Regional Plan to Stop TB (2002 - 2005)

Back

Download pdf file (1.7 MB)

Vision
Mission
Targets
Objectives

Vision

The Region free of TB: Elimination of TB in the Region by 2050
"The first children born in this millennium in the Region will see TB eliminated in their lifetime".

Mission

Our mission is to significantly reduce the burden of TB in the Region by ensuring the following:
 

• Every TB patient has access to effective diagnosis, treatment and cure;
   

• Transmission of TB is stopped;
   

• Inequitable social and economic toll of TB is reduced; and
   

• All relevant partners in health, social and economic development are involved in TB control activities.
   

Targets

Regional targets
Country-specific targets

Regional targets

By 2005, detect at least 70% of all cases of TB, and successfully treat at least 85% of them, and sustain the achievements.
 

• By 2005, enrol all detected TB patients in the DOTS strategy.
   

• By 2010, reduce prevalence and deaths by 50%.

Top

Country-specific targets

• By 2003, all countries except the three DOTS lagging countries, namely Afghanistan, Pakistan and Somalia, detect 70% of all cases of tuberculosis and successfully treat 85% of them.
   

• By 2010, countries with intermediate incidence of TB reduce the incidence of TB by 50%.
   

• By 2010, countries with low incidence of tuberculosis reduce the incidence of smear positive pulmonary TB to 1 per 100 000 population (Tuberculosis Elimination Initiative).

  Top

Objectives
High quality DOTS activities
Comprehensive DOTS activities
Beyond DOTS
Partnership

Along with the above targets, the strategic plan aims at achieving four objectives by 2005. They are: high quality DOTS activities; comprehensive DOTS activities; a Beyond DOTS strategy; and partnership. These objectives are interdependent and mutually reinforcing. Achieving all of them is essential for bringing TB under real control. Components of each objective are as follows.

1) High quality DOTS activities
DOTS implementation
Surveillance
Drug management

DOTS implementation
 

• The DOTS strategy is integrated into and expanded throughout the general health services so that DOTS activities are available nationwide.
   

• DOTS is implemented at high quality, achieving at least 70% case detection rate and 85% treatment success rate.
   

• Models for effective DOTS implementation are established for different settings, e.g. urban and mobile populations and complex emergency situations.
   

Surveillance
 

• National TB surveillance, as an integrated part of communicable disease surveillance, is operational to ensure timely and accurate monitoring of DOTS activities.
   

• Information on prevalence and trends of TB drug resistance is available through drug resistance surveys/surveillance.
   

Drug management
 

• A national logistics system for TB drugs is operational within the national drug management system, and ensures:
  - regular supply of high quality TB drugs for all TB patients
  enrolled in DOTS, free of charge
  - introduction of patient-friendly drug formulations including
  fixed-dose combination (FDC) and blister packages.
   

Top

2) Comprehensive DOTS activities
Intersectoral collaboration
National health sector development
Operational research

Intersectoral collaboration
 

• All relevant health care providers are included in DOTS activities so that all detected TB patients are enrolled in DOTS.
   

• All medical schools and health workforce institutions have adopted DOTS in their education programmes.
   

National health sector development
 

• National health sector development plans include the DOTS strategy as an essential component so that TB control efforts contribute to broader health sector development and poverty reduction.
   

Operational research
 

• A national network of operational research in TB control, linked with international research institutions is functioning to address priority issues in TB control.
   

Top

3) Beyond DOTS
Beyond DOTS strategy
Specific surveillance

Beyond DOTS strategy
 

• A comprehensive Beyond DOTS strategy is developed in countries with high quality and comprehensive DOTS so as to enhance DOTS activities.
  Implementation models for the Beyond DOTS strategy are developed.
   

Specific surveillance
 

• TB prevalence surveys are carried out at least in 2 high incidence countries, 2 intermediate incidence countries and 2 low incidence countries, as regional models.
   

Top

4) Partnership
 

• A Regional Inter-Agency Coordination Committee (IACC) for TB control and Technical Advisory Group (TAG) are established and operational as subcommittees of the Regional IACC for communicable disease control.
   

• A national IACC for TB control is established and functioning in all high burden countries.
   

• A national 5-year plan on TB control is developed in all high burden countries.
   

• Collaboration is established with global initiatives such as the Global Fund to Fight AIDS, Tuberculosis and Malaria and the Global Drug Facility of the Stop TB Initiative.