Table 4.
Integration of Care Between TB/HIV Services, Before and After Training
| Total | Pretraining | Posttraining | ||
|---|---|---|---|---|
| Services Received | n (%) | n (%) | n (%) | P a |
| A. ART CHART REVIEWS | ||||
| Documented TB symptom screen (N = 2122) | ||||
| Yes | 1623 (76.5) | 771 (71.8) | 852 (81.3) | .003 |
| No | 499 (23.5) | 303 (28.2) | 196 (18.7) | |
| Screened for IPT (N = 2122) | ||||
| Yes | 1103 (52.0) | 442 (41.2) | 661 (63.1) | <.001 |
| No | 1019 (48.0) | 632 (58.8) | 387 (36.9) | |
| Documented initating IPT (N = 2122) | ||||
| Yes | 782 (36.9) | 352 (32.8) | 430 (41.0) | .005 |
| No | 1340 (63.1) | 722 (67.2) | 618 (59.0) | |
| Documented new TB diagnoses (N = 2122) | ||||
| Yes | 122 (5.7) | 53 (4.9) | 69 (6.6) | .098 |
| No | 2000 (94.3) | 1021 (95.1) | 979 (93.4) | |
| Documented initiating TB treatment, among those with a positive TB test result (N = 122) | ||||
| Yes | 94 (77.0) | 40 (75.5) | 54 (78.3) | .719 |
| No | 28 (23.0) | 13 (24.5) | 15 (21.7) | |
| B. TB CHART REVIEWS | ||||
| Has a documented HIV test, among those not known positive at diagnosis (N = 1629)b | ||||
| Yes | 1285 (78.9) | 629 (77.6) | 656 (80.2) | .396 |
| No | 344 (21.1) | 182 (22.4) | 162 (19.8) | |
| Documented initiating ART, among those who are HIV positive (N = 1138)c | ||||
| Yes | 754 (66.3) | 391 (66.0) | 363 (66.5) | .903 |
| No | 384 (33.7) | 201 (34.0) | 183 (33.5) | |
| Documented initiating ART before or within 8 weeks of diagnosis, among those who tested HIV positive (N = 989)d | ||||
| Yes | 516 (52.2) | 250 (49.5) | 266 (55.0) | .179 |
| No | 473 (47.8) | 255 (50.5) | 218 (45.0) | |
| ART start date documented, if documented initiating ART (N = 754) | ||||
| Yes | 657 (87.1) | 335 (85.7) | 322 (88.7) | .303 |
| No | 97 (12.9) | 56 (14.3) | 41 (11.3) | |
| CD4 test documented, if documented initiating ART (N = 754) | ||||
| Yes | 657 (87.1) | 348 (89.0) | 309 (85.1) | .246 |
| No | 97 (12.9) | 43 (11.0) | 54 (14.9) | |
Abbreviations: ART, antiretroviral therapy; HIV, human immunodeficiency virus; TB, tuberculosis.
a χ 2 test adjusting for clustering at the facility level. Statistically significant differences pre- and posttraining (p < .05) are labeled in bold.
bA total of 445 (21.5%) of individuals were known to be HIV positive at TB diagnosis.
cIncludes N = 442 known positives at the time of diagnosis and 696 patients who tested positive for HIV.
dExcluding 149 individuals who were documented initiating ART but have no ART start date documented (N = 97) or an incomplete ART start date (N = 52).