Pan American Health Organization Regional Office of the World Health Organization

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Pan American Health OrganizationRegional Office
of theWorld Health Organization

• TB-HIV/AIDS Co-Infection
• Coordination among Programs

Rodolfo Rodríguez Regional Advisor for TB
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Justification for Joint Interventions

• Impact of TB on managing HIV.
• Main cause of death.
• Immunodeficiency could become worse.
• Impact of HIV on controlling TB.
• HIV is the main risk factor behind the appearance
  of active TB.
• Resurgence in the number of TB cases.

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Justification for Joint Interventions

• Greater knowledge of risk factors in target
  groups.
• TB-control interventions should be part of the
  comprehensive care provided to people living with
  HIV/AIDS.
• Prevent TB from developing.
• Diagnose TB and treat it early.
• Development of joint strategies that explore
  synergies and program strengths.
• Community-mobilization strategies.
• Observed treatment strategies (DOTS).

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Justification

• Respond to the question of whether TB/HIV
  Programs should be coordinated and
• Why
• How
• At which levels
• Analyze the relationship between ARVs and TB.
• Opportunities
• Challenges

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General Objective

• To speed up an effective joint response from TB
  and HIV/AIDS Programs to the tuberculosis
  epidemic associated with HIV in the Americas, by
  facilitating
• information exchange and
• experiences among Programs.

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Specific Objectives

1. To present the final version of the documents,
   Building Blocks Comprehensive-Care Guide for
   People Living with TB/HIV Co-Infection in Latin
   America and the Caribbean and to receive
   feedback on it.
2. To discuss the development of policies on TB/HIV
   at the national and Regional levels.
3. To evaluate and make recommendations on
   collaboration strategies between TB Programs and
   HIV/AIDS Programs, at the country level.

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Expected Results

• To have reviewed, improved and approved the
  proposed final version of the document Building
  Blocks Comprehensive-Care Guide for People
  Living with TB/HIV Co-Infection in Latin America
  and the Caribbean.
• To have discussed proposals for Regional
  adaptation of the document Guidelines for
  Implementing Collaborative TB and HIV Programme
  Activities (WHO/ CDS/ TB/ 2003.319), with a view
  to future implementation.

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Expected Results

• To have discussed plans for joint activities
  between TB Programs and HIV/AIDS Programs aimed
  at better control of co-infection in the
  countries of the Region.