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Ending TB in Southeast Asia: current resources are not enough
Vineet Bhatia1, Rahul Srivastava1, K Srikanth Reddy2
1Department of Communicable Diseases, World Health Organization Regional Office for South-East Asia, New Delhi, India.
BMJ Global Health
|March 24, 2020
Summary
Increased investment is crucial to combat tuberculosis (TB) in Southeast Asia. Doubling spending on TB prevention, diagnosis, and treatment is essential to achieve elimination goals and prevent severe health and economic consequences.
Area of Science:
- Public Health
- Epidemiology
- Health Economics
Background:
- Tuberculosis (TB) poses a severe health and development challenge in Southeast Asia.
- Uncontrolled TB burdens socioeconomic development and fuels drug resistance.
- Current investment levels are insufficient to meet TB elimination targets.
Purpose of the Study:
- To delineate resource needs, availability, and gaps for ending TB in Southeast Asia.
- To estimate the financial investment required to achieve TB elimination targets.
- To inform policy and funding decisions for TB control programs.
Main Methods:
- Utilized epidemiological inputs from a mathematical model.
- Conducted a costing analysis based on WHO country reports and published data.
- Accounted for program and patient costs in funding projections.
Main Results:
- Achieving TB elimination targets requires substantial increases in TB-related spending.
- An estimated US$2 billion annually is needed for TB activities in the region.
- Current spending levels need to nearly double to bend the TB incidence curve.
Conclusions:
- Substantial increases in investment are critical for TB prevention, diagnosis, and treatment in Southeast Asia.
- Failure to increase investment will have catastrophic socioeconomic effects.
- Targeted interventions and increased funding are achievable pathways to ending TB.
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