Consolidated Guidelines

2.7.1 Disseminate policies in the form of guidelines and codes of practices for application at the level of health facilities, and ensure provision of budgets for the training and material inputs to make them operational.

Even when there is a strong consensus on policies and codes of practices related to HIV and TB in health workers, actual Guidelines and Codes of Practice in this regard are not widely available or accessible, nor are training materials in this area, and are not being widely implemented.

Budgets for training and material inputs are generally lacking, and require attention.

2.4.1 Develop or strengthen existing infection control programmes, especially with respect to TB infection control, and ensure integration with other workplace health and safety programmes.

The evidence for this statement was reviewed in-depth for the recent WHO Policy on TB Infection Control in Health-Care Facilities, Congregate Settings and Households and on infection control generally. and therefore will not be elaborated upon extensively here. These WHO infection control guidelines must be observed in their own right as well as being an essential component of improving health worker access to prevention, treatment, care and support for HIV and TB.

2.2.1 Introduce new, or reinforce existing, policies that prevent discrimination against health workers with HIV or TB, and adopt interventions aimed at stigma reduction among colleagues and supervisors.

There are several existing international guidelines relevant to this issue, although most existing guidelines do not explicitly address discrimination against health workers with HIV or TB. Some relevant WHO and ILO documents cited in Section 2.2.2.

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