The Stop TB Strategy

NOTE FOR YOUR ATTENTION: The elements of the Stop TB Strategy have recently been updated and the updates are reflected on this page, but are not yet reflected in the pdfs available on this page for download.

Vision, goal, objectives and targets

Vision

A WORLD FREE OF TB

Goal

To dramatically reduce the global burden of TB by 2015 in line with the Millennium Development Goals and the Stop TB Partnership targets

Objectives

• Achieve universal access to high-quality diagnosis and patient-centred treatment
  
• Reduce the human suffering and socioeconomic burden associated with TB
  
• Protect poor and vulnerable populations from TB, TB/HIV and multidrug-resistant TB
  
• Support development of new tools and enable their timely and effective use
  

Targets

• MDG 6, Target 8: ...halted by 2015 and begun to reverse the incidence.....
• Targets linked to the MDGs and endorsed by the Stop TB Partnership:
  – by 2005: detect at least 70% of new sputum smear-positive TB cases and cure at least 85% of these cases
  – by 2015: reduce prevalence of and death due to TB by 50% relative to 1990
  – by 2050: eliminate TB as a public health problem (<1 case per million population)

Components of the Stop TB strategy

1. Pursue high-quality DOTS expansion and enhancement

• Secure political commitment, with adequate and sustained financing
• Ensure early case detection, and diagnosis through quality-assured bacteriology
• Provide standardized treatment with supervision, and patient support
• Ensure effective drug supply and management
• Monitor and evaluate performance and impact

2. Address TB-HIV, MDR-TB, and the needs of poor and vulnerable populations

• Scale-up collaborative TB/HIV activities
• Scale-up prevention and management of multidrug-resistant TB (MDR-TB)
• Address the needs of TB contacts, and of poor and vulnerable populations

3. Contribute to health system strengthening based on primary health care

• Help improve health policies, human resource development, financing, supplies, service delivery and information
• Strengthen infection control in health services, other congregate settings and households
• Upgrade laboratory networks, and implement the Practical Approach to Lung Health (PAL)
• Adapt successful approaches from other fields and sectors, and foster action on the social determinants of health

4. Engage all care providers

• Involve all public, voluntary, corporate and private providers through Public-Private Mix (PPM) approaches
• Promote use of the International Standards for Tuberculosis Care (ISTC)

5. Empower people with TB, and communities through partnership

• Pursue advocacy, communication and social mobilization
• Foster community participation in TB care
• Promote use of the Patients' Charter for Tuberculosis Care

6. Enable and promote research

• Conduct programme-based operational research, and introduce new tools into practice
• Advocate for and participate in research to develop new diagnostics, drugs and vaccines