MIN/Sp/AU/CAMH3/6 TB
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4.2.5:
Status of implementation of TB/HIV Interventions
The key Abuja special Summit targets for TB/HIV interventions are to test
100% of TB patients for HIV and commencing 100% of eligible co-infected TB
patients on ART. During 2006, only 22% of notified cases (287,945 TB cases)
were tested for HIV, 150,739 (52.3%) of which tested positive. This compares
to 11.2% and 52.0% respectively for 2005. By country,
Of those who tested positive, 37.1% were started on Anti-Retroviral Therapy
(ART), increasing from 27.3% in 2005 but still far short of the 100% target. At
this rate, the region is unlikely to reach the 100% target by 2010 set by the
special summit.
However, 11 countries 32 recorded ART coverage of 30% and above, ranging
from 30.8% in Rwanda to 56.9% in Malawi. Zambia with the highest coverage
in 2005, recorded a 44.3% decline in coverage during 2006. Furthermore,
89.1% were started on Co-trimoxazole preventive therapy (CPT), a 23.4%
increase compared to a figure of 72.2% for 2005. Based on this trend, it is
likely that 100% coverage with this intervention could be achieved by 2010. At
this rate, Universal access to CPT is likely to be achieved by 2010. Table
4.2.5 shows coverage for the three interventions by country for 2005 and
2006.
Table 4.2.5: Status of implementation of key TB-HIV interventions. African Region 2005 and 2006
Total cases notified
Country
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African
Republic
Chad
Comoros
Congo
Côte d'Ivoire
DR Congo
Equatorial
Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Guinea
Guinea-Bissau
Kenya
Lesotho
Liberia
32
Proportion (%) of
notified
cases
tested for HIV
2005
2006
Proportion
of
tested
cases
positive for HIV
2005
2006
Proportion
(%)
HIV positive put
on CPT
2005
2006
Proportion (%)
HIV positive put
on ART
2005
2006
23
22.4
33.2
0
0
97.7
88.9
53.8
33.2
0
34.7
97.8
13.8
79.8
46.1
14.9
71.1
50.8
0
0
67.8
68.2
0
65.7
0
0
32.4
43.1
0
26.9
4.7
38.9
3
0
0
100
100
0
0
0
1.8
1.7
100
0
100
0
38
20.5
36.7
14.3
38
73.6
55.6
90.4
13.9
0.8
46.7
54.3
0
2.6
20.1
29.2
17.1
0
7
60.1
18.8
15.2
41.1
100
88.3
100
100
85.6
100
0
68.2
29.4
0
40.3
39.8
100
25.8
33.3
36.8
27.3
0
16.2
13.9
55
57.2
81.4
12.3
56.3
52
88.6
14.7
100
44
78.7
0
100
141.2
56.2
0
30
17.3
0
0
50.6
42.9
8.6
0
2005
21336
38317
3,457
10,228
3,659
6627
22,073
305
2006
21263
54699
3734
8,519
4,248
6176
24879
276
3411
6505
112
9959
20,026
99,558
6375
116
8600
21,145
98,139
0
0
100
0
20.4
1.9
3612
125,135
2611
2120
12,124
7090
1816
108,401
10,802
3456
3136
123,009
3206
1881
12511
9076
2161
115,234
13368
4514
0
2.6
7.1
0
7
0
11
14.4
1.4
3.3
100
0
27.5
1.3
Benin, Cote D’Ivoire, DRC, Guinea Bissua, Kenya, Malawi, Mauritius, Mozambique, Rwanda,
South Africa and Zambia