One patient, two diseases: collaboration in controlling TB and HIV in the Free State

Peters, AnnatjieHeunis, Christo2019-06-142019-06-142005Peters, A., & Heunis, C. (2005). One patient, two diseases: collaboration in controlling TB and HIV in the Free State. Acta Academica, (Supplementum 1), 314-336.0587 - 2405 (print)2415 - 0479 (online)http://hdl.handle.net/11660/9794English: A perilous synergism exists between TB and HIV/AIDS, which form a dual epidemic requiring joint action. This paper first reviews key global and South African policy developments in relation to TB-HIV/AIDS control. Secondly, the early response of the Free State to global and national directives to implement integrated TB-HIV/ AIDS programmes is described. As is clear from the experience of the first TB-HIV training site in the Free State, the Mafube local municipality, integrated TB and HIV/AIDS control is made possible by means of actual practical interventions as well as the collaboration of a range of role-players. In Mafube, and later also in the Free State at large, attempts at integration have resulted in substantially more TB patients undergoing voluntary counselling and testing for HIV.Afrikaans: ‘n Gevaarlike sinergisme bestaan tussen TB en MIV/VIGS. Hierdie siektes vorm ‘n dubbele epidemie wat tweeledige optrede vereis. Die artikel bied eerstens ’n oorsig van die internasionale en Suid-Afrikaanse beleidsontwikkelinge wat verband hou met die beheer van TB-MIV/VIGS. Tweedens word die vroeë respons van die Vry- staat op internasionale en nasionale voorskrifte om geïntegreerde TB-MIV/VIGS- programme te implementeer, beskryf. Soos blyk uit die ervaring van die eerste TB- MIV-opleidingsarea, die Mafube plaaslike munisipaliteit, word geintegreerde TB- en MIV/VIGS-beheer moontlik gemaak deur werklike praktiese intervensies, asook die samewerking van ’n reeks rolspelers. In Mafube, en later ook in die Vrystaat as ’n ge- heel, het pogings tot integrasie ’n substansiële toename in die aantal TB-pasiënte wat vrywillige berading en toetsing vir MIV ondergaan, tot gevolg gehad.enTuberculosis controlTuberculosisHIV and AIDSFree StateSouth AfricaOne patient, two diseases: collaboration in controlling TB and HIV in the Free StateArticleUniversity of the Free State