TB/HIV Care Association is a Non Profit Organization that aims to improve TB management by increasing access to TB and HIV diagnosis, care, treatment and community-based adherence support. They focus specifically on the challenges associated with undiagnosed and untreated TB, HIV and STIs. By addressing these challenges they aim to decrease morbidity and mortality, decrease transmission, and improve clinical response. Their integrated approach to addressing both TB and HIV issues has proved the organization to be a pioneer in implementing a parallel system of support for TB & HIV clients.
Strengthened provider initiated HIV counseling and testing and intensified TB case findings in facililities. Clinicians were trained and mentored in clinical care and treatment of TB and HIV, including ART. Linked treatment at health facilities to community care givers to ensure adherence and improve TB cure rates.
TB/HIV were able to link the counselling and testing (CBVCT) services and to strengthen provider initiated HIV counselling and testing and intensified TB case finding in facilities. CBVCT services identified HIV-positive clients, TB suspects and STI suspects who were appropriately referred for diagnosis and treatment. Clinicians at identified sites were trained and mentored in clinical care and treatment of TB and HIV, including ART. Patients started on ART or TB treatment at health facilities were linked with Community Care Givers (CCGs) to ensure good adherence and improve TB cure rates. The roll out of this project assisted with capacity building and the strengthening of the health system, which improved service delivery.
HIV counseling and testing (HCT) was delivered through a strategic mix of service delivery models including provider initiated counseling and testing in health facilities and mobile community-based HCT. In both of these models, individual and couple counseling are provided and both adults and adolescents are served. We tested 2497 individuals for HIV and screened them for TB and STIs which was well above our target of 2000. There was a challenge of tracking successful referral of TB suspects as clients tended to go to other facilities than those that we were supporting. This made it hard for the team to see if the clients were successfully referred or not. There were 926 HIV positive patients enrolled in HIV care (target was 320) and 347 patients enrolled into ART care (target was 60). TB/HIV Care Association was able to reach and exceed almost all of the targets that were set for this project.