Tuberculosis and HIV Collaborative Programme in Southern Sudan

Fast Facts:
• Project Document
• 2009 Annual Report -
  Global Fund Grants in Southern Sudan
Location: Western and Central Equatoria States, Lake State, Jonglei State, Bahr El Ghazal State, Warrap State.
Duration: Oct 2006 - Sep 2011
Focus area: HIV/AIDS and other diseases
Contributions(USD): GFATM: 15,767,081
Partners: Ministry of Health, Arkangelo Ali Association, Malteser International
Delivery(USD): 2010: 3,766,251
2009: 4,243,811
2008: 5,138,000
2007: 1,184,000
Contact person in UNDP: Madelena Monoja
Southern Sudan has a generalized HIV epidemic with an estimated HIV prevalence in the general population of (3.0%, Ministry of Health – GoSS). Co-infection with tuberculosis (TB)/HIV has not precisely been documented but estimated to be between 10-20%. Routine data collected by the tuberculosis control programme of the Ministry of Health – GoSS indicate the following: in 2009, TB/HIV co-infection rate of 12% among new smear positive cases and 10.8% among all forms of TB. In 2010, the co-infection rate was 9.7% among new smear positive cases and 11.4% among all forms of TB.
Round 5 TB/HIV grant agreement was signed in October 2006 for a period of 5 years. The grant is expected to operationally close in September 2011. The goal of the grant is to decrease the burden to TB and HIV in populations affected by both diseases with the aim of reducing morbidity, mortality and transmission of these diseases in Southern Sudan. The programme is providing TB treatment to HIV/AIDS patients, prevention and treatment to TB patients suffering from HIV/AIDS, laboratory equipment and supply to voluntary counseling and testing centres and it is establishing an institutional framework to support collaboration between TB and HIV/AIDS treatment services.

The objectives of the TB/HIV Collaborative Programme in Southern Sudan are:
(1) To establish the mechanisms for collaboration between TB and HIV/AIDS programmes,
(2) To decrease the burden of TB in people living with HIV and AIDS
(3) To decrease the burden of HIV in TB patients and
(4) To obtain political commitment to collaborative TB/HIV activities and create partnerships for development and collaboration.

Snapshots of the project's major achievements
• The programme has enabled the establishment of 29 coordinating bodies for TB/HIV activities at all levels (1 central, 10 state, and 13 county coordinating bodies)
• The programme is strengthening the health information system through training 468 individuals from various levels within the health system.
• Because of the programme, there are now 140 TB/HIV Service Delivery Points with adequate information, education and communication materials for the two diseases.
• The programme has supported 124 health facilities to provide high quality voluntary counselling and testing as well as TB screening.
• Through the programme, 14,588 people living with HIV/AIDS have been screened for TB symptoms.
• 8,716 TB patients received HIV testing and counselling services through the programme.
• Out of 54 health facilities, 45 are providing condoms and health education on HIV prevention methods to patients and over 239,763 condoms have been distributed through the service points.
• Over 820 HIV-positive TB patients are receiving preventive therapy to prevent occurrence of infections.
• The programme has managed to build the capacity of 231 health workers on anti-retroviral therapies and management of co-infection.
• Over 448 HIV/TB co-infected patients were put on anti-retroviral therapy through this grant and 492 co-infected patients have been referred to HIV home-based care and support services.

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