Regional targets

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World Health Assembly targets: In 1991, all WHO member states adopted a World Health Assembly (WHA) resolution setting two targets for global TB control to be reached by 2000: to detect 70% of new smear-positive TB cases arising annually, and to successfully treat 85% of these cases. When it became apparent that the year 2000 targets would not be met on time, the WHA postponed the target date to 2005. Millennium Development Goal (MDG) targets and indicators for TB Control: Responding to the world's main development challenges, World leaders established in 2000 the Millennium Development Goals with targets and indicators for 2015. MDG number 6, namely: Combat HIV/AIDS, malaria and other diseases includes TB. The target is “To have halted by 2015 and begun to reverse the incidence of malaria and other major diseases”. Two related TB specific indicators were specified:

• Incidence, prevalence and death rates associated with tuberculosis

• Proportion of tuberculosis cases detected and cured under DOTS.

This is similar to the WHA and Stop TB Partnership targets Stop TB Partnership targets: To operationalise the WHA and the MDGs targets, the Stop TB Partnership defined a quantitative framework for measuring reduction in TB prevalence and death rates. In addition, the Stop TB Partnership committed to eliminate TB as a public health problem by 2050. Three targets were set, namely:

• At least 70% of people with sputum-smear positive TB will be diagnosed and at least 85% cured by 2005. These are similar to the targets set by the WHA.

• By 2015, the global burden of TB (per capita prevalence and death rates) will be reduced by 50% relative to 1990 levels.

• The global incidence of TB disease will be less than 1 case per million populations per year (definition for TB elimination) by 2050.

Target on Abuja declaration on HIV/AIDS,Tuberculosis and Other related Infectious Diseases In April 2001, African Heads of State and Government met in Abuja at a special summit of the Organization of African Unity (OAU) devoted specifically to address the exceptional challenges of HIV/AIDS, Tuberculosis (TB) and Other Related Infectious Diseases (ORID).

At the end of the summit, a declaration was adopted that pledged to allocate 15% of national budgets to the improvement of the health sector, and that allocate an adequate portion of this amount towards the fight against HIV/AIDS, TB and ORID. Target based on a declaration of TB as an Emergency in the African Region In August 2005, the 55th session of the Regional Committee of Ministers of Health of the WHO African Region declared TB an emergency in the Region and called for urgent and extra-ordinary actions to rapidly bring the TB epidemic under control. Among other actions, the resolution requested Member States to:

• develop and implement with immediate effect emergency strategies and plans to control the worsening tuberculosis epidemic;

• rapidly improve tuberculosis case detection and treatment success-rates; and

• accelerate implementation of interventions to combat the TB/HIV epidemic, including increased access to ARVs by doubly-infected patients; Universal Access (UA) to HIV/AIDS, Tuberculosis and Malaria services”

In May 2006, Heads of State and Government of the African Union, held a special summit on HIV/AIDS, Tuberculosis and Malaria, to review the status of implementation of Declarations and Frameworks for Action on the 2000 Abuja Summit on Roll Back Malaria, and the 2001 Abuja Summit on HIV/AIDS, TB and ORID. During the summit, the Heads of Sate and Government adopted the “Abuja Call for Accelerated Action towards Universal Access (UA) to HIV/AIDS, Tuberculosis and Malaria services” Targets based on a monitoring the UA Call The Third Session of the African Union Conference on Ministers of Health, held from 10-14 April 2007 in Johannesburg, South Africa, agreed on a Monitoring and Reporting Mechanism for the Implementation of the 2006 Abuja Commitments on HIV/AIDS, Tuberculosis and Malaria (ATM) services for the period 2007-2010 In addition to pursuing the WHA, MDG and Stop TB Partnership targets, the Call set the following Tuberculosis related specific targets to be achieved by a United Africa by 2010:

• 100% of TB patients have access to HIV Testing and counseling services

• 100% of eligible HIV positive TB patients access anti-retroviral treatment