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Interim TB/HIV Document

Interim TB/HIV Document. Jeroen van Gorkom KNCV Tuberculosis Foundation 3 rd TB/HIV Working Group. Background. Governments have been slow in responding to TB and/or HIV/AIDS threat Few countries with well-functioning (or documented) joint TB/HIV activities

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Interim TB/HIV Document

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  1. Interim TB/HIV Document Jeroen van Gorkom KNCV Tuberculosis Foundation 3rd TB/HIV Working Group

  2. Background • Governments have been slow in responding to TB and/or HIV/AIDS threat • Few countries with well-functioning (or documented) joint TB/HIV activities • Increasing (inter-) national commitment to HIV/AIDS Care and Support = best opportunity for TB and HIV/AIDS programs to work together • MOMENTUM  ACTION  SERVICES

  3. Rationale • Response to calls from countries on how to address TB/HIV in different settings:What ? When? Where? • What? and How? addressed in Strategic Framework and Guidelines • “Interim”, because for a number of interventions evidence is not strong • We need a document for promotion and advocacy

  4. Target audience • Policy makers at National, State, Province, District level • TB and HIV/AIDS programme managers • Technical agencies and NGOs working in TB and HIV/AIDS • Development Aid Agencies

  5. Objective To provide guidance in decisions on priorities in policy, and strategic direction for both TB and HIV/AIDS programmes, in countries at different stages of the HIV/AIDS epidemic

  6. Expected output A document of 6-8 pages that: • Is relevant to countries with different levels of HIV/AIDS and TB/HIV dual epidemics, and with differing resources • Is short, comprehensive and easy to read (KISS) • Is supported by both TB and HIV/AIDS community in WHO • Advocates and promotes harmonization of the response of HIV/AIDS and TB programmes to the TB/HIV dual epidemic • What? When? Why? Where?

  7. Process and Time Frame • First draft ready (May 2003): Done • Critique and review by a writing committee (Early June): Done • Presentation to STAG (End June) • Wider circulation among stakeholders (Sept-Okt) • Presentation at conferences and regional meetings, GFATM, Stop-TB Board, web-based discussion groups • Finalisation (Nov-Dec) • Publication 1st Quarter 2004

  8. Feedback • Provide max 2 page Exec. Summary • Focus on practical actions/ interventions/ activities, and their sequencing • Stress the need for strong and sufficiently resourced HIV/AIDS and TB programs but do not elaborate • Include quantifiable targets  reports • Promote increasing resources

  9. Feedback • Be clear on expressions/ TB-HIV jargon • Stress need for “harmonization” of TB in HIV/AIDS policy and HIV/AIDS in TB policy • Do not promote new vertical programme • Roles and responsibilities

  10. Contents Know what the burden is and where it is • Surveillance of HIV in TB patients • Surveillance of TB in HIV

  11. Contents Activities that decrease the impact of HIV on PLWTB • Routine HIV testing and counselling • CPT • ART

  12. Contents Activities to decrease the impact of TB on PLWH • Intensified Case Finding in VCT centres, HIV clinics, support groups, prisons, contacts etc. • IPT for PLWH without active TB

  13. Contents Activities that deal with the impact of TB and HIV on communities Home- and Community Based Care for PLWHA and PLWTB

  14. Contents Activities that strengthen the health sector response in dealing with TB and HIV/AIDS • HRD • IEC  patients, clients, community • Coordination • M&E

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