Collaborative TB/HIV activities PDF Print E-mail

TB/HIV case finding 2010

A total of 56,849 (90%) of the 63,453 TB cases notified in 2010 were counselled and tested for HIV status. This is above the 85% target of the Global Plan to Stop TB 2006-2015. Of those tested, 21,662 (38%) were found to be  co-infected with HIV which was 0.8% higher than the co-infection rate in 2009 of 37.2%. Among the co-infected cases in 2010, 17,103 (79%) cases were registered at HIV care and Treatment clinics (CTCs) for HIV care and treatment services. Similarly, 19,855 (92%) were put on Co-trimoxazole Preventive Therapy (CPT) and 7,572 (35%) were initiated ART in  both TB and CTCs within the three months reporting period after a two weeks tolerance period after starting TB treatment. Table 7 and Figure 10 below summarises TB/HIV services in the country from 2007 to 2010.


3.3.2  Treatment outcomes of TB/HIV cases notified in 2009
Treatment outcome for new smear positive TB/HIV cases notified in 2009, shows that 5,255 (78.4%) were cured and 542(8.1%) completed treatment resulting treatment success of 86.5%. a total of 532 (7.9%) died while on TB treatment, 18 (0.3%) failed treatment, transferred out were 224 (3.3%) and 133 (2.0%) defaulted treatment. These results show that treatment success rate was slightly lower in HIV positive TB cases compared to HIV negative TB cases. Table 8 below summarises this information.


TB/HIV Interventions in 2010
Development of guidelines/tools 
NTLP collaborated with National AIDS Control Programme (NACP) and other partners to implement TB/HIV activities with support from CDC/PEPFAR. This included support to 15 hospitals in the country in November 2010 to start implementing two of the three component of 3Is (Intensified TB Case Finding, and Infection Control).  The third component - Isoniazid Preventive Therapy (IPT) will be introduced in May, 2011. The experience gained will inform the Ministry on how scale up of these interventions country wide.

In 2010 the programme also developed, printed and disseminated training materials on 3Is – i.e. participants manual and facilitators guide  including job aids on TB infection control. These materials are intended for training health workers implementing 3Is at service delivery level. The TB infection control guidelines have been developed in collaboration with a number of partners supporting TB/HIV services including NACP, ICAP, ITECH and WHO.

NTLP also took a lead to develop IPT M&E tools in collaboration with partners. These tools
included;
-  Form for assessing eligibility and monitoring of patients on IPT form 
-  IPT register 
-  Monthly and cohort report forms 

Support of X- ray costs to improve diagnosis of smear negative TB suspects All 13 hospitals included in the first phase implementation of 3Is were provided with funds to pay for X-ray costs for a total of 9,000 TB  suspects who are smear negative who can not afford the costs. The social workers in each hospital have been directed to identify those who can not afford to pay the X-ray according to government exemption guidelines.

Last Updated on Sunday, 05 August 2012 14:10