Marian Loveday

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BACKGROUND Little is known about the time to sputum culture conversion in MDR-TB patients co-infected with HIV, although such patients have, historically, had poor outcomes. We describe culture conversion rates among MDR-TB patients with and without HIV-co-infection in a TB-endemic, high-HIV prevalent, resource-limited setting. METHODS Patients with(More)
INTRODUCTION As the South African province of KwaZulu-Natal addresses a growing multidrug-resistant tuberculosis (MDR-TB) epidemic by shifting care and treatment from trained specialty centers to community hospitals, delivering and monitoring MDR-TB therapy has presented new challenges. In particular, tracking and reporting adverse clinical events have been(More)
SETTING Despite the prioritisation of TB, HIV and STI programmes in South Africa, service targets are not achieved, have had little effect, and the magnitude of the epidemics continues to escalate. Objective. To report on a participatory quality improvement intervention designed to evaluate these priority programmes in primary health care (PHC) clinics in a(More)
OBJECTIVE To improve the treatment of MDR-TB and HIV co-infected patients, we investigated the relationship between health system performance and patient treatment outcomes at 4 decentralised MDR-TB sites. METHODS In this mixed methods case study which included prospective comparative data, we measured health system performance using a framework of(More)
This chapter examines the use of various categories of Community Based Health Workers as first line health workers in dealing with important health and social issues, for example with Tuberculosis and HIV/AIDS. It attempts to answer certain key issues: Are Community Based Health Workers valuable and cost effective? What should be their role? To whom should(More)
To determine whether women in KwaZulu-Natal, South Africa, with drug-resistant tuberculosis (TB) were more likely than men to have extensively drug-resistant TB, we reviewed 4,514 adults admitted during 2003-2008 for drug-resistant TB. Female sex independently predicted extensively drug-resistant TB, even after we controlled for HIV infection. This(More)
noLa reDeLinghuyS (CHSR&D) ega JanSe van renSburg-bonthuyzen (CHSR&D) conference provided an opportunity to share the early experiences of the Free State Department of Health in expanding antiretroviral treatment (ART) in the province. The conference provided the first public forum where parties from a range of backgrounds were able to come together and(More)
Background: Toll-like receptors (TLRs) are transmembrane receptors that activate cells of the innate immune systems upon recognition of pathogen-associated molecular patterns. The TLR4 is an essential component of the innate immune response to various microorganisms. We investigated the impact of TLR4 polymorphism on development of opportunistic diseases in(More)
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