Gladys Kigozi

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• Gladys Kigozi
• e-mail kigozign.hum_at_ufs.ac.za
• Christo Heunis
• e-mail heunisj.hum_at_ufs.ac.za

Centre for Health Systems Research
Development University of the Free State
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Source NDoH (2007)
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• SA TB incidence 998/100 000 (HBCs 177/100 000
  Global 139/100 000)
• SA highest number of HIV infections in the
  world, 5.5 million
• SA 18.8 HIV prevalence adults 15-49 years
• Hence
• VCT PITC

Sources WHO 2008 3. FSDoH 2008
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• Explain emerging themes re. uptake/non-uptake of
  HCT from TB patients perspective
• Identify factors influencing uptake of HCT by TB
  patients

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Free State (TB incidence 789/100 000)
43.4
Thabo Mofutsanyana
Lejweleputswa
33.6
40.4
Sources Day Gray (2007) FSDoH (2008)
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• Data collection
• Cross-sectional survey Feb-Mar 2008
• 61 PHC facilities offering
• TB programme
• VCT programme
• Sample 600 TB patients
• Data analysis
• Qualitative simple content analysis
• Quantitative logistic regression analysis

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• Major barriers to HCT uptake
• Lack of urgency
• Fear of HIV diagnosis
• Major facilitators
• Supply TB-HIV (the link) information
• Motivation support

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• Intensified patient training on TB-HIV link
• Targets for intervention
• Males
• Employed
• New cases

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• FSDOH. 2008. Tuberculosis statistical reports.
  lthttp//fshealth.gov.zagt (retrieved 28 July
  2008).
• NDoH. 2007. Tuberculosis Strategic Plan for South
  Africa, 2007-2011. Pretoria NDoH.
• WHO. 2008. Global tuberculosis control
  surveillance, planning, financing. WHO report
  2008. Geneva WHO.
• Day C Gray A. 2007. Health and related
  indicators. In HST. 2007. South African Health
  Review, 2007. Durban HST 215-344.

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• Funders
• National Research Foundation
• Department for International Development (UK)
• University of the Free State
• Authorisation Free State Department of Health
• Collaboration
• Department of Sociology, University of Antwerp
• American International Health Alliance
• SUNY Downtown Medical Center
• Colleagues
• Co-researchers Dr M Engelbrecht, A Pienaar
• Consultants Dr P Chikobvu, Prof H Schneider, Dr
  D Coetzee, Prof H Meulemans, E Wouters, Dr H van
  den Berg
• Fieldwork coordinators H Hlophe, M Machere
• CHSRD directors Prof HCJ van Rensburg, F Steyn
• CHSRD data manager, data entry staff,
  fieldworkers

Patient respondents