PROGRESS BUT MORE NEEDED! F O U R T H T B/H I V W O R K I N G G R O U P M E E T I N G
Remember that TB/HIV is not a vertical program but a bridge to support TB and HIV-AIDS control by strengthening the evidence base of prevention, cure, and care of TB/HIV and promoting the implementation thereof.
Remember that TB/HIV is a Partnership, the members of which collaborate to reach their objectives and feel jointly responsible for the progress made, and for making sure to progress as fast as possible.
PROGRESS F O U R T H T B/H I V W O R K I N G G R O U P M E E T I N G
The Score: 2004 TB/HIV prominent on global health agenda TB/HIV control strategy fully developed in strategic framework guidelines policy paper Heavy traffic across the TB/HIV bridge Countries on the move
TB/HIV prominent on health agenda “ We can’t fight AIDS unless we do much more to fight TB as well ” Nelson Mandela in Bangkok July 2004
TB/HIV control strategy described in Guide- lines Strategic frame- work Policy paper input from best global experts top quality of documents praised supported by TB & HIV-AIDS programs used by countries for TB/HIV control
Heavy traffic across TB/HIV bridge HIV-AIDS Sharing knowledge and experiences Mutual participation in meetings Collaborative country support Program collaboration in countries TB/HIV research on the move
Countries on the move 28 countries supported by GFATM 15 countries supported by Emergency Plan 20/22 high TB burden countries doing TB/HIV 31 top 41 TB/HIV burden countries have begun to implement
PROGRESS BUT F O U R T H T B/H I V W O R K I N G G R O U P M E E T I N G
Regional TB incidences
Global AIDS epidemic 1990−2003 50 5.0 Millions Number of people living with HIV and AIDS % HIV prevalence, adult (15-49) 40 4.0 Number of people living with HIV and AIDS 30 3.0 % HIV prevalence adult (15-49) 20 2.0 10 1.0 0.0 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 Year Source: UNAIDS/WHO, 2004 2004 Report on the Global AIDS Epidemic (Fig 1)
Epidemic in sub-Saharan Africa 1985−2003 5 10 15 20 25 30 5 10 15 20 25 30 Millions Number of people living with HIV and AIDS % HIV prevalence, adult (15-49) Number of people living with HIV and AIDS % HIV prevalence adult (15-49) 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 Year Source: UNAIDS/WHO, 2004 2004 Report on the Global AIDS Epidemic (Fig 5)
Trends in case notification rates in high HIV settings in Africa
PROGRESS more needed! BUT F O U R T H T B/H I V W O R K I N G G R O U P M E E T I N G
TB & HIV-AIDS control constraints rapidly growing TB/HIV control strategy Intervention delivery Resource ($$) availability in place major limitations of health workforce in quality, quantity, and distribution
Health Workforce for TB/HIV control Intervention delivery to control TB/HIV Programs: intervention design & monitoring Intervention delivery through Health System Health Workforce strengthening is a must
What TB/HIV can do more! ADVOCACY COLLABORATION COUNTRY SUPPORT
Advocacy helps because when decision makers are constantly exposed to the extent and the threat of the dual epidemic and learn about the major constraints, policies for solution must follow.
Collaboration helps because the health workforce constraint is also met by other programs, and by the general health service. Collaboration with selected partners will enhance strategies to improve delivery of TB/HIV-AIDS interventions.
Country support helps because the precise nature of the constraint is country specific and countries require technical assistance to develop strategies and implement policies for solution.
WITH YOUR HELP THIS 4TH w.g. MEETING CAN BECOME A REAL CONTRIBUTION. more needed! WITH YOUR HELP THIS 4TH w.g. MEETING CAN BECOME A REAL CONTRIBUTION. F O U R T H T B/H I V W O R K I N G G R O U P M E E T I N G