Improving Global Health: Planning For Tuberculosis Control Activities For The Next Decade

Improving Global Health

Dermot Maher, Chris Dye, Katherine Floyd, Andrea Pantoja, Knut Lonnroth, Alasdair Reid, Eva Nathanson, Thad Pennas, Uli Fruth, Jane Cunningham, Heather Ignatius, Mario C Raviglione,

The Global Plan to Stop TB 2006-2015 provides guidelines for policy makers and national program managers. It outlines the key interventions needed to achieve the Millennium Develop Goals ment (MDGs) for tuberculosis (TB), which is to halve the prevalence and mortality of tuberculosis (TB) between 1990 and 2015 and save 14 million Of lives. Developed by a large group of partners, the plan proposes a strategy model that combines interventions that are easy to implement on the ground. The main areas of work envisaged are: the scaling up of tuberculosis control interventions, the promotion of research and development work on diagnostic tools,

Scenarios have been developed to assist the planning process: they consider problems on a global scale and in seven epidemiological regions. These scenarios are based on ambitious but realistic assumptions about the pace of scaling up and the development of business coverage. A mathematical model was used to assess the impact of scaling up on-going interventions from s study data  from experience in a variety of TB control contexts.

The cost estimates for the activities under the Global Plan correspond to the implementation of interventions and the research and development of improved drugs, diagnostic tools and vaccines; They amount to US $ 56 billion over 10 years. Once converted to disability-adjusted life-years (DALY), these figures favorably compare with those of other public health interventions. This global tuberculosis control planning strategy is a useful example of a development agenda for global health improvement that is relevant to other health problems.

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