positive

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.

Develop and implement mechanisms for monitoring the availability of these TREAT policy
guidelines at the national level, as well as the dissemination of these policies and their application
in the healthcare setting.

Establish schemes for reasonable accommodation and compensation, including, as appropriate,
paid leave, early retirement benefits and death benefits in the event of occupationally-acquired
disease.

In the context of preventing co-morbidity, provide universal availability of a comprehensive
package of prevention and care for all HIV positive health workers, including IPT and CTX
prophylaxis, with appropriate information on the benefits and risks.

Provide free HIV and TB treatment for health workers in need facilitating the delivery of these services in a non-stigmatizing, gender-sensitive, confidential, and convenient setting when there is no staff clinic and/or their own facility does not offer ART, or where health workers prefer services off-site.

Provide universal availability of free and timely PEP to all health care providers, for both
occupational and non-occupational exposures, with appropriate training of counsellors and
information on the benefits and risks provided to all staff.

Introduce new, or refine existing, national policies that ensure priority access for health workers and their families to services for the prevention, treatment and care for HIV and TB.

Children with suspected or confirmed osteoarticular tuberculosis should be treated
with a four-drug regimen (HRZE) for 2 months followed by a two-drug regimen (HR)
for 10 months; the total duration of treatment being 12 months. The doses
recommended for the treatment of osteoarticular tuberculosis are the same as those
described for pulmonary tuberculosis.

Children with suspected or confirmed tuberculous meningitis should be treated with a
four-drug regimen (HRZE) for 2 months, followed by a two-drug regimen (HR) for
10 months; the total duration of treatment being 12 months. The dosages
recommended for the treatment of tuberculous meningitis are the same as those
described for pulmonary tuberculosis.

Infants (aged 0–3 months) with suspected or confirmed pulmonary tuberculosis or
tuberculous peripheral lymphadenitis should be promptly treated with the standard
treatment regimens, as described above.