We are calling upon all governments to #StepUpforTB and ensure their TB policies and practices are in line with the recommendations below
The 29 countries surveyed in the Out of Step report need to update their practices to ensure that TB is effectively diagnosed and treated in line with the latest international guidelines. But how exactly can this be achieved?
The Out of Step report identified:
5 key areas in which the 29 countries surveyed are failing to follow best practices for TB diagnosis and treatment.
15 recommendations that governments can follow to bring their TB practices in line with WHO guidelines in these 5 key areas.
Everyone deserves access to rapid and accurate molecular diagnostic tests
Governments should step in the right direction by providing patient-friendly treatment close to where people live and not requiring unnecessary hospitalisation or painful injections
Governments should make sure people get the proper medication for their form of TB and ending the substandard practice of selling TB drugs over-the-counter without a prescription
Governments should expedite registration and access to new and improved TB treatments that can help cure resistant forms of the disease. The first new TB drugs to come along for nearly 50 years, bedaquiline and delamanid, are not reaching people with drug-resistant forms of TB.
Governments can step ahead of the epidemic by treating drug-sensitive TB more effectively, implementing infection control measures and ensuring appropriate management of latent TB infections
The Lawn Imperative: In recognition of the deadly interplay between HIV and tuberculosis (TB), all people living with HIV should be offered antiretroviral therapy as early in their disease progression as possible in order to prevent the development of TB disease.
On behalf of the TB community, Stop TB Partnership, and Médecins Sans Frontières (MSF) we acknowledge and pay tribute to the work of Professor Stephen Lawn, a devoted researcher and committed advocate for people with HIV and TB and who passed away on September 23, 2016.
of countries surveyed have guidelines recommending the use of Xpert MTB/RIF as the initial diagnostic test for all adults and children being investigated for TB.
of countries surveyed have adopted new paediatric TB fixed dose combinations (FDCs).
of countries surveyed have guidelines recommending the initiation of drug-resistant treatment at the district level.