Guidelines on Prevention and Management of TB in PLHIV at ART Centres

The guidelines contained in this document are intended to delineate the processes to be followed for prevention and management of TB in people living with HIV (PLHIV) at antiretroviral therapy (ART) centres.

These guidelines describe the operational processes at ART centres for provision of single window services to PLHIV. The services include TB screening with 4S complex, referral for diagnosis of TB to DMC/CBNAAT, provision of daily anti-tubercular treatment (ATT), and initiation of Isoniazid Preventive Therapy (IPT) for TB prevention. The guidelines also describe the coordination required between NACP (ART centres) and RNTCP and provide direction to the managerial staff for smooth implementation of these initiatives. The guidelines serve as a ready reckoner on prevention and management of TB in PLHIV for healthcare providers at the ART centre.