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WHO/AFRO: TB/HIV strategy development

This presentation by Dr. Eugene A. Nyarko, Regional TB Adviser at WHO/AFRO, highlights the development of a joint TB/HIV strategy, including technical and policy-level actions, key components, and future perspectives in the WHO African Region. It covers the chronology of events, preparatory activities, collaboration initiatives, tool development, advocacy efforts, and key highlights of the strategy, emphasizing the importance of well-functioning national TB programs, availability of diagnostics and treatment, and joint advocacy and research activities.

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WHO/AFRO: TB/HIV strategy development

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  1. WHO/AFRO: TB/HIV strategy development • Presentation by: Dr. Eugene A Nyarko, Regional TB Adviser, WHO/AFRO On behalf of the RPA &TUB teams 2nd Global TB/HIV Working Group Meeting Durban, South Africa 14-16 June 2002

  2. TB/HIV STRATEGY DEVELOPMENT IN THE WHO/AFRO • Outline of presentation: • Chronology of events towards developing a joint strategy • Technical level actions • Key components/pre-requisites of joint strategy • Policy level actions • Future perspectives

  3. TB/HIV STRATEGY DEVELOPMENT IN THE WHO/AFRO • Chronology of preparatory events: • 1991, 1992, 1994: • Regional Committee Resolutions adopting & promoting DOTS strategy for TB control • 1996: • Endorsement of Regional HIV/AIDS strategy by Regional Committee • internal consultation (RPA & TUB) to identify broad areas of collaboration • 1st Regional consultation on TB/HIV collaboration • 1997: • revision of Regional TB Strategic plan • 1998: • Redefinition of AFRO priority programs recognizing HIV/AIDS, TB, Malaria among others as key comm. disease priorities • Collaboration with ProTEST project in 4 countries • 1999: • Regional workshop to develop policy framework for collaboration • Development of the HIV/AIDS home-based care kit project • 2000: • training of pool of TB & HIV/AIDS consultants for country support • Joint TB/AIDS control program review & strategic plan development in selected countries • 2001: • semi-formalization of working relations between RPA & TUB

  4. TB/HIV STRATEGY DEVELOPMENT IN THE WHO/AFRO • Technical level Actions: • Tool development: • Framework for collaboration • TB/HIV community home based care kit • Guide for consultants to provide country support • Advocacy kit • Setting up: • Inter-unit coordination committee • Regional TB/HIV working group • Development of & quarterly review of joint workplan • Drafting of joint Regional TB/HIV Strategy • Adaptation of Global Guidelines (Regional orientation) • Mentoring of country PIAs

  5. TB/HIV STRATEGY DEVELOPMENT IN THE WHO/AFRO • Key highlights of strategy: • Ensuring well functioning NTPs & NACPs in countries • Phased approach: focusing on high-medium burden countries • Ensuring availability & access to diagnostics for TB & HIV (including other major OIs) at country level • Ensuring availability & access to VCTs at country level • Ensuring availability & access to effective treatment for TB HIV/AIDS/STI at country level • Ensuring efficient & effective M&E system to capture adequate information • Promoting joint advocacy, IEC & social mobilization activities • Promoting joint operational research activities at Regional & country levels

  6. TB/HIV STRATEGY DEVELOPMENT IN THE WHO/AFRO • Policy level Actions: • OAU Heads of State Summit in Abuja 2001: high level political commitment for HIV/AIDS, TB etc (AFRO’s involvement) • Abuja Declaration, • Plan of Action • Mechanism for monitoring implementation of plan • Regional Committee (Ministers of health & WHO secretariat) • Round-table Ministerial discussion on health sector response to TB/HIV paper: expected outcome - • Key actions by countries to adopt Regional Guidelines • Key steps by countries to improve access to drugs • Recommendations on actions to scale up VCT & other services • Key actions by countries to reduce stigma • Endorsement of Regional Strategy (?2003)

  7. TB/HIV STRATEGY DEVELOPMENT IN THE WHO/AFRO • Future Perspective: • Adaptation of strategy & guidelines at country level (phased approach) • Monitoring & evaluation of implementation at country level • Pursue relevant operational research to feed into policy & guidelines

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