KAIS 2007 1 - Kenya National AIDS & STI Control Programme ...

Figure 11.4e Cotrimoxazole coverage and access among HIV/TB co-infected adults aged15-64 years, Kenya 2007.Figure 11.4e Approximately one-half (51.2%) of adults co-infected with TB and HIV weretaking cotrimoxazole. Cotrimoxazole access among co-infected adults was 83.7%.Daily cotrimoxazole is recommended for all HIV‐infected persons. Cotrimoxazole coverageamong HIV‐infected people reporting a prior TB diagnosis was 51.2%. Access to cotrimoxazoleamong persons who were aware of their HIV infection and co‐infected with TB and HIV was83.7%. These findings among persons with HIV and TB are consistent with conclusions fromChapter 10, which indicate that coverage of cotrimoxazole among all HIV‐infected adults was lowcompared to access among those who have been diagnosed with HIV and were aware of theirstatus.11.5 PREVENTIVE SERVICES FOR PEOPLE WITH HIV: CLEAN WATERChronic diarrhoea is a leading killer of people infected with HIV. Contaminated water is often thesource of microbes that cause diarrhoea. Treating water to make it safe for drinking dramaticallyimproves the health of all people, particularly those with HIV infection who may have a weakerimmune response to fight against simple waterborne infections. The Ministry of Medical Servicesrecommends safe water systems for all households affected by HIV. Although boiling water, ifdone properly, can effectively kill most diarrhoea‐causing organisms, consistent application ofthis practice may not be feasible because of limited sources of wood or fuel. In these areas,inexpensive and readily available chemical disinfectants may be more suitable.KAIS 2007 206