Combined treatment lifts TB/HIV patient burdens

A Ministry of Health (MoH) pilot program to combine tuberculosis and HIV treatments for TB/HIV co-infected patients in medical centres at district and commune levels has yielded positive results, experts said.
HIV/AIDS patients in Ninh Binh province receive consultations from a doctor (Photo: VNA)
HIV/AIDS patients in Ninh Binh province receive consultations from a doctor (Photo: VNA)

The program was first implemented from 2013 to 2015 in Nho Quan district (Ninh Binh province) and Hung Ha district (Thai Binh province). It was then expanded to 12 provinces in 2015-2016.

The program aims to reduce the burdens for TB/HIV co-infected patients, caused by separated treatment systems for the two diseases which are common at most medical establishments in the country.

According to Associate Professor Bui Duc Duong, deputy director of MoH’s Department for HIV/AIDS Prevention and Control, TB is the most common opportunistic infection in HIV-infected patients and is thus the leading cause of HIV death. Every year, Vietnam has about 5,500 new cases of TB/HIV co-infected patients.

However, an absence of a combined TB/HIV treatment system has forced many patients to go back and forth between different medical establishments at the same time for diagnosis and treatment. For example, a TB-infected patient will be introduced to a HIV/AIDS-treated centre for test and possible treatment (in case they are HIV positive). On the contrary, a HIV/AIDS patient who is suspicious of having TB will be advised to go to a TB-treated centre.

Many patients, already feeling disgraced and hopeless about their situation, end up quitting the treatment process due to exhaustion.

The pilot program has solved this problem, said Dr Nguyen Van Cu of the Central Lung Hospital.

According to the preliminary results from the 12 provinces implementing the pilot program, the proactive detection of tuberculosis infection in HIV patients as well as the detection of HIV infection in TB patients has markedly improved. Now, patients can be diagnosed for both infections the first time they go to a medical centre, instead of at least three times as before.

The programme has also increased the number of TB and HIV/AIDS co-infected patients simultaneously receiving treatment for both diseases.

“The number of patients quitting treatment process has reduced, while doctors are informed of both TB-treatment and HIV-treatment processes,” Cu said.

The combined model has also helped reduce medical personnel, facility cost and other investment costs needed to offer TB and HIV/AIDS treatment services, said Assoc Prof and Dr Le Van Hoi, Deputy Director of the Central Lung Hospital.

Besides, the quality of medical services has improved, especially in disease detection and early treatment.

Due to the effectiveness of the model, the Ministry of Health is ready to expand the programme to a national scale over the next few years, according to Hoi. 

Several related legislative documents and technical instructions have been promulgated to prepare for the rollout, including the Framework for combination of TB and HIV treatment in 2016-2020 and other documents on health insurance schemes for HIV and TB patients.

Other news