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CITAM+
Engaging HIV Civil Society in TB
ACSM Meeting, Cancun 30 Nov 2009
Carol Nawina Nyirenda
National Coordinator
Community Initiative for TB, HIV/AIDS & Malaria
Zambia Country Background
Total Pop: 12, 160, 516m
Administrative set up
9 Provinces 3 cities72 districts
Health Setup# of Hospitals
97# of Health
Centres 1,210
Epidemiological update 2009 HIV prevalence 13.1% Pregnant women HIV prevalence 19.3% People living with HIV 1,482,228 Paediatric HIV population 82,825 Adult HIV deaths 97,494 Paediatric HIV deaths 8,283 Number of Orphans due to AIDS 1,291,079
Statistics from UNAIDS Zambia Country Report of 2008
Background To CITAM+
Community Initiative for Tuberculosis, HIV/AIDS & Malaria (CITAM+) is a CBO with a network of TB/HIV support groups in the capital city and some parts of Zambia
Established in 2005 by PLHIV / TB Constituents: 3 provinces, Members: 384 members of TB/HIV co-
infected people
CITAM+
Lusaka
MonguSiavonga
81 support groups
2 support groups
1 support group
CITAM+ and its members
Community level
Through a project funded by OSI to support monitoring of and advocacy for collaborative TB/HIV activities – started TB/HIV advocacy
TB being one of the main killers of PLHIV Started working with already existing HIV
support groups by integrating TB – large HIV disease burden and most have had TB
Addition of TB info on HIV information desks and set up new TB/HIV info desks
Set up new TB/HIV support groups
CITAM+: National, Regional & International Engagement Member of the TB/HIV Joint Collaborative Body Member of the National Infection Control Guidelines
Committee Member of the Zambia Civil Society Health Forum Member of the 3 I’s Network Member of the Partners Zambia E-Forum International level: Global Fund board/ communities
delegation UNITAID, STBP, TB/HIV Activists (supported by
TAG) ITPC, SATAMo, PATAM
Policy analysis – TB/HIV docs Support Group Formation Training in TB/HIV Treatment Adherence Training in DOTS Lay Psychosocial
Counselling Community Outreach Information dissemination at health centres
through information desks Food Distribution to co-infected patients
CITAM+ Activities
Opportunities
Have support of the DHMT to work in the clinics in information dissemination and food distribution to co-infected patients
Have been nationally recognized as lead TB organization on the 3 I’s Project
Most staff are HIV positive, have had TB and came from activist organizations and are treatment literate
Staff have technical skills to do their work in training, community outreach and policy analysis.
Strong support from NZP+, COZWHA and ZAMBART
OPPORTUNITIES
Work through the geographical structures of NZP+ and COZWHA
Enhanced capacity as a result of international exposure
The GIPA Principle
Challenges
Inadequate funding to implement activities and pay salaries.
Lack of transportation to reach other areas hence have to rely on public transportation
Government does not want to work with activists in terms of policy development.
3 I’s NETWORK
Formed after workshop organised by CREATE in conjunction with ZAMBART and CITAM+
Participants – HIV and TB NGOs, CBO’S, FBO’s, support group leaders, health care workers
3I’s and integrating of TB into already existing HIV advocacy strategies
Partnerships CS Health Forum TWG within MoH
Members of 3I’s Network
Capuchin HIV/AIDS Services (CHAS)
CITAM+ International HIV/AIDS
Alliance Network of Zambian
People Living with HIV ZNARVS Railways Clinic
Kalingalinga Clinic Treatment Advocacy
and Literacy Ukani Support Group CIDRZ TB Alliance
SUPPORTED BY: ZAMBART CREATE
Conclusion
HIV NGO’s are now ready and willing to deal with the two diseases at the same time
The government is also integrating activities at their level
There is a gap between the two and these need to come together in order to have visible results at both community and national levels
Advocacy Activities
CITAM+ members during demonstrations
CITAM+ members advocacting for better health services during
World AIDS Day
Capacity Building
Training Lay Psychosocial Counselors
Training Treatment adherence supporters in Siavonga
Training Treatment adherence supporters in Siavonga
Supporting Support Group IGAs and Food Distribution
Positive Living Garden for Lusaka West Support Group
Food Supplements that are distributed to PLHIV