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Training Years: 2013-2014

Training Site: University of the Witwatersrand Health Consortium

Country: South Africa

Mentor: Annelies van Rie, MD, PhD; Ian Sanne, FCP(SA), FRCP(lon)

Title: Comprehensive and collaborative TB and HIV activities within prisons in Gauteng Province, South Africa

Hypothesis: A comprehensive TB /HIV strategy will detect more prevalent cases of TB and HIV, leading to appropriate treatment and decreased incident TB cases.

Project Objectives:  

Aim 1: To evaluate the uptake of a comprehensive TB and HIV control program among inmates in prisons in Gauteng Province, South Africa.

Hypothesis: Coverage rate of ≥ 80% of HIV counseling and testing, ≥95% TB symptom screening, and 100% assessment of TB suspects by Xpert can be achieved within a prison in Gauteng Province, South Africa.

Aim 2: To evaluate the impact of a collaborative TB and HIV diagnosis strategy among inmates in a prison in Gauteng Province, South Africa by determining the number of new TB and HIV diagnosis at prison entry and number of prisoners started on IPT and assessing the reduction in TB cases diagnosed before and after implementation of the comprehensive TB/HIV strategy.

NIH Support: Fogarty fellowship postdoctoral training award

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