1. 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

2. 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.

3. 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.

4. 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

5. 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

6. 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

7. 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

8. 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

9. 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

10. 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

11. Regional TB incidences

12. 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)

13. Epidemic in sub-Saharan Africa 1985−20035 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)

14. Trends in case notification rates in high HIV settings in Africa

15. 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

16. 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

17. 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

18. What TB/HIV can do more!
ADVOCACY
COLLABORATION
COUNTRY SUPPORT

19. 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.

20. 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.

21. 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.

22. 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