MIN/Sp/AU/CAMH3/6 TB
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cases)) reported a total of 541 Extensively Drug Resistant TB cases (XDRTB) cases during the same period.
In terms of capability to diagnose MDR TB, there were still 10 Member States
without this capability by the end of 2007.
Of the 26 countries that reported at least a case of MDR or XDR-TB during
2007, only 17 countries (65.4%) have an organized treatment programme for
these cases despite the availability of a Stop TB Partnership global facility for
accessing concessionary priced second line drugs by DOTS based TB
Control programmes. Only 9 countries had successfully applied to this facility
by February 2008.
Status of implementation of TB/HIV Interventions
During 2006 in the Africa Region, only 22% of notified cases were tested for
HIV, compared to the 100% set by the Special Summit. However, this
represents a 100% increase in coverage compared to 11.2% for 2005.
Of those who tested positive, 37.1% were started on Anti-Retroviral Therapy
(ART), increasing from 27.3% in 2005. Again this is far less than the 100%
target. At this rate, the region is unlikely to reach the 100% target for both
indicators by 2010.
However, 11 countries 14 recorded significant gains in ART coverage
compared to the previous year. The best results ranged from 30.8% in
Rwanda to 56.9% in Malawi. Furthermore, overall, 89.1% of HIV positive TB
patients were started on Co-trimoxazole preventive therapy (CPT), a 23.4%
increase compared to 72.2% in 2005. At this rate, Universal Access to CPT
for dually infected persons is likely to be achieved by 2010.
Access to essential anti-TB medicines
Availability of first line anti-TB drugs has improved tremendously. By the end
of December 2007, all 36 eligible countries from the Africa region that applied
to the GDF secured first line anti-TB drug grants, including pediatric
formulations for some countries.
The increased availability notwithstanding, of the 42 countries that reported,
only 69% maintained uninterrupted supply of first line anti-TB drugs at both
the central and peripheral levels. As stated under drug resistant TB section
above, only 65.4% of countries with reported MDR-TB cases had organized
treatment programmes for those cases, and only 9 countries 15 had taken
steps to access concessionary priced second line drugs from the global
facility of the Stop TB Partnership for such programmes.
14
Benin, Cote D’Ivoire, DRC, Guinea Bissau, Kenya, Malawi, Mauritius, Mozambique, Rwanda,
South Africa and Zambia
15
Burkina Faso, DRC, Guinea Conakry, Kenya, Lesotho, Mozambique, Rwanda, Tanzania (preapproval stage) and Uganda