ECHO Global Health Initiatives in HIV, TB and Health Security

Project ECHO is rapidly growing in Africa, Asia and Latin America, supporting care and treatment in HIV, Tuberculosis (TB), laboratory strengthening, and global health security. HIV, TB and other infectious diseases are treatable with the right knowledge at the right place and right time.

The Global HIV ECHO Initiative

The Global HIV ECHO Initiative is a collaboration with the US Centers for Disease Control and Prevention (CDC) and other partners aiming to improve care and treatment of the estimated 37 million people living with HIV (PLHIV) worldwide. The initiative currently focuses on high burden countries in Sub-Saharan Africa, Central Asia and Latin-America supported through the President's Emergency Plan for AIDS Relief (PEPFAR). Read more about CDC's collaboration with ECHO in Namibia.

The Global TB ECHO Initiative

The Global TB ECHO Initiative supports the WHO Global Plan to End TB. More than twelve countries are implementing TB ECHO programs in Vietnam, India, Georgia, Kenya, Uganda, Tanzania, Mozambique, Namibia, Guatemala, Honduras, Panama, along the US-Mexico Border and in the states of New Mexico, Colorado, Washington, and Massachusetts in the US.

The programs focus on strengthening care and treatment of multi-drug resistant TB, pediatric TB, TB Data 4 Action and TB infection.

ECHO Programs Focused on Laboratory Strengthening

  • ECHO programs focused on laboratory strengthening are part of the effort to address HIV, TB and global health security threats.
  • The ECHO Institute is working with the African Society for Laboratory Medicine (ASLM) connecting 11 African countries to share best practices on HIV Viral Load Scale Up, the Tanzania Health Promotion System (THPS) on improving HIV Rapid Testing and TB diagnostics across Tanzania, the American Society for Microbiology (ASM) to address Antimicrobial Resistance in Kenya and Ethiopia, and the South Africa National Health Laboratory Service to strengthen laboratory services.
  • Project ECHO supports the Global Health Security Initiative by working with the Africa CDC in their mission to improve infectious disease surveillance, public health emergency preparedness and response, including addressing outbreaks and public health events of regional and international concern such as cholera and Ebola. Public Health specialists in over 40 African countries connect through regular teleECHO sessions to share information on infectious disease outbreaks and International Health Regulation implementation.
  • As of the end of 2019, Project ECHO is part of a consortium to support One Health training activities in Asia and Africa. More information: One Health Workforce for the Next Generation.

Information Sheets:

Africa ECHO Programs

  • HIV: Namibia, Kenya, Cote d'Ivoire, Tanzania, Nigeria, South Sudan, Zambia, Malawi, and Democratic Republic of Congo (DRC).
  • Lab (HIV rapid testing, Antimicrobial Resistance, chemical pathology): Tanzania, Uganda, South Africa, Kenya, Cote d'Ivoire
    • LabCoP (Viral Load Scale Up): Sierra Leone, Ethiopia, South Sudan, Kenya, Uganda, DRC, Tanzania, Zambia, Malawi, Zimbabwe, South Africa
  • TB: Kenya (2), Uganda, Tanzania, Mozambique, Namibia
  • Global Health Security: Four regional networks (Southern, Eastern, Central and Western Africa) connecting over 40 countries
  • Other topics: Autism (Kenya), Infection Prevention and Control (South Africa), Pulmonary diseases (Ethiopia), Safe Surgery (Tanzania)

Asia ECHO Programs

  • HIV: Kazakhstan, Kyrgyzstan, Tajikistan, Myanmar, India
  • TB: Vietnam, India PACT, and Indonesia: Field Epidemiology Training Program (FETP)
  • TB: Safe Surgery: Cambodia

Latin America ECHO Programs

  • HIV: Caribbean Islands, Uruguay, Guatemala, Honduras, and El Salvador
  • TB: Guatemala, Panama, Guatemala, Honduras, and El Salvador

HIV and TB ECHO program leaders in all stages of development are invited to participate in quarterly MetaECHO Collaborative sessions. The Africa MetaECHO collaborative is open to all ECHO program leads in Africa.

HIV MetaECHO Collaborative Meeting Dates

  • Thursday, January 21, 2021
  • Thursday, April 22, 2021
  • Thursday, July 22, 2021
  • Thursday, October 21, 2021

For more information contact

TB MetaECHO Collaborative Meeting Dates

  • Quarterly Thursdays at 8 am Mountain time.
For more information contact

Bruce Baird Struminger, MD, MA FACP
Associate Director, Project ECHO
Associate Prof. of Medicine
HSC Div. of Infectious Diseases

Karla Thornton, MD, MPH
Associate Director, Project ECHO
Prof. of Medicine
HSC Div. of Infectious Diseases

Michelle Iandiorio, MD
Medical Director, HIV ECHO
Associate Prof. of Medicine
HSC Div. of Infectious Diseases
Office: 505-272-4903

Jutta Lehmer, BA
Program Planning Manager
Project ECHO

Amy Armistad, MA
Program Planning Manager
Project ECHO
Office: 505-272-5811

Constance Were, MA
Program Specialist
Project ECHO

  • 9 million people globally were living with HIV (end 2018)
  • 7 million people became newly infected with HIV (2018)
  • 3 million people (62%) with HIV are on treatment (2018)
  • 770,000 million people died from AIDS-related illnesses (2018)
  • 32.0 million people have died of AIDS-related diseases since the start of the epidemic
  • Almost 1.8 billion people infected with TB worldwide (2018)
  • 10 million people become ill with TB each year (2018)
  • 5 million deaths from TB each year (2018)
  • 484,000+ cases of multidrug-resistant TB cases each year TB is the top killer of people living with HIV
  • Yearly 1.3 million to 4.0 million cases of cholera occur and 21,000 to 143,000 deaths worldwide due to cholera
  • In 2014 over 28,000 cases of Ebola were counted with more than 11,000 deaths
  • Increasing Antimicrobial Resistance globally may lead to Superbugs