TABLE 2.

Summary of Changes in HIV-TB Process Indicators Used in the Quality Improvement Intervention to Integrate HIV-TB Services in KwaZulu-Natal, South Africa

HIV-TB Process OutcomesProportions (95% CI)AbsoluteDifferenceP ValueClinicsa(N=20)PDSA CyclesMean, (Range)
BaselinePost-QI Intervention
HTS84.8 (75.5,95.3)94.5 (89.3,99.9)9.7.110123 (1–7)
TB screening76.2 (65.4, 88.9)85.2 (78.7,92.2)9.0.040b174 (1–9)
IPT initiation in new ART patients15.9 (4.8,52.5)76.4 (66.3,88.1)60.5.019b204 (1–11)
ART initiation in HIV-TB patients95.8 (93.3,98.3)94.1 (89.7,98.6)−1.7.48131 (1–3)
Viral load monitoring61.4 (56.4,66.8)74.0 (65.5,83.6)12.6.045b204 (1–7)
  • Abbreviations: ART, antiretroviral therapy; CI, confidence interval; HTS, HIV testing services; IPT, isoniazid preventive therapy; PDSA, plan-do-study-act; QI, quality improvement.

  • a Number of clinics engaged in quality improvement.

  • b P value significant at <.05 using paired t-tests.