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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

Nicholas Wambua MD; MPH; DTCE.

Technical Advisor -Tuberculosis

CDC –Nairobi

WHO/OGAC - HIV/TB MEETING


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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


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Results of HIV testing: 2006

  • Started in 3rd Quarter 2005

  • Proportion tested = 60%

  • HIV prevalence = 52%

  • On CTX = 80%

  • On ARVs = 22%



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TB HIV collaborative activities (I)Establishing mechanisms for collaboration


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TB HIV collaborative activities (III)To decrease the burden of HIV amongst TB patients


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TB HIV collaborative activities (II)To decrease the burden of TB in PLWHA


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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


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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.


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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


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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


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Plan of Action

M & E

  • Improve support supervision

  • Employing more staff for M&E

  • Harmonize R&R requirements with donors