for TB/HIV integrated service utilization. Few publications presented cost/cost-effectiveness of integration models. In Vietnam the integration of TB and HIV services have been implemented here and there but few of them were documented. No example of fully integrated model was found. Conclusion: From the experience of TB/HIV service integration in low and middle income countries and Vietnam, in short-term, Vietnam should implement referral-only model at national TB and implement “TB: tests and refers” and “HIV: screens and refers” models at provincial and district TB and HIV facilities. For longer-term, fully integrating TB and HIV services is a way forward for Vietnam.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Department:
Development, Policy and Practice
Country:
Vietnam
Region:
Southeastern Asia
Training:
Master of Public Health / International Course in Health Development (MPH/ICHD)
Category:
Research
Right:
© 2013 Nguyen
Document type:
Thesis/dissertation
File:
NXz5FJUQYt_20161103110843237.pdf