Join the campaign to #StepUpforTB

Dear Minister of Health,
I am writing to ask that you upgrade national TB policies and practices in order to meet international standards, including testing and treatment of TB and its drug-resistant forms.

I support the call for all countries to update their TB policies by World TB Day 2018.

Step Up For TB

Tuberculosis, the world’s deadliest infectious disease, kills 1.8 million people a year. That’s one person every 18 seconds.

TB can be prevented, treated and cured. The latest molecular diagnostic tests can quickly and accurately diagnose TB. New medicines and regimens have revolutionized treatment. But many countries are using outdated policies, practices, and tools.

How does your country’s TB programme stack up? The Out of Step report by Stop TB Partnership and Médecins Sans Frontiéres (MSF) shows that many countries need to bring their testing and treatment practices up to date.

The Step Up for TB campaign calls upon governments to urgently update their practices in line with international guidelines by World TB Day 2018.

The clock is ticking. You can help.

Who Stepped Up For TB

Facts
About
TB

Each Year
10.4 Milion New Cases
1.8 Milion Deaths
Each Day
26,000New Cases
4,900 Deaths
403 Missed

#Stepupfortb Share the message

I asked my government to #StepUpforTB & update national TB policies & practices within 500 days. Join the campaign! www.stepupfortb.org

How does your country’s #TB program stack up against the latest science, best practices & guidelines? @StopTB www.stepupfortb.org

Phumeza Tisile, South Africa

"The machines that can detect DR-TB in hours should be available world-wide so that everyone might have a chance of cure, in my case it took three weeks to get the TB results, by then I was so weak that I had to be hospitalized"

Safar Naimov, Tajikistan

"Many countries are using outdated medicines and regimens with terrible side effects - vomiting, headaches, depression and confusion. Many face barriers to accessing testing and treatment – stigma, discrimination, poverty, and lack of knowledge. While I was cured, I lost several family members to MDR-TB"

Deepti Chavan, India

"Can you imagine how DR-TB patients consume 15-20 pills per day for 2 years? We need shorter and safer drug regimens. People are dying of curable disease isn't that a reason enough to Step Up for TB"

Endalkachew Fekadu, Ethiopia

"The MDR-TB drugs were difficult to import and weren’t registered with drug administration. But after raising our voices, I got the medicine I needed and they are now widely available"

TB Policies Snapshot

The map below shows the status of five key policies in the 24 countries surveyed in the Out of Step report 2015.

Key Points : - Yes - No

Xpert MTB/RIF is the recommended initial diagnostic test for all persons to be evaluated for TB

Afghanistan, Armenia, Belarus, Brazil, Cambodia, China, DRC, Georgia, India, Indonesia, Kenya, Kyrgyztan, Mozambique, Nigeria, Pakistan, PNG, Russian Federation, South Africa, Swaziland, Tajikistan, Ukraine, Uzbekistan, Viet Nam, Zimbabwe

DS-TB treatment can be started at the primary health care level

Afghanistan, Armenia, Belarus, Brazil, Cambodia, China, DRC, Georgia, India, Indonesia, Kenya, Kyrgyztan, Mozambique, Nigeria, Pakistan, PNG, Russian Federation, South Africa, Swaziland, Tajikistan, Ukraine, Uzbekistan, Viet Nam, Zimbabwe

A process for accelerated registration of DR-TB drugs is in place

Afghanistan, Armenia, Belarus, Brazil, Cambodia, China, DRC, Georgia, India, Indonesia, Kenya, Kyrgyztan, Mozambique, Nigeria, Pakistan, PNG, Russian Federation, South Africa, Swaziland, Tajikistan, Ukraine, Uzbekistan, Viet Nam, Zimbabwe

National guidelines for treatment of children reflect WHO guidelines and new formulations

Afghanistan, Armenia, Belarus, Brazil, Cambodia, China, DRC, Georgia, India, Indonesia, Kenya, Kyrgyztan, Mozambique, Nigeria, Pakistan, PNG, Russian Federation, South Africa, Swaziland, Tajikistan, Ukraine, Uzbekistan, Viet Nam, Zimbabwe

There are national guidelines in place on the use of bedaquiline

Afghanistan, Armenia, Belarus, Brazil, Cambodia, China, DRC, Georgia, India, Indonesia, Kenya, Kyrgyztan, Mozambique, Nigeria, Pakistan, PNG, Russian Federation, South Africa, Swaziland, Tajikistan, Ukraine, Uzbekistan, Viet Nam, Zimbabwe

Closing the gaps in TB and DR TB testing and treatment - Download a map of key indicators in top 100 TB-incident countries.

Out of Step Report

In 2015, the Stop TB Partnership and MSF published the survey on the status of the adoption of the latest TB policies by countries. The results show that many countries need to take bold steps to bring their policies up to date with the latest international standards.

Download
Out of Step Report 2014
2014 Report
Download
Out of Step Report 2015
2015 Report
Out of Step Report 2015