Current status – (1) Achievements Building strong political commitment New TB guidelines Detection Chemotherapy Laboratory TB surveillance – cohort analysis TB/HIV Cascade country-wide implementation of TB quarterly cohort analysis forms Expansion of the revised strategy Federal Programme Implementation of WB loan project GFATM project – application for the 4th round

Current status – (2) Constraints Challenges Inadequate capacities for management, training, supervision and monitoring Poor quality of TB laboratory system Lack of national guidelines on MDR TB management Insufficient TB surveillance, including MDR surveillance Insufficient coordination among health sectors Challenges Growing HIV/AIDS and MDR TB epidemic Expansion of the revised strategy Improvement of treatment outcome results Integration and sustainability

Priorities for intensified support Capacity building for supervision and monitoring Human resources development National policy development and sustainability Strengthening control of MDR TB and TB/HIV Assistance in expansion of the developed strategy Strengthening of laboratory

Lessons of partnership Common goals – common achievements The High Level Working Group and ICC have proved to be an effective mechanism – replicable model Partnership is essential to achieve and build up consensus and progress An open dialogue should be established with national authorities – top level commitment is necessary Joint development of plans, priorities and strategies Integration and cooperation of TB and HIV sectors