Tuberculosis and HIV

Tuberculosis and HIV
Integrating HIV and TB activities to improve treatment outcomes

The World Health Organization estimates that the risk of developing TB is more than 25 times greater in people living with HIV than among those without HIV infection and accounts for up to a third of AIDS deaths worldwide. Integrating TB and HIV services is an opportunity to ensure patients living with HIV are routinely screened and are provided TB services as soon as symptoms appear. The purpose of this strategy is to outline the procedures used by CHWs to correctly implement tuberculosis screening, treatment follow up, contact tracing and infection control procedures.

Download TB and HIV Integration Materials

Standard Operating Procedure Summary

Featured Case Studies

Infection Control
Recording TB Screening and Treatment in Patient’s Personal Records
Collecting Sputum Samples
Special Cases

Tools and Forms

TB Job Aids: N95 Respirator Instructions and the Cough Coaching Tool are designed to be used by health care providers at the health facility to prevent the transmission of TB.

TB Screening and Tracking Tools: Following screening with the TB Screen Tool, the TB Treatment MasterCard and TB Treatment Register are used to track those diagnosed with active TB through their treatment process. The TB Follow Up Register, in combination with the Client Tracing Tools, help CHWs keep track of patients that require a non-standard follow up, so that patients can be tracked if they do not return to the health facility on their scheduled appointment dates.

TB Contact Tracing Tool: This tool is designed to help CHWs screen household contacts of patients with active TB (index cases) for symptoms of TB disease.

IPT Tools: The IPT register is designed to be used to keep track of all patients in the facility currently taking IPT and is used in combination with the IPT MasterCard, a tool for CHWs to keep track of individual patient clinic visits and their overall IPT outcome.

Client Tracing Tools: These tools are designed to support CHWs to organize and report on client tracing efforts, regardless of the reason for tracing. The Client Tracing Form provides a document to record the client’s locator information, tracing attempts and final tracing outcome. The CHW Client Tracing List helps the CHW manage and track all his/her clients that require tracing and their current tracing status.

Community Health Worker Training Curriculum: This curriculum is designed to provide CHWs with the knowledge needed to perform any activity in this toolkit. It is recommended that all CHWs receive the full training. If that is not possible, it is recommended to specifically look at: Unit 9: TB and HIV.

Health Talk Procedure and Topics: Health talks are 20- to 30-minute patient education sessions, usually presented by a CHW or HDA while a group of patients is waiting for their appointments.