This study assessed implementation status of collaborative TB/HIV services in Addis
Ababa City Administration aiming to promote better implementation strategies. The
study employed mixed research methods and was descriptive. The study design
used both quantitative and qualitative data using structured questionnaires and
semi-structured interview guides, respectively. The study population for the
quantitative design included 1,683 TB/HIV patients from 10 conveniently selected
health facilities: Zewditu and Menelik Hospitals, health centres of Lideta, Yeka,
Kazanchis, NifaSilk-Lafto-No1, Woreda-7, Kality, Bole and Gulele. All the patients
who were on their follow-up cares during the data collection period were interviewed.
Participants for qualitative design were 1,650 TB/HIV patients for short answered
questions; 8 FGDs among patients; interview of 10 TB/HIV care facility
coordinators/health workers and one regional TB/HIV care coordinator, all
purposively selected. Quantitative data was analysed using SPSS 15.0, while
qualitative data were thematically analysed manually.
Majority of HIV patients (92.8%) self-reported that they had been screened for TB; of
which, 11.2% were diagnosed for active TB during their follow-up cares. Whereas,
87.1% of TB patients had been offered for HIV test; 79.8% tested; 20.2% tested
positive. Knowledge on TB and HIV diseases, transmission and prevention was
found to be low. However, participants appreciated the support of the healthcare
delivery system in improving their health. Collaborative TB/HIV activities brought additional on-the-job training for healthcare workers; improved flow of logistics and
re-arrangement of infrastructures of facilities. The study revealed that,
implementation of collaborative TB/HIV activities in Addis Ababa need boosting.
The study recommends the need for coordinated efforts of all stakeholders for
improving implementation of collaborative TB/HIV care services, as identified by this
study. The contribution of this study developed pocket-guide for healthcare workers
on collaborative TB/HIV care services, which provides guidance in promoting better
TB/HIV care / Health Studies / D. Litt. et Phil. (Health Studies)
| Identifer | oai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:unisa/oai:umkn-dsp01.int.unisa.ac.za:10500/10078 |
| Date | 17 July 2013 |
| Creators | Amenu Wesen Denegetu |
| Contributors | Dolamo, B. L. |
| Source Sets | South African National ETD Portal |
| Language | English |
| Detected Language | English |
| Type | Thesis |
| Format | 1 online resource (xiv, 313 leaves) |
| Rights | University of South Africa |
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