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TB/HIV Workshop: Session 9&10
Mozambique, Malawi and Lesotho
Malawi
Priority Activity
Challenge Inputs Required: external / internal
Who will take the action?
COORDINATION Coordination at Zones not as effective as at national level
Complete TB/HIV strategy to address zonal structure. and disseminate this
NTP and HIV programmes together
PLANNING Planning and M&E not done jointly.. though shared. TB recording forms updated and on HIV side but not reported systematically
Need to have joint quarterly M&E review meetings.. Involve each other in review meetings
TB/HIV coordinator at national level
COMMUNITY INVOLVEMENT Weak community involvement on the TB side.. Strong on HIV side
HIV CBOs need to be trained on TB issues.. Mapping and preparation of training in 6 months & resource mobilisation.
TB programme
Reduce burden of HIV in TB patients.
HIV in TB.. only small proportion offered ART
(high CPT)
Scale up of ART sites and task shifting. Orientation of TB officers on ART and testîng.
HIV sites
TB screening for HIV patients is happening to some extent but recording not summarised.
More dissemination of policy… Include TB in HIV test forms and summary data
TB and HIV M&E officers
Infection Control.. No policy for TB
Need for TA to support preparation. Addendum to existing universal infection control policy
TB programme and nursing department
LesothoPriority Activity
Challenge Inputs Required: external / internal
Who will take the action?
Coordination .. national committee and officer established. At district level HIV M&E officers will do TB activities as well. HIV &TB clinical officers will do both.
Also ART treatment at HC will include TB treatment
Changing the job descriptions of the M&E people.
none NTP manager HIV manager human resource persons.
Monitoring and Evaluation M&E. TB have incorporated HIV data but needing revision in HIV side
HIV M&E and steering committee.
Infection Control policy In place but needs dissemination
Infection control committee activity and funding for activities. Government funding available
Infection control committee director general
Reducing HIV in TB patients Trained TB staff but do not do testing. Plan to put counsellors in TB clinics
Commitment from HIV side to place councillors in TB clinics/sites. Counsellors are available & GF money is available for this
Reducing TB in HIV patients No follow up of patients advised to get screening in the TB site..
Train HIV clinicians on TB management. then TB suspect management and IPT initiation will be at HIV clinic
PIH clinicians.. will do the training.& TB programme
Community Separate sets of community supporters for both systems
Inegrate these through training. TB and HIV programmes jointly
MocambiquePriority Activity Challenge Inputs Required:
external / internalWho will take the action?
Coordination Filling key coordination posts
Including community representatives
Provinical taskforce implementation is variable
Health service action.
Coordination mechanism needs to push for this.
Government
M &E Incorporate the TB data in to the HIV .. summary data system. Also linking of TB and HIV data..
National Level coordinator & Coordinating body and department of Information system.
Facilitated by National coordinator and body and M&E subcommittee
Infection Control Need national guidelines Training,
Global Fund Round 7
IPT Need for naional guidelines for exclusion of TB and IPT administration.. and tools at Local level
Promote consensus meeting between managers clinicians.
Guidelines as a result
Dissemination of these
National TB and HIV programmes and partners.
Through coordinating mechanism.