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HIV TB coinfection - perspectives from India
Bharat Bhushan Rewari1, Amitabh Kumar2, Partha Pratim Mandal1
1World Health Organisation, South East Asia Regional Office, New Delhi, India.
Expert Review of Respiratory Medicine
|April 26, 2021
Summary
Collaborative efforts between HIV and tuberculosis (TB) programs have saved over 7.3 million lives since 2005. Integrating TB and HIV services is crucial for reducing deaths in coinfected individuals.
Area of Science:
- Public Health
- Infectious Diseases
- Epidemiology
Background:
- HIV and tuberculosis (TB) are significant global health challenges, with each disease exacerbating the other.
- HIV is a primary risk factor for TB progression, and TB is a leading cause of death among people living with HIV (PLHIV).
Purpose of the Study:
- To review collaboration strategies between TB and HIV programs.
- To identify challenges and effective approaches for managing coinfections.
Main Methods:
- Review of key features of TB/HIV collaborative programs.
- Analysis of strategies for reducing morbidity and mortality in coinfected individuals.
Main Results:
- Collaborative TB/HIV activities have saved over 7.3 million PLHIV globally since 2005.
- Key interventions include timely TB detection in PLHIV, HIV screening in TB patients, and integrated treatment (ART, ATT, CPT, TB Preventive therapy).
Conclusions:
- Integration of national TB and HIV programs from policy to service delivery is essential for effective implementation.
- Continued collaboration and addressing existing challenges are vital for further reducing mortality in coinfected populations.
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