WHO report 2008
Global tuberculosis control
3.1 Data reported to WHO in 2007
Financial data were received from 156 out of 212 (74%) countries and territories (Table 3.1), similar to the number that reported data in 2006.1 Complete budget data for 2007 were provided by 94 countries (up from 87 for 2007 in last year’s report), 90 countries provided complete budget data for 2008, and 80 provided complete expenditure data for 2006 (compared with 83 that provided complete expenditure data for 2005). The countries that provided financial reports accounted for 99% of the regional burden of TB in four WHO regions, with lower figures of 93% and 88% for the African and European regions respectively. Overall, countries that reported financial data account for 97% of the global burden of TB.
Data were received from all 22 HBCs (Table 3.2). Complete budget data for 2007 were provided by 20 countries (the exceptions were Thailand and the United Republic of Tanzania), and complete budget data for 2008 were provided by 21 countries (the exception was Thailand). It is now five years since the NTP in Thailand reported complete budget data, reflecting a decentralized system in which financial data are not reported to or aggregated by the central unit of the NTP. For the past two years, the NTP in South Africa has demonstrated how this difficulty can be addressed. Until 2006, it also did not report financial data to WHO, as information was not reported to the central unit by any of the country’s nine provinces. In 2006, the NTP manager sent the WHO data collection form to each of the country’s nine provinces, allowing an aggregated report to be prepared. In 2007 this process was further strengthened, including via a planning and budgeting workshop at which provincial teams set out their plans and budget requirements for the period 2007–2011.
Complete expenditure data for 2006 were provided for 19 countries, with data missing for two African countries (Mozambique and Uganda) and Thailand. A total of 21 countries provided data on the utilization of health services and made projections of the number of patients who would be treated in 2007 and 2008.
Considerable clarification and verification of financial data by WHO are still required, but the quality of the data when first submitted continues to improve. This was especially the case for the African Region in 2007, probably facilitated by related work on planning and budgeting undertaken with 35 countries in the region in 2007 (see also section 3.4.3 below). Among HBCs, Brazil, the Democratic Republic of the Congo, Indonesia, Kenya, Myanmar and South Africa stood out as providing timely data that required almost no follow-up.
1 Global tuberculosis control: surveillance, planning and financing. Geneva, World Health Organization, 2007 (WHO/HTM/TB/2007.376).