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Operational Research to Assess the Real-Time Impact of COVID-19 on TB and HIV Services: The Experience and Response from Health Facilities in Harare, Zimbabwe
When COVID-19 was declared a pandemic, there was concern that TB and HIV services in Zimbabwe would be severely affected. We set up real-time monthly surveillance of TB and HIV activities in 10 health facilities in Harare to capture trends in TB case detection, TB treatment outcomes and HIV testing...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8261627/ https://www.ncbi.nlm.nih.gov/pubmed/34072803 http://dx.doi.org/10.3390/tropicalmed6020094 |
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author | Thekkur, Pruthu Takarinda, Kudakwashe C. Timire, Collins Sandy, Charles Apollo, Tsitsi Kumar, Ajay M. V. Satyanarayana, Srinath Shewade, Hemant D. Khogali, Mohammed Zachariah, Rony Rusen, I. D. Berger, Selma Dar Harries, Anthony D. |
author_facet | Thekkur, Pruthu Takarinda, Kudakwashe C. Timire, Collins Sandy, Charles Apollo, Tsitsi Kumar, Ajay M. V. Satyanarayana, Srinath Shewade, Hemant D. Khogali, Mohammed Zachariah, Rony Rusen, I. D. Berger, Selma Dar Harries, Anthony D. |
author_sort | Thekkur, Pruthu |
collection | PubMed |
description | When COVID-19 was declared a pandemic, there was concern that TB and HIV services in Zimbabwe would be severely affected. We set up real-time monthly surveillance of TB and HIV activities in 10 health facilities in Harare to capture trends in TB case detection, TB treatment outcomes and HIV testing and use these data to facilitate corrective action. Aggregate data were collected monthly during the COVID-19 period (March 2020–February 2021) using EpiCollect5 and compared with monthly data extracted for the pre-COVID-19 period (March 2019–February 2020). Monthly reports were sent to program directors. During the COVID-19 period, there was a decrease in persons with presumptive pulmonary TB (40.6%), in patients registered for TB treatment (33.7%) and in individuals tested for HIV (62.8%). The HIV testing decline improved in the second 6 months of the COVID-19 period. However, TB case finding deteriorated further, associated with expiry of diagnostic reagents. During the COVID-19 period, TB treatment success decreased from 80.9 to 69.3%, and referral of HIV-positive persons to antiretroviral therapy decreased from 95.7 to 91.7%. Declining trends in TB and HIV case detection and TB treatment outcomes were not fully redressed despite real-time monthly surveillance. More support is needed to transform this useful information into action. |
format | Online Article Text |
id | pubmed-8261627 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-82616272021-07-08 Operational Research to Assess the Real-Time Impact of COVID-19 on TB and HIV Services: The Experience and Response from Health Facilities in Harare, Zimbabwe Thekkur, Pruthu Takarinda, Kudakwashe C. Timire, Collins Sandy, Charles Apollo, Tsitsi Kumar, Ajay M. V. Satyanarayana, Srinath Shewade, Hemant D. Khogali, Mohammed Zachariah, Rony Rusen, I. D. Berger, Selma Dar Harries, Anthony D. Trop Med Infect Dis Article When COVID-19 was declared a pandemic, there was concern that TB and HIV services in Zimbabwe would be severely affected. We set up real-time monthly surveillance of TB and HIV activities in 10 health facilities in Harare to capture trends in TB case detection, TB treatment outcomes and HIV testing and use these data to facilitate corrective action. Aggregate data were collected monthly during the COVID-19 period (March 2020–February 2021) using EpiCollect5 and compared with monthly data extracted for the pre-COVID-19 period (March 2019–February 2020). Monthly reports were sent to program directors. During the COVID-19 period, there was a decrease in persons with presumptive pulmonary TB (40.6%), in patients registered for TB treatment (33.7%) and in individuals tested for HIV (62.8%). The HIV testing decline improved in the second 6 months of the COVID-19 period. However, TB case finding deteriorated further, associated with expiry of diagnostic reagents. During the COVID-19 period, TB treatment success decreased from 80.9 to 69.3%, and referral of HIV-positive persons to antiretroviral therapy decreased from 95.7 to 91.7%. Declining trends in TB and HIV case detection and TB treatment outcomes were not fully redressed despite real-time monthly surveillance. More support is needed to transform this useful information into action. MDPI 2021-05-31 /pmc/articles/PMC8261627/ /pubmed/34072803 http://dx.doi.org/10.3390/tropicalmed6020094 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Thekkur, Pruthu Takarinda, Kudakwashe C. Timire, Collins Sandy, Charles Apollo, Tsitsi Kumar, Ajay M. V. Satyanarayana, Srinath Shewade, Hemant D. Khogali, Mohammed Zachariah, Rony Rusen, I. D. Berger, Selma Dar Harries, Anthony D. Operational Research to Assess the Real-Time Impact of COVID-19 on TB and HIV Services: The Experience and Response from Health Facilities in Harare, Zimbabwe |
title | Operational Research to Assess the Real-Time Impact of COVID-19 on TB and HIV Services: The Experience and Response from Health Facilities in Harare, Zimbabwe |
title_full | Operational Research to Assess the Real-Time Impact of COVID-19 on TB and HIV Services: The Experience and Response from Health Facilities in Harare, Zimbabwe |
title_fullStr | Operational Research to Assess the Real-Time Impact of COVID-19 on TB and HIV Services: The Experience and Response from Health Facilities in Harare, Zimbabwe |
title_full_unstemmed | Operational Research to Assess the Real-Time Impact of COVID-19 on TB and HIV Services: The Experience and Response from Health Facilities in Harare, Zimbabwe |
title_short | Operational Research to Assess the Real-Time Impact of COVID-19 on TB and HIV Services: The Experience and Response from Health Facilities in Harare, Zimbabwe |
title_sort | operational research to assess the real-time impact of covid-19 on tb and hiv services: the experience and response from health facilities in harare, zimbabwe |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8261627/ https://www.ncbi.nlm.nih.gov/pubmed/34072803 http://dx.doi.org/10.3390/tropicalmed6020094 |
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