Intensified TB Case Finding [ICF] in HIV testing Settings
Intensified Case Finding (ICF) in TB-HIV Collaboration
Prevention of TB in HIV Settings
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Strategies for prevention of TB in HIV care settings:
Primordial prevention (Prevention of Exposure)
1. Airborne Infection Control (AIC) measures in HIV congregate settings
2. Health promotion - IEC regarding cough etiquette, Provision of AIC kits etc.
Primary prevention (When TB disease has not developed)
1. IPT, including post treatment IPT to prevent TB recurrence
Tuberculosis Health Action Learning Initiative [THALI]
Tuberculosis Health Action Learning Initiative (THALI) initiative was started in 2016, with the support of the United States Agency for International Development (USAID) as a four-year patient-centric family focused TB prevention and care initiative to facilitate quality TB services to vulnerable populations. THALI was implemented by the Karnataka Health Promotion Trust (KHPT) in Karnataka in collaboration with the National Tuberculosis Elimination Programme (NTEP).
Advocacy to affected communities and PLHA networks
PLHA network is a network of People Living with Human Immuno-deficiency Virus (HIV)/ Acquired Immuno-Deficiency Syndrome (AIDS) [PLHA] created for PLHA, by PLHA. The goal of the PLHA network is to sensitise the communities on HIV and AIDS, improve access of communities to HIV prevention and PLHA to treatment and care; and support services.
Linkage to TB-HIV services in the private sector
National AIDs Control Programme (NACP) has established partnerships with bonafide registered entities, which include non-governmental organisations (NGOs), community-based organisations, federations of self-help groups (SHGs), registered medical practitioners (allopathic/ AYUSH), hospitals, nursing homes, clinics, health professional bodies and organisations.
District AIDS Prevention and Control Units [DAPCU]
Programme management under NACP was decentralised to the district level in the form of District AIDS Prevention and Control Units (DAPCU).
Constitution of DAPCU
State AIDS Control Society [SACS]
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National AIDS Control Organisation (NACO) provides leadership to HIV/AIDS Control Programme in India, implementing one National Plan within one monitoring system. State AIDS Prevention and Control Societies (SACS) implement the NACO programme at the state level, but have functional independence to upscale and innovate.
NACP and NTEP Coordination at National, State and District Levels
There is a well-structured system of National AIDS Control Programme (NACP) and National TB Elimination Programme (NTEP) coordination at the national, state and district levels which includes the following:
1. National Level
Overview of TB-HIV Collaborative Activities under NTEP
TB-HIV collaborative activities are the first among the TB comorbidities-specific interventions started in India and globally. In India, structured and systematic TB and HIV collaborative efforts were started in 2001.
The scope of work for collaboration between the National AIDS Control Programme (NACP) and the National TB Elimination Programme (NTEP) includes:
1. Establish/ strengthen NACP-NTEP coordination mechanisms at the national, state and district levels