Efficacy of a new model for delivering integrated TB and HIV services for people living with HIV/AIDS in Delhi – case for a paradigm shift in national HIV/TB cross-referral strategy

Anil Kumar Gupta, Girraj Pratap Singh, Sudha Goel, Pratap Bhan Kaushik, Bipin Chandra Joshi, Sabyasachi Chakraborty
  • AIDS Care, June 2013, Taylor & Francis
  • DOI: 10.1080/09540121.2013.808734

What is it about?

This study described changes adopted by Delhi in National strategy to improve continuum of care of HIV-TB coinfected patients. The strategy has increased initiation of ART during TB treatment in such patients from earlier 50% to above 90%. This in turn has improved their survival.

Why is it important?

ART should be initiated to all HIV-TB coinfected patients after 2 weeks of initiating TB treatment. Previously only 50% patients were initiated ART during TB treatment. Simple change in cross referral system b/w RNTCP and NACP resulted in significant improvement in survival of such patients.

Perspectives

Dr Anil K Gupta (Author)
Delhi State AIDS Control Society

The study has policy implications for states of India where results of National strategy have been disappointing.

The following have contributed to this page: Dr Anil K Gupta