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EXPANSION OF TB/HIV COLLABORATIVE ACTIVITIES

This initiative focuses on expanding TB/HIV collaborative activities in South Africa, targeting specific districts by enhancing training, existing programs, and TB services to improve healthcare outcomes. The progress includes increased HIV tests and stable TB cases registration, with improved smear conversion rates. However, challenges remain such as lack of standardized data capturing, human resources, space, and clear responsibilities. The initiative emphasizes political commitment, senior management support, training healthcare workers on protocols, and developing national guidelines for sustainable impact.

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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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