The goal of collaborative TB/HIV activities is to reduce HIV associated TB mortality and morbidity through close coordination between National AIDS/STD Program and National Tuberculosis Control Program.
13.1 TB/HIV policy in Bangladesh
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Bangladesh has adopted the WHO policy recommendations for collaborative TB-HIV activities published in 2014. The recommended activities for TB/HIV collaboration focus on establishing mechanisms of collaboration between TB and HIV programs at all levels, decreasing the burden of TB in people living with HIV (PLWHIV) through intensified case finding, Isoniazid preventive therapy & infection control (the 3 I’s) and decreasing the burden of HIV in TB patients through Provider Initiated Testing and Counseling (PITC), adopting recommended prevention methods, Cotrimoxazole preventive therapy (CPT), HIV treatment and care and support for TB/HIV co-infected patients.
- To establish mechanisms for coordination between the National Tuberculosis Control Program and National AIDS/STD Program
- To decrease the burden of tuberculosis among people living with HIV
- To decrease the burden of HIV among TB patients
Implementation of collaborative TB/HIV activities in Bangladesh is based on three pillars
- Establishing functional collaboration between the NTP, NASP and all implementing partners with clear and mutually agreed roles and responsibilities
- Integrating the TB/HIV services into existing program implementation structures considering feasibility and sustainability
- Generating national evidence on the burden of disease, appropriate interventions and feasible model for implementation