Stop Tb Manual

IFMSA-Africa Standing Committee on Public Health (SCOPH)

Stop TB Manual A manual for medical students (Summarizing the global plan to stop TB 2006-2015)

TB Anywhere is TB Everywhere….

Prepared by : Azmi A.Amara Regional assistant for Public Health –Africa 2006-2007 Human resources director-IFMSA campaign on Malaria(ICOM) International Federation of Medical Students Association

Introduction Global TB control is a marathon, not a sprint - the targets in this Plan for 2015 are a step on the road to the long-term goal of TB elimination by 2050. We are committed to promoting the ideals embodied in The Plan, and passing them on to the next generation… . I liked to start this manual with these words because they describe the war against TB very accurately, briefly and positively. They are very inspiring words for those who really want to participate in the ACTION against Tuberculosis worldwide. This manual is a summary for the global plan against TB 20062015; It gives a brief description for the cornerstones of the plan which are: Action, Commitment, Collaboration, Achievement, investment, treatment, innovation, advocacy and Hope. It provide SCOPHians with the necessary information from a public health point of view and provide aid for TB projects coordinator with a model for action against major health problems globally because it represents a good example for an inspiring plan to cover a public health problem. I hope that it will help project coordinator, NPOs, LPOs and all SCOPHians putting their own plans to overcome their local problems through global thinking…

Think globally..Act locally.. Azmi…

This Plan is a call for action For advocates in countries and at global level to argue the case for investing in the Plan. For all countries to fully implement the actions set out in the Plan, and to mobilize sufficient domestic and external resources to make this happen. For civil society to demand access to quality TB care and to the fruits of research and development. For community groups to support patients to come forward for diagnosis and to complete their treatment. As Partners with a strong commitment to Stop TB, we can coordinate our actions to implement the Plan. In acting together as Partners, the sum of our efforts will be far greater than if we each acted on our own. Our actions in implementing the Plan will result in millions of lives saved. These are actions for life - actions towards a world free of TB.

We have made progress in global TB control, but much remains to be done. Building on this progress so far, the Plan sets out our commitment to implementing a new, ambitious strategy to Stop TB. We are committed to achieving our objectives in working towards the Partnership’s targets for 2015 and the Millennium Development Goals. Our commitment to successfully carrying out the Plan implies a commitment to mobilizing resources, expanding our efforts, and sustaining activities over the long term. Global TB control is a marathon, not a sprint - the targets in this Plan for 2015 are a step on the road to the long-term goal of TB elimination by 2050. We are committed to promoting the ideals embodied in the Plan, and passing them on to the next generation.

Act…

Commit

This Plan is the embodiment of collaboration, involving the efforts of the just over 400Partners that make up the Stop TB Partnership. Expanding this collaboration is crucial to the success of implementation of the Plan. New collaborating Partners will be drawn from within the health sector and from other sectors. Ensuring that this collaboration is as effective and dynamic as possible is a responsibility of all Partners and of the Partnership Secretariat. Effective and dynamic collaboration requires understanding and insight into areas beyond our own special areas of interest. It requires mutual understanding of our different roles and capabilities, that are harnessed in pursuit of our common targets and goals. The success of the Plan depends on the collaborative efforts of all Partners.

Collaborate

Achieve C

Targets provide a spur to action and a benchmark for measuring progress. In terms of reaching targets, full funding (US$56 billion) and implementation of the Plan would result in achievement of the Millennium Development Goal relevant to TB. It would also resulting global achievement of the Partnership’s 2015 targets to halve prevalence and death rates from the 1990 baseline. Achieving these targets means making enormous progress in all regions with prevalence and death rates halved, or almost halved, over the period of the Plan from 2006 to 2015. The statistics underpinning these targets are about people. Achieving the targets means making a difference to the lives of many millions of people: to the lives of the 50 million people to be treated, and their families; to the 14 million people whose lives will be saved; to the lives of the people who in future will be spared the suffering and death caused by TB, as we develop the new diagnostics, drugs and vaccines that will pave the way for the elimination of TB by 2050. Achieving the Partnership’s targets for 2015 is a step towards the goal of TB elimination

