MIN/Sp/AU/CAMH3/6 TB
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for the period 2007-2010 21 . The framework is based on the programme areas
agreed by the Heads of State and Government as outlined in section 1.1.5.
2.1:
Abuja targets to be met by a United Africa by 2010
Within the agreed monitoring and evaluation Framework for the
implementation of the Abuja Call, Member States will intensify the fight
against the three diseases and achieve other internationally agreed goals.
In addition to the WHA, MDG, Stop TB Partnership and Abuja 2001 targets
outlined in sections 1.1.1-1.1.4 22 , the Summit set the following Tuberculosis
related specific targets to be achieved by a United Africa by 2010:
•
•
100% of TB patients have access to HIV Testing and counselling
services
100% of eligible HIV positive TB patients access anti-retroviral
treatment
3:
Operating Definitions 23 :
3.1
Patient classification and categorisation
3.1.1 A case of tuberculosis: A patient in whom TB has been
bacteriologically confirmed, or has been diagnosed by a clinician.
3.1.2 Pulmonary tuberculosis: Bacteriologically confirmed TB of the lungs
(definite TB case) or a case of pulmonary tuberculosis that does not meet the
bacteriological confirmation criteria but has at least two sputum smears
negative for TB bacilli, no response to a course of broad spectrum antibiotics
among those not used in the treatment of TB, radiological abnormalities
consistent with active pulmonary TB, and a decision by a clinician to treat with
a full course of anti-tuberculosis chemotherapy.
3.1.3 Extra-pulmonary tuberculosis: Tuberculosis of organs other than the
lungs for example the pleura of the lungs, lymph nodes, abdomen, genitorurinary tract, skin, joints and bones, brain meninges, etc. Diagnosis is based
on at least one culture-positive specimen, or histological or strong clinical
evidence consistent with extra-pulmonary tuberculosis, followed by a decision
by a clinician to treat with a full course of anti-tuberculosis chemotherapy. A
patient diagnosed with both pulmonary and extra-pulmonary TB is classified
as a case of pulmonary TB.
21
Strengthening of Health Systems for Equity and Development in Africa. Third session of the African
Union Conference of Ministers of Health, Johannesburg South Africa. CAMN/MIN/9 (III)
22
to detect 70% of new smear-positive TB cases arising annually, and to successfully treat 85% of
these cases; to have halted by 2015 and begun to reverse the incidence of malaria and other major
diseases; and WHA and MDG targets plus reducing per capita prevalence and death rates by 50%
relative to 1990 levels, and reducing TB incidence to les than one case per million population per year
by 2050
23
Adapted from Global tuberculosis control: Surveillance, planning, financing: WHO report 2008.
WHO/HTM/TB/2008.393