Hiv-tb Collaborative Services
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Functional responsibilities of different facilities to provide HIV-TB collaborative services
Public Health System (following HIV & TB services available)
List of activities
Sub Health Post & Health Post
Awareness generation at community level Reduction of stigma, discrimination and denial related to HIV & TB
PHC & District Hospital
HIV
TB
HIV
TB
STI
DOTS MC
STI VCT OI
DOTS MC CXR
Zonal Hospital
HIV STI VCT ART OI LAB Pmtct OST
Regional Hospital & Medical College Hospital
NGOs HIV Targeted Intervention for MARPs NGO clinics
√
√
Community DOTS Program
Community Care Home
HIV
TB
HIV
TB
HIV
MC DOTS CXR FNAC
STI VCT ART OI LAB Pmtct OST HIV ward
MC DOTS CXR FNAC BIOPSY Culture Sensitivi ty
STI VCT OI OST
Screen
ART OI
√
√
DPHO
TB Program
TB
√
√
Outreach programs and peer education
PLHIV network
outreach activities
DACC (NAP)
DTCP (NTP)
√
√
TB DOTS
√
√
√
√
√
√
√
√
TB case finding among PLHIV and referral to TB From community
√
From health facilities
√
√
√
From TI programs of MARP Risk assessment & referral of TB cases to VCT From community From health facilities Diagnosis of TB among PLHIV Pulmonary TB Extra Pulmonary Tuberculosis Provision of DOTS to HIV-TB co-infections PLHIV not on ART PLHIV on ART PLHIV on OST
√
√
√ √
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√ √
√
√
√
√
Indoor care of complicated HIVTB co-infections Continuum of care of HIV-TB coinfections after critical care of the hospital Providing prophylaxis to PLHIV INH
√
√
Co-trimoxazole Follow up of HIVTB co-infections at community level
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
HIV-TB Collaboration at district level Formation of HIV-TB collaboration committee at DPHO Quarterly meeting of HIVTB collaboration committee
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
Joint Program Implementation Plan Supervision & monitoring district collaboration
√
√
√
√
√
√
√
√ √
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
HIV-TB Training at the district Selection of district level trainers Training of the MOs & PHOs Training of the health staffs Training of MCHW, VHW, PLHIV networks, NGOs, CBOs, PEs, FCHV
√
√
√
√
Surveillance Developing sentinel sites for HIV surveillance among TB cases Drug Resistance Monitoring
√
√
√
√
√
√
ARV DR
√
AT DR (MDR/XDR)
√
Public Health System (following HIV & TB services available)
List of activities
Sub Health Post & Health Post
Awareness generation at community level Reduction of stigma, discrimination and denial related to HIV & TB
PHC & District Hospital
HIV
TB
HIV
TB
STI
DOTS MC
STI VCT OI
DOTS MC CXR
Zonal Hospital
HIV STI VCT ART OI LAB Pmtct OST
Regional Hospital & Medical College Hospital
NGOs HIV Targeted Intervention for MARPs NGO clinics
√
√
Community DOTS Program
Community Care Home
HIV
TB
HIV
TB
HIV
MC DOTS CXR FNAC
STI VCT ART OI LAB Pmtct OST HIV ward
MC DOTS CXR FNAC BIOPSY Culture Sensitivi ty
STI VCT OI OST
Screen
ART OI
√
√
DPHO
TB Program
TB
√
√
Outreach programs and peer education
PLHIV network
outreach activities
DACC (NAP)
DTCP (NTP)
√
√
TB DOTS
√
√
√
√
√
√
√
√
TB case finding among PLHIV and referral to TB From community
√
From health facilities
√
√
√
From TI programs of MARP Risk assessment & referral of TB cases to VCT From community From health facilities Diagnosis of TB among PLHIV Pulmonary TB Extra Pulmonary Tuberculosis Provision of DOTS to HIV-TB co-infections PLHIV not on ART PLHIV on ART PLHIV on OST
√
√
√ √
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√ √
√
√
√
√
Indoor care of complicated HIVTB co-infections Continuum of care of HIV-TB coinfections after critical care of the hospital Providing prophylaxis to PLHIV INH
√
√
Co-trimoxazole Follow up of HIVTB co-infections at community level
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
HIV-TB Collaboration at district level Formation of HIV-TB collaboration committee at DPHO Quarterly meeting of HIVTB collaboration committee
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
Joint Program Implementation Plan Supervision & monitoring district collaboration
√
√
√
√
√
√
√
√ √
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
HIV-TB Training at the district Selection of district level trainers Training of the MOs & PHOs Training of the health staffs Training of MCHW, VHW, PLHIV networks, NGOs, CBOs, PEs, FCHV
√
√
√
√
Surveillance Developing sentinel sites for HIV surveillance among TB cases Drug Resistance Monitoring
√
√
√
√
√
√
ARV DR
√
AT DR (MDR/XDR)
√
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