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Kenya’s Action Plan. Nicholas Wambua MD; MPH; DTCE. Technical Advisor -Tuberculosis CDC –Nairobi. WHO/OGAC - HIV/TB MEETING. TB Disease in Kenya. TB case finding: 115,234 in 2006 TB Case Notification Rate - 325/100,000 Average annual increase (5 yrs): 12-16%

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kenya s action plan

Kenya’s Action Plan

Nicholas Wambua MD; MPH; DTCE.

Technical Advisor -Tuberculosis

CDC –Nairobi

WHO/OGAC - HIV/TB MEETING

tb disease in kenya
TB Disease in Kenya
  • TB case finding: 115,234 in 2006
  • TB Case Notification Rate - 325/100,000
  • Average annual increase (5 yrs): 12-16%
  • Case Detection Rate (CDR) 50% of estimated incidence
results of hiv testing 2006
Results of HIV testing: 2006
  • Started in 3rd Quarter 2005
  • Proportion tested = 60%
  • HIV prevalence = 52%
  • On CTX = 80%
  • On ARVs = 22%
ipt recommendations
IPT RECOMMENDATIONS

1. IPT should not be implemented nationwide now

2. Implementation should be in selected settings

3. Groups to implement IPT

  • Congregate settings; prisons, military, children homes
  • Target groups; HCW, children exposed to open TB
  • Select Health programs which have adequate systems and structures; eg EDARP, AMPATH, MSF
  • Controlled research programs
ipt recommendations cont
IPT Recommendations cont…

4. Develop standardized guidelines for all that implement IPT. Currently there are different protocols in use.

5. Develop clear M& E plan that include process, outcome and impact indicators.

6. Conduct community feasibility/benefit studies.

measures to prevent risk of tb infection
Measures to prevent risk of TB infection
  • Develop policy guidelines
  • Clear structure for infection control
  • Resource mobilization
  • Application of the public health act in respect to infectious diseases
  • Revive infection control committees at all levels of health care and congregate settings
  • IEC materials
  • Training
intensified case finding
Intensified Case Finding

Plan of action:

  • Finalize the ICF guidelines
  • Harmonize the ICF tools
  • Incorporate TB screening in the current HIV data tools
  • Sensitize and train HCW/pharmacists
  • Amend and print the screening tools
  • Identify districts to pilot the implementation
plan of action
Plan of Action

M & E

  • Improve support supervision
  • Employing more staff for M&E
  • Harmonize R&R requirements with donors
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