Improving the provision of Isoniazid Preventive Therapy (IPT) to newly diagnosed HIV positive clients; A Case Study from Changuge Health Centre Mara, Tanzania


With the support from PEPFAR, the Government of Tanzania is implementing programs aimed at reducing TB and HIV morbidity and mortality through comprehensive collaborative TB/HIV activities including TB prevention using Isoniazid Preventive Therapy (IPT) for adults and children living with HIV and AIDS.

However, through routine program data review, it was established that IPT coverage at Changuge Health Center was only 33%


Through Quality Improvement team and application of QI methodology, PLHIV were mobilized and sensitized to demand for IPT as part of the HIV care and treatment package. Health care providers were trained on 3Is management, proper administration and ordering of Isoniazid Drugs. Supportive supervision, coaching and mentorship of health workers was planned and executed. 


Over the period of seven months, 86.3 % (107/124) of new HIV positive clients were provided IPT and initiated on ART on the same day. This significantly improved IPT uptake to newly diagnosed clients at Changuge Health Centre. There is no statistical significant on age and sex observed. But, this performance is illustrated on the figure and run chart below

ART register A  showing   name  and date of clients  initiated  Isoniazid same day  with ART

% of newly enrolled in care who started Isoniazid Preventive Therapy (IPT) January-July 2018 in Changuge Health Centre


Improved service delivery and outcome of clients requires the application of QI methodology through QI teams. Therefore, strengthening health facilities in monitoring and evaluation data performance of services using quality improvement teams in finding the specific root causes of underperformance is  a valuable investment.


1.Narain JP, Raviglione MC, Kochi A: HIV-associated tuberculosis in developing countries: epidemiology and strategies for prevention. Tuber Lung Dis 1992, 73:311-321.



What We Do

  • Provision of Comprehensive HIV Care +

    The purpose of** Boresha Project** is to support comprehensive facility-based HIV testing, care, treatment and support service provision in 9 scale-up and 25 sustained districts in the five lake zone regions of Geita, Mara, Mwanza, Simiyu and Shinyanga. .

  • CIFF Reprogramming +

    Project Goal is to improve health services to prevent HIV transmission, increase identification of adolescents with HIV infection, and improve HIV care and treatment and retention for ALHIV in Tanzania.

  • TB in the Mining Sector Programme +

    TB in mining sector (TIMS) project is funded by Global fund through Development Aid from People to People (ADPP - Mozambique). AGPAHI is a sub-recipient of ADPP Mozambique.The project target is to screen TB to approximately 30,000 mine workers and their families.

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