WHO global policy development process for TB/HIV STOP TB Partnership and WHO 3rd Global TB/HIV Working Group Meeting June 4-6, Montreux, Switzerland. WHO global policy development process for TB/HIV Paul Nunn GLOBAL PARTNERSHIP TO STOP TB
Vision Patient focussed, collaborative action of TB and HIV/AIDS programmes at all levels Effective use of all existing tools Global strategies to implement, and rapidly scale up, TB/HIV care and prevention
Generic policy development process TB/HIV policy development Additional global level products for rapid scale up and implementation
Functions of WHO - Article 2 To act as the directing and co-ordinating authority on…health.. to establish and maintain effective collaboration with appropriate organisations to stimulate work to eradicate epidemic diseases to promote and conduct research to make recommendations ...
WHO as Community
Information as raw material of policy
Information sources Ministries of health Development agencies Research institutes Non-governmental organisations Community-based organisations Civil society Individuals
How do we turn data into policy? Analysis of data Creation of debate
The flow of debate
How do we turn data into policy? Analysis of data Creation of debate Consultation Meetings Email and internet communications Consensus development Writing, publication and dissemination
Current TB /HIV policy stream Strategic framework Interim Policy Guidelines
Additional products for TB/HIV policy Guidelines for HIV surveillance among TB patients Guidelines for ARV treatment for TB patients Policy options for reducing recurrence of TB among HIV + TB patients
Additional tools Monitoring and evaluation systems for joint TB/HIV activities Cost-effectiveness analyses of individual or packaged components Training materials Community-based care approaches to joint TB/HIV activities
Policy development process Identify need Identify writer Form writing group from the WG members (TB and HIV) Prepare drafts and consult widely Develop consensus Endorsement process Core Group of the TB/HIV Working Group WHO TB and HIV oversight groups
“Too much love can kill you just as sure as none at all” Brian May/Queen
TB/HIV Draft Interim Policy - I Not a separate TB/HIV programme Establish national joint TB/HIV coordinating committee Strengthen core activities TB: DOTS HIV: Prevention and care General Health Services: Refer TB and HIV suspects to specialised services
TB/HIV Draft Interim Policy - II Establish joint TB/HIV activities Entry point in TB services Surveillance for HIV VCT for TB patients Cotrimoxazole for HIV + TB patients ARV treatment for TB patients Entry point in VCT ICF for HIV clients INH preventive therapy for individuals ?Programmatic INH preventive therapy
TB/HIV Draft Interim Policy - III Conditions for establishing joint TB/HIV activities Generalised HIV epidemics Some concentrated HIV epidemics Adequate DOTS performance (?default+failure+TO<15% ) Adequate HIV prevention and care (?Indicator) Adequate human resources Adequate coverage of TB, HIV and GHS