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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

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