04230nam a22001817a 4500003000900000005001700009008004100026020001800067040000800085050002400093110003000117245008800147260004500235300003100280505367300311650003603984650002804020KENaKMTC20230322073119.0230322b ||||| |||| 00| 0 eng d a9789241563802 cDLC aRA644.T7b.W67 2009 aWorld Health Organization aGlobal tuberculosis control : bepidemiology, strategy, financing : WHO report 2009 aGenevabWorld Health Organizationcc2009 a vii, 303p.:bill.;c30cm. a Acknowledgments v Abbreviations vii Key points 1 (4) Introduction 5 (1) Epidemiology 6 (28) Goals, targets and indicators for TB control 6 (1) TB incidence, prevalence and mortality 7 (9) Incidence 7 (5) Prevalence 12 (1) Mortality 12 (2) Summary of progress towards MDG and Stop TB Partnership impact targets 14 (2) Improving measurement of progress towards the 2015 impact targets: the WHO Global Task Force on TB Impact Measurement 16 (6) Measurement of incidence 16 (3) Measurement of prevalence 19 (1) Measurement of mortality 20 (1) Status of impact measurement in HBCs at the end of 2008 20 (2) Case notifications 22 (1) Total case notifications 22 (1) Case notifications disaggregated by sex 22 (1) Case detection rates 23 (4) Case detection rate, all sources (DOTS and non-DOTS programmes) 23 (3) Case detection rate, DOTS programmes 26 (1) Outcomes of treatment in DOTS programmes 27 (3) New smear-positive cases 27 (2) Re-treatment cases 29 (1) Comparison of treatment outcomes in HIV-positive and HIV-negative TB patients 30 (1) Progress towards reaching targets for case detection and treatment success 30 (2) Summary 32 (2) Strategy 34 (26) Data reported to WHO in 2008 35 (1) DOTS expansion and enhancement 35 (8) DOTS coverage and numbers of patients treated 35 (2) Political commitment 37 (1) Early case detection through quality-assured bacterology 37 (3) Standardized treatment with supervision, and patient support 40 (1) Drug supply and management system 41 (1) Monitoring and evaluation 41 (2) Address TB/HIV, MDR-TB, and the needs of poor and vulnerable populations 43 (11) Collaborative TB/HIV activities 43 (6) Diagnosis and treatment of MDR-TB 49 (5) Poor and vulnerable populations 54 (1) Contribute to health system strengthening based on primary health care 54 (3) Integration in primary health care 54 (1) Alignment with broader planning and financing frameworks 55 (1) Human resource development 55 (1) Infection control 55 (1) Practical Approach to Lung Health 56 (1) Engage all care providers 57 (1) Public-private mix approaches 57 (1) International Standards for Tuberculosis Care 58 (1) Empower people with TB, and communities through partnership 58 (1) Advocacy, communication and social mobilization 58 (1) Community participation in TB care 58 (1) Patients' Charter for Tuberculosis Care 58 (1) Enable and promote research 58 (1) Summary 59 (1) Financing 60 (18) Data reported to WHO in 2008 60 (1) NTP budgets, available funding and funding gaps 60 (4) High-burden countries 60 (3) All countries 63 (1) Total costs of TB control 64 (5) High-burden countries 64 (3) All countries 67 (2) Comparisons with the Global Plan 69 (2) High-burden countries 69 (1) All countries 69 (2) Budgets and costs per patient 71 (1) Expenditures compared with available funding and changes in the number of patients treated 72 (2) Global Fund financing 74 (1) High-burden countries 74 (1) All countries 74 (1) Funding gaps and the global financial crisis 75 (2) Summary 77 (1) Conclusions 78 (1) Annex 1. Profiles of high-burden countries 79 (92) Annex 2. Methods 171 (16) Data collection and verification - an overview 173 (1) Epidemiology and surveillance 174 (6) Implementation of the Stop TB Strategy 180 (1) Financing 181 (6) Annex 3. The Stop TB Strategy, case reports, treatment outcomes and estimates of TB burden 187 (114) Explanatory notes 188 (3) Summary by WHO region 191 (6) Africa 197 (20) The Americas 217 (20) Eastern Mediterranean 237 (12) Europe 249 (20) South-East Asia 269 (12) Western Pacific 281 (20) Annex 4. Surveys of tuberculosis disease and availability of death registration data at WHO, by country and year 301  aOutcome Assessment, Health Care aTuberculosis Prevention