collaborative tb/hiv activities - stop tb partnership · 2014-12-22 · diane v. havlir 13th tb/hiv...
TRANSCRIPT
Collaborative TB/HIV activities Update on Progress
Diane V. Havlir
13th TB/HIV Core Group meeting
April 17-18, 2008
New York, USA
Outline
• Implementation and successes
• Strategic programme and policy issues
• Advocacy and communication
• Research
Implementation-key activities
2005 2006 % increase
(2005-06)
TB patients
tested for
HIV
373,062 687,174
78% CPT, 41% ART
54%
PLHIV
screened
for TB
184,121 314,000 59%
PLHIV put on
IPT
26,000 27,000 0.9%
Implementation-sub Saharan Africa
• Africa 22% of all notified TB patients were tested for HIV in 2006.
• Five fold increase of HIV testing of TB patients in 11 African countries with 57% of the global burden over 3 years.
• Countries passed the Global plan target (51% by 2006).
• Rwanda (76%)
• Malawi (64%)
• Kenya (60%)
Implementation-other regions
Regional/ Special Population Responses
• Drug use- Guidelines in progress for
providing integrated TB and HIV
prevention (Christian,Kathrin)
• Western Pacific Region: Revised regional
strategic plan in Phnom Pen
• Latin America: Meeting in Lima, Peru.
Region developing TB/HIV management
manuel
PEPFAR Meeting
• Planning underway for second
“Acceleration in implementation meeting”
co-sponsored by PEPFAR/WHO
• Propose to add 5 additional countries
• Best practices by Kenya and Rwanda and
Ethiopia
Strategic policy and programme issues
• IPT statement
• TB infection control
• WHO 3Is meeting
• Monitoring and evaluation
• Diagnostics
• New TOR of WG operational
To be discussed
in this
meeting
Strategic issue-IPT statement
• CG statement released during IUATLD conference in November 2007
• Full WG consultation undergone
• Endorsement discussed at IAS governing council meeting
• Commissioned article on World AIDS Day released via HATIP newsletter
• Manuscript for AIDS Journal being prepared
Strategic issue- TB Infection control
• ToR developed and definite chair appointed and a 10 member core team being constituted
• Framework document addressing IC
interventions being developed
• Training courses held (Nov 2007) to develop a pool of international and country-specific consultants to assist countries
• Planning framework developed to assist countries in Global Fund proposals in round 8
• Will be discussed further in this meeting
Strategic Issue: WHO 3Is Meeting
• Infection control, IPT and ICF
• Sponsored by WHO HIV with participation
by both and HIV and TB stakeholders
Strategic Issue: Monitoring and Evaluation
• Task force formed after Amsterdam
• Multiple teleconferences and email
discussions
• Harmonization with PEPFAR, UNAIDS on
indicators
Strategic Issue: Diagnostics
• Task force formed
• Teleconference meetings
• Challenge to maintain engagement
• Summary document will be discussed
• Participation on CG members at
Cambridge TB dipstick meeting
Strategic issue-New TOR of WG
• Revised ToR in effect 2008 - 2013
• Core Group membership – institutional
and individual members
• 187 new and renewal members with the
following specialities – HIV/AIDS: 42
– TB : 38
– TB/HIV : 53
– Combination of the above : 54
Advocacy & communications
• Events
– UNAIDS PCB TB/HIV – April 23-25
– HIV Implementers – June 3 -7
– Global Leaders Forum HIV/TB – June 9
– UNGASS HIV/AIDS – June 10-11
– IAS Mexico City – August 3-8
• Communications
– Report from Sydney
– TB/HIV Newsletter bimonthly
– AIDSMAP hatip (IPT, Intensified Case Finding)
Research: CROI 2008
• TB visibility continued in CROI 2008
• Abstract and non abstract sessions
• HIV/TB meeting focused on ICF and TB
prevention
– More than 50 participants
– interactive session
Summary
• Implementation: Definite improvement in some areas, still far from targets, poor uptake in IPT which needs continued focus
• Monitoring and evaluation prospect of improving within reach and will be invaluable metric
• Visibility and cooperation among international bodies increasing, higher profile in HIV community
• Areas in need of focus: Infection control, intensified case finding, diagnostics, research funding, greater engagement of PEPFAR country implementers in WG