Since HIV fuels the TB epidemic, HIV programmes and TB programmes share mutual concerns. Prevention of HIV should be a priority for TB control; TB care and prevention should be priority concerns of HIV/AIDS programmes. Until recently, the efforts to control TB in HIV-infected people have mainly focused on implementing the DOTS strategy for TB control.Through the identification and cure of infectious TB cases, the strategy aims at interrupting the transmission of M. tuberculosis infection.
The expanded scope of a new approach to TB control in populations with high HIV prevalence comprises interventions against TB and interventions against HIV (and therefore indirectly against TB). Interventions against TB include intensified case-finding, cure and TB preventive therapy. Interventions against HIV (and therefore indirectly against TB) include condom promotion, STI treatment or prophylaxis, and ART. Previously TB programmes and HIV/AIDS programmes largely pursued separate courses. However, they need to collaborate in areas of mutual concern in their support to general health service providers.An integrated system of HIV/AIDS and TB care uses available health service providers to ensure continuity of care for TB/HIV patients.
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