Bangladesh

Report Card
Meets UN diagnosis and treatment targets4 Drug sensitive TB Approaching target
Multi-drug resistant TB Needs improvement
Children with TB Needs improvement
Provides universal health coverage and health equity National public-sector financing5 Needs improvement
SDG 1.3
Social protection system6
Approaching target
SDG 3.8.2
Catastrophic health expenditure7
On target
SDG 3.8.1
UHC service coverage score8
Approaching target
Addresses multi-sectoral drivers of TB SDG 2.1
Prevalence of under-
nourishment9
Approaching target
SDG 3.3
ART access for HIV+ patients10
Needs improvement
Tobacco taxation11 On target
SDG 3.9
Air pollution12
Needs improvement
Political will Low13

Disease Burden

20171

Number of cases per 100,000 population: 221
Percentage of global burden: 3.6
Number of people who fell ill: 364,000
Of those who fell ill, % not diagnosed or notified: 33
TB deaths: 60,000

TB Financing

20182

National TB budget: USD 66 million
Funded: 69%

United Nations Targets

(Number of cases, cumulative 2018–2022)3

Diagnosis and treatment: 1,534,500
MDR: 17,133
Prevention: 969,300
Child TB: 110,000

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Recommendations

  • Develop and publish a clear plan outlining how the government will deliver its share of the global targets agreed to in the Political Declaration from the United Nations High-Level Meeting on TB and establish a cross-governmental working group to monitor and evaluate progress made against those targets. This means fully funding the National TB budget (currently only 69% funded).
  • Scale up access to TB services for all those seeking TB services by optimizing engagement of private sector providers and guaranteeing universal access to drug susceptibility testing and second-line TB drugs.
  • Scale up health insurance under universal health coverage in order to facilitate the provision of universal TB care.
  • Commit to fully funding the national TB program by increasing domestic expenditures on health, through prioritization and efficiency of tuberculosis services, improved allocation and pooling of heath sector. In Bangladesh, these strategies could achieve more than 500% increase in domestic TB expenditure over the next 5 years.

Endnotes

  • 1 WHO Global TB report (2018).
  • 2 WHO Global TB report (2018).
  • 3 STOP TB partnership (2018).
  • 4 Targets adapted from Global TB Caucus Country profiles (2018). Colors denote proportion of target population that will be reached by existing efforts, if current course maintained, as a fraction of projected targets outlined in 2018 High Level Meeting declaration, per country. Green, >90% towards annual target, Amber 60–90% towards annual, Red <60% off annual targets. For further info: from: https://www.globaltbcaucus.org/en-research.
  • 5 World Health Organization. The Abuja Declaration: Ten Years On. (2018). Green >15%, Amber 10-15%, Red <15%, proportion of health spending as proportion of total health spending.
  • 6 WHO Global TB report (2018). Green >60%, Amber 20–59%, Red <20% proportion of country population covered by social protection system.
  • 7 WHO (2018). Green >13%, Amber 6–13%, Red <6% proportion of population facing catastrophic health expenditures, data cover the period 2002–2015.
  • 8 WHO (2018). Green >70, Amber 46–69, Red <45. UData from WHO UHC Service Coverage Index are from 2015.
  • 9 WHO (2018). Measured as prevalence of under-nutrition in population. Green <5%, Amber 5–20%, Red >20%.
  • 10 WHO (2018). Measured as proportion of population with HIV that have access to ART. Green >80%, Amber 60–79%, Red <60%.
  • 11 WHO (2018). Green: taxes added onto a tobacco purchase >25 % of price of the most sold brand of cigarettes in a country. Amber: taxes added onto a tobacco purchase <25 % of price of the most sold brand of cigarettes in a country. Red: no taxes added or unknown.
  • 12 WHO (2018). Measured as concentrations of fine particulate matter [PM2.5]. Green <10 µg/m3, Amber 10–30 µg/m3 Red >30 µg/m3.
  • 13 Based on visible public statement made in the past year. High: Head of State or Government statement at High-Level Meeting on TB or platform of equal prominence; Moderate: Ministerial statement at High-Level Meeting on TB; Low: No record of public statement at high-level venue.