1. 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

2. 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

3. 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

4. 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