1. Background to ProTEST and its Role in TB/HIV Agenda-setting
Durban, South Africa 3-6 February 2003 ProTEST Lessons Learned Workshop
Background to ProTEST and its Role in TB/HIV Agenda-setting
Dr Paul Nunn, WHO, Geneva

2. TB & HIV Co-infected in Africa - 2002
Africa: HIV is driving the TB epidemic TB notification rates,
TB & HIV Co-infected in Africa
10.1 million
Zimbabwe
Malawi
Kenya
Tanzania
Côte d’Ivoire
CDS, 2002

3. Results of work on HIV and TB

4. Conclusions from work on HIV and TB
Mainly descriptive
Beginning in treatment centres
Difficulty of translating results, especially of clinical trials into policy eg IPT, CPT
Few attempts to test interventions in the field
Exceptions: ProTEST, and others
Little support
Far too slow

5. The Policy Response to TB/HIV
Thiacetazone no longer recommended for HIV +
IPT for individuals
IPT for programmes, under strict conditions
ProTEST concept
TB/HIV becomes a WHO, Stop TB activity area, and Global TB/HIV Working Group created
Strategic framework for TB/HIV
Guidelines for TB/HIV

6. Next Steps Lessons learnt Recommendations for future policy
Indicators for monitoring and evaluation
WHO Policy document on TB/HIV (I)
What countries should now do in TB/HIV
Responding to demand from DE, countries
From TB and HIV perspective
Consultative process:
Writing group
Consultation group