Commitment, partnerships and operational research: three priorities for 11 EMR countries to achieve TB elimination
BACKGROUND: In 2022, 11 of 22 Member States of the WHO Eastern Mediterranean Region (EMR) had an estimated TB incidence of <20 cases per 100,000 population. We assessed preparedness for elimination and provided recommendations to pursue the process. METHODS: We surveyed 11 EMR national TB program...
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International Union Against Tuberculosis and Lung Disease (The Union)
2024-01-01
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| Series: | IJTLD Open |
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| Online Access: | https://www.ingentaconnect.com/contentone/iuatld/ijtldo/2024/00000001/00000001/art00009 |
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| author | M. van den Boom K. Bennani G. B. Migliori L. D’Ambrosio R. Centis A. Parvez Sayed H. Y. Atta Y. Hutin |
| author_facet | M. van den Boom K. Bennani G. B. Migliori L. D’Ambrosio R. Centis A. Parvez Sayed H. Y. Atta Y. Hutin |
| author_sort | M. van den Boom |
| collection | DOAJ |
| description | BACKGROUND: In 2022, 11 of 22 Member States of the WHO Eastern Mediterranean Region (EMR) had an estimated TB incidence of <20 cases per 100,000 population. We assessed preparedness for elimination and provided recommendations to pursue the process. METHODS: We surveyed 11 EMR national TB programme managers and collected information on eight TB elimination framework domains using a close-ended data collection tool. We compiled, consolidated and validated data, including a virtual consultation before triangulating data with other sources. RESULTS: Implementation was sufficient (≥74%) for 5 of 8 domains, highest for TB infection management, TB preventive treatment, laboratory service, drug management, drug-resistant TB and TB-HIV collaboration (89%, 83% and 78%, respectively). Countries ranked lowest for commitment (73%), operational research and infection control (63%), and partnership/collaborations (41%). Five countries reached >80% when consolidating the responses, reaching sufficient from all domains. Two reached <50%. CONCLUSION: Key identified obstacles to TB elimination in EMR were insufficient commitment/financing, sub-optimal partnerships/collaborations and operational research calling for 1) all-stakeholder-inclusive, sustainably funded TB elimination plans, 2) cost-effective tools to exchange strategic information and build operational research capacity, and 3) improved collaboration. |
| format | Article |
| id | doaj-art-09a50d2daf2b46e08ade7003e3492ebe |
| institution | Kabale University |
| issn | 3005-7590 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | International Union Against Tuberculosis and Lung Disease (The Union) |
| record_format | Article |
| series | IJTLD Open |
| spelling | doaj-art-09a50d2daf2b46e08ade7003e3492ebe2025-01-21T09:59:34ZengInternational Union Against Tuberculosis and Lung Disease (The Union)IJTLD Open3005-75902024-01-0111505510.5588/ijtldopen.23.04709Commitment, partnerships and operational research: three priorities for 11 EMR countries to achieve TB eliminationM. van den Boom0K. Bennani1G. B. Migliori2L. D’Ambrosio3R. Centis4A. Parvez Sayed5H. Y. Atta6Y. Hutin7World Health Organization, Regional Office for the Eastern Mediterranean Region, Cairo, Egypt;World Health Organization, Regional Office for the Eastern Mediterranean Region, Cairo, Egypt;Servizio di Epidemiologia Clinica delle Malattie Respiratorie, Istituti Clinici Scientifici Maugeri, Istituto di Ricovero e Cura a Carattere Scientifico, Tradate, Italy;Public Health Consulting Group, Lugano, SwitzerlandServizio di Epidemiologia Clinica delle Malattie Respiratorie, Istituti Clinici Scientifici Maugeri, Istituto di Ricovero e Cura a Carattere Scientifico, Tradate, Italy;World Health Organization, Regional Office for the Eastern Mediterranean Region, Cairo, Egypt;World Health Organization, Regional Office for the Eastern Mediterranean Region, Cairo, Egypt;World Health Organization, Regional Office for the Eastern Mediterranean Region, Cairo, Egypt;BACKGROUND: In 2022, 11 of 22 Member States of the WHO Eastern Mediterranean Region (EMR) had an estimated TB incidence of <20 cases per 100,000 population. We assessed preparedness for elimination and provided recommendations to pursue the process. METHODS: We surveyed 11 EMR national TB programme managers and collected information on eight TB elimination framework domains using a close-ended data collection tool. We compiled, consolidated and validated data, including a virtual consultation before triangulating data with other sources. RESULTS: Implementation was sufficient (≥74%) for 5 of 8 domains, highest for TB infection management, TB preventive treatment, laboratory service, drug management, drug-resistant TB and TB-HIV collaboration (89%, 83% and 78%, respectively). Countries ranked lowest for commitment (73%), operational research and infection control (63%), and partnership/collaborations (41%). Five countries reached >80% when consolidating the responses, reaching sufficient from all domains. Two reached <50%. CONCLUSION: Key identified obstacles to TB elimination in EMR were insufficient commitment/financing, sub-optimal partnerships/collaborations and operational research calling for 1) all-stakeholder-inclusive, sustainably funded TB elimination plans, 2) cost-effective tools to exchange strategic information and build operational research capacity, and 3) improved collaboration.https://www.ingentaconnect.com/contentone/iuatld/ijtldo/2024/00000001/00000001/art00009tbtb eliminationtb elimination preparedness assessment |
| spellingShingle | M. van den Boom K. Bennani G. B. Migliori L. D’Ambrosio R. Centis A. Parvez Sayed H. Y. Atta Y. Hutin Commitment, partnerships and operational research: three priorities for 11 EMR countries to achieve TB elimination IJTLD Open tb tb elimination tb elimination preparedness assessment |
| title | Commitment, partnerships and operational research: three priorities for 11 EMR countries to achieve TB elimination |
| title_full | Commitment, partnerships and operational research: three priorities for 11 EMR countries to achieve TB elimination |
| title_fullStr | Commitment, partnerships and operational research: three priorities for 11 EMR countries to achieve TB elimination |
| title_full_unstemmed | Commitment, partnerships and operational research: three priorities for 11 EMR countries to achieve TB elimination |
| title_short | Commitment, partnerships and operational research: three priorities for 11 EMR countries to achieve TB elimination |
| title_sort | commitment partnerships and operational research three priorities for 11 emr countries to achieve tb elimination |
| topic | tb tb elimination tb elimination preparedness assessment |
| url | https://www.ingentaconnect.com/contentone/iuatld/ijtldo/2024/00000001/00000001/art00009 |
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