A Time of Commitments and Actions to accelerate action to End TB Dr Tereza Kasaeva Director

Current actions and investments are falling far short Tuberculosis is the top infectious killer in the world Current actions and investments are falling far short

The opportunity of the SDG era to end TB SDG Target 3.3 BY 2030 end the TB epidemic Vision: A world free of TB Zero TB deaths, Zero TB disease, and Zero TB suffering Goal: End the Global TB epidemic Accelerate scaled up use of current and new tools, pursue universal health coverage and social protection

Ending TB requires a multisectoral approach GOAL 1: SOCIAL PROTECTION WHEN ILL CROWDING, POOR VENTILATION SILICA, INDOOR AIR POLLUTION POOR LIVING AND WORKING CONDITIONS Environment CONDUCIVE ENVIRONMENT FOR TRANSMISSION FOOD INSECURITY MAL-NUTRITION Other diseases and risk behaviours UNHEALTHY BEHAVIOUR HIV/ AIDS NCDs (LUNG DISEASES, DIABETES, ALCOHOL, SMOKING) IMPAIRED HOST DEFENCE/SUSCEPTIBILITY GOAL 3: UHC: HIV, NCD, RISK FACTORS EXPOSURE LATENT INFECTION ACTIVE DISEASE SUFFERING, SURVIVE or DEATHS GOAL 3: UHC TB SERVICES TB CARE

High-level spotlight on ending TB 2017 2018 March 2018 A year of commitments and action to end TB. Multisectoral response the focus of the Ministerial conference in Moscow 26 September 2018

Moscow Declaration to End TB

Strategic Priorities in line with the GPW 5/23/2019 1 billion more people with health coverage lives improved more people made safer Strategic Priorities in line with the GPW 1 billion more people with health coverage Achieve universal access to TB prevention, treatment and care services Target: Reduce TB deaths by 50% by 2023 1 billion more people made safer Prevent TB as a public health threat and contribute to protecting populations from airborne infections Target: Increase coverage of treatment for MDR-TB to 80% of estimated incidence 1 billion lives improved Protect populations and vulnerable groups from the social and economic impacts of TB infection and disease. Target: Zero TB-affected families facing catastrophic costs due to TB

Joint Initiative Commitments→ Accountable actions World Health Organization, Stop TB Partnership, global fund....... Joint Initiative Commitments→ Accountable actions to accelerate access→ Measurable Progress Aim: To create an immediate push to urgently translate commitments into action, close the gaps in reaching the missing people with TB, WHO, Stop TB Partnership and Global Fund have launched a joint initiative.

JOINT INITIATIVE: Targets Between 2018 - 2022: At least 40 million people with TB reached with care, including 3.5 million children and 1.5 million people with drug-resistant TB Focus on 30 HBCs as priority

JOINT INITIATIVE: KEY ACTIONS Strengthen accountability Increase financing and Innovative financing collaborations Jointly define and endorse concrete and measurable country-specific targets Prioritize TB response and innovations for access and delivery Strengthen community leadership in the TB response Measure progress at all levels

PRIORITIES FOR ACTION TO END TB Ensure diagnosis and quality care for the “missed” people with TB Address MDR-TB as a crisis Increase financing to close resource gaps Intensify research and ensure rapid uptake of innovations Address TB within universal health coverage, social protection and poverty agendas Accelerate response to TB/HIV Strengthen engagement with the community and civil society Respect equity, ethics and human rights and address stigma We need the power of parliamentarians to: Secure highest level political commitment to implement our priorities for action Help countries translate commitments into action Advocate for multisectoral approaches in countries to end TB Strengthen collaboration and action by partners and stakeholders Build accountability.

Leadership and actions 5/23/2019 Leadership and actions Together We will End TB