Dr. Viorel Soltan

Team leader

Country and Community Support

Ending TB starts at grassroot levels

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90(90)90 TB targets

Global Plan to End TB 2016-2020

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Global TB Care Cascade - 2016

• Only 50% of incident TB treated successfully

• Only 12% of DR-TB treated successfully

• Children with TB: 44% on treatment (FL), ?? Treatment outcome

• Children with MDR-TB: no notification data or treatment outcomes

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Missing TB in 13 countries – together they account for 79% of missing TB worldwide

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Care cascade of HIV positive TB - 2016

•Of 10.4 million people developing TB, 1.03 million (10%) were estimated to be co-infected with HIV

•Only 46% of them were diagnosed, treated and notified as HIV-positive TB

•Only 39% put on ART

1,028,899

470,694 ; 46%

401,312 ; 39%

Estimated peoplewho developed

HIV-positive TB in2016

HIV-positive TBnotified

HIV-positive TB onART

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Between 2018 - 2022:

At least 40 million people

with TB reached with

care, including 3.5

million children and 1.5

million people with drug-resistant TB

Updated targets

FIND. TREAT. ALL. #ENDTBJoint Initiative of the World Health Organization, Stop TB Partnership, the Global Fund,

countries and partners

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SEARCH, TREAT and PREVENT – all together and not in piece-meal

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Why is it important to have a comprehensive approach of STP –expérience from USA

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Why is it important to have a comprehensive approach of STP –experience from Russia

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Example of unpacking of the STP strategy «Chakra» from Karachi

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Implement and scale-up

•People-centered approach and integration

•Reach key vulnerable and underserved populations

•Address stigma and discrimination

•Reduce human rights barriers to services

•Reduce gender-related barriers to services

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Existing practices

•Community-based monitoring (OneImpact digital tool) –Cambodia, Tajikistan + 12 TGF catalytic countries

• Joint efforts to increase CS and community capacity for TB response

•Roll out of CRG tools (gender, key populations, LEAs) –Bangladesh, Cambodia, DRC, India, Indonesia, Kenya, Mozambique, Myanmar, Nigeria, Pakistan, Philippines, South Africa, Tanzania and Ukraine.

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Revised Global Plan estimates:

• 13 billion USD per annum

average need for the period

2018-2022

Gap

• Current levels of funding (6-7

billion USD per annum) need to

be doubled to meet the

resource needs

R&D

• Annual funding is about 0.7

billion USD with a gap of 1.3

billion USD per annum

Updated resource needs

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Next steps

• Improve demand for TB services

• Accelerate the uptake of TB preventive therapy

• Increased allocation and use of funds

• Jointly address and remove access barriers to ensure the TB response is equitable, rights based and people centered

• Change in mindset, empowerment of national and local stakeholders, programmatic arrangements at country level for joint response

• Accountability – national, regional and global level

Thank you

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