Posted: Mar 6, 2017
A guide to monitoring and evaluation for collaborative TB/HIV activities
This guide is developed to assist TB and HIV programme managers and other stakeholders in monitoring and evaluation for collaborative TB/HIV activities. It is intended to facilitate collection of standardized data and to help in interpretation and dissemination of these data for programme improvement at national and subnational level.
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It also aims to ensure consistency of data systems across all the agencies and stakeholders involved in HIV, TB and collaborative TB /HIV activities and avoid duplication of efforts by providing a set of internationally accepted and standardized indicators for monitoring and evaluation of programme performance.
Therefore, revision of this guide is harmonized with the revision of PEPFAR TB/HIV indicators (2013), development of the consolidated HIV strategic information guide for the health sector (2014), and the monitoring and evaluation toolkit of the Global Fund to Fight AIDS, Tuberculosis and Malaria (2014). In addition, it is harmonized with the generic data collection tools recommended by WHO for data collection and reporting for the integration of TB, HIV, and maternal and child health programme interventions at country level, namely the three interlinked patient monitoring systems for HIV care/ART, maternal and child health/prevention of mother-to-child transmission (MCH/PMTCT) (including malaria prevention during pregnancy), and TB/HIV (3ILPMS).
Posted: Mar 6, 2017
Best Practices in the Integration of TB and HIV/AIDS Services
This manual identifies and documents experiences and best models used in countries where the integration of TB and HIV services at the health facility level has been successfully implemented. The documentation focuses on the point of service deliverydistrict hospital or health centerto show how these facilities have moved toward implementing policy and guidelines adopted at the national level. The manual describes the strategies, approaches, and steps that were used as well as the challenges confronted and lessons learned.
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By documenting these working models at the health facility level and presenting experiences and recommended approaches, this manual provides information that may help other countries achieve a similar or higher level of integration. It may inspire them to establish more efficient systems, particularly from a patient`s perspective, for managing TB/HIV co-infection.
Posted: Mar 6, 2017
Gender assessment tool for national HIV and TB responses
The UNAIDS HIV Gender Assessment tool was developed recognizing the need for more systematic data collection on gender equality and HIV, as revealed by the mid-term review of the UNAIDS Agenda for Accelerated Country Action for Women, Girls, Gender Equality and HIV 2010–201410 (hereinafter, the UNAIDS Agenda for Women and Girls), the UNAIDS Secretariat led a consultative, multi-stakeholder process to develop a gender assessment tool. The resulting Gender Assessment Tool for national HIV responses (hereinafter the HIV Gender Assessment Tool) aims to support countries with the assessment of their HIV epidemic, context and response from a gender perspective, to inform the development of gender-sensitive national strategic plans (NSP) and country investment cases.
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Recognising the need for a similar tool for TB responses, the Stop TB Partnership and UNAIDS Secretariat established a partnership to develop the Gender assessment tool for national HIV and TB responses (hereinafter the HIV/TB Gender Assessment Tool), building on the UNAIDS HIV Gender Assessment Tool.
The HIV/TB Gender Assessment Tool developed not only supports countries with the submissions of gender sensitive concept notes to the Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM) but is intended to assist countries to assess their HIV and TB epidemic context and response from a gender perspective, helping them to make their responses gender sensitive and reduce the dual burden of HIV and TB infection. This tool does not replace the HIV Gender Assessment Tool instead it is intended to work in areas of HIV and TB co-infection as one assessment or can also be conducted for each disease.
A gender assessment process, led by national stakeholders and partners, helps to identify gender-related barriers to services as well as specific needs of women, men, transgender people and key and vulnerable populations, in the context of HIV, TB or HIV/TB co-infection, in the process reinforcing political commitment and increasing civil society capacity, to better respond to these barriers and needs. While different constituencies like country governments/ national TB programmes/CCMs/ Civil Society can take the lead in advocating for a gender assessment, it is recommended that the actual assessment is undertaken through country leadership such as the Ministry of Health or Gender and Development. This will ensure that outcomes are incorporated into relevant national strategic frameworks.
Posted: Mar 6, 2017
A practical guide for TB and HIV service integration at primary health care facilities
This document is a guide for facility managers and health care workers (HCWs) when integrating TB and HIV services including initiation and management of ART at PHC facilities in the South African Public Health care sector.
The primary target is PHC facility managers, and secondarily those who support PHC facilities, namely; PHC supervisors, sub- district and district management teams.
This guide is a ‘hands-on’ approach to implementation of integrated TB/HIV service delivery. Each section is complemented by ‘summary boxes’, encapsulating the key messages of the section. Appendices that follow contain supportive material and references to additional guidelines and resources to assist with integrated care.
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Frequently cited obstacles in integrated TB/HIV services in the South African context are addressed.
Posted: Feb 28, 2017
In countries implementing lifelong antiretroviral treatment (ART) for pregnant and breast-feeding women (commonly referred to as “Option B+”), prevention of mother-to-child HIV transmission (PMTCT) sites will effectively function as HIV care and treatment centers for women and, often, for their children and families as well. As national PMTCT programs are revising guidelines, training curricula, and recording and reporting tools for Option B+, this is a unique opportunity to incorporate TB/HIV activities into program planning efforts. TB/HIV services should also be integrated into the broader continuum of maternal, newborn, and child (MNCH) settings, including community and facility-based sites providing postpartum services, immunizations, and other child health interventions.
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In order to reduce the impact of TB among mothers and children, it is essential that PMTCT and MNCH programs adopt the World Health Organization (WHO) recommenda-tions for TB/HIV, including implementing TB intensified case finding (e.g. screening of all PLHIV and systematic evaluation of contacts of people with potentially infectious TB), infection control measures, and isoniazid preventive therapy (IPT) [6-8].