Evaluation of integrated registers for tuberculosis and HIV surveillance in children, Ethiopia, 2007-2009
INTERNATIONAL JOURNAL OF TUBERCULOSIS AND LUNG DISEASE
Centers for Disease Control & Prevention - USA, Ctr Dis Control & Prevent, Int Ctr AIDS Care & Treatment Programs
In 2008, Ethiopia implemented tuberculosis (TB) treatment registers that included columns for recording human immunodeficiency virus (HIV) test results (integrated registers) to replace the previous system of separate TB and HIV registers (pre-integration registers). We compared the proportion of children with documented HIV rapid test results at eight hospitals before and after adopting the integrated registers. HIV status was more consistently documented in the integrated registers; however, HIV status for infants aged <18 months could not be assessed, as the registers did not capture results from polymerase chain reaction-based testing. Recording procedures should be revised to document age-appropriate HIV diagnostic results and ensure referral for appropriate care.