Scale up of collaborative TB/HIV activities in Kenya Dr. Joseph Sitienei NATIONAL TB PROGRAM KENYA

Kenya: Profile Population 33.4 Million TB CDR (WHO-2004) estimate 46% Incidence of TB (2005) 108,401 Case Notification Rate (2005) 325/100,000 HIV prevalence (KDHS 2003) 6.7% TB patients with HIV (2005) 57%

TB HIV: Milestones DATE ACTIVITY 1994 HIV sero prevalence in SMP TB cases (50% Positive) 1997 and 1998 Attempts at tackling TBHIV Issues: 2 meetings Oct. 2004 Policy on Testing HIV in clinical settings released Nov. 2004 National TB HIV steering committee in place Jan- June 2005 Revision of TB Data tools, printing and dissemination TB HIV curriculum Development TB HIV guidelines adopted locally Training of health care workers Province/District TB HIV steering committees set up Nov 2004 ToT’s trained: First June 2005 Second May 2006 Oct 2006 Printing of the TB HIV training curriculum

TRAINING OF HEALTH CARE WORKERS

HIV prevalence among TB patients: Age/Sex distribution: 2005

Linkages

NLTP Targets HIV testing of TB patients to 80% Ensure 80% HIV+/TB patients on cotrim Ensure 80% of HIV+ TB patients on ARV’s Ensure at least 20% of PLHWA screened for TB

Where we are in 2006 Quarter 2 HIV testing in TB patients - 60% More than 80% HIV+ TB patients on CTX HIV+ TB patients on ART 25%

ACKNOWLEDGEMENTS Ministry of health The NLTP at all Levels: National, Provinces and Districts The TB Patients

THANK YOU FOR LISTENING TO ME