Full Text
(in Spanish, 50 pp, PDF, 281 Kb)
Highlights (titles translated for user orientation):
- Epidemiological situation of TB/HIV co-infection and anaylisis of the programmatic, political, managerial and administrative context
- Successful experiences of TB/HIV interprogrammatic collaboration
- Integration of second-generation HIV epidemiological surveillance of TB patients
- Panel discussion on experience with TB/HIV nterprogrammatic collaboration; presentation and discussion of progress made in El Salvador, the Dominican Republic, and Mexico
- Action Plan: Methodology for its development and follow-up
- Action Plans 2004–2005 (Annex 2)
- Agreements (to the right)
Meeting Page
WHO Links
- TB Advocacy Report 2003: The Human Face of TB
- Tuberculosis: Strategies, Operations, Monitoring & Evaluation
- TB Literature by Subject
- WHO Tuberculosis Page
- WHO HIV Page
PAHO Links
- 2003 TB/HIV Workshop
- Workshops on TB in Prisons: 2004 |
- 2003
- 2004 Regional TB Meeting
- PAHO Tuberculosis Page
- PAHO AIDS Page
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Meeting Page
Agreements
Following an analysis of the level of compliance of the concerted workplans from the First Workshop on TB/HIV Co-Infection held in San Pedro Sula, Honduras, in August 2003, and following the joint effort made by each country's National Tuberculosis Programs and National AIDS Programs, the country delegates arrived at the following agreements:
- Strengthen TB/HIV Epidemiological Surveillance Systems, based on an evaluation of the current situation or a review of existing information. PAHO/WHO will offer technical support for designing protocols, training workshops and consensus workshops. The translation, publication, and dissemination of the Epidemiological Surveillance Guides for TB/HIV Co-Infection developed by WHO, as well as its possible incorporation into training modules, will be done in collaboration with the PAHO Regional TB and HIV/AIDS Programs.
- Disseminate the information on TB/HIV co-infection at the regional level, through the Epidemiological Bulletin of the Regional HIV/AIDS Program.
- Introduce the specific component of binomial TB/HIV into monitoring and evaluation visits to the countries (to be done by both PAHO Regional Programs). In this way, country experiences can be accumulated and direct support for the decentralization of TB/HIV collaboration activities can be carried out.
- Development or adaptation of Comprehensive Care Guides for designed for a person living with HIV/TB. These guides cover everything from counseling and voluntary testing to palliative care. Within these guides, clinical management algorithms need to be developed, and referral and counter-referral systems among the health services for TB and HIV need to be mentioned. These guides would be of a national character.
- Identify and to apply innovative strategies to strengthen human-resource capacity at the local level. Examples of such are 'train-the-trainer' workshops that will enable countries to quickly expand their antiretroviral treatment management to patients with tuberculosis, or online distance-learning courses.
- Carry out advocacy at the regional level to obtain political commitment in the fight against TB/HIV co-infection, with PAHO taking such advocacy activities to the different ministerial meetings or taking advantage of other opportunities that may come up.
- Review the Regional TB Program's Regional Strategic Plan (2005–2010), taking into account the evidence, conclusions, and recommendations resulting from the present meeting.
- Monitor the agreements made at the Third Latin American Forum on HIV/AIDS held in Santiago, Chile, in April 2005.
Participating Countries: Belize, Brazil, Costa Rica, Dominican Republic, El Salvador, Guatemala, Haiti, Honduras, Mexico, Panama, Peru, Uruguay, Venezuela, and the Caribbean Epidemiology Center (CAREC).
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