HIV treatment and care services should

HIV treatment and care services should
include a comprehensive approach to
preventing, diagnosing and treating TB
with an emphasis on the Three I’s for HIV/TB. The
Guidelines Group concluded that providing IPT as
a core component of HIV preventive care should be
the responsibility of national AIDS programmes and
HIV service providers. In addition, IPT should not
be viewed as an isolated intervention and should be
part of a TB prevention package along with infection
control for TB, ICF and the provision of early ART
to those with CD4 counts <350 cells/mm3 (people
with TB should receive ART irrespective of CD4
count). National AIDS programmes and providers
of HIV services should ensure the meaningful
engagement of people living with HIV, persons with
TB and their communities in both the planning and
implementation of these interventions.[35]
The implementation of TB screening and IPT needs
to be monitored and evaluated through established
and recommended patient M&E systems [36] that
should use internationally recommended indicators.
[37] HIV stakeholders implementing TB screening
and IPT in resource-limited settings outside of the
facilities run by the government should ensure that
a reporting mechanism is established so that their
data are captured in one national M&E system.