MIN/Sp/AU/CAMH3/6 TB
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For the treatment of drug resistant TB, 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. Even then, except for those supported
through the GLC, not all patients have access to second line anti-TB drugs.
As of January 2008, only 9 countries 34 had applied and been approved to
access concessionary priced second line drugs from the Green Light
Committee (GLC) of the Stop TB Partnership. This facility is available to all
DOTS based TB Control programmes and should be utilized more widely than
is currently the case considering the wide spread existence especially of
MDR-TB cases.
4.4:
Resource Mobilization
4.4.1 National financing of TB services
During 2006, 39 of the 46 Member States (84.7%) % provided information on
Financing TB Control 35 . These countries represent 93% of estimated TB
incidence in the Region for that year. TB specific disaggregated data
mobilized at national level is however not readily available as most
programmes are implemented within primary health care services.
WHO has since developed a planning and budgeting tool that is designed to
help countries align their strategic plans and budgets with all the elements of
the new Stop TB Strategy. During 2007, 35 countries in the African Region
were introduced to the tool and used it to elaborate programme budgets. This
is expected to improve the process of budget estimation and expenditure
accountability in the coming years.
4.4.2 External financing of TB services
During the past five years, external funding for TB control activities has
increased significantly. The Global Fund to Fight AIDS, TB and Malaria
(GFATM) has been the single most important source. During rounds 1-7 from
2002-2007, approximately 953 million USD (37% of total available grants
global) was approved for TB Control activities in the African Region. This is
the largest proportion, followed only by the West Pacific Region at 430 Million
USD (Figure 4.7.1) 36 . Notwithstanding, this has not been marched with
spending (Table 4.7.1) and translating into increased case detection and
treatment success rates.
34
Burkina Faso, DRC, Guinea Conakry, Kenya, Lesotho, Mozambique, Rwanda, Tanzania (preapproval stage) and Uganda
35
WHO Global TB Control Report 2008
36
Adopted from WHO Global TB Control Report 2008