National HIV/AIDS policy address links between TB and HIV
Input indicator to measure government commitment to TB/HIV collaboration by evaluating whether national HIV/AIDS policy addresses the diagnosis, treatment and prevention of TB in PLWHA
National HIV/AIDS policy should reflect international policy guidance on collaborative TB/HIV activities. A content analysis of the governments HIV/AIDS policies, plans and/or guidelines should be conducted and matched against the checklist of key policy components (see below). The measurement of this indicator is yes/no; the national policy is either complete or incomplete. A policy is considered to be complete if it contains the following 10 key components:
Explicit recognition of the potential impact of morbidity and mortality from TB in PLWHA
Inclusion of NTP representative in planning process of NACP
Surveillance of HIV prevalence among TB patients that is consistent with international recommendations
IEC strategy for HIV that includes appropriate information about TB
Training for those working in HIV that includes appropriate information about TB
Intensified TB case-finding recommended in all who test positive for HIV
HIV-infected TB patients eligible for ART when indicated as per national protocols
TB patients who are HIV-infected to have full access to the continuum of care for PLWHA
Access to investigation and treatment for TB is part of basic package of care for PLWHA
Treatment of latent TB infection to be offered to all PLWHA consistent with international guidelines.
Additional components required for countries with a generalized HIV epidemic (>1% in the general population):
Establishment of a national TB and HIV coordinating body, technical advisory committee or task force
HIV testing and counselling routinely offered to all patients diagnosed with TB
CPT for all HIV-positive TB patients and all PLWHA consistent with international guidelines.
Supporting documentation should include the policy/plan/guideline itself and should state where and by whom it was issued.
Every 3-5 years
Geographic location: N/A
Pregnancy status: N/A
Time period: N/A
Type of orphan: N/A
Vulnerability status: N/A
A national HIV/AIDS control policy is an official government statement that establishes goals for HIV/AIDS control, includes strategies for attaining them and guides implementation of a comprehensive HIV/AIDS control programme. It is essential that the government and national HIV/AIDS control programme explicitly address the link between HIV and TB. TB prevention and treatment are key components of national HIV/AIDS policy, and access to TB diagnosis and treatment should be part of the minimum package of care for PLWHA. Measuring political commitment and policy analysis involves some subjective judgement and limits use in cross-national comparisons and for capturing trends over time This indicator goes a step beyond measuring the simple existence of an HIV/AIDS prevention and control policy by defining standards that must be met in order to have a complete policy that addresses the issue of TB according to international guidelines, thus eliminating some, though not all, subjective judgement. This indicator is useful in identifying countries that lack a formal and complete policy and that are therefore in most need of policy development work.