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.