2007 HIV/AIDS Implementers’ Meeting Kigali, Rwanda Roadmap to TB/HIV sessions Saturday June 16, :30 to 17:00-Serena Auditorium: Concurrent Breakout TB/HIV: Steps to Successful Integration (E4) HIV/TB Integration In A Network Of VCT Centers In Haiti Reynold Grand’Pierre, GHESKIO Prevalence and Management of Tuberculosis Among HIV/AIDS Patients in Armenia Samvel Grigoryan, National Center for AIDS Prevention Integration of HIV and TB Services Within the District Hospital: Experiences from the Kericho District Hospital in Kenya Hellen Muttai, Walter Reed HIV Project TB/HIV Public-Private Partnership For Most-at-Risk-Groups In Jakarta, Indonesia Flora Tanujaya, Family Health International A Model for Integration of TB and HIV Care and Treatment Services in Mulago Hospital, Uganda Rhoda Wanyenze, Mulago-Mbarara Teaching Hospitals’ Joint AIDS Program Global Progress in Implementing Collaborative TB/HIV Activities — Comparison with the 15 PEPFAR ‘Focus’ Countries Alasdair Reid, UNAIDS _______________________________________________________________________ Monday JUNE 18, :45 – Jali 1 - Plenary Speech (Q2) TB/HIV: Integration of Services & Stopping the Newest Epidemic. By Chakaya Muhwa 10:15 Meet the Plenary Speakers: Extended Dialogue with Plenary Speakers Jali 2 (Press access immediately following) 14:00 to 15:30 - KIST 2 - Concurrent Breakout WORKSHOP: Caring for the Carers: Prevention, Post-Exposure Prophylaxis, Know Your Status, Treatment Models (U6) Health Workers Access to HIV/TB Prevention, Testing, Treatment and Care Services: a Pilot Study in Zimbabwe Ethel Dauya, Biomedical Research and Training Institute 18:15 to 20:00 - Serena Banquet Hall - Concurrent Breakout WORKSHOP: IMAI Implementation Tools and Country Examples(X3) TB-HIV Co-management With Co-supervision and Co-sponsorship By TB and HIV Control Programmes. Eyerusalem Negussie, WHO 18:15 to 20:00- KIST 3- Implementer's meeting (X7) TB/HIV Evening Session The session will be focused on key areas in TB/HIV including improving TB diagnosis, TB infection control and national scale up of TB HIV program activities. The session will discuss country experiences (challenges and how they were addressed) as well as potential activities to tackle TB diagnosis and infection control issues at the country level. Speakers include: Greet Venderbriel (Rwanda) Alwyn Mwinga (Zambia) Haileyesus Getahun (WHO) _______________________________________________________________________ Wednesday June 20, :30-17:30 Serena Hotel ACCELERATE HIV/TB activities in PEPFAR focus countries. An experience sharing meeting co-organized by the Office of the Global AIDS Coordinator and WHO on behalf of the Global TB/HIV Working Group of the Stop TB Partnership

2007 HIV/AIDS Implementers’ Meeting Kigali, Rwanda "We cannot win the battle against AIDS if we do not also fight TB" Nelson Mandela Some key facts about tuberculosis in HIV TB is the commonest presenting illness among people receiving antiretroviral treatment both in developed and developing countries.  TB causes at least 11% of total deaths in PLHIV and as much as 60% in some countries.  14 million adults are co-infected with TB and HIV – 70% of them are concentrated in Africa  In some regions of Africa, up to 80% of adult TB patients are HIV-infected  Globally only less than 0.5% of PLHIV were screened for TB in 2005 ____________________________________________________ The following are factors that contributed to nationwide scale-up of collaborative TB/HIV activities*: Setting national targets for collaborative TB/HIV activities facilitated implementation in Kenya where between 50-67% of TB patients were tested for HIV, and, as a result, 84-88% and 25-29% of HIV infected TB patients had access to cotrimoxazole and ART, respectively, during the four quarters of Similarly, setting national targets assisted the accelerated implementation of collaborative activities in Rwanda and Malawi. It also helps to moblise political commitment from the TB and HIV control programs. Creating conducive policy environment with the development of appropriate policy and operational guidelines, training manuals and protocols in line to international guidelines. Stakeholders engagement through effective HIV/TB coordinating bodies at all levels was useful to coordinate the national response and accelerate the implementation. Expanding HIV testing facilities and allowing front line TB clinicians and nurses to test not only TB patients but those presenting with signs and symptoms of TB ("TB suspects") helped to achieve a 15-fold increase in the number of TB patients tested for HIV between 2004 and 2006 in Kenya. Similarly nationwide availability of HIV testing was the key for success in Rwanda and Malawi. Intensive, continuous training and supportive supervision of health workers contributed to the successes documented in Kenya and Rwanda. Implementing revised recording and reporting formats on collaborative TB/HIV activities has contributed to the documentation of the progress of implementation in all the countries. The importance of including TB components in HIV registers and HIV components in TB registers was particularly emphasized in line to international guidelines. Effective and constant supply of HIV test kits, drugs and other important commodities was also crucial for accelerated implementation. * Extracted from the report of a planning meeting co-organized by Office of the Global AIDS Coordinator, the World Health Organization and the Bill and Melinda Gates Foundation on behalf of the Global TB/HIV Working Group of the Stop TB Partnership on March 6-7, 2007 in Washington DC, USA. Report available at