Scaling up care for women and children with tb hiv
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Scaling up care for women and children with TB-HIV. Carol Nawina Nyirenda Community Initiative for TB, HIV/AIDS & Malaria (CITAM+), Zambia July 23, 2012 Washington DC. My story. TB and HIV are very personal – self stigma/denial No information – didn’t know was at risk of TB and HIV

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Scaling up care for women and children with TB-HIV

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Scaling up care for women and children with tb hiv

Scaling up care for women and children with TB-HIV

Carol NawinaNyirenda

Community Initiative for TB, HIV/AIDS & Malaria (CITAM+), Zambia

July 23, 2012

Washington DC


My story

My story

  • TB and HIV are very personal – self stigma/denial

  • No information – didn’t know was at risk of TB and HIV

  • Extra pulmonary TB – X rays

  • Potential risk on infecting those around

  • Tested for HIV after TB diagnosis

  • Successfully completed TB treatment

  • Started HIV activism, later integrated TB

  • Set up community based patient-led advocacy NGO


What s at stake

What’s at stake

  • TB and HIV are the leading killers of women of reproductive age (dual burden)

  • TB is usually thought of as a “man’s” disease, so women and children often go undetected

  • Lack of knowledge on TB is putting more people at risk and contributing to stigma

  • TB messaging too technicalfor lay persons

  • Increased numbers of drug resistant cases

  • Lack of political will especially on TB in children


Tb hiv collaboration

TB/HIV COLLABORATION

  • Policy documents, referral tools for TB/HIV

  • TB and ART clinics close by

  • Improved TB-HIV care or women/children over the past few years

  • Attention being paid to TB/HIV care for women and children

  • Changes in service provision that are now available as opposed to before

  • More needs to be done to scale up to other areas and reduce loss to follow-up


Scaling up care

Scaling up care

  • All pregnant women should be screened for TB and HIV and provided appropriate treatment

  • TB diagnostics, treatment, and care services should be integrated with child health primary care and HIV services.

  • Early initiation of ART

  • All people living with HIV should be provided IPT, which prevents active TB disease

  • Available and accessible information on TB


Conclusion

Conclusion

  • Importance of community engagement in the response

  • Advocacy, Communication and Social Mobilization

  • Screening for mothers and children – intensified case finding and infection control

  • Simple messaging on TB control

  • Urgent need for TB point of care diagnostic tool, new drugs- especially for children

  • More resources into R&D


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