HIV Test Uptake and Sexual Risk Behaviour Assessment among Patients with Pulmonary Tuberculosis in a Resource-Limited Setting

Busari Olusegun Adesola; Kolawole Asimiyu Fasakin; Idowu Oluseyi Adebara; Lawrence Majekodunmi Ayodele; Olusogo Ebenezer Busari

Authors

Busari Olusegun Adesola
Kolawole Asimiyu Fasakin
Idowu Oluseyi Adebara
Lawrence Majekodunmi Ayodele
Olusogo Ebenezer Busari

Keywords:

HIV test uptake, routine hiv counseling and testing, pulmonary tuberculosis, dots, nigeria

Abstract

HIV testing among patients with tuberculosis is critical to preventing missed diagnosis of HIV, improving morbidity and mortality and ensuring continuum of care for HIV-TB co-infected patients. The objective was to determine the HIV test uptake and assess sexual risk behaviour among patients with pulmonary tuberculosis attending DOTS clinic in a tertiary hospital in Nigeria. The study also determined the HIV sero-prevalence and evaluated the HIV-TB co-infection pattern among these patients. Routine HIV counseling and testing was offered to consecutive patients with pulmonary tuberculosis attending DOTS clinic between January 2008 and December 2010. Those who accepted to be tested and also consented to the study were interviewed using a pre-tested questionnaire. A total of 301 patients with pulmonary tuberculosis were seen in the DOTS clinic between January 2008 and December 2010. Two hundred and fifty two (83.74%) were tested for HIV and 19.84% of those tested were positive. Smear positive and smear negative patients were responsible for 2.78% and 17.06% of HIV prevalence respectively. 38.8%, 21.7% and 0% missed HIV test in 2008, 2009 and 2010 respectively. Only 30% of the patients used condom with sexual partners and 25% reported having multiple sexual partners. The study showed that HIV test uptake among patients with pulmonary tuberculosis was high and progressively increased from 2008 to 2010. It also revealed an HIV sero-prevalence of 19.8%. There is need to improve on the integration of HIV-TB services so that more patients with tuberculosis will access HIV counseling and testing and for effective continuum of care to reduce morbidity and mortality among those co-infected.

Downloads

How to Cite

HIV Test Uptake and Sexual Risk Behaviour Assessment among Patients with Pulmonary Tuberculosis in a Resource-Limited Setting. (2013). Global Journal of Medical Research, 13(8), 17-21. https://medicalresearchjournal.org/index.php/GJMR/article/view/

Download Citation

Author Biographies

Busari Olusegun Adesola

Olusegun Adesola Busari is a dedicated researcher affiliated with the Federal Medical Centre, Ido-Ekiti, Nigeria, and Afe Babalola University. His work primarily focuses on infectious diseases, particularly HIV and tuberculosis, as evidenced by his publications such as 'HIV Test Uptake and Sexual Risk Behaviour Assessment among Patients with Pulmonary Tuberculosis in a Resource-Limited Setting' and 'Consistent Condom Use and Its Associated Factors among Hiv Patients in a Tertiary Hospital in Southwest Nigeria'. With an h-index of 12 and over 700 citations, his contributions have had a meaningful impact on public health research in resource-limited settings.

Kolawole Asimiyu Fasakin

The author is a Lecturer and Researcher at the Federal University of Technology, Akure, Nigeria, in the Medical Biochemistry Department. He also has an affiliation with Federal Medical Centre, Ido-Ekiti, Nigeria. He holds a PhD in Biochemistry (2022) from Federal University of Technology, a PhD in Haematology from Federal Medical Centre, an MSc in Biochemistry (2016) and a BSc in Biochemistry (2011) from Obafemi Awolowo University.

References

(2004) World Health Organization, Geneva, Switzerland.

(2007) World Health Organization, Geneva, Switzerland.

(2005) Kampala: Ministry of Health, Uganda.

