1. 4TH TB/HIV WORKING GROUP GLOBAL MEETING
EMERGING PLWHA – LED
TB/HIV ADVOCACY
MOVEMENT IN UGANDA By
Lillian K Mworeko & Dorothy Namutamba
National Forum of PLHA Networks In Uganda
Addis Ababa 20th – 21st Sept.2004

2. Background
While there has been a lot of advocacy & activism towards favourable policies, access to resources for HIV & AIDS activities in Uganda &
Ensuring that GIPA moves from a principle to Practice
TB/HIV working Group

3. Background cont’d
TB is not yet in the agenda of the HIV community including in the HIV and AIDS advocacy of PLWHA
HIV is not yet fully in the agenda of the TB community.
TB/HIV working Group

4. Background cont’d
Yet it is globally recognized that these are in most cases “two diseases in one patient”.
TB/HIV working Group

5. TB/HIV
Globally, approximately 12 billion people are infected with TB and
40 million people are infected with HIV
The intersection between people living with both TB and HIV is 14 million people.
TB/HIV working Group

6. Uganda’s situation
It is estimated that currently in Uganda, 530,000 people are living with HIV and
Between 50-55% of TB patients are HIV+, having fallen from 66.6% in 1990 and the ratio of Male:Female is 1:1
TB/HIV working Group

7. Uganda’s situation cont’d
A recent study by Uganda Prisons Service has revealed that 40% of deaths in prisons are due to TB
And that about 20% of the deaths were believed to be due to HIV/AIDS related illnesses. (The New Vision Tuesday, August 17th 2004, vol. 19 No.196)
TB/HIV working Group

8. Uganda’s situation cont’d
Uganda lacks a TB/HIV coordinating body, joint TB/HIV planning and monitoring & evaluation of TB/HIV (Global Tuberculosis Control – WHO Report 2004).
TB/HIV working Group

9. Background to the formation of the TB/HIV Advocacy Group
The National Forum of PLHA Networks in Uganda is an organisation, whose mission is to unite & coordinate all networks and groups of people living with HIV & AIDS in Uganda for a concerted effort to the HIV & AIDS national response.
Established in May 2003 after identification, acknowledgement & recognition of gaps among PLHA initiatives in the national response.
TB/HIV working Group

10. Formation of the TB/HIV Advocacy Group cont’d
Two members of the National Forum were invited & participated in the TB Advocacy & Mobilisation workshop in Nairobi in July 2004
TB/HIV working Group

11. Commitment Committed to translate what was learnt into action
TB/HIV working Group

12. Ultimate Goal: Decreasing the burden of HIV in TB patients
Decreasing the burden of TB in HIV patients
TB/HIV working Group

13. Objectives To ensure the establishment of a mechanism for:
- collaboration between TB and HIV/AIDS programmes.
Integration of TB and HIV services
To advocate for favourable TB/HIV policies.
TB/HIV working Group

14. Activities done Drawn a TB/HIV work plan
Held a meeting with the PLHA Constituency
Elected a TB/HIV Working Group
Made a presentation to Reps of the National HIV/AIDS Partnership with the aim of:
TB/HIV working Group

15. Activities done cont’d
Educating them on the need for HIV/TB Collaboration
Integration of services and
Seeking for their technical, financial, and moral support
TB/HIV working Group

16. Way forward
Carry out consultative meetings with WHO, MOH & UAC on the way forward
Consultative meetings with CSO dealing with the two diseases
Meetings with the communities living with the two diseases
Conduct public dialogue and media programmes
TB/HIV working Group

17. Way forward cont’d Advocate to ensure that the TB & HIV bodies:
- appreciate the need for a TB/HIV coordinating body and
- Optimize the available resources
TB/HIV working Group

18. Way forward cont’d VCT Clinical coordination Feed back Peer support
Filling the gap of IEC to target populations particularly on :
VCT
Clinical coordination
Feed back
Peer support
Monitoring of the patients
TB/HIV working Group

19. Together for a positive difference
TB/HIV working Group