TB is a major infectious killer in the Region. Although DOTS is being widely expanded, many people with TB have yet to have access to quality care. HIV epidemic is worsening, MDR-TB is becoming ubiquitous, and complex emergency is rampant. The Regional Plan is the response offered by the countries of the Region and the Regional Office. The Plan set out the actions and funding needed over the next 10 years to stop tuberculosis in the Region.

A TB-free Region
“The first children born this millennium in the Region will witness the elimination of TB in their lifetime”

Halving the Regional burden of TB in line with the TB-related target of the Millennium Development Goals, and work towards TB elimination [DCD Vision 5]

The new Stop TB Strategy is the strategy to achieve the Goal in the Region.

The components of the new Stop TB Strategy are:

• Pursue High-Quality DOTS Expansion and Enhancement

• Address HIV/TB, MDR-TB, Complex emergency, and other challenges

• Contribute to Health System Strengthening

• Engage All Care Providers

• Empower People With TB, and Communities

• Enable and Promote Operational Research

The main areas of activities in the Regional Plan are:

• Expansion of DOTS

• Improvement of DOTS quality

• New approaches including public private mix

• Management of drug resistant TB (DOTS-Plus)

• HIV/TB collaborative activities

• Advocacy, Communication & Social mobilization (ACS)

The total cost needed to stop TB and to achieve the TB-related target of MDG in the next 10 years is around US$ 3.2 billion.

Currently, US$ 0.8 billion are anticipated to be available. This means, the funding gap is as wide as US$ 2.4 billion, or 75%.

The costing exercise has been done together with the Regional high TB burden countries in the Intercountry Workshop for Developing Strategic Plans on Tuberculosis Control.

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Background | Summary | Country specific exercises

The planning and costing exercise for the Region has been done as part of the global exercise for the Global Plan to Stop TB 2006-2015. The methodology of the exercise is explained in the Global Plan

At the same time, the Regional Office, with the help of WHO/HQ, assisted the nine countries with high burden of TB in the Region (Afghanistan, Djibouti, Egypt, Islamic Republic of Iran, Morocco, Pakistan, Somalia, Sudan and Yemen) in conducting the same exercise through the Inter-country Workshop for Developing Strategic plans on Tuberculosis Control.

The planning and costing exercise was done along with the five main areas of activities:

• DOTS expansion (basic diagnosis and treatment)

• DOTS expansion (improved quality and new approaches)

• Management of multi-drug resistant tuberculosis (MDR-TB)

• HIV/TB collaborative activities (HIV/TB)

• Advocacy, communication and social mobilizations (ACSM)

The entire cost needed in the nine countries will be US$ 3,151.9 million for the next 10 years. The breakdown of the cost by country and area is as follows:

Outcome of planning and costing exercises in the nine countries are as follows:  

• Afghanistan

• Djibouti

• Egypt

• Islamic Republic of Iran

• Morocco

• Pakistan

• Somalia

• Sudan

• Yemen

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