DRC experience on joint TB HIV

Concept Note ProgressUpdate Jun 2014

Richard Mbumba Ngimbi, MD,MPH

DRC WHO staff

Overview

• DRC background • National program review process• National Strategic plan process• National country dialogue • Specific HIV Concept Note (NFM)• CCM review• Joint TB HIV note process

1.Background• Population : 70 Millions• DRC among 22 burden country with TB – 112449 case in 2012– 10th with sensitive TB in the world– among 4 burden African countries with TB MR

• 8th burden country with TB HIV coinfection• HIV prevalence in general population (1,1%)• There is NTP (100% of coverage) et National HIV

program ( 60% of coverage) • Low income country

2.Program performance review • TB program external review: – 2nd external review of program in national level,

intermediary and peripheral levels – Review report available (December 2013)– Epidemiology analysis

• HIV program external review:– 2nd external review of program in national level,

intermediary and peripheral levels – Review report available (August 2013)

3.Strategic plan elaboration process • HIV national strategic plan 2014-2017:– Inclusive process– Based on Review recommendations– Strategic Plan available (December 2014)

• TB national strategic plan 2014-2017 : – Inclusive process– Based on Review recommendations and epidemiology

analysis– Strategic Plan available (May 2014)

4.HIV specific concept note (NFM) • DRC eligible for submitting NFM concept note as an

early implementer• Training of HIV NFM tools for key staff in Geneva • Sharing experience with others HIV staff / partners • HIV national conference in Lubumbashi • HIV country dialogue (priorities decided) • Elaboration of HIV specific concept note• Submission on 27 January 2014• 12 TRP remarks for performing HIV concept note

on April

5.Starting TB concept note (NFM) • DRC eligible for submitting NFM concept note• Training of TB staff based on HIV experience• TB country dialogue in 11 provincial levels and

national level – Identification of priorities for HIV concept note

• Familiarization with NFM specific TB concept note tools

• Elaboration of Draft of TB concept note to submit on 15 May

• Joint TB HIV concept note decided on April 2014

6.CCM Review • DRC CCM review was in process• Plenary session to discuss about CCM Review (Ministry

of health, partners, ONUSIDA Regional advisor……)– Selection of CCM president– Eligibility of CCM and PR according NFM– Responses to TRP 12 comments – Schedule to submit the Joint HIV TB concept note– Roadmap to perform the CCM

• The elaboration of roadmap for improving the CCM eligibility requirements was the big result of CCM Review

7. Joint TB HIV concept note (NFM)• Meeting for answering TRP questions • Meeting for the familiarization of joint TB-HIV

concept note tools with 12 modules• Elaboration of joint TB-HIV Roadmap (TB-HIV

coinfection, Health system, community health system, monitoring system) for building a strong joint note for DRC

• Community meetig for more comprehensive of concept “ community health system”

• Joint note elaboration in Matadi (14-28 June 2014)

8.Joint TB HIV concept note (NFM)

• Inclusive participation:– CCM members– National program staff– Partners staff– Civilian society staff– Specifics groups – WHO staff, UNAIDS staff, USAID staff– PR staff– Consultants

9. Challenges

• The joint TB HIV concept note process is not easy• The big challenge was/is how to reach all TB

patients for providing them HIV services ? although coverage between 2 programs

• Unavailability of some data for key populations • Difficult joint monitoring and evaluation mechanism

and coordination

10. Conclusion

• The joint TB HIV concept note process is not easy• DRC was one of country to implement the NFM of

concept note • DRC need more accompaniment to issues some

problems in starting this model

National dialogue

Thank you

22/04/23 DRC PROGRAM REVIEW 14