Results: Financing DOTS expansion
Resources required for TB control in high-burden countries, 2004 and 2005
The resources required in the 22 HBCs, if global targets are to be reached in 2005, and if countries make constant progress towards these targets from 2002 are, excluding the Russian Federation, US$ 0.95 billion in 2004 and US$ 1.1 billion in 2005 (Figure 22). This compares with an estimated expenditure of US$ 0.65 billion in 2002 and a budget of US$ 0.8 billion in 2003 (Table 17). The Russian Federation is not shown in Figure 22 because the requirements and funding gaps for 2004 and 2005, as estimated in their 5-year plan, are large enough to distort the analysis for the other 21 HBCs. The 5-year plan (2003--7) indicates that total resources required for the country are more than US$ 400 million per year, and the funding gap will be around US$ 200 million in each year. For the 21 HBCs besides the Russian Federation, about 70% of the total resources required each year are met by governments, through either regular domestic budgets or loans. A further 10% of resources required comes from grants, of which about two-thirds are from the GFATM.
This leaves a possible funding gap equivalent to about 20% of total requirements in 2004 and 2005. Of this shortfall, most is accounted for by countries that need to make major strides in case detection, and which have not yet identified sufficient funding to fully meet their needs. Countries that have received some funds from the GFATM, but still have funding gaps, include Zimbabwe, Nigeria, Pakistan, Ethiopia and China. Countries with smaller absolute funding gaps, but gaps that are large relative to their total resource requirements, include Afghanistan, Kenya, Tanzania and Cambodia.
NTP budgets and funding gaps in other countries
In total, 99 countries provided information about their NTP budget requirements for fiscal year 2003. However, the quality of the data was variable, and uncertainties have not yet been resolved by further consultation with NTPs. A detailed analysis was not, therefore, carried out for this report. A summary table that provides the 2003 NTP budgets and funding gaps for all reporting countries can be found at www.who.int/gtb/publications/globrep/