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