Invest

Implementing the Plan requires an investment by many partners - an investment in time and effort. The Plan also requires many Partners to invest financial resources. The total cost of realizing the Plan is $56 billion over ten years. Past experience indicates that a financial investment to Stop TB is a good investment - one that yields results. All countries have made a commitment to ensure the availability of sufficient domestic and external resources to achieve the Millennium Development Goal relevant to TB. An investment of $56 billion over the next ten years will result in 50 million TB patients treated, 14 million lives saved, and the development of the new diagnostics, drugs and vaccines that can revolutionize global TB control. Investing in the Plan brings better TB control, healthier communities and less

Access to quality diagnosis and treatment is a human right for all who have TB. Over the ten years of the Plan, about 50 million people will be treated for TB under the Stop TB Strategy. Treatment benefits the individual with TB and the community. Since TB is spread from person to person, protecting the community from TB depends on ensuring effective treatment of individuals with the disease. At the heart of the Plan is an approach that links innovation with implementation. As new diagnostics and drugs become available, their implementation will enable patients to be treated more quickly and more effectively. Progress in vaccine development raises the prospect of a new, safe and effective vaccine being available by 2015. This will make prevention a key ally of treatment. Treatment of TB saves lives and protects our communities.

Treat

TB represents a global threat to health. Full implementation of the Plan will expand the reach of quality TB care towards all patients, wherever they live and irrespective or their gender, age, socio-economic group or type of TB. To ensure all TB patients have access to quality care, the Stop TB Partnership will reach out to a wide range of Partners. In reaching out to all those who have a role to play to Stop TB, we reach out to the communities blighted by TB, touching millions of lives. The Partnership’s aim is for quality TB care and the benefits of research and development to reach everybody in need.

Reach

The Plan has a two-track approach to Stop TB: maximizing the benefit of applying the existing tools for TB control, while at the same time developing the new tools (diagnostics, drugs and vaccines) that are so urgently needed. Innovation is key to both these approaches. The Plan encompasses innovative methods of expanding access to quality TB care. The Plan also encompasses the innovation of research and development in making available the new, improved tools to Stop TB. Until recently, TB as a global health issue suffered from a lack of investment in the development of innovative tools to Stop TB. Full funding of the Plan will transform this situation, as new diagnostics, drugs and vaccines become increasingly available. The dramatic breakthrough to eliminate by 2050 depends on these innovative tools. Innovation is the key to progress, through maximizing the benefit from existing tools and promoting the development of new tools .

Innovate

Everybody involved in creating, developing and delivering the Plan must act as an advocate to ensure that TB features prominently on the global political and health agenda. People with TB and communities affected by TB who are empowered to speak out will be potent advocates for change. The Plan provides a sound argument for the resources needed for action, and is therefore a powerful tool for advocates. Sustained advocacy will help persuade national governments and donors to fulfill their commitment to Stop TB by investing in the Plan. Each of us can speak out and help mobilize support for the plan to stop TB.

Advocate

The revitalization of global efforts to Stop TB since the early 1990s has restored a sense of hope. In the past, a sense of hopelessness pervaded efforts to control many diseases of poverty, including TB. There was an acceptance that TB will always be with us. The substantial progress made against TB brings hope to all Partners as the work begins to implement the Plan. Where poverty stalks the globe, communities have suffered the losses due to TB from generation to generation. The actions set out in the Plan to Stop TB will provide hope. Hope for the millions of people suffering and dying from TB. Hope for future generations that our actions will spare them from the ravages of this disease. This hope is embodied in the Plan’s actions for life - actions towards a world

Hope

TB Anywhere is TB Everywhere….