1. DRC experience on joint TB HIV Concept Note Progress Update Jun 2014 Richard Mbumba Ngimbi, MD,MPH DRC WHO staff

2. Overview DRC background National program review process National Strategic plan process National country dialogue Specific HIV Concept Note (NFM) CCM review Joint TB HIV note process

3. 1.Background Population : 70 Millions DRC among 22 burden country with TB – 112449 case in 2012 – 10 th with sensitive TB in the world – among 4 burden African countries with TB MR 8 th burden country with TB HIV coinfection HIV prevalence in general population (1,1%) There is NTP (100% of coverage) et National HIV program ( 60% of coverage) Low income country

4. 2.Program performance review TB program external review : – 2 nd external review of program in national level, intermediary and peripheral levels – Review report available (December 2013) – Epidemiology analysis HIV program external review : – 2 nd external review of program in national level, intermediary and peripheral levels – Review report available (August 2013)

5. 3.Strategic plan elaboration process HIV national strategic plan 2014-2017 : – Inclusive process – Based on Review recommendations – Strategic Plan available (December 2014) TB national strategic plan 2014-2017 : – Inclusive process – Based on Review recommendations and epidemiology analysis – Strategic Plan available (May 2014)

6. 4.HIV specific concept note (NFM) DRC eligible for submitting NFM concept note as an early implementer Training of HIV NFM tools for key staff in Geneva Sharing experience with others HIV staff / partners HIV national conference in Lubumbashi HIV country dialogue (priorities decided) Elaboration of HIV specific concept note Submission on 27 January 2014 12 TRP remarks for performing HIV concept note on April

7. 5.Starting TB concept note (NFM) DRC eligible for submitting NFM concept note Training of TB staff based on HIV experience TB country dialogue in 11 provincial levels and national level – Identification of priorities for HIV concept note Familiarization with NFM specific TB concept note tools Elaboration of Draft of TB concept note to submit on 15 May Joint TB HIV concept note decided on April 2014

8. 6.CCM Review DRC CCM review was in process Plenary session to discuss about CCM Review (Ministry of health, partners, ONUSIDA Regional advisor……) – Selection of CCM president – Eligibility of CCM and PR according NFM – Responses to TRP 12 comments – Schedule to submit the Joint HIV TB concept note – Roadmap to perform the CCM The elaboration of roadmap for improving the CCM eligibility requirements was the big result of CCM Review

9. 7. Joint TB HIV concept note (NFM) Meeting for answering TRP questions Meeting for the familiarization of joint TB-HIV concept note tools with 12 modules Elaboration of joint TB-HIV Roadmap (TB-HIV coinfection, Health system, community health system, monitoring system) for building a strong joint note for DRC Community meetig for more comprehensive of concept “ community health system ” Joint note elaboration in Matadi ( 14-28 June 2014 )

10. 8.Joint TB HIV concept note (NFM) Inclusive participation: – CCM members – National program staff – Partners staff – Civilian society staff – Specifics groups – WHO staff, UNAIDS staff, USAID staff – PR staff – Consultants

11. 9. Challenges The joint TB HIV concept note process is not easy The big challenge was/is how to reach all TB patients for providing them HIV services ? although coverage between 2 programs Unavailability of some data for key populations Difficult joint monitoring and evaluation mechanism and coordination

12. 10. Conclusion The joint TB HIV concept note process is not easy DRC was one of country to implement the NFM of concept note DRC need more accompaniment to issues some problems in starting this model

13. National dialogue

14. Thank you 03/07/2015DRC PROGRAM REVIEW14