MIN/Sp/AU/CAMH3/6 TB
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xvi.Member states to respect the pledge to allocate at least 15% of the
national budget to health development and allocate a sufficient
amount of that for delivery for TB control interventions. Further,
Member States to timely expend approved GFATM grants and
submit proposals for more funding to meet funding gaps for
scale up of activities towards universal access.
STATUS REPORT ON TUBERCULOSIS IN AFRICA
1: BACKGROUND:
1.1
TB CONTROL TARGETS:
1.1.1 World Health Assembly target:
In 1991, all WHO member states adopted a World Health Assembly (WHA)
resolution 16 setting two targets for global TB control to be reached by 2000: to
detect 70% of new smear-positive TB cases arising annually, and to
successfully treat 85% of these cases. When it became apparent that the
year 2000 targets would not be met on time, the WHA postponed the target
date to 2005. By 2005 only a small number of countries had attained the
targets. Nevertheless, the WHA recommended that all countries continue
pursuing these operational targets as they are essential to achieve impact on
TB epidemiology.
1.1.2 Millennium Development Goal targets and indicators for TB
Control:
Responding to the world's main development challenges, World leaders
established in 2000 the Millennium Development Goals with targets and
indicators for 2015. MDG number 6, namely: Combat HIV/AIDS, malaria and
other diseases includes TB. The target is “To have halted by 2015 and begun
to reverse the incidence of malaria and other major diseases”. Two related TB
specific indicators have been specified:
•
•
Incidence, prevalence and death rates associated with tuberculosis
Proportion of tuberculosis cases detected and cured under DOTS. This
is similar to the WHA and Stop TB Partnership targets
1.1.3: Stop TB Partnership targets:
To operationalise the WHA and the MDGs targets, the Stop TB Partnership
defined a quantitative framework for measuring reduction in TB prevalence
and death rates. In addition, the Stop TB Partnership committed to eliminate
TB as a public health problem by 2050. Three targets were set, namely:
16
World Health Organization. Forty-Fourth World Health Assembly. Resolution WHA44.8. Geneva
World Health Organization 1991. Report No.: WHA44/1991/REC/1