ECHO Global Health Initiatives in HIV, TB, Health Security

Project ECHO is rapidly expanding 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 time.

  • HIV ECHO Zambia
    Training Participants for HIV ECHO Zambia in Chipata
    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 here.
  • The Global TB ECHO Initiative supports the WHO Global Plan to End TB. More than ten countries are implementing TB ECHO programs in Vietnam, India, Georgia, Kenya, Uganda, Tanzania, Mozambique, Namibia, Guatemala, 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, and TB infection.
  • 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 30 African countries connect through regular teleECHO sessions to share information on infectious disease outbreaks and International Health Regulation implementation.


  • 37 million people globally were living with HIV (end 2016)
  • 1.8 million people became newly infected with HIV (2016)
  • 20.9 million people on treatment
  • More than 40% of people with HIV are not on treatment (2016)
  • 1 million people died from AIDS-related illnesses (2016)
  • 25.3 million people have died of AIDS-related diseases since 2000


  • Almost 2 billion people infected with TB worldwide
  • 10 million people become ill with TB each year
  • 1.6 million death from TB each year
  • 500,000+ cases of multidrug-resistant TB cases each year
  • TB is the top killer of people living with HIV


  • Yearly over 100,000 Cholera cases occur worldwide
  • In 2014 over 28,000 cases of Ebola were counted with more than 11,000 deaths
  • Increasing Antimicrobial Resistance globally may lead to Superbugs


  • HIV: Namibia, Kenya, Cote d'Ivoire, Tanzania, Nigeria, South Sudan, Zambia, Malawi
  • 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 Control Prevention (South Africa), Pulmonary diseases (Ethiopia)

ASIA ECHO Programs

  • HIV: Kazakhstan, Kyrgyzstan, Tajikistan, Myanmar, India
  • TB: Vietnam, India

Latin America ECHO Programs

  • HIV: Caribbean Islands, Uruguay
  • TB: Guatemala, Panama

Training participants in a Mock ECHO session in Mbeya, Tanzania
Poster Presentation at AIDS2018 in Amsterdam on the global HIV ECHO programs. Authors present from left to right: Dr. Leonard Bikinesi (Namibia), Geoffrey Taasi (Uganda, Ministry of Health), Dr. Anna Deriyabina (ICAP Central Asia) and Jutta Lehmer (Project ECHO)

MetaECHO Collaboratives

HIV and TB ECHO program leaders in all stages of development are invited to participate in quarterly MetaECHO Collaborative sessions.

HIV MetaECHO Collaborative Meeting Dates

  • Thursday, October 24, 2019
  • Thursday, January 23, 2020
  • Thursday, April 23, 2020
  • Thursday, July 23, 2020
  • Thursday, October 22, 2020

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


ECHO in Africa
HIV ECHOs Globally
TB ECHOs Globally
Lab ECHOs Globally

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The University of New Mexico
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