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Collaborative TB/HIV Activities

TB and HIV are overlapping epidemics, both have been declared global emergencies demanding global attention. There is an increasing recognition of the need to strengthen collaboration between national TB and HIV/AIDS programmes and other stakeholders in countries around the world because of the overlapping nature of TB and HIV infection. In particular, there is evidence that HIV infection weakens the immune system, thereby fuelling the TB epidemic among people living with HIV/AIDS (PLHA).

Tanzania Ministry of health developed National Policy Guidelines for Collaborative TB/HIV activities with the overall objective to provide a framework for ensuring transparent and consistent processes in developing comprehensive collaborative TB/HIV activities. This objective emphasizes the need for joint decision-making processes that take into account the comparative advantages of the NTLP, NACP, and other stakeholders.

TB/HIV CASE FINDING 2020

The percentage of tuberculosis had their HIV test results recorded at the time of notification among new and relapse TB cases has remained high at 100% for the years 2020, which is the same to the country target of testing 100% of patients who are being detected with TB. Among those who were tested for HIV, 21% (17,787) cases were found to be co-infected with HIV. The co - infection rate has decreased compared to that of 2019 which was at 24%.  99% (17,753) of the co-infected cases were initiated on ART, at both TB and Care and treatment clinics. The initiation of Co-trimoxazole Preventive Therapy (CPT) has declined to 94% (16,764) from 95% (18,244) in previous year 2019. Figures 6 below summarizes the proportion and trend of TB/HIV indicators in the country from 2016 to 2020.

Regional performance on HIV testing and counselling and ART uptake

HIV counselling and testing is an entry point for accessing HIV care, treatment and preventive services. In 2020 the national average of TB patients who were tested for HIV was 100% mean reached national target of 100%.  The majority of the regions (23 out of 26) have almost reached the national target of 100%. ART uptake is still at 95% of all positive TB HIV patients with the four regions achieving the target of 100%. These are Mtwara, Kagera, Shinyanga and Arusha.

Regional performance on HIV testing and counselling and ART uptake

HIV counselling and testing is entry point for accessing HIV care, treatment and preventive services. In 2018 the national average was 99% which is still below the WHO target of 100%. The majority of the regions are above the national average, with 12 out of 28 regions being below.