Under the Phase I of the Global Fund grant, the following trainings were held focusing on:
- TB prevention among HIV-positive and HIV-vulnerable population groups (326 healthcare professionals and social workers who are engaged in treatment of HIV-positive patients were trained);
- Ensuring effective M&E system for TB/HIV co-infection: accounting and reporting, cooperation between TB and AIDS services concerning exchange of data and management of strategic information (171 participants were trained with doctors, AIDS healthcare professionals, M&E specialists among them).
In accordance with the Order of the Ministry of Health of Ukraine dated February 23, 2000 No. 33 “On Staff Standards and Typical Staff for Healthcare Facilities”, heads of healthcare facilities are given the right to change, in case of production necessity, staff of some structural divisions or to introduce new positions that are not envisaged with the staff standards for such facility within the scope of one staff category. Thus, positions of phthisiatricians and infection disease doctors were introduced in some regional centres for AIDS prevention and fight and in TB facilities, respectively, which provide care to patients with co-infection. The absence of relevant staff positions in the applicable Order of the Ministry of Health of Ukraine No.33 prevents from satisfying the need for such specialists to the full extent, which affects timeliness and quality of assistance to patients with TB/HIV co-infection.
4. TB and HIV physicians should be cross-trained on guidelines for diagnosis and treatment of each disease in those who are co-infected, and they should work together to coordinate the continuum of care. In high TB/HIV-prevalence settings, positions should be created for physicians who are responsible for co-infected individuals in both TB and HIV services.