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Manisha H, Amani W, Garrib A, Senkoro M, Mfinanga S. IPT coverage and determinants of care coverage in Tanzania. Public Health Action 2022; 12:141-146. [PMID: 36160724 PMCID: PMC9484591 DOI: 10.5588/pha.22.0018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Accepted: 08/01/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND: TB is a major cause of mortality worldwide, with the highest risk in people living with HIV/AIDS (PLWHA). Isoniazid preventive therapy (IPT), in combination with antiretroviral therapy (ART), reduces the overall incidence and mortality from TB by up to 90% among PLWHA.
Tanzania has limited published data on IPT coverage among PLWHA.OBJECTIVE: To investigate coverage and determinants of IPT among PLWHA receiving care in selected care and treatment clinics in Dar es Salaam, Tanzania.METHODS: An analytical cross-sectional design to study
31,480 HIV-positive adults. Proportions and comparisons were obtained using χ2 tests, while determinants for IPT were assessed using adjusted multivariable analysis.RESULTS: The IPT coverage among eligible PLWHA was generally low (28.9%), with increased coverage over
time. The determinants for IPT coverage included age >36 years, having WHO Clinical Stages 1 and 2 compared to 3 and 4, and having normal weight, or being overweight and obesity compared to underweight.CONCLUSION: IPT coverage in Dar es Salaam is very low; individuals with minor
HIV disease severity were more likely to initiate IPT. This shows a possible gap in the prescribing practices among healthcare providers. More efforts to ensure IPT coverage implementation in Dar es Salaam are required.
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Affiliation(s)
- H. Manisha
- National Institute for Medical Research Muhimbili Centre, Dar es Salaam, Tanzania, Tanzania Field Epidemiology and Laboratory Training Programme, Dar es Salaam, Tanzania, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania
| | - W. Amani
- National Institute for Medical Research Muhimbili Centre, Dar es Salaam, Tanzania
| | - A. Garrib
- Liverpool School of Tropical Medicine, Liverpool, UK
| | - M. Senkoro
- National Institute for Medical Research Muhimbili Centre, Dar es Salaam, Tanzania
| | - S. Mfinanga
- National Institute for Medical Research Muhimbili Centre, Dar es Salaam, Tanzania, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania, Liverpool School of Tropical Medicine, Liverpool, UK, Alliance for Africa Health and
Research, Dar es Salaam, Tanzania
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Manisha H, Sonia J, Shashikiran S, Yuvarajan S, Rekha P, Sudhakara Prasad K. Computer numerical control-printed paper electrodes for electrochemical detection of Pseudomonas aeruginosa virulence factor pyocyanin. Electrochem commun 2022. [DOI: 10.1016/j.elecom.2022.107259] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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