World Health Organization : Year 2004 ; World Health Organization, Hiv, Aids, Tuberculosis, And Malaria, Tuberculosis, No. 2004.336: Report of a “Lessons Learnt” Workshop on the Six Protest Pilot Projects in Malawi, South Africa and Zambia

By World Health Organization

Book Id: WPLBN0000175992
Format Type: PDF eBook
File Size: 0.2 MB
Reproduction Date: 2005

Title:	World Health Organization : Year 2004 ; World Health Organization, Hiv, Aids, Tuberculosis, And Malaria, Tuberculosis, No. 2004.336: Report of a “Lessons Learnt” Workshop on the Six Protest Pilot Projects in Malawi, South Africa and Zambia
Author:	World Health Organization
Volume:
Language:	English
Subject:	Health., Public health, Wellness programs
Collections:	Medical Library Collection, World Health Collection
Historic Publication Date:
Publisher:	World Health Organization


Citation APA MLA Chicago Organization, W. H. (n.d.). World Health Organization : Year 2004 ; World Health Organization, Hiv, Aids, Tuberculosis, And Malaria, Tuberculosis, No. 2004.336. Retrieved from http://gutenberg.cc/

Description
Medical Reference Publication

Excerpt
Summary The ProTEST initiative was established in 1997 by WHO to develop a more coherent response to tuberculosis (TB) in settings with high HIV prevalence through collaboration between TB and HIV/AIDS control programmes. HIV counselling and testing services were developed as the entry point to a package of prevention, care and support services. Under the overall coordination of WHO, Six ProTEST projects were established in three countries with a high burden of HIV-related TB: Malawi (Lilongwe); South Africa (Bohlabela District, Limpopo Province; Ugu District, KwaZulu Natal Province; East London District, Eastern Cape Province; Cape Town Central District, Western Cape Province); and Zambia (Lusaka). The project results were reviewed during a four-day “Lessons Learnt Workshop” in Durban, South Africa, in February 2003.

Table of Contents
Contents Acronyms and abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 1 Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 1.1 Summary of results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 1.2 Conclusions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 2 The ProTEST initiative and Durban workshop . . . . . . . . . . . . . .11 2.1 Background . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11 2.2 Three countries, six projects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11 Malawi . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 South Africa . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 Zambia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 2.3 The future of collaborative TB/HIV activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14 2.4 The Durban workshop . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14 3 Lessons learnt and recommendations . . . . . . . . . . . . . . . . . . . . . . . 17 3.1 Establishing the mechanisms for collaboration . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Building collaboration between HIV/AIDS and TB programmes, nongovernmental organizations, community-based organizations and other stakeholders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17 Capacity-building, training and support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18 3.2 Decreasing the burden of HIV: prevention, care and support . . . . . . . . . . . . . .19 Voluntary counselling and testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20 Screening for sexually transmitted infections and syndromic management . .23 Condom promotion and distribution in VCT sites and clinics . . . . . . . . . . . . . .23 Co-trimoxazole preventive therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24 Community involvement through peer educator groups and post-test clubs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25 3.3 Decreasing the burden of tuberculosis in people living with HIV/AIDS . . .26 Intensified case-finding for tuberculosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26 3.4 Isoniazid preventive therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27 Malawi . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28 South Africa . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28 Zambia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29 3.5 Referral systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30 3.6 Monitoring and evaluation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30 3.7 Case-holding for tuberculosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .