Joint TB/HIV planning
To demonstrate commitment at national level to ensuring collaboration between TB and HIV programmes through joint planning
A content analysis of the national joint TB/HIV plan and budget endorsed by both NTP and NACP should be conducted and matched against the checklist of key components. In the absence of a joint TB/HIV plan, a content analysis of both the national TB control and national HIV/AIDS control plans should be carried out to identify evidence of each of the following key components:
Clear definition of the roles and responsibilities of the NTP and NACP for implementation of each collaborative TB/HIV activity.
Joint resource mobilization for collaborative TB/HIV activities (joint budget if resources are adequate or joint proposal to solicit additional resources).
Joint human resource capacity development strategy to ensure adequate staff to deliver collaborative TB/HIV activities, including attention to recruitment and retention, training, accreditation, and ongoing supervision and support of staff.
Joint pre-service and in-service training on TB and HIV for all health care workers.
Joint communication and advocacy strategy for TB and HIV programmes (HIV messages include TB and vice versa).
Joint plan for involving communities in implementation of collaborative TB/HIV activities, ensuring that community TB programme supporters include HIV/AIDS prevention, care and support activities in their remit and vice versa.
Joint plan for operational research in collaborative TB/HIV activities.
Joint approach to M&E of collaborative TB/HIV activities.
For completeness, all components should be reflected in a joint plan. In the absence of a joint TB/HIV plan there must be evidence that each of the key components of joint planning is stated in both the NTP plan and the NACP plan. In larger countries it may be appropriate to adapt and report this indicator at sub-national level.
Geographic location: N/A
Pregnancy status: N/A
Time period: N/A
Type of orphan: N/A
Vulnerability status: N/A
This indicator aims to demonstrate that NTPs and NACPs are using the most important opportunities for collaborative planning. To ensure a rational, comprehensive and effective approach to collaborative working, NTPs and NACPs should either devise a joint TB/HIV plan, or introduce TB/HIV components in both the national TB control plan and national HIV/AIDS control plan. However, assessing evidence of political or programme commitment to collaborative TB/HIV activities can be subjective. Introduction of a list of key components that need to be included to demonstrate complete joint planning attempts to reduce subjectivity and may help to identify trends over time and enable comparison between countries. The presence of all key components for joint planning indicates that there is at least a policy of comprehensive planning between TB and HIV programmes for collaborative TB/HIV activities. Statement of collaboration in a policy is no guarantee that it occurs or that the collaboration is effective. An incomplete plan suggests that there is room for better joint planning but may also reflect situation specific restrictions.