Kamya Wanyenze RK, et Liechty CA (2006) HIV Counseling and Testing Practices at an Urban Hospital in Kampala, Uganda. 10(4), 361-367. https://doi.org/10.1007/s10461-005-9035-9

Rhoda Wanyenze, C. Nawavvu, A. Namale (2008) Acceptability of routine HIV counselling and testing, and HIV seroprevalence in Ugandan hospitals. 86(4), 302-309. https://doi.org/10.2471/blt.07.042580

Isingo Wringe A, et Urassa M (2008) Uptake of HIV voluntary counselling and testing services in rural Tanzania: implications for effective HIV prevention and equitable access to treatment. 13(3), 319-327. https://doi.org/10.1111/j.1365-3156.2008.02005.x

Gray Matovu JK, et Makumbi F (2005) Voluntary HIV counseling and testing acceptance, sexual risk behavior and HIV incidence in Rakai, Uganda. 19(5), 503-511. https://doi.org/10.1097/01.aids.0000162339.43310.33

Sassan-Morokro Wiktor SZ, et Grant AD (1999) Efficacy of trimethoprim-sulphamethoxazole prophylaxis to decrease morbidity and mortality in HIV-1-infected patients with tuberculosis in Abidjan, Côte d'Ivoire: a randomised controlled trial. 353(9163), 1469-1475. https://doi.org/10.1016/s0140-6736(99)03465-0

Liechty Moore D, et Ekwaru P (2007) Prevalence, incidence and mortality associated with tuberculosis in HIV-infected patients initiating antiretroviral therapy in rural Uganda. 21(6), 713-719. https://doi.org/10.1097/qad.0b013e328013f632

Marston Corbett EL, et Churchyard GJ (2006) Tuberculosis in sub-Saharan Africa: opportunities, challenges, and change in the era of antiretroviral treatment. 367(9514), 926-937. https://doi.org/10.1016/s0140-6736(06)68383-9

J. Odhiambo, W. Kizito, A. Njoroge (2008) Provider-initiated HIV testing and counselling for TB patients and suspects in Nairobi, Kenya. 12, 63-68.

World Health Organ-ization (2009) Global tuberculosis control: epidemiology, strategy and financing.

B. Branson (2000) Rapid tests for HIV antibody. 2, 76-83.

World Health Organization (2005) Guidelines for assuring the accuracy and reliability of HIV rapid testing: applying a quality system approach.

P. Srikantiah, R. Lin, M. Walusimbi (2007) Elevated HIV seroprevalence and risk behaviour among Ugandan TB suspects: Implications for HIV testing and prevention. 11, 168-174.

DeCock KM, Bunnell R, Mermiri J (2006) Unfinished Business - Expanding HIV Testing in Developing Countries. 354, 440-442.

Luetkemeyer Chamie G, et Walusimbi-Nanteza M (2010) Significant variation in presentation of pulmonary tuberculosis across a high resolution of CD4 strata. 14(10), 1295-1302.

World Health Organisation (2006) WHO's contribution to universal access to HIV/AIDS prevention, care and treatment.

Watt Corbett EL, et Walker N (2003) The growing burden of tuberculosis: global trends and interactions with the HIV epidemic. 163, 1009.

Stout Kipp AM, et Hamilton CD (2008) Extrapulmonary tuberculosis, human immunodeficiency virus, and foreign birth in North Carolina. 8(1), 107-112. https://doi.org/10.1186/1471-2458-8-107

Richard Long, Jody Boffa (2010) High HIV-TB Co-infection Rates in Marginalized Populations: Evidence from Alberta in Support of Screening TB Patients for HIV. 101(3), 202-204. https://doi.org/10.1007/bf03404374

A. Nasidi, T. Harry, O. Adeyi, P. Kanki, O. Oduntola, J. Idoko (2008) The Epidemiology of HIV/AIDS in Nigeria. Eds.: Adeyi O, Kanki PJ, Oduntola O, Idoko JA. In: AIDS in Nigeria. 17-36.

Mahomva Mtombeni S, et Siziya S (2002) A clinical evaluation of children under the age of five years who are household contacts of adults with sputum positive tuberculosis in Harare, Zimbabwe. 48(3-4), 28-32. https://doi.org/10.4314/cajm.v48i3-4.51677

D. Guwatudde, M. Nakakeeto, E. Jones-Lopez (2003) Tuberculosis in Household Contacts of Infectious Cases in Kampala, Uganda. 158(9), 887-898. https://doi.org/10.1093/aje/kwg227

Adeyemi Busari O, et Desalu O (2012) Routine HIV Testing of Family Members of Hospitalized Patients in Nigeria. 11(2), 199. https://doi.org/10.5455/pmb.1-1309113505

J. Harris, Hatwinda Randals, K. (2008) Early lessons from the integration of tuberculosis and HIV services in pry care centres in Lusaka, Zambia. Int J. 12, 773-779.