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STOP TB Partnership and WHO

STOP TB Partnership and WHO 3rd Global TB/HIV Working Group Meeting June 4-6, Montreux, Switzerland. WHO global policy development process for TB/HIV. Paul Nunn. GLOBAL PARTNERSHIP TO STOP TB. Vision. Patient focussed, collaborative action of TB and HIV/AIDS programmes at all levels

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STOP TB Partnership and WHO

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  1. STOP TB Partnership and WHO 3rd Global TB/HIV Working Group Meeting June 4-6, Montreux, Switzerland. WHO global policy development process for TB/HIV Paul Nunn GLOBAL PARTNERSHIP TO STOP TB

  2. Vision • Patient focussed, collaborative action of TB and HIV/AIDS programmes at all levels • Effective use of all existing tools • Global strategies to implement, and rapidly scale up, TB/HIV care and prevention

  3. Generic policy development process • TB/HIV policy development • Additional global level products for rapid scale up and implementation

  4. Functions of WHO - Article 2 • To act as the directing and co-ordinating authority on…health.. • to establish and maintain effective collaboration with appropriate organisations • to stimulate work to eradicate epidemic diseases • to promote and conduct research • to make recommendations ...

  5. WHO as Community

  6. Information as raw material of policy

  7. Information sources • Ministries of health • Development agencies • Research institutes • Non-governmental organisations • Community-based organisations • Civil society • Individuals

  8. How do we turn data into policy? • Analysis of data • Creation of debate

  9. The flow of debate

  10. How do we turn data into policy? • Analysis of data • Creation of debate • Consultation • Meetings • Email and internet communications • Consensus development • Writing, publication and dissemination

  11. Current TB /HIV policy stream Strategic framework Interim Policy Guidelines

  12. Additional products for TB/HIV policy • Guidelines for HIV surveillance among TB patients • Guidelines for ARV treatment for TB patients • Policy options for reducing recurrence of TB among HIV + TB patients

  13. Additional tools • Monitoring and evaluation systems for joint TB/HIV activities • Cost-effectiveness analyses of individual or packaged components • Training materials • Community-based care approaches to joint TB/HIV activities

  14. Policy development process • Identify need • Identify writer • Form writing group from the WG members (TB and HIV) • Prepare drafts and consult widely • Develop consensus • Endorsement process • Core Group of the TB/HIV Working Group • WHO TB and HIV oversight groups

  15. “Too much love can kill you just as sure as none at all” Brian May/Queen

  16. TB/HIV Draft Interim Policy - I • Not a separate TB/HIV programme • Establish national joint TB/HIV coordinating committee • Strengthen core activities • TB: DOTS • HIV: Prevention and care • General Health Services: • Refer TB and HIV suspects to specialised services

  17. TB/HIV Draft Interim Policy - II • Establish joint TB/HIV activities • Entry point in TB services • Surveillance for HIV • VCT for TB patients • Cotrimoxazole for HIV + TB patients • ARV treatment for TB patients • Entry point in VCT • ICF for HIV clients • INH preventive therapy for individuals • ?Programmatic INH preventive therapy

  18. TB/HIV Draft Interim Policy - III • Conditions for establishing joint TB/HIV activities • Generalised HIV epidemics • Some concentrated HIV epidemics • Adequate DOTS performance (?default+failure+TO<15% ) • Adequate HIV prevention and care • (?Indicator) • Adequate human resources • Adequate coverage of TB, HIV and GHS

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