TB & HIV
Expanding testing, counseling and prevention outreach
HIV is a virus spread through certain body fluids that attacks the body’s immune system, specifically the CD4 cells. Over time when untreated, HIV can destroy so many of these cells that the body can’t fight infections and diseases. This damage to the immune system makes it harder and harder for the body to fight off infections and some other diseases. Opportunistic infections or cancers take advantage of a very weak immune system and signal that the person has AIDS.
Tuberculosis — or TB, as it is commonly called — is a contagious infection that usually attacks the lungs. It can also spread to other parts of the body, like the brain and spine. A type of bacteria called Mycobacterium tuberculosis causes it.
Approximately one third of TB patients are HIV co‐infected in Suriname. Screening for HIV among TB patients has gone up from 56 per cent in 2000 to 97 per cent in 2013. Historically, the management of TB/HIV has been done separately by each program leading to difficulties in adherence to guidelines and follow up of co‐infected patients. At present, IPT (initial provider testing) has not yet been implemented and there is sub‐optimal implementation of ART and cotrimoxazol preventive therapy.
The concept note
The focus of the concept note is on key affected populations (MSM/TG, SW and adolescents in 8 villages in rural interior) and high impact interventions related to HIV treatment, care and support; TB treatment and care, TB laboratory services. The proposed interventions will complement what is proposed in both National Strategic Plans (NSP’s) from Suriname.