{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,6,15]],"date-time":"2024-06-15T05:17:10Z","timestamp":1718428630526},"reference-count":9,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2011,8,2]],"date-time":"2011-08-02T00:00:00Z","timestamp":1312243200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2011,11]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p><jats:bold>Objectives\u2002<\/jats:bold> To describe the development and operation of integrated tuberculosis (TB) and HIV care at the Martin Preuss Centre, a multipartner organization bringing together governmental and non\u2010governmental providers of HIV and TB services in Lilongwe, Malawi.<\/jats:p><jats:p><jats:bold>Methods\u2002<\/jats:bold> We used a case study approach to describe the integrated TB\/HIV service and to illustrate successes and challenges faced by service providers. We quantified effective TB and HIV integration using indicators defined by the World Health Organization.<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold> The custom\u2010designed building facilitates patient flow and infection control, and other important elements include coordinated leadership; joint staff training and meetings; and data systems prompting coordinated care. Some integrated services have worked well from the outset, such as promoting HIV testing among patients with TB (96% of patients with TB had documented HIV status in 2009). Other aspects of integrated care have been more challenging, for example achieving high uptake of antiretroviral therapy among HIV\u2010positive TB patients and combining data from paper and electronic systems. Good TB treatment outcomes (&gt;85% cure or completion) have been achieved among both HIV\u2010positive and HIV\u2010negative individuals.<\/jats:p><jats:p><jats:bold>Conclusions\u2002<\/jats:bold> High\u2010quality integrated services for TB and HIV care can be provided in a resource\u2010limited setting. Lessons learned may be valuable for service providers in other settings of high HIV and TB prevalence.<\/jats:p>","DOI":"10.1111\/j.1365-3156.2011.02848.x","type":"journal-article","created":{"date-parts":[[2011,8,2]],"date-time":"2011-08-02T06:50:29Z","timestamp":1312267829000},"page":"1397-1403","source":"Crossref","is-referenced-by-count":22,"title":["Integrated tuberculosis and HIV care in a resource\u2010limited setting: experience from the Martin Preuss centre, Malawi"],"prefix":"10.1111","volume":"16","author":[{"given":"S.","family":"Phiri","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P. Y.","family":"Khan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. 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[Accessed 10 December 2010]."},{"key":"e_1_2_6_7_1","volume-title":"Everybody\u2019s Business: Strengthening Health Systems to Improve Health Outcomes: WHO\u2019s Framework for Action","author":"WHO","year":"2007"},{"key":"e_1_2_6_8_1","volume-title":"Global Tuberculosis Control: Epidemiology, Planning, Financing","author":"WHO","year":"2009"},{"key":"e_1_2_6_9_1","volume-title":"A Guide to Monitoring and Evaluation for Collaborative TB\/HIV Activities. Geneva","author":"WHO","year":"2009"},{"key":"e_1_2_6_10_1","volume-title":"Antiretroviral Therapy for HIV Infection in Adults and Adolescents: Recommendations for a Public Health Approach","author":"WHO","year":"2010"}],"container-title":["Tropical Medicine &amp; International Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1365-3156.2011.02848.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1365-3156.2011.02848.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T11:14:26Z","timestamp":1698750866000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1365-3156.2011.02848.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,8,2]]},"references-count":9,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2011,11]]}},"alternative-id":["10.1111\/j.1365-3156.2011.02848.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1365-3156.2011.02848.x","archive":["Portico"],"relation":{},"ISSN":["1360-2276","1365-3156"],"issn-type":[{"value":"1360-2276","type":"print"},{"value":"1365-3156","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,8,2]]}}}