Tuberculosis (TB)

WHO report 2008
Global tuberculosis control

Chapter 2 Implementing the Stop TB Strategy

The Stop TB Strategy, launched by WHO in 2006, sets out the interventions that need to be implemented to achieve the MDG, Stop TB Partnership and World Health Assembly targets discussed in Chapter 1. The Global Plan to Stop TB, launched by the Stop TB Partnership in 2006, describes how, and at what scale, the strategy should be implemented over the decade 2006–2015 (see also Chapter 1). To monitor implementation of the strategy, WHO has asked countries to report on the implementation of TB control activities according to the strategy’s major components and subcomponents (Tables Table 2.1 and Table 2.2) since 2006. In the 2007 round of data collection, countries were asked to report on activities implemented in 2006 and on activities planned for 2007 (see Annex 2 for details on methods). In a few cases, data for 2008 were also requested.

This chapter summarizes the major findings and, wherever possible, presents these alongside comparable data reported in previous years to illustrate trends over time. It is structured in seven major sections. The first provides an overview of the completeness of reporting for each component of the Stop TB Strategy. The next six sections present results for the six major components of the Stop TB Strategy, as follows:

  • DOTS expansion and enhancement. This section starts with an overview of DOTS implementation, including the number of countries in which DOTS is implemented, DOTS population coverage and the number of patients treated in DOTS programmes. It then discusses political commitment, case detection through quality-assured bacteriology, standardized treatment with supervision and patient support, drug supply and management systems, and monitoring and evaluation including impact measurement.
  • TB/HIV, MDR-TB and other challenges. This section analyses the implementation of collaborative TB/HIV activities, the provision of diagnosis and treatment for cases of MDR-TB, TB control activities for prisoners, refugees and other high-risk groups, and TB control activities in special situations such as humanitarian emergencies.
  • Health system strengthening. This section covers how the diagnosis of TB and treatment of TB patients are integrated into primary health care services, human resource development (HRD), and the links between planning for TB control and planning for the health sector and public sector as a whole. It also covers implementation of the Practical Approach to Lung Health (PAL).
  • Engaging all care providers. This section provides information on the implementation of public–private and public–public mix (PPM) approaches to TB control, including the use of the International Standards for Tuberculosis Care (ISTC).
  • Empowering people with TB, and communities. This section assesses advocacy, communication and social mobilization (ACSM) activities, community participation in TB care and adoption of the Patients’ Charter;
  • Enabling and promoting research. This section summarizes operational research activities.

Further details about the implementation of all major components and subcomponents of the Stop TB Strategy are provided for each of the 22 HBCs in Annex 1.