In 2013, CDC began the transition from direct service delivery to providing technical assistance for increased country management and long-term sustainability. There is renewed focus on quality clinical services, robust strategic information, and sustained laboratory capacity. CDC also supports increased programming for key vulnerable populations (i.e., men who have sex with men, sex workers, and miners).
CDC provides ongoing support to Guyana for TB/HIV activities, including yearly planning of TB/HIV support, building laboratory capacity, assessing infection-control policies and program performance, and providing technical assistance for TB/HIV to CDC Guyana and to the Ministry of Health (MoH).
Key Activities and Accomplishments
- CDC developed national and regional laboratory capacity to diagnose HIV infections and to monitor disease progression.
- Approximately 75% of the prevention of mother to child transmission (PMTCT) program has been transitioned to the Government of Guyana, with a high uptake of HIV counseling and testing services among pregnant women and HIV-exposed babies.
- CDC funded training that enabled the implementation of TB infection-control practices in outpatient facilities, and continues to support site visits to assess quality assurance and ensure implementation of infection-control practices.
- An HIV case surveillance protocol was launched in 2013 through CDC-funded training and technical assistance alongside the National Alliance of State and Territorial AIDS Directors.
- CDC provided technical assistance and support to the MoH to upgrade the National Reference Laboratory to Biosafety Level III standards, expand access to TB laboratory diagnostics, and facilitate collaboration between Guyana and the Supranational Reference Laboratory in Mexico.
- CDC led an international investigation to determine the epidemiology of HIV-associated TB and to assess the extent to which MoH chest clinics had integrated HIV testing, referral, and care and treatment. A follow-up evaluation was also conducted and analysis is underway.