h o w ca n w e i m p r o v e t h e g l o b a l s t r at e...
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how can we improve the global strategy fortuberculosis (tb) control?
Lessons from health systems & policy research
Leading global
killer
TB now the leading cause of death fromany infectious disease including HIV.
TB is theleadingkiller ofwomen
Affects thepoorest
Over 95% of TB deaths occur in low-and middle-income countries.
Approximately480, 000 people
developmultidrug-
resistant TB everyyear
Currentapproach
insufficient
We are not winning the battle againstTB despite investments in TB control.
1.5% peryear
http://bit.ly/GlobalTBControl
TB: 1.3 million
HIV/AIDS:1 million
Malaria:445,000
At current rate ofdecline in
incidence (1.5%) itwill take >150years to reachglobal END TB
targets
http://bit.ly/GlobalTBControl
This new evidence, which includes the largest study on delay to TB diagnosis in the
world, highlights the importance of adapting global strategies to local health systems.
32% of patients inChina experienced a
delay of > 90 daysbefore reaching a
health facility thatcan correctly
diagnose and treatTB for free
J O U R N A L s u p p l e m e n t : C r i t i c a l ly a n a lys e s t b c o n t r o ls t r at e gy
Only 29% ofpublications from
Cambodiabetween 2000-2016 addressed
policy makerspriority areas for
TB control
"We usuallytry many othermethods first
and the hospitalis the last
choice" - Cambodian
patient
16% of TBpatients in
Myanmar do nothave a
treatmentsupporter
Targets
focus on case detection rates and
ignore critical delay to diagnosis
Research strategy
requires strengthening of
primary health services
Health service delivery model
needs to better address
gaps for policy making
This podcast iswith supplementlead Dr MishalKhan (LondonSchool of Hygiene& TropicalMedicine) and DrAnthony Harries(The Union)
Podcast
Research Impact: findings from this supplement were reported in national press
@HPP_LSHTM
Copyright: Health Policy and Planning, 2017, Natasha Salaria
#TB @LSHTM_TB
@LSHTM_AMR
@DrMishalK
http://bit.ly/GlobalTBControl