A TB Strategy Toolkit for developing and strengthening national TB programmes in European Union and European Economic Area countries
PHE ePoster Library. Wurie F. Apr 9, 2019; 257500; 15395
Ms. Fatima Wurie
Ms. Fatima Wurie
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Abstract Although tuberculosis (TB) incidence has declined steadily across the EU and EEA, attributable in part to timely diagnosis and rapid treatment of infectious cases, a steeper rate of decline must be achieved if WHO targets for TB elimination by 2050 in low-incidence countries are to be attained. This implies a need for country-specific evidence-based TB control strategies.We developed, in close collaboration with ECDC and WHO, a TB Strategy Toolkit to assist national TB plan development or refinement in Europe by providing evidence on core components of a TB Action Plan or Strategy, and potential steps for implementation. The toolkit contains an evidence portfolio which draws on findings from an EU/EEA-wide survey of TB programme leads and two systematic reviews. We hosted an expert stakeholder meeting to support prioritisation of action areas, achieve consensus and develop recommendations to tackle specific barriers to strategy implementation.The survey had a 100% response rate, and it indicated substantial gaps in strategy development and implementation (14 of 31 member states lacked a TB control plan or strategy). Findings from a systematic review of reviews of effectiveness of TB interventions highlighted a need for more evidence to support expert opinion and country experience informing TB control policy. To contextualise gaps in TB control strategies findings from a systematic review of barriers to implementation of TB control options highlighted a variability of knowledge and adherence to clinical guidelines, need for specialist TB training in primary care, robust cross-border surveillance systems to monitor migrants' treatment outcomes and strengthened collaborations at different healthcare levels.Our findings support national level planning for TB control, resource allocation for locally-relevant solutions, stakeholder engagement, and mobilising high-level political commitment. Funding Funding support statement: The E-DETECT TB project was funded by the European Commission Consumers, Health, Agriculture and Food Executive Agency (grant number: 709624).
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