European framework to decrease the burden of TB/HIV

Area of Science:

• Public Health
• Infectious Disease Epidemiology
• Global Health Policy

Background:

• Tuberculosis (TB) incidence is decreasing in Western/Central Europe but rising in Eastern Europe.
• Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) is dramatically increasing in Eastern Europe.
• A significant acceleration in HIV-related tuberculosis (TB/HIV) morbidity and mortality is anticipated.

Purpose of the Study:

• To provide a framework for European countries to develop national plans for reducing TB/HIV.
• To guide the development of strategies for TB/HIV prevention and care.
• To foster collaboration between national HIV/AIDS and tuberculosis programs.

Main Methods:

• Extensive consultation process by the World Health Organization Regional Office for Europe.
• Incorporation of global and European strategies for TB control and HIV/AIDS prevention.
• Development of a framework outlining strategic components and key operations.

Main Results:

• Identified five strategic components: political commitment, collaborative prevention, intensified case-finding, coordinated treatment, and strengthened surveillance.
• Outlined eight key operations: central coordination, policy development, surveillance, training, supply management, service delivery, health promotion, and research.
• Established the rationale for effective collaboration between HIV/AIDS and tuberculosis national programs.

Conclusions:

• Effective collaboration between HIV/AIDS and tuberculosis programs is crucial for reducing TB/HIV.
• A comprehensive national plan incorporating strategic components and key operations is essential.
• This framework provides a roadmap for European countries to combat the growing TB/HIV epidemic.