Assessment Of Implementation Of Recommended Tb And Hiv Collaborative Activities In Selected Health Facilities In The Sekondi/Takoradi Metropolitan Assembly, Western Region Of Ghana

ABSTRACT Introduction: Globally, Tuberculosis and Human immunodeficiency virus co-infection is a threat to the control of the Tuberculosis and Human immunodeficiency virus epidemics if measures are not put in place to manage the dual infection. In Ghana, the Health service in collaboration with the National Tuberculosis Control Program and the National AIDS Control Program in June 2007 adopted the World Health Organization policy for the clinical management of Tuberculosis and Human immunodeficiency virus. However data on the implementation of the collaborative Tuberculosis and Human immunodeficiency virus activities were not consistent between the two programs. This study was therefore designed to assess the level of implementation of the recommended activities in the Sekondi/Takoradi district of the Western Region. Methods: A cross sectional study and data review was conducted in Sekondi/Takoradi metropolis from 7th May 2015 to 6th July 2015. Data abstraction form, checklist and a questionnaire were used to collect information on characteristics of Tuberculosis and Human immunodeficiency virus patients registered in the district in 2013 and assess the level of implementation in the various facilities. Data was analyzed descriptively in frequencies and proportions. Chi-square was used to determine associations between variables at a significance level of 0.05 p-value. Results: The level of implementation of collaborative Tuberculosis and Human immunodeficiency virus activities assessed at the district was medium with a score of 27(61%).Variables were found not to be associated with the outcome of interest. Performance of the district on Tuberculosis and Human immunodeficiency virus activities was good within a 60% and 90% range as set at the national level. Conclusion: The level of implementation of recommended Tuberculosis and Human immunodeficiency virus collaborative activities in the Sekondi/Takoradi metropolis was medium whilst performance was good. Institutional coordinators of Tuberculosis and Human immunodeficiency virus control were educated on the importance of accuracy in data