UN Millennium Development Library: Investing in Strategies to Reverse the Global Incidence of TB

* One of 14 publications comprising the official UN strategy on how to reduce extreme poverty and achieve the fundamental worldwide human development goals for the coming decade

The Millennium Development Goals, adopted at the UN Millennium Summit in 2000, are the world's targets for dramatically reducing extreme poverty in its many dimensions by 2015 income poverty, hunger, disease, exclusion, lack of infrastructure and shelter while promoting gender equality, education, health and environmental sustainability. These bold goals can be met in all parts of the world if nations follow through on their commitments to work together to meet them. Achieving the Millennium Development Goals offers the prospect of a more secure, just, and prosperous world for all. The UN Millennium Project was commissioned by United Nations Secretary-General Kofi Annan to develop a practical plan of action to meet the Millennium Development Goals. As an independent advisory body directed by Professor Jeffrey D. Sachs, the UN Millennium Project submitted its recommendations to the UN Secretary General in January 2005. The core of the UN Millennium Project's work has been carried out by 10 thematic Task Forces comprising more than 250 experts from around the world, including scientists, development practitioners, parliamentarians, policymakers, and representatives from civil society, UN agencies, the World Bank, the IMF, and the private sector. This report lays out the recommendations of the UN Millennium Project Task Force 5 Working Group on TB. The Working Group's recommendations include expanding access to DOTS programs, implementing efforts against HIV-related TB and multidrug-resistant (MDR) TB, engaging all primary care providers and communities in high quality TB care, and developing new diagnostics, drugs and vaccines. These bold yet practical approaches will enable countries in every region of the world to halve the prevalence of TB by 2015.

The emergency of tuberculosis * The DOTS strategy to control tuberculosis * The need for modern tools: diagnostics, drugs, and vaccines * The Millennium Development Goals * The UN Millennium Project Working Group on TB and the Stop TB Partnership * The global tuberculosis epidemic and tuberculosis control * Global achievements * Overview of the tuberculosis epidemic * Overview of global tuberculosis control * Tuberculosis and HIV * Multidrug-resistant tuberculosis * Summary findings and conclusions * Poverty, gender, children, and tuberculosis * Poverty fosters tuberculosis * Tuberculosis fosters poverty * Tuberculosis and gender * Tuberculosis and children * Moving forward to achieve the Millennium Development Goals target for tuberculosis * Key intersections with other UN Millennium Project task forces * Solutions to constraints to improved tuberculosis control * Recommendation 1: ensure access for all to high-quality tuberculosis care * Recommendation 2: address the TB/HIV emergency now * Recommendation 3: engage all primary care providers in high-quality TB care * Recommendation 4: partner with communities to stop tuberculosis * Recommendation 5: stop the spread of multidrug-resistant tuberculosis * Recommendation 6: accelerate the development of critically needed new tools * Recommendation 7: support the Global Plan to Stop TB * Financing needs * Why more resources are needed * Estimate of general health system requirements * Recommendations * Meeting the target in UN Millennium Project pilot countries * UN Millennium Project pilot country case studies * Meeting the tuberculosis target in Kenya * Meeting the tuberculosis target in other UN Millennium Project pilot countries: Cambodia, the Dominican Republic, and Ethiopia * Appendices *

The Millennium Project was commissioned by the UN Secretary-General and sponsored by the UN Development Group, which is chaired by the Administrator of the United Nations Development Programme. The report is an independent publication that reflects the views of the members of the Task Force on HIV/AIDS, Malaria, TB, and access to Essential Medicines, Working Group on TB, who contributed in their personal capacity.