Factors affecting the TB screening indicators in people living with HIV in the regions of Northwestern Federal District of the Russian Federation

Abstract

The aim of the study is to know the tuberculosis screening measures and factors affecting their effectiveness among people living with HIV in the Northwestern District of the Russian Federation. In the study the data obtained from federal statistical surveys on HIV and tuberculosis during 2007–2018 have been used. In several regions of the Northwestern District there is a significant decrease in the results of the screening measures (p<0,05): in Kaliningrad, Leningrad, Pskov regions and Karelia Republic, which is associated with the density of cumulation of patients with advanced stages of HIV-infection (s=0,81, p<0,001) and with the share of subjects tested positively for HIV, but not registered at the AIDS Centers in the year of obtaining the positive results. In the regional TB/HIV programs it is necessary to take into account the level of cumulation of HIV cases on advanced stages in the region and the resources should be directed towards the tuberculosis screening among the patients who are on advanced HIV stages.