Recording isoniazid preventive therapy delivery to children: operational challenges

S S Van Wyk, H Hamade, A C Hesseling, N Beyers, D A Enarson, A M Mandalakas
International Journal of Tuberculosis and Lung Disease 2010, 14 (5): 650-3
Despite recommendations to provide isoniazid preventive therapy (IPT) to eligible children aged <5 years who are in close contact with an infectious tuberculosis (TB) case, IPT delivery in high-burden settings remains poor. To evaluate the current system supporting IPT delivery to children in an urban community, South Africa, we reviewed the recording practices of a local clinic regarding management of children exposed to a current adult TB case. No standardised IPT management tools existed. Only 21% of children eligible for IPT had documentation of IPT delivery. There is a need to implement systems that support IPT recommendations in high-burden settings.

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