Collaborative TB/HIV activities Update on Progress Diane V. Havlir 13 th TB/HIV Core Group meeting April 17-18, 2008 New York, USA

Outline Implementation and successes Strategic programme and policy issues Advocacy and communication Research

Implementation-key activities % increase ( ) TB patients tested for HIV 373,062687,174 78% CPT, 41% ART 54% PLHIV screened for TB 184,121314,00059% PLHIV put on IPT 26,00027,0000.9%

Implementation-sub Saharan Africa Africa 22% of all notified TB patients were tested for HIV in Five fold increase of HIV testing of TB patients in 11 African countries with 57% of the global burden over 3 years. Countries passed the Global plan target (51% by 2006). Rwanda (76%) Malawi (64%) Kenya (60% )

Implementation-other regions

Regional/ Special Population Responses Drug use- Guidelines in progress for providing integrated TB and HIV prevention (Christian,Kathrin) Western Pacific Region: Revised regional strategic plan in Phnom Pen Latin America: Meeting in Lima, Peru. Region developing TB/HIV management manuel

PEPFAR Meeting Planning underway for second “Acceleration in implementation meeting” co-sponsored by PEPFAR/WHO Propose to add 5 additional countries Best practices by Kenya and Rwanda and Ethiopia

Strategic policy and programme issues IPT statement TB infection control WHO 3Is meeting Monitoring and evaluation Diagnostics New TOR of WG operational To be discussed in this meeting

Strategic issue-IPT statement CG statement released during IUATLD conference in November 2007 Full WG consultation undergone Endorsement discussed at IAS governing council meeting Commissioned article on World AIDS Day released via HATIP newsletter Manuscript for AIDS Journal being prepared

Strategic issue- TB Infection control ToR developed and definite chair appointed and a 10 member core team being constituted Framework document addressing IC interventions being developed Training courses held (Nov 2007) to develop a pool of international and country-specific consultants to assist countries Planning framework developed to assist countries in Global Fund proposals in round 8 Will be discussed further in this meeting

Strategic Issue: WHO 3Is Meeting Infection control, IPT and ICF Sponsored by WHO HIV with participation by both and HIV and TB stakeholders

Strategic Issue: Monitoring and Evaluation Task force formed after Amsterdam Multiple teleconferences and discussions Harmonization with PEPFAR, UNAIDS on indicators

Strategic Issue: Diagnostics Task force formed Teleconference meetings Challenge to maintain engagement Summary document will be discussed Participation on CG members at Cambridge TB dipstick meeting

Strategic issue-New TOR of WG Revised ToR in effect Core Group membership – institutional and individual members 187 new and renewal members with the following specialities –HIV/AIDS: 42 –TB : 38 –TB/HIV : 53 –Combination of the above : 54

Advocacy & communications Events –UNAIDS PCB TB/HIV – April –HIV Implementers – June 3 -7 –Global Leaders Forum HIV/TB – June 9 –UNGASS HIV/AIDS – June –IAS Mexico City – August 3-8 Communications –Report from Sydney –TB/HIV Newsletter bimonthly –AIDSMAP hatip (IPT, Intensified Case Finding)

Research: CROI 2008 TB visibility continued in CROI 2008 Abstract and non abstract sessions HIV/TB meeting focused on ICF and TB prevention – More than 50 participants – interactive session

Summary Implementation: Definite improvement in some areas, still far from targets, poor uptake in IPT which needs continued focus Monitoring and evaluation prospect of improving within reach and will be invaluable metric Visibility and cooperation among international bodies increasing, higher profile in HIV community Areas in need of focus: Infection control, intensified case finding, diagnostics, research funding, greater engagement of PEPFAR country implementers in WG