UN Millennium Development Library: Investing in Strategies to Reverse the Global Incidence of TBThe Millennium Development Goals, adopted at the UN Millennium Summit in 2000, are the world's targets for dramatically reducing extreme poverty in its many dimensions by 2015 income poverty, hunger, disease, exclusion, lack of infrastructure and shelter while promoting gender equality, education, health and environmental sustainability. These bold goals can be met in all parts of the world if nations follow through on their commitments to work together to meet them. Achieving the Millennium Development Goals offers the prospect of a more secure, just, and prosperous world for all. The UN Millennium Project was commissioned by United Nations Secretary-General Kofi Annan to develop a practical plan of action to meet the Millennium Development Goals. As an independent advisory body directed by Professor Jeffrey D. Sachs, the UN Millennium Project submitted its recommendations to the UN Secretary General in January 2005. The core of the UN Millennium Project's work has been carried out by 10 thematic Task Forces comprising more than 250 experts from around the world, including scientists, development practitioners, parliamentarians, policymakers, and representatives from civil society, UN agencies, the World Bank, the IMF, and the private sector. This report lays out the recommendations of the UN Millennium Project Task Force 5 Working Group on TB. The Working Group's recommendations include expanding access to DOTS programs, implementing efforts against HIV-related TB and multidrug-resistant (MDR) TB, engaging all primary care providers and communities in high quality TB care, and developing new diagnostics, drugs and vaccines. These bold yet practical approaches will enable countries in every region of the world to halve the prevalence of TB by 2015. |
Contents
| 1 | |
| 14 | |
| 21 | |
Chapter 3 Poverty gender children and tuberculosis
| 41 |
Chapter 4 Moving forward to achieve the Millennium Development Goals target for tuberculosis
| 49 |
Chapter 5 Financing needs
| 74 |
Chapter 6 Meeting the target in UN Millennium Project pilot countries
| 79 |
Appendix 1 World HEalth Organization recommendations for implementing the DOTS strategy and its adaptation
| 86 |
Appendix 3 Tuberculosis and poverty in Cambodia
| 102 |
Appendix 4 Tuberculosis and poverty in the Dominican Republic
| 110 |
Appendix 5 Tuberculosis in Ethiopia
| 119 |
Aeras FIND and the Global Alliance for TB Drug Development
| 127 |
Appendix 7 Summary of background paper on a twomonth drug regimen
| 131 |
Appendix 8 Full list of recommendations from the UN Millennium Project Working Group on TB
| 136 |
Notes | 143 |
| 145 | |
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Common terms and phrases
achieve the Millennium active TB Africa antiretroviral areas burden Cambodia collaboration costs detection rates Development Goals target disease Dominican Republic DOTS expansion DOTS programs DOTS strategy DOTS-Plus drug resistance effective ensure estimated Ethiopia GFATM Global Fund Global Plan Group on TB health sector health services health system high-burden countries HIV infection HIV-related TB HIV/AIDS impact implementation improve incidence of TB increased interventions investment isoniazid Kenya levels Malaria MDR-TB ment Millennium Development Goals Millennium Project million National TB programs needed NLTP ofTB operational research Plan to Stop poor population poverty reduction strategies private sector providers public health public-private mix recommended reduce smear-positive sputum Stop TB Partnership TB Alliance TB and HIV TB control TB control activities TB drugs TB epidemic TB incidence TB patients TB treatment TB/HIV therapy treat treatment success rate tuberculosis control UN Millennium Project vaccines World Bank World Health Organization