MIN/Sp/AU/CAMH3/6 TB
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Notwithstanding, latest available information 46 indicates that only 69% of 42
countries that submitted reports had uninterrupted supply of first line anti-TB
drugs at both the central and peripheral levels during 2006. This is a
significant short fall with regard to Universal Access to essential TB treatment.
For the treatment of drug resistant TB, only 65.4% of countries that reported
some drug resistant TB cases had organized treatment programmes.
Furthermore, as of January 2008, only 9 countries 47 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.
5.4: Resource mobilization
Adequate financial, human and logistic resources are a pre-requisite for
implementation of TB control activities, as for other health services. Scale up
towards universal access will entail even more funding and human resources.
While donor funding provides significant additional resources, the best way to
ensure sustainability is through allocation of national resources.
There is insufficient information to determine national funding for TB Control
as most activities are implemented within primary health care services without
clear ear marking for TB control.
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 (representing 37% of total
available grants globally) was approved for TB Control activities in the African
Region. Notwithstanding, this has not been marched with timely spending and
has not translated into increased case detection and treatment success rates
all round.
Despite the progress in tuberculosis control, the Region has failed in
achieving the global targets for tuberculosis control. While DOTS has
expanded, covering 94% of the regional population and treatment success is
high (82%), the case detection rate is only 44%. To improve case detection,
the regional plan to Stop TB was developed as part of the global plan 2006–
2015. The budgetary need for the period of 2006 to 2015 indicated in the Plan
is US$ 3.1 billion in the Region. Support to countries was enhanced and
partnership development promoted.
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WHO Global TB Report 2008
Burkina Faso, DRC, Guinea Conakry, Kenya, Lesotho, Mozambique, Rwanda, Tanzania (preapproval stage) and Uganda
47