Collaborative TB/HIV activitiesCollaborative TB/HIV activitiesUpdate on ProgressUpdate on Progress

Diane V. Havlir13th TB/HIV Core Group meeting

April 17-18, 2008New York, USA

Outline Outline

• Implementation and successes

• Strategic programme and policy issues

• Advocacy and communication

• Research

Implementation-key activitiesImplementation-key activities

   20052005 20062006 % increase% increase

(2005-06)(2005-06)

TB patients tested for HIV

373,062 687,174

78% CPT, 41% ART

54%

PLHIV screened for TB

184,121 314,000 59%

PLHIV put on IPT

26,000 27,000 0.9%

Implementation-sub Saharan AfricaImplementation-sub Saharan Africa

• Africa 22% of all notified TB patients were tested for HIV in 2006.

• Five fold increase of HIV testing of TB patients in 11 African countries with 57% of the global burden over 3 years.

• Countries passed the Global plan target (51% by 2006).

• Rwanda (76%)• Malawi (64%)• Kenya (60%)

Implementation-other regionsImplementation-other regions

Regional/ Special Population Regional/ Special Population ResponsesResponses

• Drug use- Guidelines in progress for providing integrated TB and HIV prevention (Christian,Kathrin)

• Western Pacific Region: Revised regional strategic plan in Phnom Pen

• Latin America: Meeting in Lima, Peru. Region developing TB/HIV management manuel

PEPFAR Meeting PEPFAR Meeting

• Planning underway for second “Acceleration in implementation meeting” co-sponsored by PEPFAR/WHO

• Propose to add 5 additional countries

• Best practices by Kenya and Rwanda and Ethiopia

Strategic policy and programme issuesStrategic policy and programme issues

• IPT statement

• TB infection control

• WHO 3Is meeting

• Monitoring and evaluation

• Diagnostics

• New TOR of WG operational

To be discussed in this meeting

Strategic issue-IPT statementStrategic issue-IPT statement

• CG statement released during IUATLD conference in November 2007

• Full WG consultation undergone• Endorsement discussed at IAS governing

council meeting• Commissioned article on World AIDS Day

released via HATIP newsletter• Manuscript for AIDS Journal being

prepared

Strategic issue- TB Infection controlStrategic issue- TB Infection control

• ToR developed and definite chair appointed and a 10 member core team being constituted

• Framework document addressing IC interventions being developed

• Training courses held (Nov 2007) to develop a pool of international and country-specific consultants to assist countries

• Planning framework developed to assist countries in Global Fund proposals in round 8

• Will be discussed further in this meeting

Strategic Issue: WHO 3Is MeetingStrategic Issue: WHO 3Is Meeting

• Infection control, IPT and ICF

• Sponsored by WHO HIV with participation by both and HIV and TB stakeholders

Strategic Issue: Monitoring and Strategic Issue: Monitoring and Evaluation Evaluation

• Task force formed after Amsterdam

• Multiple teleconferences and email discussions

• Harmonization with PEPFAR, UNAIDS on indicators

Strategic Issue: Diagnostics Strategic Issue: Diagnostics

• Task force formed

• Teleconference meetings

• Challenge to maintain engagement

• Summary document will be discussed

• Participation on CG members at Cambridge TB dipstick meeting

Strategic issue-New TOR of WGStrategic issue-New TOR of WG

• Revised ToR in effect 2008 - 2013

• Core Group membership – institutional and individual members

• 187 new and renewal members with the following specialities

– HIV/AIDS: 42– TB : 38– TB/HIV : 53– Combination of the above : 54

Advocacy & communicationsAdvocacy & communications

• Events– UNAIDS PCB TB/HIV – April 23-25– HIV Implementers – June 3 -7– Global Leaders Forum HIV/TB – June 9– UNGASS HIV/AIDS – June 10-11– IAS Mexico City – August 3-8

• Communications– Report from Sydney – TB/HIV Newsletter bimonthly– AIDSMAP hatip (IPT, Intensified Case Finding)

Research: CROI 2008Research: CROI 2008

• TB visibility continued in CROI 2008

• Abstract and non abstract sessions

• HIV/TB meeting focused on ICF and TB prevention– More than 50 participants– interactive session

Summary Summary • Implementation: Definite improvement in some

areas, still far from targets, poor uptake in IPT which needs continued focus

• Monitoring and evaluation prospect of improving within reach and will be invaluable metric

• Visibility and cooperation among international bodies increasing, higher profile in HIV community

• Areas in need of focus: Infection control, intensified case finding, diagnostics, research funding, greater engagement of PEPFAR country implementers in WG