Progress towards universal HIV testing among TB patients in Viet Nam: a retrospective cohort evaluation of TB/HIV surveillance, 2011\u20132017

Nguyen Binh Hoa,Nguyen Viet Nhung

doi:10.1186/s40249-019-0536-6

Abstract

BackgroundTuberculosis (TB) and HIV remain a major causes of morbidity and mortality globally. We conducted an analysis of TB/HIV surveillance data to describe the trends in HIV testing coverage and HIV positivity rate among TB patients in Viet Nam, 2011–2017.Main textThis was a descriptive study based on review and analysis of surveillance data from the National Tuberculosis Control Programme from 2011 to 2017. During this period, 721 342 TB cases were diagnosed. Of these, 520 490 (72.2%) had a previously documented HIV status or were tested for HIV during TB care and treatment. The proportion of TB patients whose HIV status was reported increased, from 58.5% in 2011 to 82.9% in 2017 (P value for trend = 0.014). The proportion of TB patients infected with HIV decreased, from 8.0% in 2011 to 3.7% in 2017 (P value for trend = 0.018).ConclusionsThe proportion of TB patients with a reported HIV status was increased from 2011 to 2017, however HIV testing coverage remained below the National Tuberculosis Control Programme targets (≥ 90%). National Tuberculosis Control Programme needs to focus on ensuring every registered TB patients has a documented HIV status, ensuring full coverage of HIV testing as part of routine TB care.

Highlights

This was a descriptive study based on review and analysis of surveillance data from the National Tuberculosis Control Programme from 2011 to 2017
We describe the annual trend in national coverage of known Human immunodeficiency virus (HIV) status among registered TB patients and the proportion of TB patients with a documented HIV-positive status over a 7 year period, from 2011 to 2017, using TB surveillance data
The proportions of TB patients with a documented HIV status increased from 58.5% in 2011 to 82.9% in 2017 (P = 0.014), see Table 1

Summary

Introduction

This was a descriptive study based on review and analysis of surveillance data from the National Tuberculosis Control Programme from 2011 to 2017. During this period, 721 342 TB cases were diagnosed. We conducted an analysis of TB/HIV surveillance data to describe the trends in HIV testing coverage and HIV positivity rate among TB patients in Viet Nam, 2011–2017. Among the 6.4 million TB cases notified in 2017, 60% were reported to have a documented HIV status in 2017 and coverage in the WHO Western Pacific Region was lower at 51% [1]. WHO estimated there were 12 000 TB deaths, including 840 among people living with HIV in Viet Nam, 2017 [1]

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Discussion

Conclusion