Background:
Background:
The Fulton County Department of Health and Wellness has the highest TB/STD/ HIV rates in Georgia. Active collaboration, establishment of HIV services in the Tuberculosis clinic, and cross training between the STD/HIV/TB clinic staff has increased early identification and treatment of HIV positive clients. Twenty to thirty percent clients in the TB clinic receive HIV testing. More than 98% of active cases get tested for HIV. Of the 20%-30% clients that were tested, 10% were HIV positive.

Objective:
·Provide HIV and Tuberculosis quality care with efficiency and speed to the HIV-TB co-infected clients.
Prevent transmission of HIV/STD/ Tuberculosis through early intervention.

Method:
Offer HIV testing and counseling in the TB clinic routinely to enhance HIV case finding.
· Provide HIV Primary Care and support services in the Tuberculosis clinic.
Cross train staff to improve TB/HIV/STD care and therapy.
·


Result:
· There are 2-3 new TB clients identified monthly that need HIV Primary Care.
· TB Clinic staff provides quality HIV and TB care to thirty to forty clients every month.
· Clients served in the TB clinic are adherent to antiretroviral and TB therapy because of availability of Directly Observed Therapy.


Conclusion:
· Cross-training staff for STD/HIV/TB is a cost effective way to provide immediate access to STD/HIV prevention, screening and treatments.

Implications:
· Intensify STD/HIV/TB cross training and HIV testing efforts in clinical programs of the health department to increase early treatment of HIV infected.
· Monitor effectiveness of increasing HIV testing in TB clinic clients
· Compare adherence and acceptance of HIV therapy in TB and non-TB clinic clients.
· Develop integrated and comprehensive cross-training tools.