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Preventing tuberculosis with community-based care in an HIV-endemic setting: a modeling analysis
Jennifer M Ross1, Chelsea Greene2, Cara J Bayer3
1Division of Allergy and Infectious Diseases, Department of Medicine, University of Washington, Seattle, USA.
Medrxiv : the Preprint Server for Health Sciences
|September 4, 2023
Summary
Community-based care for people with HIV significantly reduces tuberculosis (TB) incidence and deaths. This approach also lowers TB gender disparities by increasing access to antiretroviral therapy (ART) and TB preventive treatment (TPT).
Area of Science:
- Public Health
- Epidemiology
- Health Services Research
Background:
- Antiretroviral therapy (ART) and TB preventive treatment (TPT) are crucial for preventing tuberculosis (TB) deaths in people living with HIV.
- Differentiated care models, such as community-based care, can improve ART and TPT uptake, especially in high HIV-associated TB burden areas.
Conclusions:
- Scaling up community-based ART and TPT significantly increases coverage, reducing TB incidence and mortality in high HIV-burden settings.
- Community-based care effectively reduces gender disparities in TB mortality among people living with HIV.
- Community-based care models offer a cost-effective strategy for managing HIV-associated TB.
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