Collaboration and coordination between the TB and HIV programmes

Clinical description

Controlling TB/HIV requires collaboration and coordination between the TB and HIV programmes at all levels. Service integration can include referral of patients and presumptive TB cases between TB and HIV services, partial provision of joint TB/HIV services, or full integration of the TB and HIV/AIDS clinics (“one- stop shop” or “all services under one roof”).

Examples of integrated TB/HIV services include:

• PITC of TB patients;
• Provision of CPT;

10 Annual TB report, 2015. National Tuberculosis Control Programme, MOH. Malawi 60 National Tuberculosis Control Programme

• Early initiation of ART in HIV-infected patients with TB,
• Offering of anti-TB drugs and ART in the same room by the same person (“one-stop

shop”),

• Screening of all HIV-positive persons for active TB, and
• Provision of IPT to PLHIV who do not have evidence of active TB.