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Integrating Collaborative TB and HIV Services Within a Comprehensive Package of Care for People Who Inject Drugs: Consolidated Guidelines, Geneva, 2016

Corporate author: 
WHO
Publication details: 
Geneva, WHO, 2016
Abstract:

These guidelines aim to reduce morbidity and mortality related to TB and HIV-associated TB among PWID through the integrated delivery of a comprehensive and holistic package of care. The guidelines provide an update of the 2008 Policy guidelines for collaborative TB and HIV services for injecting and other drug users: an integrated approach. They consolidate the latest recommendations relating to the management of TB, HIV-associated TB, HIV, viral hepatitis B and hepatitis C, and drug dependence, as well as of alcohol dependence, malnutrition, mental illness and psychosocial needs.

Although the main focus of this guidance is to benefit PWID, many of the recommendations are also relevant for those who use drugs and do not currently inject, but are in need of the respective services. The guidelines are intended primarily for policy-makers and decision-makers in the field of health, in both the civilian and penitentiary systems. These include managers of TB, HIV, and viral hepatitis programmes or their equivalents as well as drug dependence treatment services, and other essential WHO-recommended core services for PWID (e.g. NSPs) in the governmental or nongovernmental sectors. The guidelines are also intended for donors, development agencies, PWID networks and their advocates.

This guidance was developed on a basis of human rights principles, as reflected in international agreements and resolutions. Thus, programmes should work collaboratively with PWID and civil society networks to ensure a favourable legislative and policy environment that allows equitable, acceptable, person-centred care for PWID. This should include decriminalization of drug use and protection from stigma, discrimination and police harassment. In order to achieve this multisectoral collaboration, community empowerment, and the involvement of PWID in policy design, and delivery and evaluation of services is essential.