Framework for implementing the “End TB Strategy” in the African region 2016-2020: report of the Secretariat
Abstract1. Tuberculosis (TB) control in the African Region has evolved since the disease was declared a global emergency by the World Health Organization (WHO) in 1993. Member States have adopted and implemented successive global and regional strategies and resolutions, with demonstrable positive impacts on incidence, prevalence and mortality, albeit with variations across countries. By the end of 2015, the Region as a whole met the key Millennium Development Goal (MDG) target of halting and beginning to reverse TB incidence. However only 35 of the 47 Member States met the MDG target. 2. Despite current achievements, TB still remains a major public health problem due to continued high incidence, prevalence and mortality. A multisectoral, health-in-all-policies approach and a paradigm shift from focusing on controlling the disease to ending the epidemic is now required. Strong government stewardship, universal access, reaching vulnerable populations, engagement of civil society and communities as well as adoption of new technologies have also been recognised as critical factors for ending the TB epidemic. 3. The Global End TB Strategy aims to end the global TB epidemic. This means reducing the TB burden in the whole world to levels achieved in high-income countries. The End TB Strategy builds on and significantly expands the scope of efforts in the context of the United Nations Sustainable Development Goal 3.3. The Global Strategy comprises three pillars, namely: (1) Integrated, people-centred care and prevention – aimed at early and universal access to diagnosis and treatment of all forms of tuberculosis; (2) Bold policies and supportive systems – aimed at strengthened government leadership, civil society and private sector engagement, as well as universal health coverage, social protection, poverty alleviation and action on the social determinants of TB; (3) Intensified research and innovation – aimed at accelerating discovery, development and rapid uptake of new tools, interventions and strategies. The strategy has specific indicators, milestones and targets for 2020, 2025, 2030 and 2035. 4. This framework supports the adaptation and implementation of the Global Strategy in countries of the Region based on their contextual circumstances. 5. The Regional Committee reviewed and adopted this Framework for Implementing the End TB Strategy in the African Region 2016–2020.
Regional Committee for Africa, 66. (2016). Framework for implementing the “End TB Strategy” in the African region 2016-2020: report of the Secretariat. World Health Organization. Regional Office for Africa. http://www.who.int/iris/handle/10665/251357