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Collaborative Management of HIV/AIDS and Tuberculosis Control Programs


Author: Viorel Soltan
Degree:doctor of medicine
Speciality: 14.00.33 - Social Medicine and Management
Year:2010
Scientific adviser: Constantin Eţco
doctor habilitat, professor, Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova
Scientific consultant: Constantin Iavorschi
doctor habilitat, professor, Public Medical Sanitary Intitution Institute of Phthisiopneumology "Chiril Draganiuc"
Institution: Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova
Scientific council: DH 50-14.00.33-26.02.04
Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova

Status

The thesis was presented on the 21 April, 2010
Approved by NCAA on the 3 June, 2010

Abstract

Adobe PDF document – 0.37 Mb / in romanian

Keywords

Tuberculosis, HIV/AIDS, TB/HIV, management, collaborative, medical services, organization

Summary

The thesis is stated on 100 pages and contains: introduction, 5 chapters, conclusions, recommendations and bibliographic index, which contains 174 scientific sources, 3 annexes, 16 tables and 13 figures. There were published 16 scientific works, including 1 synthesis article, 6 articles in local and international reviewed journals, 2 theses and 3 guidelines on the theme of the thesis.

Field of research: organization of medical services regarding HIV/AIDS and TB control in Moldova through analysis of morbidity and mortality rates, level of knowledge and attitude towards HIV/AIDS of TB/HIV patients.

Research goal: to argument measures for collaborative management improvement within TB and HIV/AIDS control programs in order to reduce morbidity and mortality from TB/HIV in Moldova.

Scientific novelty and originality of the research. For the first time in Moldova it was studied HIV prevalence among new registered cases of tuberculosis based on prospective cohort, correlation between TB/HIV and knowledge and attitude of tuberculosis patients regarding HIV/AIDS.

Theoretical value. The research was based on methodology developed by WHO, UNION, CDC as well as other international experts. It also included materials of the national scientists. The data was processed using Microsoft Excel and SPSS software.

Practical value. The research results served as the basic to develop two methodological guidelines approved by the Ministry of Health. Some research results were used in development of the World Health Organization guideline „Policy guide for TB and HIV collaborative services focused on drug users” published with the author’s contribution in Geneva in 2008. The present work can be used in development of policies and strategies regarding tuberculosis and HIV/AIDS prevention and control, and as training material for graduate and post-graduate public health training.