School of Public Health, Medical Faculty, Addis Ababa University, Addis Ababa, Ethiopia.
BMC Int Health Hum Rights. 2012 Mar 27;12:2. doi: 10.1186/1472-698X-12-2.
The risk of acquiring tuberculosis by People living with HIV (PLHIV) could significantly be reduced through provision of isoniazid preventive therapy (IPT). In Ethiopia, it is neither practiced well nor researched in depth. Our objective was to assess IPT provision and awareness among PLHIV in Addis Ababa City Administration.
Between February 2008 and May 2008, a cross sectional facility-based survey was conducted by exit interview of 406 PLHIV from six health facilities. The findings were analyzed and described in this report.
The proportion of PLHIV ever had been provided with IPT were 74 of 231 TB free PLHIV (32.0%) and the proportion of having information about IPT among study participants was 29.8%. Females were about two times more informed about the provision of IPT in their health facilities than males [AOR (95%CI): 2.18 (1.31-3.61)].
We conclude that the practice of provision of IPT for PLHIV is high, but there is room for improvement. Provision of INH for TB free PLHIV has to be strengthened with better diagnostic facilities to certainly rule out active TB cases.
通过提供异烟肼预防性治疗（IPT），可以显著降低艾滋病毒感染者（PLHIV）感染结核病的风险。在埃塞俄比亚，IPT 既没有得到很好的实施，也没有进行深入的研究。我们的目的是评估亚的斯亚贝巴市行政当局中 PLHIV 对 IPT 的提供和认识情况。
2008 年 2 月至 5 月期间，通过对来自六个卫生机构的 406 名 PLHIV 进行出院访谈，进行了一项横断面的基于机构的调查。本报告分析和描述了调查结果。
在 231 名无结核病的 PLHIV 中，有 74 人曾接受过 IPT，研究参与者中对 IPT 有了解的比例为 29.8%。与男性相比，女性在卫生机构中接受 IPT 提供信息的比例高出两倍[比值比（95%置信区间）：2.18（1.31-3.61）]。
我们的结论是，为 PLHIV 提供 IPT 的做法很高，但仍有改进的空间。必须加强对无结核病 PLHIV 提供 INH 的措施，并提供更好的诊断设施，以确定排除活动性结核病病例。
