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Review
. 2020 Mar 5;5(3):e002073.
doi: 10.1136/bmjgh-2019-002073. eCollection 2020.

Ending TB in Southeast Asia: current resources are not enough

Vineet Bhatia  1 , Rahul Srivastava  1 , K Srikanth Reddy  2 , Mukta Sharma  1 , Partha Pratim Mandal  1 , Natasha Chhabra  3 , Shubhi Jhalani  4 , Sandip Mandal  5 , Nimalan Arinaminpathy  6 , Tjandra Yoga Aditama  1 , Swarup Sarkar  7
Affiliations
Review

Ending TB in Southeast Asia: current resources are not enough

Vineet Bhatia et al. BMJ Glob Health. .

Abstract

The Southeast Asia Region continues to battle tuberculosis (TB) as one of its most severe health and development challenges. Unless there is a substantial increase in investments for TB prevention, diagnosis, care and treatment, there will be catastrophic effects for the region. The uncontrolled TB burden impacts socioeconomic development and increase of drug resistance in the region. Based on epidemiological inputs from a mathematical model, a costing analysis estimates that the desired targets of ending TB are achievable with additional interventions, and critical thresholds require an increase in spending by almost double the current levels. The data source for financial allocation to TB programmes is the report submitted by countries to WHO, while projections are based on modelling. The model accounts for funding needs for all strategies based on published data and accounts for programme and patient costs. This paper delineates the resource needs, availability and gaps of ending TB in the region. It is estimated that close to US$2 billion per year are needed in the region for TB-related activities for a meaningful bending of the incidence curve towards ending TB.

Keywords: end TB targets; resource needs; southeast Asia region; tuberculosis.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Resource gap for ending tuberculosis (TB) in Southeast Asia Region. DPR, Democratic People's Republic.
See this image and copyright information in PMC

References

    1. Nadda JP, Singh PK. New evidence of the tuberculosis burden in Asia demands national action. Lancet 2016;388:2217–9. 10.1016/S0140-6736(16)31853-0 - DOI - PubMed
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    1. WHO SEARO Ending TB: invest now or pay later, 2018.
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    1. IHME Findings from the global burden of disease study 2017. Seattle, WA: IHME, 2018.

MeSH terms