From 2009 to 2015, with funding from the Centers for Disease Control and Prevention, ICAP at Columbia University collaborated with Lesotho’s Ministry of Health to integrate tuberculosis (TB) and HIV services at every level of the health system, enabling a more coordinated response to the nation’s dual TB/HIV epidemic.
ICAP’s efforts began by supporting the development of national-level policies and guidelines, and subsequently enhanced capacity at the district and health facility level to implement and scale-up services. ICAP also strengthened essential TB laboratory systems; supported the harmonization of TB and HIV monitoring and evaluation systems; and harnessed existing village health worker networks to conduct community-based TB screening, treatment, and follow-up.