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TB/HIV Workshop: DRC

TB/HIV Workshop: DRC . Group Work and Country Presentations. 1.1 Coordinating mechanism. Not yet established nationally, only for Union IHC project, USAID/WHO Is needed to be formalized to give it more status and impact

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TB/HIV Workshop: DRC

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  1. TB/HIV Workshop: DRC Group Work and Country Presentations

  2. 1.1 Coordinating mechanism • Not yet established nationally, only for Union IHC project, USAID/WHO • Is needed to be formalized to give it more status and impact • 1stQ 2008 with consultant already programmed to come, institutional assistance • MAP in country already wants to integrate TB/HIV already. • M&E to be adjusted

  3. 1.2 Conduct surveillance HIV in TB • (NTLP) First base-line in Kinshasa, Belgium Gvt, pilot in 2008. Conflicting data from other sources. • PICT is not well established countrywide, needing a prevalence survey/sentinel surveillance • ANC is well established Action: Agree on protocol (sites, sample, methodology) and funding MAP? Needs reprogramming, indicator exists Utilize funds faster and request more. Explore with TTL WB.

  4. 1.3 Planning • New strategic plan for HIV/AIDS needed • Action: TA required for revision of 5 year strategic plan for HIV/AIDS , and advise on inclusion of TB/HIV, MAP 2 years and GF7 already won (WB, The Union promised, Belgium Government). • U$: WB (MAP) working in zones and funded, GF (2 rounds)

  5. 1.4 M&E • Joint supervision TB/HIV in IHC and other funding • Joint revision of data collection tools completed, but not yet widely implemented because of lack of printing and distribution • Satellite internet connections in all zones Action: Funds for printing and distribution Training of Health workers Present to donors (WB, GF)

  6. 2.1 ICF • Not yet established in technical policy NACP; methodology, guidelines, training and M&E • Problems of access to good diagnosis when TB suspect is identified: knowledge and skills and equipment (Xray, AFB etc.) Action needed: • Intermediate measures for improving diagnosis particularly in (referral) hospitals: train, equipment • Training of HCWs in TB diagnosis in HIV/AIDS care settings • Training of HCW in HIV/AIDS settings (VCT, PMTCT, HAART centers) in identification of TB suspects (all forms) based on symptoms • Same for community-based programs • Same for organizations of PLHIV

  7. 2.2 IPT • Not yet included in technical policy • Fear for mono-therapy,exclusion of active TB Action • Organize a meeting in DRC on IPT • Protocol • Development of policy and technical policy together between NTLP/NACP • Pilot project in a few sites • Adherence support • Evaluation

  8. 2.3 Infection Control • Already in TB/HIV policy • Not integrated in general MOH IC policy , which is also not well functioning in MOH • Simple measures: Isolation, Cough hygiene, • Not on MDR/XDR with isolation wards • Special need for prisons in transmission prevention • TB screening and RX available (NTLP) Action Revision of national policy for TB-IC and in prisons Integration in general IC Dissimenation and training in health facilities and congregate settings Refurbishment of health facilities

  9. 3.1 Provide HIV testing and counselling • Scaling up is the issue of IHC pilot projects Action • Scaling-up

  10. 3.2 Introduce HIV prevention methods

  11. 3.3 Introduce cotrimoxazole preventive therapy • Scaling-up needed of IHC pilots

  12. 3.4 HIV/AIDS care and support • Done by Community-based organization • Is not very strong • No psychological support • Nutritional support needed Action: TA for revision of psychological care and support for PLHIV Capacity building

  13. 3.5 ART scale-up • Scale-up needed

  14. What can be done in the next 6 months and what is required in DRC?

  15. What can be done in the next 6 months and what is required in DRC?

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