ReacciónTo support countries in the introduction and scale-up of collaborative action on TB and comorbidities, including for HIV-associated TB, WHO developed the Framework for collaborative action on tuberculosis and comorbidities (22). This document focuses on five key areas that are central to delivering people-centred care for TB and comorbidities: (A) Strengthen governance and accountability for collaborative action; (B) Conduct an analysis of access to quality services for TB and comorbidities; (C) Coordinate planning and resource mobilization for collaborative action; (D) Implement and scale up people-centred services for TB and comorbidities; and (E) Strengthen monitoring, evaluation and research. Recommended actions are summarized in Table 2.1.
The Framework for collaborative action on TB and comorbidities has been adapted in this chaper, to include specific considerations for assuring human rights-based person-centred services to address HIV-associated TB. Depending on the context, people with HIV and TB may also experience other comorbidities such as diabetes, pulmonary disorders other than TB, mental health disorders, smoking and substance use disorders, undernutrition and viral hepatitis. Collaboration between TB and HIV programmes as well as with other programmes is therefore critical to provide comprehensive and holistic people-centred services using a human rights-based approach that supports integrated quality care (22).
Table 2.1. Summary of the Framework for collaborative action on TB and comorbidities
