TB/HIV COLLABORATION INGHANA
Dr. Nii Nortey Hanson – Nortey
National TB Control Programme
Accra
STATISTICS
•In Accra Metro for the 2nd Quarter of2006, a total of 138 patients werediagnosed with TB.
•71% tested for HIV and 51% werepositive.
•Of this 66% were started on Co-trimoxazole and were eligible for ART.
RATIONALE
•Recognition that TB is the mostimportant opportunistic infection in HIVand causes increased morbidity andmortality.
•Also increases the progression of HIVinfection to clinical AIDS - HIV is fanningthe TB epidemic in Ghana.
PURPOSE
•To decrease the morbidity andmortality of TB and HIV in Ghana.
•To enhance the activities of the NTP& NACP in providing quality care,prevention and support at allservice delivery points in Ghana forpeople living with, or at risk of TB &HIV.
Background Information
•Mechanism for collaborative HIV/TB activitiesinitiated in early 2005 at the national level - NationalHIV/TB Coordinating Body
•Goal: To take advantage of the natural synergiesand complimentarity of the two programs to developcollaborative programme
•Various stakeholders meetings called to collectinformation and generate consensus to developpolicy
•Roles and responsibilities for HIV/TB collaborativeactivities by NACP and NTP defined
Implementation
TB/HIV collaboration is to be achieved byeffective implementation of
–Recommended DOTS strategy for TB control
–Improved HIV prevention and care
–Additional collaborative TB/HIV activities
e.g. routine offer of HIV testing to all patientsattending clinics in Ghana
MODE OF IMPLEMENTATION
•The NTP is well established in all districts(Ghana has 100% DOTS coverage) and hasstrengths that can be synergistic with thenational scale up of HAART.
•The NACP & HAART program are relatively newand both patients and health workers will benefitfrom closer collaboration.
•Increased efficiencies and elimination of overlapwill help reduce costs.
NOTE WELLNOTE WELL
•Duplication of efforts minimized and caretaken to coordinate budgets
•A focal person for joint HIV/TB collaborationhas been identified.
•Office established at the Central TB Unit tocoordinate and ensure joint TB/HIV activities.
•Policy document prepared and completed
NO NEW PROGRAMME SET UP
Strategies
•Strengthening the health system torespond to the TB/HIV dual epidemic
•Decreasing the burden of TB amongPLWHIV and
•Decreasing the burden of HIV in TBpatients.
•Strategic activities to be rolled out inphases
•Scale up will be synchronised with the rollout of the NACP HAART services
•The TB/HIV collaborative strategies will beimplemented by the NACP and NTP, theTeaching Hospitals, NGOs, CBOs, FBOsand the private sector
Health System strengthening inresponse to TB/HIV
•Coordination of TB/HIV activities at all levels
•Joint TB/HIV planning
–Partnership Development and coordination (National,Community, Public-Private)
–Resource mobilization and deployment
–Joint Advocacy, Communication and Social Mobilization
–Operational Research to enhance TB/HIV collaboration
•Health and Infrastructure Development
•Building Partnerships with communities, PLWHIV andNGOs
•Surveillance
•Supervision, Monitoring and Evaluation (M&E)
Decrease the burden of TB inPLWHIV
•Prevention of TB Infection in PLWHIV
•Intensified TB Case Finding in PLWHIVwith early diagnosis and treatment of HIVassociated TB
•Prevention of TB Disease in PLWHIV
Decrease the burden of HIV inpeople living with TB
•Prevention of HIV in TB Patients
•Provision of Antiretroviral Treatment forTB patients during TB treatment
•HIV Care and Support for HIV-positiveTB patients during and after TBtreatment
•Prevention of Opportunistic Infections inPLWHIV with TB
THANK YOU