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Resource | Publications,
India has a high burden of both tuberculosis (TB) and HIV, and faces a high burden of HIV-associated TB. While TB is endemic, the HIV epidemic is concentrated in a few states. A national response to TB epidemic was initially integrated in the general health system through the revised national TB control programme. This differed from the staggered response to the HIV epidemic under the national AIDS control programme, where programmes were initiated in high HIV burden states and gradually expanded to the rest of the country. Over the past decade, the HIV epidemic in India has expanded to historically low prevalence settings. However, this increase was not met by increased local programme capacities, and this situation created hurdles for rapid scale-up of collaborative TB/HIV activities and gaps in the detection and treatment of HIV and HIV-associated TB. Facilitated by the joint national TB/HIV policy, national TB and HIV programmes have systematically addressed these gaps and succeeded in reducing the incidence, prevalence and mortality due to TB, HIV and HIV-associated TB.
This case study documents the experience of the scale-up of collaborative TB/HIV activities in India over the past decade, exploring the challenges encountered and the steps taken by national TB and HIV programmes collectively to address them. The key lesson learned from this experience is that collaborative TB/HIV activities can be scaled up successfully in concentrated HIV epidemic settings if TB and HIV programmes share ownership of TB/HIV interventions.
Resource | Infographics,
Who Are the Missed 3 Million: 9 million became ill and 1.5 million died from tuberculosis (TB) in 2013. More than 3 million people with TB were missed and undiagnosed. These include women and children, the poor and malnourished, refugees, migrants, miners, ethnic minorities, homeless and substance users.
Resource | Tools,
As described in the Framework for engagement of all health-care providers in the management of drug-resistant tuberculosis, a careful country-based analysis about the current status of the management of drug-resistant tuberculosis (DR-TB) patients, with a focus on all the various health-care providers, will show the way forward towards achieving the goal of universal access to quality diagnosis and treatment for all cases of TB, including DR-TB.
This situation assessment tool, as an annex of the above-mentioned framework, enables a country or other users to gather the needed data that will serve as a basis for designing a sound plan of expanding DR-TB management, by engaging all relevant care providers.
Resource | Infographics,
World leaders are meeting in Addis Ababa, Ethiopia for the UN Financing for Development Conference to discuss financing for the Sustainable Development Goals (SDGs), a new set of global development targets. The draft SDG goals include a target to end the epidemic of tuberculosis by 2030, in line with the
WHO End TB Strategy and the Global Plan to Stop TB 2016-2020.
In order to achieve these targets, increased investments for tuberculosis (TB) will be essential to set the world on course to end TB in our lifetime. However, many countries are failing to step up with the needed investments.
Resource | Publications,
Despite extraordinary progress against HIV, tuberculosis and malaria in the last 15 years, human rights barriers are preventing millions of people from being able to access prevention, treatment and care. People living with HIV and TB still experience stigma and discrimination because of their health status; women and girls confront widespread gender inequality and violence; sex workers, men who have sex with men, transgender people, people who use drugs, prisoners, migrants and refugees are being driven away from health care and marginalized by harsh legal and social environments.
Because of human rights barriers, the people most affected by HIV, TB and malaria are often the ones with the poorest access to health services. We will never be able to end the epidemics without addressing these barriers.
Resource | Publications,
This agenda outlines the strategic direction that the Global TB Programme of the World Health Organization (WHO) is mapping out to promote the integration of digital health concepts into TB prevention and care activities. The document is primarily intended to inform TB decisionmakers at national and international levels. Its alignment to the principles and the three pillars underpinning WHO’s new End TB Strategy will help them coordinate their various efforts in one common direction in the coming years.
The products and critical activities discussed in this agenda are premised upon the pressing needs and realities of TB programmes, of which three are particularly important:
- The current difficulties faced by managers and other decision-makers to match needs in TB prevention and care to the most appropriate digital health solutions. This is a result of the limited evidence base for the effectiveness of many digital health interventions for TB and the rapid advances in technologies of which potential users may be unaware.
- The need for an articulated and step-wise approach to develop comprehensive digital health solutions to support the End TB Strategy, in particular to limit fragmentation of efforts, leading for instance to multiple systems, redundancy and resource wastage.
- The opportunity to build upon, seek related synergies and align with promising ICT initiatives, both within health care and beyond, so as to increase the efficiency, scalability and sustainability of efforts.
Resource | Tools,
Tuberculosis continues to be a public health challenge in India and it is commonest opportunistic infection in persons living with HIV (PLHIV), TB is the foremost cause of dath among people living with HIV. To mitigate the effect of dual burden of HIV and TB co-infection the ministry of Health and Family Welfare, Government of India through its National AIDS Control Organisation (NACO) and Central TB Division has been undertaking joint collaborative efforts as per the National Framework for HIV TB collaborative activities in India.
Training of staff under NACP and RNTCP is very crucial for strengthening of TB/HIV activities and imparting updated knowledge regarding HIV/TB to program staff. To streamline the training, both the programmes envisage, that uniform, standardized modular training be imparted to all the programme and general health staff throughout the country.
Resource | Publications,
When the world first set out to eradicate smallpox nearly 50 years ago, many felt it was not possible, and some were even strongly against the idea. Visionaries in the early global AIDS response were also met with resistance when they suggested that AIDS medicines could be provided to all who needed them regardless of their income or status in society. As with those who doubted the eradication of small pox was possible, they were proven wrong.
What shifted and made these successes possible? It was the belief that change was not only possible, but necessary.
These are the questions that The Global Plan to End TB 2016-2020: The Paradigm Shift seeks to answer. It is an ambitious plan of action that provides a blueprint for the TB community to drive bold action and ambitious change. A Task Force of world renowned experts and a wide community of dedicated people working on TB came together to contribute to the development of this plan.
Resource | Publications,
The World Health Organization (WHO), with contributions from many stakeholders, has developed a Global Action Framework for TB Research to foster high-quality national and global TB research over the next 10 years to 2025.
The first part of the framework describes how to strengthen TB research in low- and middle-income countries most affected by TB by developing a national TB research plan.
The second part of the framework describes how to enhance TB research globally by applying efforts to building strong research partnerships and networks and securing robust funding for research.
The third part of the framework describes WHO’s activities in support of the framework.
Resource | Publications,
The 2013-2016 Laboratory Network Strategic Plan (LNSP) is a sub-plan of the 2010-2016 Philippine Plan of Action to Control Tuberculosis (PhilPACT). This plan will serve as a roadmap to strengthen the network’s laboratory services to control TB. It is aligned with various existing strategic plans to improve the laboratory facilities and activities in the country.
The development of the LNSP took a significant amount of time, various multistakeholder consultations and technical expertise from DOH, NTP and partner technical agencies. The Technical Working Group (TWG) of the LNSP ensured alignment of the plan to various important documents of different agencies of the government, administrative and department orders, memoranda and office orders.
The Strength-Weakness-Opportunity-Threat (SWOT) analysis serves as the backbone for the prioritization of the key gaps to be addressed by the LNSP. Since the laboratory network is a complex system and various challenges need to be addressed in the next four years, there are four key gaps that will be addressed as priority, namely: (1) limited access to TB diagnostic services, (2) insufficient laboratory network management systems, (3) inadequate funding for the laboratory network and (4) weak leadership and management of the laboratory network.