TB/HIV patients may receive care in different settings. These settings include the patient's home, local health centre, district hospital, and tertiary referral hospital. Coordination of care in different settings promotes continuity of care for the patient. NTP staff and general health service staff need to be aware that many HIV-positive TB patients develop other HIV-related illnesses during anti-TB treatment. Delivering interventions to reduce the frequency of opportunistic infections (e.g. cotrimoxazole prophylaxis, ART) requires effective collaboration with HIV/AIDS programmes.
TB/HIV patients sometimes know that they are HIV-positive and later on develop TB. More often, they only find out that they are HIV-positive after developing TB. In either case, the TB control programme needs to collaborate closely with other services providing support and care for HIV-positive individuals.The clinician treating TB/HIV patients is in a key position to refer patients to appropriate services.
Was this article helpful?