Tuberculosis and co-existing common mental and substance-use disorders: a case for including mental healthcare and substance-use prevention as part of the tuberculosis treatment package in high-burden provinces

OUTPUT TYPE: Policy briefs
PUBLICATION YEAR: 2014
TITLE AUTHOR(S): P.Naidoo, K.Peltzer, J.Louw, G.Matseke, B.O.Tutshana
KEYWORDS: MENTAL HEALTH, SUBSTANCE ABUSE, TUBERCULOSIS
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 8194
HANDLE: 20.500.11910/2455
URI: http://hdl.handle.net/20.500.11910/2455

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Abstract

South Africa has 0.7% of the world's population and 28% of the world's population of the human immunodeficiency virus (HIV) and tuberculosis (TB) co-infected individuals. It has been estimated that approximately 60% of people with TB are co-infected with HIV (WHO 2012). Co-infected individuals have almost double the chances of getting multi-drug resistant TB (MDR-TB) and extreme-drug resistant TB (XDR-TB). These individuals also have a high mortality rate due to co-infection with HIV (Department of Health, RSA 2007).