7th STOP TB Coordinating Board Meeting, Beijing, October 1415, 2004

1
7th STOP TB Coordinating Board Meeting, Beijing,
October 14-15, 2004 TB/HIV Working Group
Strategy
Gijs Elzinga Paul Nunn
GLOBAL PARTNERSHIP TO STOP TB
2
Conclusions at Brasilia - 2003

• Improving DOTS necessary, but not sufficient, to
  meet the TB targets in HIV environment
• Without better HIV/AIDS control, meeting the TB
  targets will not cause TB to fall
• TB will fall only through patient centered,
  country-wide TB HIV collaborative service
  delivery
• This may not only bring the TB targets in SSA
  within reach, but also support provision of ARVs
  to 3 million HIV-AIDS patients by 2005
• The STBCB is uniquely poised to mobilize the
  forces and resources to trigger action

3
Contents

• What the WG has done
• The WG's strategy for moving forward

4
What has the WG achieved since Brasilia?
Analysis Policy
Interim policy ME Surveillance
ART
ProTEST lessons TBHIV Clinical HIV
testing policy
5
What has the WG achieved since Brasilia?
Analysis Policy
Minimum Essential Set of Policy Guidance Is Now
Available
Interim policy ME Surveillance
ART
ProTEST lessons TBHIV Clinical HIV
testing policy
6
What has the WG achieved since Brasilia?
Country progress

• Funding
• 28 countries pledged GFATM support
• 13 countries receiving (3 in 2003)
• The Presidential AIDS Initiative and WB MAPs
  include TB/HIV
• Costing
• Completed for 34 high HIV burden countries - 300
  million annually

• Monitoring and Evaluation
• 2002-3 baseline established
• Annual system now in place
• Training
• Global to national level training under way

7
Country progress Sept 2004

• Funding commitment is no longer the bottleneck
  dispersal mechanisms are
• TB/HIV activities in most regions
• 13/33 countries surveyed have coordination
  mechanism, 50 doing joint planning, but
  implementation still low level
• Large human resource gap
• Recording and reporting gap at peripheral level

8
Mandela urges action to fight TBBy Chris Hogg
BBC Bangkok
BANGKOK by Lawrence K. Altman Nelson Mandela
came to the 15th International AIDS Conference
here Thursday to lend his prestige to the battles
against tuberculosis and AIDS, two deadly
diseases that are intricately linked.
BANGKOK (Reuters) The global war on AIDS could
be lost if the world ignores tuberculosis, often
a "death sentence" for people infected with HIV,
former South African president Nelson Mandela
said on Thursday.
Mandela sounds alarm on TB "death sentence" in
AIDS war By Darren Schuettler
9
Advocacy as at October 2004

• Major shift in environment in past year
• Increasing recognition in HIV community of TB as
  part of the solution
• Involvement of HIV advocacy groups
• Media material developed
• African Union involved
• Increasing interest in TB Community and DEWG

10
Partnership - Collaboration

• Successful TB/HIV Working Group Meetings
• Increasing involvement HIV activists
• Partner-partner collaboration expanding
• Expansion of regional involvement
• Strategy setting core group
• HIV/TB Task Force in WHO HIV Dept/STB

Heavy traffic across TB/HIV bridge
HIV-AIDS
TB
11
Strategy for moving forward

• Advocacy to increase visibility of TB and
  TB/HIV, with ACWG and others
• Media push in Britain (G8 host, EU President,
  Africa Commission, commitment to increase ODA)
• Media push in Africa (AU, NEPAD, formation and
  support of national advocates at country level)
• Meeting being planned with Peter Piot, UNAIDS
• Need inclusion in G8 planning
• Collaboration promoting engagement of HIV
  community in TB/HIV and to create better
  strategies and delivery
• UNAIDS, PEPFAR, Global Fund, World Bank
• WHO/HIV Dept., Research community, PATH
• CDC GAP and DTBE (HIV surveillance meeting Oct
  2004)
• New Diagnostics FIND New Drugs GATB
• Development of community based care delivery
  strategy
• Need corporate sector plan

12
Strategy for moving forward

• Country Support to deliver patient-centred care
• Resource mobilisation assistance
• Health workforce strengthening a must
• Expanded delivery joint TB/HIV-AIDS services
• Co-ordination of technical assistance
• Address shortcomings in implementation of DOTS
• Address HIV MDR-TB interaction