Abstract:

Abstract

Background: Nigeria ranks 5^th among the 22 countries that contributed 80% of the global Tuberculosis (TB) burden. The risk of developing TB is between 20 and 37 times greater in people living with HIV (PLWHIV) than among those who do not have HIV infection. The purpose of this study was to assess the level of Isoniazid Preventive Therapy (IPT) implementation among PLWHIV.

Methods: Retrospective cohort study conducted to examine the IPT implementation among the PLWHIV in Specialist Hospital Yola, Nigeria. Information’s were extracted from the IPT enrolment register and client’s folders, analyzed with excel and compared with the data in the District Health Information System (DHIS). Chi-square test was used to measure the strength of associations between the various variables and probability of statistical significant level set < 0.05 at 95% Confidence interval

Results: Eight hundred and seventy-three (873) clients were enrolled in to HIV care and treatment from January-December 2015 and were all screened for TB. 777 (89%) clients had no presumptive TB, only 273 (35%) clients were initiated on IPT out of those without presumptive TB. 143 (93%) clients on ART completed their IPT as against the 97 (80%) Pre-ART clients that completed IPT.

Conclusion: The IPT utilization in the prevention of TB among the PLWHIV in this health facility was very low, however consistent availability of Isoniazid and effective adherence counselling to eligible PLWHIV before commencement of IPT would help in increasing uptake and reducing the rate of defaulters on IPT.

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