Progress in Implementing collaborative TB/HIV activities

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Progress in Implementing collaborative TB/HIV
activities

• Jintana Ngamvithayapong-Yanai and Haileyesus
  Getahun On behalf of the
  Global TB/HIV Working Group
  
• Meeting of 22 High Burden Countries and Core
  Groups of the StopTB Partnership.
• 30 October 2006. Paris, France.

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WHO Interim policy on collaborative TB/HIV
Activities, 2004
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Global Plan to Stop TB (2006-2015)(Numbers in
millions)
2006 2010 2015 2006-15
PLHIV screened for TB 11 (61) 22 (98) 26 (100) 206
PLHIV on IPT 1.2 (4) 2.6 (8) 3.1 (40) 24
PLHIV on TB treatment 3.4 3.8 3.4 36
TB patients HIV tested 1.6 (47) 3.1 (81) 2.9 (85) 29
TB patients on ART 0.2 (44) 0.3 (57) 0.4 (57) 3.2
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C Reducing the Burden of HIV in TB Patients Data
(of 41 High Burden countries)
Global Plan by 2006 1.6 million
Tested for HIV
200,000 Enrolled on ART
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Progress in 2005 by region
Region Estimated HIV TB cases (no) HIV TB cases detected () HIV TB cases detected (no) TB patients tested for HIV (no) TB patients tested for HIV () TB patients that test HIV ()
AFRO 494142 6 28175 57105 5 49
AMRO 17563 60 10478 59668 27 18
EMRO 7482 2 175 2627 1 7
WPRO 12213 4 443 7039 1 6
EURO 2687 38 1024 52817 26 2
SEARO 77919 9 7027 31976 2 22
GLOBAL 612005 8 47322 211232 4 22
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Achievements policy and tools

• Policy for accelerated diagnosis of TB in HIV
  prevalent settings
• TB/HIV Training material prepared and courses
  held
• Monitoring and evaluation systems developed and
  generating trend data

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Achievements advocacy

• African Heads of State, Abuja 2006, set TB/HIV
  targets
• UNGASS support for collaborative activities in TB
  and HIV, 2006
• UNAIDS addressing TB (HIV /TB advisor posted)
• High visibility during Toronto AIDS Conference
  (included in rapporteur session)

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Constraints and challenges

• Countries moving slowly
• Weak health systems
• Limited financial and human resources
• Coordination or integration of services is
  difficult
• Cultural differences and territorial concerns
  between TB and HIV programmes
• Lack of new and rapid tools to diagnose TB in
  PLHIV
• Ensuring that TB prevention, diagnosis and
  treatment become essential parts of HIV care

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Goal 6 target 8 of the MDGs By 2015, to reduce
half of TB mortality and to
reverse the incidence