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Interim TB/HIV Document

This document provides guidance for TB/HIV programs to work together effectively. Tailored for policymakers, managers, and agencies in different epidemic stages, it advocates for harmonization and practical actions to combat the dual epidemic. Developed with feedback and clear language to ensure alignment and resource optimization.

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Interim TB/HIV Document

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  1. Interim TB/HIV Document Jeroen van Gorkom KNCV Tuberculosis Foundation 3rd TB/HIV Working Group

  2. Background • Governments have been slow in responding to TB and/or HIV/AIDS threat • Few countries with well-functioning (or documented) joint TB/HIV activities • Increasing (inter-) national commitment to HIV/AIDS Care and Support = best opportunity for TB and HIV/AIDS programs to work together • MOMENTUM  ACTION  SERVICES

  3. Rationale • Response to calls from countries on how to address TB/HIV in different settings:What ? When? Where? • What? and How? addressed in Strategic Framework and Guidelines • “Interim”, because for a number of interventions evidence is not strong • We need a document for promotion and advocacy

  4. Target audience • Policy makers at National, State, Province, District level • TB and HIV/AIDS programme managers • Technical agencies and NGOs working in TB and HIV/AIDS • Development Aid Agencies

  5. Objective To provide guidance in decisions on priorities in policy, and strategic direction for both TB and HIV/AIDS programmes, in countries at different stages of the HIV/AIDS epidemic

  6. Expected output A document of 6-8 pages that: • Is relevant to countries with different levels of HIV/AIDS and TB/HIV dual epidemics, and with differing resources • Is short, comprehensive and easy to read (KISS) • Is supported by both TB and HIV/AIDS community in WHO • Advocates and promotes harmonization of the response of HIV/AIDS and TB programmes to the TB/HIV dual epidemic • What? When? Why? Where?

  7. Process and Time Frame • First draft ready (May 2003): Done • Critique and review by a writing committee (Early June): Done • Presentation to STAG (End June) • Wider circulation among stakeholders (Sept-Okt) • Presentation at conferences and regional meetings, GFATM, Stop-TB Board, web-based discussion groups • Finalisation (Nov-Dec) • Publication 1st Quarter 2004

  8. Feedback • Provide max 2 page Exec. Summary • Focus on practical actions/ interventions/ activities, and their sequencing • Stress the need for strong and sufficiently resourced HIV/AIDS and TB programs but do not elaborate • Include quantifiable targets  reports • Promote increasing resources

  9. Feedback • Be clear on expressions/ TB-HIV jargon • Stress need for “harmonization” of TB in HIV/AIDS policy and HIV/AIDS in TB policy • Do not promote new vertical programme • Roles and responsibilities

  10. Contents Know what the burden is and where it is • Surveillance of HIV in TB patients • Surveillance of TB in HIV

  11. Contents Activities that decrease the impact of HIV on PLWTB • Routine HIV testing and counselling • CPT • ART

  12. Contents Activities to decrease the impact of TB on PLWH • Intensified Case Finding in VCT centres, HIV clinics, support groups, prisons, contacts etc. • IPT for PLWH without active TB

  13. Contents Activities that deal with the impact of TB and HIV on communities Home- and Community Based Care for PLWHA and PLWTB

  14. Contents Activities that strengthen the health sector response in dealing with TB and HIV/AIDS • HRD • IEC  patients, clients, community • Coordination • M&E

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