Observational studyAfrican journal of primary health care & family medicine2019
Health system challenges affecting HIV and tuberculosis integration at primary healthcare clinics in Durban, South Africa.
Observational study in African journal of primary health care & family medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Barriers and facilitators of rendering HIV services by community health workers in sub-Saharan Africa: a meta-synthesis.Family medicine and community health · 2021Pooled it
- Healthcare workers' perspectives on patient bypassing of Primary Health Care facilities in Mpumalanga province, South Africa.African journal of primary health care & family medicine · 2026Article
- Explanatory Modeling of Tuberculosis Treatment Outcomes: The Role of Community Engagement and Clinical Governance.International journal of environmental research and public health · 2026Article
- Reframing TB Care: A Perspective on Multimorbidity-Centered Care for People with TB.Tropical medicine and infectious disease · 2026Article
- A formative evaluation of the TB Think Tank's role and influence on TB policy in South Africa.PLOS global public health · 2026Article
- Tuberculosis: An Ongoing Global Threat.Advances in experimental medicine and biology · 2026Review
- Evaluation of integration in WHO's tuberculosis, HIV, and antimicrobial resistance policies through the social-ecological lens.Globalization and health · 2025Article
- Factors that shape the integration of HIV and TB services in Zomba District, Malawi.BMC health services research · 2025Article
- Two Decades and Counting Since the Abuja Summit: Where Do We Stand in the Fight Against HIV/AIDS-Related Maternal Mortality?Women's health reports (New Rochelle, N.Y.) · 2025Article
- Healthcare workers' experiences with integrated HIV and TB prevention in Liangshan, China: a qualitative exploration of barriers and enablers.Frontiers in public health · 2025Article
- Experiences of nurses in managing HIV and Tuberculosis in rural clinics, South Africa.Health SA = SA Gesondheid · 2025Article
- Provision of HIV testing services and its impact on the HIV positivity rate in the public health sector in KwaZulu-Natal: a ten-year review.SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance · 2024Review
- A Comprehensive Review of HIV-Associated Tuberculosis: Clinical Challenges and Advances in Management.Cureus · 2024Review
- Time to bring female genital schistosomiasis out of neglect.British medical bulletin · 2024Article
- Nurses experiences regarding ideal clinic project implementation in eThekwini district.Health SA = SA Gesondheid · 2024Article
- Quality of TB diagnostic services at primary healthcare clinics in eThekwini district, South Africa.PloS one · 2024Article
- Models of integration of TB and HIV services and factors associated with perceived quality of TB-HIV integrated service delivery in O. R Tambo District, South Africa.BMC health services research · 2023Article
- Implementation considerations for non-communicable disease-related integration in primary health care: a rapid review of qualitative evidence.BMC health services research · 2023Review
- Association between socio-economic status and non-communicable disease risk in young adults from Kenya, South Africa, and the United Kingdom.Scientific reports · 2023Article
- The future of sleep apnea management: we can either ride the bus or drive it.Frontiers in sleep · 2023Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTuberculosis (TB) is the most common presenting illness among people living with human immunodeficiency virus (HIV), with co-infection occurring in up to 60% of cases in South Africa. In line with international guidelines, South Africa has adopted an integrated model at primary healthcare level to provide HIV and TB services by the same healthcare provider at the same visit.
aimThe aim of the study was to conduct a rapid appraisal of integration of HIV and TB services at primary healthcare level in eThekwini District in 2015.
settingThe study was conducted in 10 provincial primary healthcare clinics in the eThekwini Metropolitan Health District in KwaZulu-Natal Province.
methodsAn observational, cross-sectional study was conducted. Key informant interviews with operational managers and community health workers were conducted, as well as a review of registers and electronic databases for the period of January to March 2015.
resultsTwo clinics complied with the mandated integrated model. Three clinics were partially integrated; while five clinics maintained the stand-alone model. Possible constraints included reorganisation of on-site location of services, drug provision, TB infection control and inadequate capacity building, while potential enablers comprised structural infrastructure, staffing ratios and stakeholder engagement.
conclusionHIV and TB integration is suboptimal and will need to be improved by addressing the systemic challenges affecting health service delivery, including strengthening supervision, training and the implementation of a change management programme.
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