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European framework to decrease the burden of TB/HIV

CORRESPONDENCE: WHO Regional Office for Europe, Scherfigsvej 8, DK-2100, Copenhagen Ø, Denmark

Keywords: AIDS, delivery of healthcare, Europe, health policy, HIV infections, tuberculosis

Received: June 2, 2004
Accepted June 2, 2004

*Reproduction of the WHO publication: "European framework to decrease the burden of TB/HIV" WHO/Eur/03/5037600; ISBN 92 890 1089 4. The copyright for this article belongs to the World Health Organization.

Abstract

Tuberculosis (TB) in Europe is declining in countries in western and central Europe, but the burden is still high and increasing in eastern Europe. HIV/AIDS is increasing dramatically in eastern Europe. HIV-related tuberculosis (TB/HIV) morbidity and mortality are expected to accelerate significantly in the future.

This framework aims to guide European countries in developing their national plan for reducing TB/HIV morbidity and mortality. It results from an extensive consultation process undertaken by the World Health Organization Regional Office for Europe and by those responsible for HIV/AIDS and TB programmes and their partners. It builds on strategies developed globally and in Europe for TB control and for HIV/AIDS prevention and care.

This framework sets out the rationale for effective collaboration between HIV/AIDS and tuberculosis national programmes. It identifies five strategic components (political commitment, collaborative prevention, intensified case-finding, coordinated treatment and strengthened surveillance) and eight key operations (central coordination, policy development, surveillance, training, supply management, service delivery, health promotion and research).

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