Strengthen Cameroon's National Tuberculosis Control Program (NTCP) to Decrease the TB/HIV Burden and Develop Systems to Achieve and Sustain TB/HIV Epidemic Control in Cameroon under the President's Emergency Plan for AIDS Relief (PEPFAR)

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Cameroon is one of the 30 countries with the highest burden of TB/HIV co-infection worldwide. Only 54% of TB cases were notified in 2016 and 5.5% were children. TB treatment coverage was 55% and treatment success 84%. Despite implementation of TB and HIV strategic plans, TB case finding, diagnosis, and management remain suboptimal. TB/HIV co-infection remains high, Isoniazid Preventive Therapy (IPT) implementation is limited, and antiretroviral therapy (ART) services are not fully integrated in TB clinics. Human resource capacity is limited, and there are continued challenges with stock management. Cameroon adheres to the Sustainable Development Goals and the WHO Strategy to END TB. This NOFO will support development of models to improve screening, case identification, prevention, diagnosis, and treatment of TB among people living with HIV (PLHIV). It will also strengthen HIV testing, ART initiation, clinical monitoring, and care for TB clients, and strengthen health systems by building monitoring and evaluation (M&E) and infection control (IC) capacity. These interventions will strengthen TB/HIV services and improve capacity for an effective TB/HIV response in Cameroon.

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