moderate

Adults and adolescents living with HIV should be screened for TB with a clinical algorithm; those
who report any one of the symptoms of current cough, fever, weight loss or night sweats may have
active TB and should be evaluated for TB and other diseases.

Disseminate policies in the form of guidelines and codes of practices for application at the level of
health facilities, and ensure provision of budgets for the training and material inputs to make them
operational.

In conjunction with health workers’ representatives, develop and implement programmes for regular, free, voluntary, and confidential counselling and testing for HIV and TB, including addressing sexual and reproductive health issues, as well as intensified case finding in the families of health workers with TB.

Develop or strengthen existing infection control programmes, especially with respect to TB
infection control, and ensure integration with other workplace health and safety programmes.

Develop or strengthen existing occupational health services for the entire health workforce so that access to HIV and TB prevention, treatment and care can be realized.

Introduce new, or reinforce existing, policies that prevent discrimination against health workers
with HIV or TB, and adopt interventions aimed at stigma reduction among colleagues and
supervisors.

Develop and implement mechanisms for monitoring the availability of these TREAT policy
guidelines at the national level, as well as the dissemination of these policies and their application
in the healthcare setting.

In the context of preventing co-morbidity, provide universal availability of a comprehensive
package of prevention and care for all HIV positive health workers, including IPT and CTX
prophylaxis, with appropriate information on the benefits and risks.

Provide universal availability of free and timely PEP to all health care providers, for both
occupational and non-occupational exposures, with appropriate training of counsellors and
information on the benefits and risks provided to all staff.

Introduce new, or refine existing, national policies that ensure priority access for health workers and their families to services for the prevention, treatment and care for HIV and TB.