Developing the post-2015 TB Strategy and Targets: Vision and Process

Dr Mario Raviglione

Director, Stop TB Department, WHO, Geneva

Kuala Lumpur, Malaysia – November 2012

Photo: Riccardo Venturi

(DRAFT) - Post-2015 TB Strategy and Targets (1)

Tuberculosis, a disease of poverty, is a measurable indicator of equitable development

Inclusion of TB in the MDGs has contributed to making progress in global TB control

WHO TB strategy has helped cure 51 million patients and save 20 million lives

2015 MDG target of halting and beginning to reverse TB incidence has been achieved

Compared to 1990, TB mortality has been reduced by 41% and will be halved in 2015

R&D is now finally resulting in new tools and scientific breakthroughs

However,

TB incidence decline is too slow to realize the vision of a TB-free world

Every year, still 1.4 million people die of TB and 8.7 million suffer from it

(DRAFT) - Post-2015 TB Strategy and Targets (2)

Ambitious targets and expanded efforts required post-2015 to accelerate progress:

• Goal: “Zero TB deaths” besides “TB elimination as a public health problem”

Target 2025: “Halve TB mortality and prevalence rates compared with 2015”

Actions required:

• TB Care and Control: Expanding innovative TB care incorporating new tools and

technologies as well as promoting key enablers

• Health and Development: Implementing bold policies to achieve UHC, strengthen

systems and services, enforce regulatory frameworks, and address social and

economic determinants of TB

• Research and Innovation: Intensifying research for new tools and innovations in

care delivery

Process underway to develop the Post-2015 TB Strategy

At the 65th World Health Assembly in May 2012, Member States called upon WHO to

develop a new post-2015 TB strategy and targets and present this to Member States at

the 67th World Health Assembly in 2014. Some States also urged WHO to start the

formal process through the Executive Board and World Health Assembly in 2013.

Process underway to develop the Post-2015 TB Strategy (cont.)

2012 June:

- First discussion at joint consultation between WHO and Stop TB Partnership - Framework & Technical papers reviewed at WHO's STAG-TB - STAG-TB and Stop TB partners endorsed the framework & plan - Agreement on principles and plan with WHO HQ, RO and CO staff, and Partners

July onwards: Presentation and discussion on post-2015 Strategy framework in Regional meetings of National TB Programme Managers – Reviewed at AMRO, EURO, SEARO, WPRO meetings

November, Kuala Lumpur: Presentation at (i) high-burden country NTP managers meeting, (ii) Stop TB Symposium, and (iii) Stop TB Partnership Coordinating Board

2013 Consultations with diverse stakeholders, including research and UHC/social protection

constituencies, continued throughout the year June 2013: Presentation at STAG-TB for technical endorsement of final draft Fall 2014: Preparation of documents for discussion at the Executive Board 2014

2014 January: Discussion at the Executive Board May: 67th World Health Assembly Resolution on Post-2015 TB Strategy and targets

(DRAFT) - Proposed Pillars and Principles of the Post-2015 TB Strategy

Innovative TB Care

Bold Policies and

Supportive Systems

Intensified Research

and Innovation

Surv

eill

ance

, Mo

nit

ori

ng

an

d E

valu

atio

n

Innovative TB Care

Rapid diagnosis of TB including universal drug-susceptibility testing ; systematic screening of contacts and high-risk groups

Treatment of all forms of TB including drug -resistant TB with patient support

Collaborative TB/HIV activities and management of co-morbidities

Preventive treatment for high-risk groups and vaccination of children

Bold policies and supportive systems

Government stewardship , commitment, and adequate resources for TB care and control with monitoring and evaluation

Engagement of communities , civil society organizations, and all public and private care providers

Regulatory framework for vital registration, case notification, drug quality and rational use, and infection control

Universal Health Coverage, social protection and other measures to address social determinants of TB

Intensified Research

Discovery, development and rapid uptake of new diagnostics, drugs and vaccines

Operational research to optimize implementation and adopt innovations

Vision: A world free of TB

(DRAFT) Post-2015 TB Strategy

GOAL TARGETS FOR 2025 Zero TB deaths (or) TB mortality rate reduced by 50% (compared with 2015) Elimination of TB deaths and suffering (or) TB prevalence rate reduced by 50% (compared with 2015) Elimination of TB as a public health problem A target on MDR-TB / TB treatment coverage (for discussion)

Many thanks to all