1 / 8

Situational Analysis for Implementing TB/HIV Surveillance in COTE D’IVOIRE

Situational Analysis for Implementing TB/HIV Surveillance in COTE D’IVOIRE. Dr AKAKI Angennes; Dr SAN Koffi / NTCP Dr EBAH Laurence; Dr TANOH Antony /ACP. TB Epidemiology. Estimated Incidence: 350- 400 cases/100,000; 150-175 new SSC+ /100,000 in 2003

monag
Télécharger la présentation

Situational Analysis for Implementing TB/HIV Surveillance in COTE D’IVOIRE

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Situational Analysis for Implementing TB/HIV Surveillance in COTE D’IVOIRE Dr AKAKI Angennes; Dr SAN Koffi / NTCP Dr EBAH Laurence; Dr TANOH Antony /ACP

  2. TB Epidemiology • Estimated Incidence: • 350- 400 cases/100,000; • 150-175 new SSC+ /100,000 in 2003 • Proportion of TB patients co-infected with HIV: 46% in 2002 • DOTS: yes • Percent DOTS coverage: 74% of pop • Electronic TB reporting system: ongoing • TB data aggregated at District level were sent and compiled at national level • A new electronic TB reporting system is tested now in one TB diagnosis center in Abidjan.

  3. Estimated prevalence of HIV in general population: 9.7% in 2002 Estimated prevalence of HIV among at-risk population groups Female sex workers: 33% in 2003 HIV prevalence setting: Generalized and stable for 3 years Sources of HIV prevalence data: antenatal Electronic HIV Reporting System: Yes since the launching of the drug access initiative in 1998, the national data base is located at CDC-RETRO-CI office Could TB and HIV systems be linked? Yes HIV Epidemiology

  4. Diagnosis and Treatment (1) • Current lab capacity: • 74 TB diagnostic centers (56 functional in 2003) • 6 main regional TB clinics • 50 TB diagnosis and treatment center • 12 VCT centers ( 7 integrated ) • Current situation for HIV testing of TB patients: • Routine HIV VCT services offered in 8 main TB clinics from 1994 through 2002 (In collaboration with CDC/Retro-CI) • A devolution process of CDC/Retro-CI lab activities is on ongoing • Since 2003: 2 TB diagnosis center offer HIV VCT services ( Abidjan and Daloa )

  5. Diagnosis and Treatment (2) • Current situation for TB screening/referral of PLWHA? • All PLWHA are screened for TB (clinical, X-ray) in HIV treatment centers • All TB suspect patients are systematically referred to TB diagnosis centers • Current Treatment of PLWHA with ARVs, in particular TB Patients? • HIV positive patients eligible for ARV therapy: 126,000 (estimated number) • HIV positive patients currently receiving ARV therapy: 3,000 ( September 04) • TB/HIV positive patients receiving ARV therapy: not available

  6. Human Resources and Surveillance for TB, HIV (1) • How is surveillance conducted for HIV in TB patients, if applicable? • Routine HIV VCT services are offered in 8 main TB centers • Current human resources for HIV surveillance, TB surveillance, and TB/HIV surveillance • Health staff in the ANC and TB clinics with the support of CDC/Retro-CI

  7. Future human resource and surveillance needs for TB, HIV

  8. Other Considerations for Implementing TB/HIV Surveillance • Potential alternative surveillance approaches • Periodical survey to estimate the prevalence of TB among PLWHA • Potential Obstacles • Financial resources • Methodology/Feasibility • Human Resource requirements • According to the survey design

More Related