Care and Treatment Resources

In addition to direct technical assistance to Ministries of Health and partner organizations in resource-constrained countries, CDC provides critical leadership in the development of a wide range of resources for the management, delivery, and monitoring of HIV/AIDS programs.

Transmission of tuberculosis (TB) is a major concern in the health care and community facilities where people living with HIV/AIDS receive services in resource-limited countries. CDC has developed tools and job aids for outpatient clinics to help improve TB infection control.

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Early diagnosis of HIV in infants provides a critical opportunity to strengthen follow-up of HIV-exposed children, assure early access to ARV treatment for infected children, provide reassuring information to families of uninfected children, aid evaluation of PMTCT programs, and increase capacity to use laboratory technology.

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The "Pediatric Antiretroviral Dosing in Resource-limited Settings" is an easy-to-use chart on antiretroviral drug doses for infants and children as recommended by the World Health Organization. CDC, the International Center for AIDS Care and Treatment Programs (ICAP) of Columbia University Mailman School of Public Health, and the Baylor International Pediatric AIDS Initiative (BIPAI) of the Baylor College of Medicine collaborated to develop this chart.

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The World Health Organization (WHO) and CDC have collaborated to develop the Prevention of Mother-to-Child Transmission of HIV (PMTCT) Generic Training Package. Recognizing that building human capacity requires collaboration at multiple levels and across organizations, the curriculum is designed to support the scale up of PMTCT services and assist in unifying and strengthening existing PMTCT training efforts.

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These tools were developed by the CDC, in collaboration with the Department of HIV/AIDS at the World Health Organization, United Nations Children's Fund and United States Agency for International Development and their implementing partners.

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In this era of increasing access in resource-limited settings to HIV counseling and testing, care, and treatment for people living with HIV, more and more people living with HIV-associated immunosuppression are attending health care and community facilities. The following documents contain recommendations to help management and other staff members minimize the risk of TB transmission at these facilities.

• Tuberculosis Infection Control in the Era of Expanding HIV Care and Treatment [PDF - 87 pages]
• Tuberculosis Infection Control in the Era of Expanding HIV Care and Treatment presentation [PDF - 51 pages]

Providing HIV testing and counseling to TB patients can identify persons with HIV infection in order to link them to life-saving therapy. CDC and WHO have developed tools that reinforce standardized operating procedures for providing HIV testing and counseling in TB clinics to help countries plan and implement their programs. The materials provide guidance for advance planning related to national policies, logistics, and implementation procedures, as well as training for health care providers on how to incorporate testing into their practice and how to counsel patients about their HIV test results.

CDC is a long-time member of the Stop TB Partnership, a network of international organizations, donors, governments, and individuals who are committed to eliminating TB. The Stop TB Partnership website provides important information and updates on the fight against TB, which may be useful to readers seeking further information on TB.

Visit the Stop TB website