Abstract:

TB-HIV co-infection is common in People Living with HIV/AIDS (PLHIV). Tuberculosis is an opportunistic infection (OI). OIS are infections that occur more often or are more severe in people with weakened immune systems than in people with healthy immune systems. Human Immune Virus Infection (HIV) weakens the immune system, increasing the risk of TB in people with HIV. Infection with both HIV and TB is called TB-HIV co-infection. It is hospital based descriptive study conducted among the cases with TB-HIV co-infection. All the Patients consulting the investigating Physician of a department of medicine at a Seti provincial hospital in Far-western province of Nepal within study period were enrolled after informed consent.

Out of 597 cases of ART taking patient were studied. Among them 54 were diagnosed TB-HIV co-infection, 74% (40) were married and 26% (14) were

Unmarried. Among them 50% (27) were male and 50% (27) were female. Most of the cases were from village and semi-urban settings. TB-HIV co-infection is common opportunistic infection in patient with people living with HIV/AIDS (PLHIV).

Keywords: TB-HIV co-infection, high prevalence in Nepal.

References:

[1].   Golin CE, Liu HH, Hays RD, et al. A prospective study of predictors of adherence to combination antiretroviral medication. Journal of General Internal Medicine. CT 2002; 17 (10):756-765.

[2].   WHO (2002) Global tuberculosis control: Surveillance, planning, Financing, communicable, disease. Geneva.

[3].   WHO (2019) Tuberculosis facts: WHO Press.

[4].   Division of Leprosy, Tuberculosis control center. (2018,2019). Annual report Ministry of Health and population, Government of Nepal.

[5].   WHO (1999), author Guidelines for the prevention of Tuberculosis in Healthcare facilities in resource-limited settings (Google Scholar).

[6].   WHO (2000) The time to act now Regional Office for South-East Asia, New Delhi, and TB in South-East.

[7].   6.DHS. (2019). Annual report Department of health Services, Nepal.

[8].   7.Jha KK, Sherestha L, Karki KB, Piryani RM and Rahaman MM. (2005). HIV prevalence among diagnosed TB patients’ cross-sectional study in Nepal.

[9].   WHO (2007) Towards Universal access: Scaling up priority HIV/AIDS interventions in the health sector.

[10].  Alder M, Ziglio E. ganzing into the oracle: the Delphi method and its application to social policy and policy health. London: Jessica Kingsley Publishers; 1996.

[11].  Bernard HR. Research methods in anthropology: qualitative and quantitative approaches. Walnut Creek CA: Altamira press; 1995.

[12].  Bosworth HB. Patient treatment adherence: Concepts, Interventions, and Measurement Mahwah: Lawrence Erlbaum Associates 2005.

[13].  Gao X, Nau DP Rosenbluth SA, Scott V, Woodward C. The relationship of Disease severity, health beliefs and medication adherence among HIV patients. AIDS care. 2000; 12(4):387.

[14].  Ministry of Health (1998). National reproductive health strategy of Nepal. www.moh.np.

[15].  National Center for AIDS & STIs Control (July, 2012). Factsheet No1: HIV epidemic update of Nepal.

[16].  United Nation Population Fund (UNFPA). (1997). State of the World Population. New York. www.unfpa.org.

[17].  Willians ABRNE, Friedland GHMD Introduction JAIDS Journal of Acquired Immune Deficiency Syndromes. 2006; 43 supplements (1): S1-S2.

[18].  Park, K, (2009). Park's text book of preventive and social medicine, 20^th edition. Jabalpur, India: M/S Bhanabhasidas Bhanot Publisher.

[19].  Suvedi, B.K., Gurubachary AVL. (1995). Management of HIV/AIDS. Kathmandu: SACTS.

[20].  Acharya, L.B. (1999). Knowledge of HIV and AIDS: A case study of married females of age 15-19 in Nepal. Bal Kumar KC (ed.). Population and development in Nepal, vol. 6, Kathmandu: Central Department of Population Studies, pp. 12-136.

[21].  Aryal, RH. And Adhikari. UP (2003). Adolescent and Youth in Nepal, Population Monograph of Nepal, vol.7. Kathmandu: Bureau of Statistics, pp.325-351.