Detailed Mechanism Funding and Narrative

Years of mechanism: 2013 2014

Details for Mechanism ID: 16459
Country/Region: India
Year: 2013
Main Partner: World Health Organization
Main Partner Program: NA
Organizational Type: Multi-lateral Agency
Funding Agency: USAID
Total Funding: $0

Funding for Care: TB/HIV (HVTB): $0

TB accounts for 25% of deaths among PLWH in India. Only 5% of TB patients registered under the Revised National Tuberculosis Control Program (RNTCP) have HIV; however HIV positivity among TB patients varies by state and district. In the HIV high prevalence states and districts positivity among TB patients is over 10% and may be as high as 40% in some districts.

HIV-TB program-level collaboration is a key strategy adopted by the National AIDS Control Organization (NACO) and Central TB Division that is governed by the National Policy Framework for Joint TB/HIV collaborative activities (2007, revised 2009). One of the challenges of the intensified package of collaborative activities is the low proportion of HIV testing facilities as compared to those for TB. In 2011, ~45,000 HIV-TB co-infected patients were diagnosed; more than 90% of these were initiated on Cotrimoxazole prophylaxis and 60% were initiated on ART. However leveraging TB testing facilities and HIV testing facilities to intensify case finding for TB/HIV continues to be a challenge.

The purpose of the project is to improve cross referral of cases from HIV service delivery facilities to the TB service delivery facilities under the RNTCP. The main objective is to strengthen institutional and human capacity of NACO and State AIDS Control Societies (SACS) to scale up and improve the quality of comprehensive counseling services in India, and to optimize resources and efficiencies through enhanced coordinating mechanisms at the national, state and district levels.

The project supports PEPFAR/India’s five-year strategy Goals 1 (improved access to quality services) and 4 (HSS). The project builds on existing mechanisms and platforms and leverages GOI resources to improve cross-referrals.

Funding for Health Systems Strengthening (OHSS): $0

TB accounts for 25% of deaths among PLWH in India. Only 5% of TB patients registered under the Revised National Tuberculosis Control Program (RNTCP) have HIV; however HIV positivity among TB patients varies by state and district. In the HIV high prevalence states and districts positivity among TB patients is over 10% and may be as high as 40% in some districts.

HIV-TB program-level collaboration is a key strategy adopted by the National AIDS Control Organization (NACO) and Central TB Division that is governed by the National Policy Framework for Joint TB/HIV collaborative activities (2007, revised 2009). One of the challenges of the intensified package of collaborative activities is the low proportion of HIV testing facilities as compared to those for TB. In 2011, ~45,000 HIV-TB co-infected patients were diagnosed; more than 90% of these were initiated on Cotrimoxazole prophylaxis and 60% were initiated on ART. However leveraging TB testing facilities and HIV testing facilities to intensify case finding for TB/HIV continues to be a challenge.

The purpose of the project is to improve cross referral of cases from HIV service delivery facilities to the TB service delivery facilities under the RNTCP. The main objective is to strengthen institutional and human capacity of NACO and State AIDS Control Societies (SACS) to scale up and improve the quality of comprehensive counseling services in India, and to optimize resources and efficiencies through enhanced coordinating mechanisms at the national, state and district levels.

The project supports PEPFAR/India’s five-year strategy Goals 1 (improved access to quality services) and 4 (HSS). The project builds on existing mechanisms and platforms and leverages GOI resources to improve cross-referrals.