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Country action: a Coordinated approach

Republic of Uganda Ministry of Health. Uganda: The dual epidemic of TB/HIV. Country action: a Coordinated approach. NEW DEHLI INDIA, 21–26 MARCH 2004 Second TB PARTNERSHIP FORUM. The TB/HIV Burden. There is a dual epidemic in the country.

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Country action: a Coordinated approach

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  1. Republic of Uganda Ministry of Health Uganda:The dual epidemic of TB/HIV Country action: a Coordinated approach NEW DEHLI INDIA, 21–26 MARCH 2004 Second TB PARTNERSHIP FORUM

  2. The TB/HIV Burden • There is a dual epidemic in the country. • TB notification has been increasing by an average of 10% annually since 1995. • HIV prevalence amongst antenatal attendees is estimated to be between 6-8%. • TB/HIV association is estimated to be 37% in Uganda (WHO report). • There is a 10% annual risk of developing active TB amongst HIV positive clients. Remenber one patient two diseases

  3. Strategy to tackle the dual epidemic • Adoption of Community Based TB care using the DOTS strategy country wide Currently in 40 out of the 56 districts. Engagement of the Private for profit practitioners is currently being explored. • Establishment of equitable, quality VCT services for comprehensive care countrywide. This is being done in partnership with all stakeholders inthe country. Remenber one patient two diseases

  4. Key Country action areas • There is strong Government Commitment to integrate TB/HIV and AIDS care within the present general health system – Political commitment, Establishment of national partnerships to coordinate efforts. • The country is in the process of operationalising 214 VCT centres countrywide in partnership with other stakeholders as entry points for comprehensive TB/HIV care in line with the WHO strategy – Integrated care, DOTS, ARVs, PMTCT, IPT and Rx of OIs along with IEC, Surveillance and Condom use promotion. • Addressing the Human resource constraint within the health sector - Engagement of various partners in technical assistance & implementation plus recruitment. Remenber one patient two diseases

  5. Constraints and Challenges • Insufficient Human Resource Capacity within the health sector. This is vital for the rapid scaling up the TB&HIV care services countrywide namely; - CB-DOTS, - ARVs, IPT, RxOIs and PMTCT. • Insufficientcapacity and low morale at District level to implement interventions effectively. • Modalities for strengthening the established Coordination mechanism at national, District and Community levels. This would harness and streamline effective use of resources by the many implementers and stakeholders participating in the fight against this dual epidemic. Remenber one patient two diseases

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