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In spite of political instability, Burundi is making progress against HIV, TB and malaria. Following a 2017 malaria outbreak, the country used a community-based approach to rapidly expand prevention, diagnosis and care services to contain the outbreak. About 7,000 community health workers have been trained to provide integrated care against HIV, TB, malaria, as well as malnutrition and gender-based violence. Efforts to end TB as an epidemic are bearing fruit, with the treatment success rate reaching 94 percent in 2016. Antiretroviral therapy coverage for people co-infected with TB and HIV exceeded 90 percent in 2015. The country still faces numerous public health challenges. It is one of the countries with the highest malaria burden in Africa. Prevention of mother-to-child transmission of HIV remains a challenge, with only 15 percent of pregnant women having access to treatment. Future efforts to fight these diseases in partnership with the Global Fund will focus on strengthening community-based health care, and maintaining HIV and TB prevention and treatment services.

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