Evidence map›Paper›PMID 41055970›Full record

ArticleAIDS (London, England)2026

Implementation of tuberculosis (TB) services for children living with HIV in US President's Emergency Plan for AIDS Relief-supported programs in 16 high TB/HIV-burden countries in sub-Saharan Africa.

Brittany K Moore, Stephanie O'Connor, Kimi Sato, Rebeca I Briceño'Robaugh, Cleophas D'Auvergne, Maletsatsi Motebang, Talent Maphosa, Immaculate Mutisya, Lennah Nyabiage, Wondimu Teferi and 11 more

Abstract read
In one paragraph

Article in AIDS (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Brittany K MooreDivision of Global HIV and TB, U.S. Centers of Disease Control and Prevention, Atlanta, GA.
Stephanie O'ConnorDivision of Global HIV and TB, U.S. Centers of Disease Control and Prevention, Atlanta, GA.
Kimi SatoDivision of Global HIV and TB, U.S. Centers of Disease Control and Prevention, Atlanta, GA.
Rebeca I Briceño'RobaughCredence Management Solutions, LLC. Support contractor to TB Division, Office of Infectious Disease, Global Health Bureau, U.S. Agency for International Development, Washington DC, USA.
Cleophas D'AuvergneCredence Management Solutions, LLC. Support contractor to TB Division, Office of Infectious Disease, Global Health Bureau, U.S. Agency for International Development, Washington DC, USA.
Maletsatsi MotebangDivision of Global HIV and TB, U.S. Centers of Disease Control and Prevention, Maseru, Lesotho.
Talent MaphosaDivision of Global HIV and TB, U.S. Centers of Disease Control and Prevention, Harare, Zimbabwe.
Immaculate MutisyaDivision of Global HIV and TB, U.S. Centers of Disease Control and Prevention, Nairobi, Kenya.
Lennah NyabiageDivision of Global HIV and TB, U.S. Centers of Disease Control and Prevention, Nairobi, Kenya.
Wondimu TeferiDivision of Global HIV and TB, U.S. Centers of Disease Control and Prevention, Addis Ababa, Ethiopia.
Beniam FelekeDivision of Global HIV and TB, U.S. Centers of Disease Control and Prevention, Addis Ababa, Ethiopia.
Flora NwagagboDivision of Global HIV and TB, U.S. Centers of Disease Control and Prevention, Abuja, Nigeria.
Kgomotso Vilakazi-NhlapoNational Department of Health, Pretoria, South Africa.
Neha ShahDepartment of International HIV Prevention and Treatment, U.S. Military HIV Research Program, Walter Reed Army Institute of Research, Department of Defense, Bethesda, MD.
Hilary T WolfGlobal Health Security and Diplomacy Bureau, U.S. Department of State, Washington DC, USA.
Paul PierreGlobal Health Security and Diplomacy Bureau, U.S. Department of State, Washington DC, USA.
Qinisile SabandaDivision of Global HIV and TB, U.S. Centers of Disease Control and Prevention, Pretoria, South Africa.
Katlego MotlhaolengDivision of Global HIV and TB, U.S. Centers of Disease Control and Prevention, Pretoria, South Africa.
Heather PaulinDivision of Global HIV and TB, U.S. Centers of Disease Control and Prevention, Pretoria, South Africa.
Gupreet KindraDivision of Global HIV and TB, U.S. Centers of Disease Control and Prevention, Pretoria, South Africa.
Nickolas T AgathisDivision of Global HIV and TB, U.S. Centers of Disease Control and Prevention, Atlanta, GA.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

introductionWe assessed implementation of tuberculosis (TB) services among children living with HIV (CLHIV) (<15 years) in 16 African countries supported by US President's Emergency Plan for AIDS Relief (PEPFAR) between October 2018 and September 2022 [fiscal year (FY) 2019-FY2022).

methodsWe reviewed PEPFAR TB indicators describing symptom screening, treatment initiation, and TB preventive treatment (TPT) initiation and completion among CLHIV. We describe performance of these measures at semi-annual time points from FY2019 to FY2022 with stratification by age, sex, geographic region, and antiretroviral therapy (ART) status for FY2022.

resultsDuring FY2019-FY2022, the proportion of CLHIV with a positive TB symptom screen was low, ranging from 2.5 to 4.1%, while TB treatment initiation among those who screened positive fluctuated from 19 to 43%. Similarly, TPT initiation among CLHIV newly initiating ART fluctuated during this time, ranging from 13 to 37%, while TPT completion rose from 55 to 85%. In 2022, 80% of CLHIV were screened for TB and 3.6% had a positive symptom screen. Among those, 15% of CLHIV already on ART and 40% of CLHIV newly initiating ART were started on TB treatment. In 2022, among CLHIV newly initiating ART, 37% started TPT within 6 months, and 84% completed the full course of TPT.

conclusionTB screening and screening positivity were suboptimal. CLHIV starting TB treatment following positive symptom screen was higher than expected, especially among those newly initiating ART. Most CLHIV did not start TPT within 6 months of ART initiation. These findings suggest that programs are missing opportunities to diagnose and prevent TB in CLHIV.

Indexed as

HIV InfectionsTuberculosisAdolescentAfrica South of the SaharaChildChild, PreschoolFemaleHumansInfantInfant, NewbornMaleMass ScreeningUnited StateschildrenHIVpediatrictuberculosistuberculosis case findingtuberculosis preventive therapy

Identifiers

PMID41055970
PMCPMC12875380

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.