Martinot Amanda, Van Rie Annelies, Mulangu Sabue, Mbulula Marie, Jarrett Nikki, Behets Frieda, Bola Valentin, Bahati Etienne
Department of Epidemiology, School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7435, USA.
Trop Doct. 2008 Jul;38(3):137-41. doi: 10.1258/td.2007.070063.
Ninety-two clinics were surveyed in 2005 as part of a baseline assessment of HIV activities in Tuberculosis (TB) clinics in Kinshasa, Democratic Republic of Congo. Some HIV activities were implemented in 58% of TB clinics. The majority of health had > or = 1 health care worker (HCW) trained in either HIV counseling or testing (71%). Fifty-three clinics offered counseling and testing to TB patients; twenty-two (42%) routinely offered HIV CT to all patients, while others used selective criteria. While most offered on-site counseling (92%) and testing (77%), not all 53 clinics had a HCW trained in counseling and only 31 had access to a counseling room. Cotrimoxazole prophylaxis was offered in 51% of clinics; antiretroviral treatment in 17%. Shortcomings in human resources, infrastructure and quality of services were revealed. Strengthening those clinics already implementing HIV activities could be prioritized to achieve the goals set forward by the Global Plan to Stop TB.
2005年，作为对刚果民主共和国金沙萨结核病诊所艾滋病毒活动基线评估的一部分，对92家诊所进行了调查。58%的结核病诊所开展了一些艾滋病毒活动。大多数医疗机构有≥1名接受过艾滋病毒咨询或检测培训的医护人员（71%）。53家诊所为结核病患者提供咨询和检测；22家（42%）定期为所有患者提供艾滋病毒咨询和检测，其他诊所则采用选择性标准。虽然大多数诊所提供现场咨询（92%）和检测（77%），但并非所有53家诊所都有接受过咨询培训的医护人员，只有31家有咨询室。51%的诊所提供复方新诺明预防治疗；17%的诊所提供抗逆转录病毒治疗。调查揭示了人力资源、基础设施和服务质量方面的不足。为实现《全球遏制结核病计划》提出的目标，可优先加强那些已经开展艾滋病毒活动的诊所。
