TB-HIV/AIDS Co-Infection Coordination among Programs Pan American Health Organization Regional Office of the World Health Organization TB-HIV/AIDS Co-Infection Coordination among Programs Rodolfo Rodríguez Regional Advisor for TB Workshop on TB/HIV Co-Infection, San Pedro Sula, Honduras, August 2003

Justification for Joint Interventions Impact of TB on managing HIV. Main cause of death. Immunodeficiency could become worse. Impact of HIV on controlling TB. HIV is the main risk factor behind the appearance of active TB. Resurgence in the number of TB cases. Workshop on TB/HIV Co-Infection, San Pedro Sula, Honduras, August 2003

Justification for Joint Interventions Greater knowledge of risk factors in target groups. TB-control interventions should be part of the comprehensive care provided to people living with HIV/AIDS. Prevent TB from developing. Diagnose TB and treat it early. Development of joint strategies that explore synergies and program strengths. Community-mobilization strategies. Observed treatment strategies (DOTS). Workshop on TB/HIV Co-Infection, San Pedro Sula, Honduras, August 2003

Justification Respond to the question of whether TB/HIV Programs should be coordinated … and Why How At which levels Analyze the relationship between ARVs and TB. Opportunities Challenges Workshop on TB/HIV Co-Infection, San Pedro Sula, Honduras, August 2003

General Objective To speed up an effective joint response from TB and HIV/AIDS Programs to the tuberculosis epidemic associated with HIV in the Americas, by facilitating information exchange and experiences among Programs. Workshop on TB/HIV Co-Infection, San Pedro Sula, Honduras, August 2003

Specific Objectives To present the final version of the documents, Building Blocks: Comprehensive-Care Guide for People Living with TB/HIV Co-Infection in Latin America and the Caribbean; and to receive feedback on it. To discuss the development of policies on TB/HIV at the national and Regional levels. To evaluate and make recommendations on collaboration strategies between TB Programs and HIV/AIDS Programs, at the country level. Workshop on TB/HIV Co-Infection, San Pedro Sula, Honduras, August 2003

Expected Results To have reviewed, improved and approved the proposed final version of the document Building Blocks: Comprehensive-Care Guide for People Living with TB/HIV Co-Infection in Latin America and the Caribbean. To have discussed proposals for Regional adaptation of the document Guidelines for Implementing Collaborative TB and HIV Programme Activities (WHO/ CDS/ TB/ 2003.319), with a view to future implementation. Workshop on TB/HIV Co-Infection, San Pedro Sula, Honduras, August 2003

Expected Results To have discussed plans for joint activities between TB Programs and HIV/AIDS Programs aimed at better control of co-infection in the countries of the Region. Workshop on TB/HIV Co-Infection, San Pedro Sula, Honduras, August 2003