JOINT HIV/TUBERCULOSIS INTERVENTIONS


What are they?

Joint HIV/Tuberculosis (TB) interventions seek to promote synergies between TB and HIV/AIDS prevention and care activities.

Why it is Important

How it is done?

TB and HIV prevention and care interventions are mutually reinforcing. Interventions to tackle tuberculosis among HIV-infected people can occur in the home, community and hospital/clinic. Joint TB/HIV interventions seek to 1) prevent HIV infection, 2) prevent TB, 3) provide care for PLWHA and 4) provide care for people with TB. Many potentials for overlap will occur.

Examples of joint TB/HIV interventions include:

Home care

Community care

Hospital/clinic care

Human Resources, Infrastructure and Supplies Needed

The need for additional human resources will depend on the staffing of existing HIV/AIDS, TB and general health care services. Given the scope of the TB and HIV/AIDS epidemics, additional staff will be needed in all high HIV prevalence countries if prevention and care activities for TB and HIV/AIDS are to be augmented. Existing staff may need to be trained or re-trained to ensure that joint interventions are realized.

Several requirements are necessary for countries to implement joint TB/HIV interventions. In addition to adequate staff and training, facilities and supplies will be required (e.g. testing and counselling sites, ARV therapy, condoms, medicines to treat HIV-related infections, etc.). Research to find out how best HIV/AIDS and tuberculosis programmes can work together will be important. Coordination of activities between the National HIV/AIDS Control Programme and National TB Programme will require policies to be developed within the Ministry of Health that can then be extended to the institutional and district level.

Once in place, policies that result in collaboration between HIV/AIDS and TB programmes have the potential to yield benefits for more effective and efficient training, drug supply, case detection and management, and surveillance.

Cost Information

It is clear that joint TB/HIV interventions will clearly require additional funding to improve both TB and HIV programme performance and coverage, increase testing and counselling, prevent mother to child transmission of HIV infection, provide community home based care for people living with HIV/AIDS and provide antiretroviral treatment. It should be emphasized however, that much can be done with existing resources. Collaborative activities are possible even at present funding levels and with the use of existing resources. Costs can be minimised by targeting preventive interventions to those at greatest risk and providing care to those most in need. As new services are developed they will benefit from an integrated approach.

Key References

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