Tropical Doctor > Volume 38, Number 3 > Pp. 137-141

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Baseline assessment of collaborative tuberculosis/HIV activities in Kinshasa, the Democratic Republic of Congo

Amanda Martinot DVM MPM      Annelies Van Rie MD PhD     Sabue Mulangu MD     Marie Mbulula MD     Nikki Jarrett MS     Frieda Behets MPH PhD     Valentin Bola MD     Etienne Bahati MD  

Department of Epidemiology, School of Public Health, University of North Carolina at Chapel Hill, 2104-F McGavran-Greenberg Hall, Chapel Hill, North Carolina 27599-7435, USA

Correspondence to: Amanda Martinot Email: amanda_martinot{at}hms.harvard.edu

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 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.

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