Management of TB-HIV co-infection at CERKES in Sikasso

HIV-related mortality in Mali was estimated at 33 per 100,000 in 2012, and the prevalence of Tuberculosis/HIV co-infection was 14% in the same year. Tuberculosis is the leading cause of HIV-related mortality. Objective: the aim of the present study is to evaluate the management of tuberculosis/HIV co-infection at the Kénédougou Solidarité referral center in the Sikasso region of Mali between January 2008 and December 2013. Methods: we conducted a retrospective study of patients aged 15 and over, collecting data from patient records, registration registers, pharmacy registers and a patient-tracking software program used at the facility. Results: The prevalence of patients co-infected with HIV and tuberculosis was 5.24%. The rate of completion of complementary check-ups for inclusion was 72.82%, compared with 64.08% for follow-up check-ups for HIV-TB patients. The main difficulties were access to complementary check-ups and access to anti-tuberculosis drugs. ARVs are dispensed at the facility, as are drugs for certain OIs.

Autorentext

Arzt für öffentliche Gesundheit in der Nationalen Gesundheitsbehörde von Mali. Promotion in Allgemeinmedizin 2007 an der Fakultät für Medizin, Pharmazie und Odonto-Stomatologie (FMPOS) in Bamako. Master-Abschluss in Public Health (Option Internationale Gesundheit) an der Senghor-Universität Alexandria in Ägypten (2015).