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Scaling up care for women and children with TB-HIV

Scaling up care for women and children with TB-HIV. Carol Nawina Nyirenda Community Initiative for TB, HIV/AIDS & Malaria (CITAM+), Zambia July 23, 2012 Washington DC. My story. TB and HIV are very personal – self stigma/denial No information – didn’t know was at risk of TB and HIV

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Scaling up care for women and children with TB-HIV

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  1. Scaling up care for women and children with TB-HIV Carol NawinaNyirenda Community Initiative for TB, HIV/AIDS & Malaria (CITAM+), Zambia July 23, 2012 Washington DC

  2. My story • TB and HIV are very personal – self stigma/denial • No information – didn’t know was at risk of TB and HIV • Extra pulmonary TB – X rays • Potential risk on infecting those around • Tested for HIV after TB diagnosis • Successfully completed TB treatment • Started HIV activism, later integrated TB • Set up community based patient-led advocacy NGO

  3. What’s at stake • TB and HIV are the leading killers of women of reproductive age (dual burden) • TB is usually thought of as a “man’s” disease, so women and children often go undetected • Lack of knowledge on TB is putting more people at risk and contributing to stigma • TB messaging too technicalfor lay persons • Increased numbers of drug resistant cases • Lack of political will especially on TB in children

  4. TB/HIV COLLABORATION • Policy documents, referral tools for TB/HIV • TB and ART clinics close by • Improved TB-HIV care or women/children over the past few years • Attention being paid to TB/HIV care for women and children • Changes in service provision that are now available as opposed to before • More needs to be done to scale up to other areas and reduce loss to follow-up

  5. Scaling up care • All pregnant women should be screened for TB and HIV and provided appropriate treatment • TB diagnostics, treatment, and care services should be integrated with child health primary care and HIV services. • Early initiation of ART • All people living with HIV should be provided IPT, which prevents active TB disease • Available and accessible information on TB

  6. Conclusion • Importance of community engagement in the response • Advocacy, Communication and Social Mobilization • Screening for mothers and children – intensified case finding and infection control • Simple messaging on TB control • Urgent need for TB point of care diagnostic tool, new drugs- especially for children • More resources into R&D

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