TB/HIV “minimum package” to be implemented at township level in Myanmar

1. TB/HIV “minimum package” to be implemented at township level in Myanmar Thandar Lwin 1 , Aye Myat Soe 2 , Win Maung 1 , Khin Ohnmar San 2 , O Barreneche 3 , H Kluge 4 , P Clevenbergh 5 1: National Tuberculosis Program, DoH, Myanmar, 2: National HIV/AIDS Program, DoH, Myanmar, 3: World Health Organization, HIV, 4 World Health Organization, TB, 5: International Union Against Tuberculosis and Lung Disease, Myanmar Office

6. Roles and Responsibilities Physician/Medical Officer ART clinic or HIV/STD clinic Opportunistic infections diagnosis, treatment and follow up Physician/Medical Officer ART clinic ART eligibility, administration and follow up Physician/Medical Officer HIV/STD clinic or ART clinic HIV clinical assessment Physician/Medical Officer HIV/STD clinic or district TB clinic or township HC CPT eligibility, administration and follow up Physician/Medical Officer and DOT provider TB TB treatment and follow up Physician/Medical Officer TB Rule out active TB after the screening Counselor Refer PLHA for AFB examination after TB screening with questionnaire Counselor Pre and post-test counseling and referral to VCCT service for HIV testing Who and where Action

7. Recording and Reporting Treatment outcome of TB/HIV patients according to type of TB Proportion of TB/HIV patients put on ART during or at the end of TB treatment Proportion of TB/HIV patients put on CPT during TB treatment Proportion of spouses/children of registered TB/HIV patients tested for HIV and HIV positive Proportion of PLHA diagnosed as TB among referred PLWHA Proportion of PLWHA screened for TB symptoms Proportion of registered TB patients HIV positive Proportion of TB patients tested for HIV among offered TB patients Proportion of TB patients offered VCCT among registered TB patients

8. TB/HIV collaborative activities recommended by WHO NTP C. To decrease the burden of HIV in TB patients C.1. HIV testing and counselling C.2. HIV preventive methods C.3. Cotrimoxazole preventive therapy C.4. HIV/AIDS care and support C.5. Antiretroviral therapy to TB patients. NAP B. To decrease the burden of TB in PLWHA B.1. Intensified TB case finding B.2. Isoniazid preventive therapy B.3. TB infection control in health care and other settings Joint NAP/NTP A. Establish the mechanism for collaboration A.1. TB/HIV coordinating bodies A.2. HIV surveillance among TB patient A.3. TB/HIV planning A.4. TB/HIV monitoring and evaluation Responsibility Activities