Tuberculosis (TB)

The Stop TB Strategy

Vision, goal, objectives and targets

Vision

A TB-FREE WORLD

Goal

To dramatically reduce the global burden of TB by 2015 in line with the Millennium Development Goals and the Stop TB Partnership targets

Objectives

  • Achieve universal access to high-quality care for all people with TB
  • Reduce the human suffering and socioeconomic burden associated with TB
  • Protect vulnerable populations from TB, TB/HIV and multidrug-resistant TB
  • Support development of new tools and enable their timely and effective use
  • Protect and promote human rights in TB prevention, care and control

Targets

  • MDG 6, Target 8: Halt and begin to reverse the incidence of TB by 2015
  • Targets linked to the MDGs and endorsed by the Stop TB Partnership:
    – by 2015: reduce prevalence and deaths due to TB by 50% compared with a baseline of 1990
    – by 2050: eliminate TB as a public health problem

Components of the Stop TB strategy

1. Pursue high-quality DOTS expansion and enhancement
  • Secure political commitment, with adequate and sustained financing
  • Ensure early case detection, and diagnosis through quality-assured bacteriology
  • Provide standardized treatment with supervision, and patient support
  • Ensure effective drug supply and management
  • Monitor and evaluate performance and impact
2. Address TB-HIV, MDR-TB, and the needs of poor and vulnerable populations
  • Scale-up collaborative TB/HIV activities
  • Scale-up prevention and management of multidrug-resistant TB (MDR-TB)
  • Address the needs of TB contacts, and of poor and vulnerable populations
3. Contribute to health system strengthening based on primary health care
  • Help improve health policies, human resource development, financing, supplies, service delivery and information
  • Strengthen infection control in health services, other congregate settings and households
  • Upgrade laboratory networks, and implement the Practical Approach to Lung Health (PAL)
  • Adapt successful approaches from other fields and sectors, and foster action on the social determinants of health
4. Engage all care providers
  • Involve all public, voluntary, corporate and private providers through Public-Private Mix (PPM) approaches
  • Promote use of the International Standards for Tuberculosis Care (ISTC)
5. Empower people with TB, and communities through partnership
  • Pursue advocacy, communication and social mobilization
  • Foster community participation in TB care, prevention and health promotion
  • Promote use of the Patients' Charter for Tuberculosis Care
6. Enable and promote research
  • Conduct programme-based operational research
  • Advocate for and participate in research to develop new diagnostics, drugs and vaccines
Share