1. Interim TB/HIV Document
Jeroen van Gorkom
KNCV Tuberculosis Foundation
3rd TB/HIV Working Group

2. Background
Governments have been slow in responding to TB and/or HIV/AIDS threat
Few countries with well-functioning (or documented) joint TB/HIV activities
Increasing (inter-) national commitment to HIV/AIDS Care and Support = best opportunity for TB and HIV/AIDS programs to work together
MOMENTUM  ACTION  SERVICES

3. Rationale
Response to calls from countries on how to address TB/HIV in different settings:What ? When? Where?
What? and How? addressed in Strategic Framework and Guidelines
“Interim”, because for a number of interventions evidence is not strong
We need a document for promotion and advocacy

4. Target audience
Policy makers at National, State, Province, District level
TB and HIV/AIDS programme managers
Technical agencies and NGOs working in TB and HIV/AIDS
Development Aid Agencies

5. Objective
To provide guidance in decisions on priorities in policy, and strategic direction for both TB and HIV/AIDS programmes, in countries at different stages of the HIV/AIDS epidemic

6. Expected output A document of 6-8 pages that:
Is relevant to countries with different levels of HIV/AIDS and TB/HIV dual epidemics, and with differing resources
Is short, comprehensive and easy to read (KISS)
Is supported by both TB and HIV/AIDS community in WHO
Advocates and promotes harmonization of the response of HIV/AIDS and TB programmes to the TB/HIV dual epidemic
What? When? Why? Where?

7. Process and Time Frame First draft ready (May 2003): Done
Critique and review by a writing committee (Early June): Done
Presentation to STAG (End June)
Wider circulation among stakeholders (Sept-Okt)
Presentation at conferences and regional meetings, GFATM, Stop-TB Board, web-based discussion groups
Finalisation (Nov-Dec)
Publication 1st Quarter 2004

8. Feedback Provide max 2 page Exec. Summary
Focus on practical actions/ interventions/ activities, and their sequencing
Stress the need for strong and sufficiently resourced HIV/AIDS and TB programs but do not elaborate
Include quantifiable targets  reports
Promote increasing resources

9. Feedback Be clear on expressions/ TB-HIV jargon
Stress need for “harmonization” of TB in HIV/AIDS policy and HIV/AIDS in TB policy
Do not promote new vertical programme
Roles and responsibilities

11. Contents Know what the burden is and where it is
Surveillance of HIV in TB patients
Surveillance of TB in HIV

12. Contents Activities that decrease the impact of HIV on PLWTB
Routine HIV testing and counselling
CPT
ART

13. Contents Activities to decrease the impact of TB on PLWH
Intensified Case Finding in VCT centres, HIV clinics, support groups, prisons, contacts etc.
IPT for PLWH without active TB

14. Contents
Activities that deal with the impact of TB and HIV on communities
Home- and Community Based Care for PLWHA and PLWTB

15. Contents
Activities that strengthen the health sector response in dealing with TB and HIV/AIDS
HRD
IEC  patients, clients, community
Coordination
M&E