Functional responsibilities of different facilities to provide HIV-TB collaborative services

List of Public Health System (following HIV & TB NGOs PLHIV network DPHO
activities services available) HIV Targeted TB
Intervention for Program
MARPs
Sub Health PHC & Zonal Hospital Regional NGO clinics Outreach Community Community outreach DACC DTCP
Post & District Hospital & programs DOTS Care Home activities (NAP) (NTP)
Health Post Hospital Medical and peer Program
College education
Hospital

HIV TB HIV TB HIV TB HIV TB HIV TB HIV TB

STI DOTS STI DOTS STI MC STI MC STI Screen ART DOTS
MC VCT MC VCT DOTS VCT DOTS VCT OI
OI CXR ART CXR ART CXR OI
OI FNAC OI FNAC OST
LAB LAB BIOPSY
Pmtct Pmtct Culture
OST OST Sensitivi
HIV ty
ward
Awareness
generation at √ √ √ √ √
community level
Reduction of
stigma,
discrimination √ √ √ √ √ √ √ √ √ √ √
and denial related
to HIV & TB
TB case finding
among PLHIV
and referral to TB
From community √ √ √
From health
√ √ √
facilities

From TI programs
of MARP √ √
Risk assessment &
referral of TB
cases to VCT
From community √ √
From health
√ √ √ √ √
facilities
Diagnosis of TB
among PLHIV
Pulmonary TB √ √ √ √
Extra Pulmonary
√ √
Tuberculosis
Provision of
DOTS to HIV-TB
co-infections
PLHIV not on ART √ √ √
PLHIV on ART
√ √
PLHIV on OST
√ √
Indoor care of
complicated HIV- √
TB co-infections
Continuum of care
of HIV-TB co-
infections after √ √
critical care of the
hospital
Providing
prophylaxis to
PLHIV
INH √ √ √ √ √
Co-trimoxazole
√ √ √ √ √
Follow up of HIV-
TB co-infections √ √ √ √
at community
level
HIV-TB
Collaboration
at district
level
Formation of
HIV-TB √ √ √ √ √ √ √ √ √
collaboration
committee at
DPHO
Quarterly
meeting of HIV- √ √ √ √ √ √ √ √ √
TB collaboration
committee
Joint Program
Implementation √ √ √ √ √ √ √ √ √ √
Plan
Supervision &
monitoring - √ √ √ √ √
district
collaboration
HIV-TB
Training at
the district
Selection of
district level √ √ √ √ √ √ √
trainers
Training of the √ √ √ √ √ √
MOs & PHOs
Training of the √ √ √ √ √
health staffs
Training of
MCHW, VHW, √ √ √ √ √
PLHIV
networks, NGOs,
CBOs, PEs,
FCHV
Surveillance
Developing
sentinel sites for √ √ √
HIV surveillance
among TB cases
Drug Resistance
Monitoring
ARV DR √

AT DR
(MDR/XDR) √