Sündmused

TUBIDU – Empowering Civil Society and Public Health System to Fight Tuberculosis Epidemic among Vulnerable Groups
International Training

Program:

September 27 

08.15–09.15 Introduction, objectives, course overview
Participants introduction
Iveta Cirule, TUBIDU project manager
Andra Cirule, Head doctor of Centre for TB and Lung diseases of Riga East Clinical hospital
Vaira Leimane, Head of WHO CC, CTLD
Gunta Kirvelaite, Head of Outpatient department of CTLD 

09.15–09.45 Epidemiological trends of TB and HIV in Latvia and EU. TB and HIV regulations and services available
Vaira Leimane, Head WHO CC, CTLD
Inga Upmace, HIV/AIDS expert, NGO ,,Baltic HIV Association" 

TB/HIV co-infection

09.45–10.30 TB and HIV co-infection, diagnostic and treatment methods
General information on TB, pathogenesis of TB, TB disease, diagnosis, treatment and prevention
General information about TB in HIV+: early detection and diagnosis of TB, new methods in diagnostics TB MDR/XDR, TB treatment among HIV infected individuals
Compatibility of ART/ HAART and active tuberculosis treatment
Vaira Leimane, Head WHO CC, CTLD

HIV transmission and pathogenesis
Inga Upmace, HIV/AIDS expert, NGO ,,Baltic HIV Association"

10.30–11.00 Coffee break

TB prevention among HIV infected individuals (3Is)
Infection control

11.00–12.30 TB transmission in health care facilities
Vaira Leimane, Head WHO CC, CTLD 

TB Infection control. TB prevention among professionals who work with TB patients and HIV infected persons
Andra Cirule, Head doctor of CTLD of Riga East Clinical University hospital

11.45–12.30 Group discussion
Andra Cirule, Anda Nodieva, Vaira Leimane, Gunta Kirvelaite 

12.30–13.30 Lunch

TB prevention among HIV infected individuals (3Is)
Intensified TB case finding
Isoniasid prophylactic therapy

13.30–15.00 Intensified TB case finding among PLHIV and vulnerable populations. Identifying contacts
Gunta Kirvelaite, Head of Outpatient department of CTLD

Isioniasid prophylactic therapy. Identifying LTBI infection among possible contacts. Latent TB infection
Iveta Ozere, Associated professor, Riga Stradins University

TB and HIV among vulnerable groups: how to identify infection in community based settings?
Role of Community based HIV prevention network: services, work models
HIV and TB among IDU (ENCAP survey)
Collaboration between CBO and health care institutions
Inga Upmace, HIV/AIDS expert, NGO ,,Baltic HIV Association"

15.00–15.15 Coffee break

PLHIV treatment and care

15.15–16.00 Principle of ART. HIV treatment experience in Latvia. Patient centred health care. How to improve adherence to ART? HIV and TB co-infection in Latvia
Inga Januskevica, Latvia Infectology Centre of Riga East University Clinical hospital

Panel discussion

16.00–17.00 Prevention and care
Vaira Leimane, Inga Januskevica, Inga Upmace, Gunta Kirvelaite

September 28

Management of patients with TB/HIV

08.15–09.45 Models of outpatient care for TB and TB/HIV patients . Directly observed treatment therapy. Adherence, defaulter tracing in TB control.
Role of multidisciplinary team. Collaboration between doctors TB/HIV/ IDU services, social services
Gunta Kirvelaite, Head of Outpatient department, CTLD of Riga East Clinical University hospital

Nutition as a part of TB/HIV management
Agita Seja, NGO DIA+LOGS

Role of social worker in TB prevention, prophylaxis and treatment in general. What are the legal options for social workers to send TB patients for treatment, enforcement measures
Maija Berzina, Social worker, Outpatient department, CTLD of Riga East Clinical University hospital

Evaluation of substitution treatment of persons dependent on opioids. Comparison of results of two cohort studies in MMT: goals, descriptive, main problems, procedure of treatment, benefits, the role of multidisciplinary team and pros/cons
Inga Landsmane, Head of outpatient department of addiction disorders unit, Riga's Centre of Psichiatria and Addiction disorders 

Effective health communication

09.45–11.15 Effective health communication/patient education. Efficient communication with IDU. Burnout syndrome. How to recognize IDU
Equity issues, communication between doctor and patient (in TB risk groups)
Motivational work for prevention and harm reduction
Effective health communication/patient education
Stigma and discrimination action to be taken on, motivation of HIV infected individuals to undergo treatment, information on how treatment proceeds
Liga Kuksa, CTLD of Riga East Clinical University hospital

11.15–11.45 Coffee break

11.45–12.30 Panel discussion
Gunta Kirvelaite, Maija Berzina, Inga Lancmane, Vaira Leimane, Inga Upmace 

12.30–13.30 Evaluation of training
Iveta Cirule, TUBIDU project manager
Andra Cirule, Head doctor of CTLD of Riga East Clinical University hospital
Inga Upmace, HIV/AIDS expert, NGO ,,Baltic HIV Association"
Vaira Leimane, Head of WHO CC, CTLD
Gunta Kirvelaite, Head of Outpatient department of CTLD
Liga Kuksa, CTLD of Riga East Clinical University hospital 

13.30 Lunch

International training description and timetable

International training summary