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Setting the Scene APPG on Global Tuberculosis - Meeting on Integrating Tb and HIV Care in Sub-Saharan Africa

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Setting the Scene APPG on Global Tuberculosis - Meeting on Integrating Tb and HIV Care in Sub-Saharan Africa

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    1. Malcolm McNeil Senior Health Adviser, DFID London, 29th April 2009 Setting the Scene APPG on Global Tuberculosis - Meeting on Integrating Tb and HIV Care in Sub-Saharan Africa Additionally there is a Photo Library that has been designed to enable staff to search a database of over 1000 images. These images can either be downloaded or ordered as photographs or slide transparencies. Visit http://insight/elibrary/default.asp?edatabases/photolib/plhome.htm Additionally there is a Photo Library that has been designed to enable staff to search a database of over 1000 images. These images can either be downloaded or ordered as photographs or slide transparencies. Visit http://insight/elibrary/default.asp?edatabases/photolib/plhome.htm

    4. Estimated HIV Prevalence in new TB cases, 2007

    5. Key Issues TB and HIV are strongly linked TB/HIV in Africa two diseases, one person. Drug users (esp. injecting) and HIV Prison Sex work Poverty, homelessness, overcrowding, contacts TB drug resistance BUT response programmes for TB and HIV often not effectively linked HIV will not explode into the general population but TB is more likely to, especially MDR-TB

    6. Major challenges that we (DFID and others) are trying to overcome Huge issues: In hyper-endemic countries, HIV and Tb fuelling each other. Multi-drug resistant Tb becoming ever more prevalent. Ineffective management and supervision of front-line services. The poor denied access to services. DFID heavily involved in PRBS and SWAp programmes, along with the IHP, and can effectively press for integration of effective Tb/HIV services and best practice approaches We believe that the integration of effective Tb/HIV services into health systems strengthening is vital for long-term sustainable provision of services in developing countries

    7. DFIDs Revised AIDS Strategy Achieving Universal Access 2008 2015 (launched June 2008) Overall commitment of 6 Billion (2008 2015) to strengthen health systems vital expenditure if universal Tb/HIV services are to be developed and sustained Strategy also commits DFID to work towards far stronger integration of Tb/HIV services If funding agencies were receiving a report card, what would our overall rating be? Could do better? Needs far greater effort? Disorganised and lacking in focus? Well meaning but needs to stop talking and start working?

    8. DFID-funded Research Programme Consortia (RPCs) are starting to have a real impact Working along with other funding agencies, particularly the Medical Research Council and the Wellcome Trust, DFID committed to doubling of research funding in the new Research Strategy launched 2008. Today two examples of programmes working hard to make a difference: Communicable Diseases RPC (known as COMDIS) TARGETS RPC (Team for Applied Research to Generate Effective Tools and Strategies for Communicable Diseases Control). One of the TARGETS partners is featured today, Zambia AIDS-Related Tb Project (ZAMBART), also funded by the Gates Foundation

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