1 / 23

I will address

" TB/HIV Monitoring and Evaluation" This talk will introduce the WHO PEPFAR UNAIDS agreed revision of TB/HIV collaborative indicator guide HIV recording and reporting for HIV/TB Christian Gunneberg M.O. STB World Health Organisation, Geneva. I will address.

Jimmy
Download Presentation

I will address

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. "TB/HIV Monitoring and Evaluation" This talk will introduce the WHO PEPFAR UNAIDS agreed revision of TB/HIV collaborative indicator guide HIV recording and reporting for HIV/TBChristian Gunneberg M.O. STBWorld Health Organisation, Geneva

  2. I will address • The revision of the TB HIV indicators • The case for better integration of TB and HIV monitoring, • How collaborative TB HIV activities have led to the revision of global estimates

  3. 2004 guide to Collaborative TB HIV activities

  4. Revision of TB/HIV indicators • Issues: Original M&E guide 2004 Revision of WHO TB and HIV R&R include TB/HIV data • PEPFAR and UNGASS have own indicators • Indicator harmonisation needed for countries • Global Fund wanted to update their M&E toolkit

  5. Harmonized indicators for the HIV/TB • Revised TB/HIV indicator guide • Harmonized • WHO, UNAIDS, GLOBAL FUND, & PEPFAR • Aligned with WHO generic recording and reporting formats • Essential for monitoring of 3 Is • New • 13 instead of 20 indicators • 2 Infection control indicators

  6. % HIV STATUS KNOWN % HIV +ve TB/HIV CASE DETECTION FREE CONDOMS CPT PROVISION % TB/HIV in HIV CARE ART PROVISION

  7. TB STATUS AT LAST VISIT STARTED TB TREATMENT CASE DETECTION (UNGASS 6) NEWLY ENROLLED ON IPT INFECTION CONTROL PRACTICES HEALTH WORKERS WITH TB

  8. Revision of HIV recording and reporting formats to measure TB/HIV indicatorsAIMS: report on • TB status assessment • TB treatment provision • IPT provision • On HIV patient forms • On HIV Pre ART & ART Registers • On quarterly cross-sectional reporting forms

  9. Progress in TB/HIV indicator reporting by HIV programmes in Asia Pacific South East Asia Region (of 11) Western Pacific Region (of 36)

  10. PRE/ART registers already contain TB tx and IPT columns Adjust to record month year & TB registration numbers Now also to record TB status at monthly/quarterly visits

  11. Pre-ART register: TB status follow up

  12. ART RegistersTB status at last visit.

  13. Cross-sectional quarterly report IPT TB SCREENING TB TREATMENT

  14. The HIV/TB M&E Challenge:Health facility implementation Country Level ART services TB treatment and HIV testing services PLHIV to be on pre ART register & receive HIV care (ICF/IPT/CPT) here

  15. Routine HIV testing of TB Patients & Revision of the TB/HIV Estimates

  16. WHO recommendations 2007: In all types of HIV epidemics,health care providers should recommend HIV testing and counsellingas part of the standard of care to:− all adults, adolescents or children who present to health facilities with signs, symptoms or medical conditions that could indicate HIV infection. These include tuberculosis and other conditions specified in the WHO HIV clinical staging system. http://whqlibdoc.who.int/publications/2007/9789241595568_eng.pdf

  17. Proportion of TB patients tested for HIV Key No reported activity < 15% 15 to 50% 51 to 75% More than 75% Progress of HIV testing for notified TB patients Global 2004 2005 3% 9% 2006 2007 12% 16%

  18. Proportion of TB patients tested for HIV Key No reported activity < 15% 15 to 50% 51 to 75% More than 75% Progress of HIV testing for notified TB patients Asia Pacific (47) 2004 18 2005 22 2006 27 2007 29 0.3% 1.9% 3.7% 6.0% 0.2 of 3.1 million notified TB patients were tested in ASIA PACIFIC REGION in 2007

  19. ASIA PACIFIC 2007Proportion of TB patients with known HIV status

  20. HIV testing and treatment, 2007 Access to ART is very low and showed regional variation

  21. 64 countries with empirical data in 2007 • From national surveys of HIV in TB • 7 countries (up from 2 last year) • From sentinel surveillance systems • 8 countries • From routine testing (where tested / new cases greater than 50%) • 49 countries (up from 13 last year)

  22. TB HIV estimates What has changed? • Significant upward revision in 2007 HIV-TB estimates: Better direct data • Number of cases double • 1.37m incident TBHIV cases in 2007, Previous estimate (2006): 0.7m • Number of deaths double • 23% of estimated HIV deaths in 2007 had TB456,000 TBHIV deaths / 2m HIV deaths

  23. Conclusion and next steps • Collaborative activities have improved surveillance • Need to enhance TB HIV M&E • HIV testing of TB patients • TB analysis from HIV registers • e.g. better TB surveillance data from HIV care

More Related