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TB Policies in 29 Countries FINDINGS: • The HIV ‘test and start’ ART policy has been adopted by only 38% (11) of countries, and implemented widely in only 73% (8/11) of these countries; • The countries that are widely implementing the 'test and start' policy include: Brazil, China, DRC, Ethiopia, Georgia, Kenya, PNG and Swaziland; •  Of the SEA countries, only Cambodia has a policy in place for 'test and start';

 POTLIGHT – A GUIDE TO THE S ‘ONE-STOP SHOP’ The 8th edition of MSF’s TB/HIV Clinical Guide, released in 2014, provides a comprehensive approach to integrated, co-located TB/HIV care; it is available at: http://samumsf.org/documents/2015/07/msfhivtb-clinical-guide_2015_english.pdf

• Of the SSA countries, DRC, Ethiopia, Kenya, Mozambique, South Africa and Swaziland have a policy in place for 'test and start'.  ee table 6 for information on the level of integration S of TB and HIV services. TABLE 6: POLICIES FOR INTEGRATION OF TB AND HIV SERVICES TB treatment can be started in health facilities providing HIV care

HIV treatment can be started in health facilities providing TB care

The same health worker can provide TB and HIV treatment at the primary health care level

Afghanistan, Brazil, CAR, China, DRC, Ethiopia, Georgia, Kenya, Kyrgyzstan, Mozambique, Nigeria, Pakistan, Philippines, PNG, South Africa, Swaziland, Viet Nam, Zimbabwe

Afghanistan, Armenia*, Belarus, CAR, DRC, Ethiopia, Georgia, Kazakhstan, Kenya, Kyrgyzstan, Mozambique, Nigeria, PNG, Philippines, South Africa, Swaziland, Ukraine, Viet Nam, Zimbabwe

Brazil, CAR, DRC, Indonesia, Kazakhstan, Kenya, Mozambique, Nigeria, Philippines, South Africa, Swaziland, Tajikistan, Viet Nam, Zimbabwe

*Applicable for inpatient TB care facilities and not outpatient TB care facilities

WHAT NEEDS TO HAPPEN • Patient-centred: People receiving TB treatment must be at the centre of their care, and be supported and encouraged as such. • Decentralisation: TB services need to be decentralised to improve access and decrease out-of-pocket costs. • Ambulatory: Compulsory hospitalisation should be replaced with ambulatory care, including for DR-TB. The resulting cost savings could be used to provide support services and community systems that enable communities to provide patient support during ambulatory care.

• Integrated care: TB/HIV co-infection is a significant problem in many countries; care and treatment for both should be closely linked in order to support adherence and successful treatment outcomes (e.g., one treatment facility and one medical team). • Treatment as prevention: Given the benefits of ART in reducing TB incidence, morbidity, mortality and transmission, it is imperative – and urgent – for countries with high rates of TB/HIV co-infection to implement ART ‘test and start’.

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결핵: 새 보고서 – 세계에서 가장 치명적인 감염병 결핵을 각국이 아직도 해결하지 않고 있다는 사실 드러내  

국경없는의사회와 세계보건기구(WHO) 산하 ‘결핵 퇴치 국제협력사업단’(Stop TB Partnership)은 ‘Out of Step’ 보고서 3판을 발표했다. 이 보고서는 세계에서 가장 치명적인 감염병인 결핵에 맞서기 위해 각국 정부가 더 큰 노력을...

결핵: 새 보고서 – 세계에서 가장 치명적인 감염병 결핵을 각국이 아직도 해결하지 않고 있다는 사실 드러내  

국경없는의사회와 세계보건기구(WHO) 산하 ‘결핵 퇴치 국제협력사업단’(Stop TB Partnership)은 ‘Out of Step’ 보고서 3판을 발표했다. 이 보고서는 세계에서 가장 치명적인 감염병인 결핵에 맞서기 위해 각국 정부가 더 큰 노력을...