Tuberculosis: ‘Bending the Curve’
AbstractThe South-East Asia (SEA) Region bears nearly half the global burden of tuberculosis (TB) disease in terms of new cases (incidence), although only about 26% of the global population lives in the Region. The current pace of response to the TB situation in the SEA Region needs to be accelerated to achieve the target of ending TB by 2030. A Ministerial Meeting of the 11 Member States of the Region was held on 15–16 March 2017 in New Delhi, India. The purpose of the meeting was to ensure an urgent and extraordinary response to TB, and accelerate control to achieve the WHO End TB targets through the highest level of political commitment, increased funding and a fast-track plan. The meeting concluded with the issuance of a “Call for Action” to Member States to accelerate efforts at ending TB and allocating the needed resources. TB now is a WHO SEA Regional Flagship Priority – Accelerating efforts to End TB by 2030. Ending the TB epidemic will therefore require an expansion of the scope and reach of interventions for TB care and prevention; institution of systems and policies to create an enabling environment and share responsibilities; and aggressive pursuit of research and innovation. The programme needs to be monitored at the highest political level and progress reviewed towards attainment of the milestones and targets of ending TB. The attached Working Paper was presented to the High-Level Preparatory (HLP) Meeting for its review and recommendations. The HLP Meeting reviewed the paper and made the following recommendations for consideration by the Seventieth Session of the Regional Committee: Actions by Member States (1) Review the current national plans to align them with the “Delhi Call for Action to End TB in the South-East Asia Region by 2030”. (2) Establish learning sites for testing and rapid expansion of innovative approaches towards ending TB.(3) Identify human and financial resources for ending TB in the respective Member States. (4) Engage all stakeholders, including communities, in efforts to end TB. Actions by WHO (1) Facilitate the setting up of a regional “Innovation to Implementation” fund under the Bending the TB Curve Initiative (BTCI), and support the establishment of at least one learning site each in a high-burden and low-burden country. (2) Identify institution(s) in the Region to lead the process of research on innovation. (3) Provide technical support to Member States for fast-tracking strategies. (4) Facilitate the participation of Member States in the Global Ministerial Meeting to be held in Moscow in November 2017. This Working Paper and the HLP Meeting recommendations are submitted to the Seventieth Session of the WHO Regional Committee for South-East Asia for its consideration and decision.
World Health Organization. Regional Office for South-East Asia. (2017). Tuberculosis: ‘Bending the Curve’. http://www.who.int/iris/handle/10665/258547