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EXPANSION OF TB/HIV COLLABORATIVE ACTIVITIES

EXPANSION OF TB/HIV COLLABORATIVE ACTIVITIES. A.K.Vilakazi HIV/AIDS/STI&TB RSA. TB/HIV TRAINING DISTRICTS. One district per province-identified by province(DTD,SNRmx buy in,sufficient personnel) 2 more districts identified for 2003/4(Dependent on financial assistance)

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EXPANSION OF TB/HIV COLLABORATIVE ACTIVITIES

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  1. EXPANSION OF TB/HIV COLLABORATIVE ACTIVITIES A.K.Vilakazi HIV/AIDS/STI&TB RSA

  2. TB/HIV TRAINING DISTRICTS • One district per province-identified by province(DTD,SNRmx buy in,sufficient personnel) • 2 more districts identified for 2003/4(Dependent on financial assistance) • Training of HCW in new/old districts

  3. Expansion Criteria • Existing VCT/PMTCT program(in facilities,counsellors,HCW tx on Rapid HIV testing/counselling,HB caregivers) • Well functioning TB program • Ability to provide package of care

  4. Progress • TB/HIV/STI committees in all districts • 1264 HC Providers trained • Total# HIV tests performed in Q1 2001 and Q1 2002 increased by 200-500% • # TB cases registered Q1 2001 to Q2 2002 stable • Smear conversion rates improved in all but 2 districts

  5. HIV Counselling and Testing Services Quarters 1-3 2002

  6. TB Case Finding – Cases Registered

  7. Smear Conversion Rates

  8. Constraints • Lack of standardised data capturing mechanism • Insufficient human resources • Physical space • Policy gaps • No clear roles and responsibilities • Capacity building • Lack of transport • Lack of proper referral systems

  9. conclusions • Political commitment&ownership NB • Senior management support/buy in NB • HWs to be trained on protocols/clinical charts/completion of registers&training to be followed up by support visits • Incentives for HWs • Develop national&provincial policy guidelines&train personnel on them(EC,NW)

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