Table 1 Content of training modules for TB/HIV collaborative activities at the primary health care level.

Introduction

Module 1: HIV infection

- Differences between HIV and AIDS

- The epidemiology of HIV in the world and DRC

- The immune system and the natural course of HIV infection

- HIV transmission modes

Module 2: Preventing HIV infection

- HIV prevention methods

- Prevention of HIV within the health care setting

Module 3: TB/HIV co-epidemic

- The epidemiology of TB

- The link between TB and HIV

- Reducing the burden of HIV among TB patients

SECOND TRAINING DAY

Module 4: HIV diagnosis

Module 5: HIV counseling and testing in TB treatment centers

- Four types of HIV counseling and testing

- Provider-initiated diagnostic counseling and testing

- Key responsibilities and attitudes of the TB/HIV counselor

- The importance of the 3 Cs in HIV testing

- Basic counseling techniques

- Practice by role play

Module 6: Pre-test counseling for TB patients

- Stages of diagnostic pre test counseling

- Practice by role play

THIRD TRAINING DAY

Module 7: Post-test counseling for TB patients and psychosocial support

- Stages of post-test counseling according to HIV test result

- Practice by role play

- Psychosocial support

Module 8: Patient flow, recording, monitoring and evaluation

FOURTH TRAINING DAY

Module 9: Management of HIV co-infected TB patients

- Role of the TB service: opportunities and challenges

- Co-trimoxazole preventive therapy

- Nutritional education

- Management of opportunistic infections and other medical problems linked to HIV (Respiratory problems – Digestive problems/diarrhoea – Neuropsychiatric manifestations – Dermatological manifestations – Oral lesions – Lymphadenopathies – Fever)

- Referral for care and support

- Introduction to ARV treatment

MONTHLY MEETINGS

Peer discussion and problem solving

Introduction of a specific topic

Module 10: Couple and family counseling

Module 11: HIV counseling of infants, children and adolescents

Module 12: Stigmatization and discrimination

Module 13: Support groups

Module 14: Community mobilization

Module 15: Palliative care