HIV/AIDS

Promoting TB/HIV collaborative activities

WHO first released an interim policy on collaborative TB/HIV activities in 2004. In 2012, the policy was updated to reflect evidenced-based reviews. Since then, many collaborative activities have been scaled up, but progress by region and activity has been variable.

WHO-recommended collaborative TB/HIV activities

Establish and strengthen the mechanisms for delivering integrated TB and HIV services

1. Set up and strengthen a coordinating body for collaborative TB/HIV activities functional at all levels
2. Determine HIV prevalence among TB patients and TB prevalence among people living with HIV
3. Carry out joint TB/HIV planning to integrate the delivery of TB and HIV services
4. Monitor and evaluate collaborative TB/HIV activities

Reduce the burden of TB in people living with HIV and initiate early antiretroviral therapy (the Three I’s for HIV/TB)

5. Intensify TB case-finding and ensure high quality antituberculosis treatment
6. Initiate TB prevention with Isoniazid preventive therapy and early antiretroviral therapy
7. Ensure control of TB Infection in health-care facilities and congregate settings

Reduce the burden of HIV in patients with presumptive and diagnosed TB

8. Provide HIV testing and counseling to patients with presumptive and diagnosed TB
9. Provide HIV prevention interventions for patients with presumptive and diagnosed TB
10. Provide co-trimoxazole preventive therapy for TB patients living with HIV
11. Ensure HIV prevention interventions, treatment and care for TB patients living with HIV
12. Provide antiretroviral therapy for TB patients living with HIV

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