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Kenya’s Action Plan

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

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  1. Kenya’s Action Plan Nicholas Wambua MD; MPH; DTCE. Technical Advisor -Tuberculosis CDC –Nairobi WHO/OGAC - HIV/TB MEETING

  2. 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

  3. Results of HIV testing: 2006 • Started in 3rd Quarter 2005 • Proportion tested = 60% • HIV prevalence = 52% • On CTX = 80% • On ARVs = 22%

  4. Where are the we?

  5. TB HIV collaborative activities (I)Establishing mechanisms for collaboration

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

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

  8. 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

  9. 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.

  10. 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

  11. 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

  12. Plan of Action M & E • Improve support supervision • Employing more staff for M&E • Harmonize R&R requirements with donors

  13. Thank you

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