National AIDS Control Organization And Central TB Division Ministry of Health & Family Welfare Government of India New Delhi
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Acknowledgement
The National Framework has been prepared jointly by National AIDS Control Organization and Central TB Division, DGHS for the training of programme managers under the guidance of Dr. Damodar Bachani, DDG, NACO and Dr L. S .Chauhan, DDG (TB) CTD, DGHS by a writing group comprising of Dr. Devesh Gupta, Dr. Puneet Dewan, Dr. Rahul Thakur, Dr. Raveendra Reddy, Dr. Ajay Kumar, Dr. Malik Parmar and Dr. Vartika Sharma.
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NATIONAL FRAMEWORK FOR JOINT TB/HIV COLLABORATIVE ACTIVITIES (OCTOBER 2009)
INTRODUCTION As per NACO sentinel surveillance report of 2007, the prevalence of HIV infection is estimated to be 0.34 % of the population, which translates to 2.31 million people living with HIV/AIDS in India. Tuberculosis (TB) continues to be a public health challenge in India and is estimated that 1.9 million new cases of TB occur in India annually. Active TB disease is the commonest opportunistic infection amongst HIV-infected individuals. High-quality diagnosis and treatment for TB is provided nationwide under the Revised National TB Control Programme (RNTCP). RNTCP anti-TB regimens have been shown to be effective in TB patients with or without HIV infection. TB-HIV collaborative activities between RNTCP and NACP started initially in the year 2001, in the six states with high prevalence of HIV/AIDS i.e. Andhra Pradesh, Karnataka, Maharashtra, Manipur, Nagaland and Tamil Nadu. The collaborative activities were extended to 8 additional states in 2004. The National Framework for Joint TB/HIV Collaborative Activities was first developed in 2007, with a revision in February 2008. The 2007-2008 National Framework extended basic TB-HIV activities nationwide. An intensified TB/HIV package of services was developed to offer additional services in