| Meets UN diagnosis and treatment targets4 | Drug sensitive TB | Needs improvement |
|---|---|---|
| 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 |
Needs improvement | |
| SDG 3.8.2 Catastrophic health expenditure7 |
Needs improvement | |
| SDG 3.8.1 UHC service coverage score8 |
Needs improvement | |
| 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 | Approaching target | |
| SDG 3.9 Air pollution12 |
Needs improvement | |
| Political will | High13 | |
Disease Burden
20171
Number of cases per 100,000 population: 219
Percentage of global burden: 4.2
Number of people who fell ill: 481,000
Of those who fell ill, % not diagnosed or notified: 75
TB deaths: 155,000
TB Financing
20182
National TB budget: USD 409 million
Funded: 24%
United NationsTargets
(Number of cases, cumulative 2018–2022)3
Diagnosis and treatment: 1,179,600
MDR: 57,000
Prevention: 2,367,600
Child TB: 118,000
Recommendations
- Develop and publish a clear plan outlining how the govern- ment will deliver its share of the global targets agreed to in the Political Declaration from the United Nations High-Level Meeting on TB. 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 24% funded).
- Secure family-centered TB services for all those at risk for TB, including people living with HIV, guaranteeing access to TB treatment and preventive services for everyone, especially key populations in remote areas.
- Support community systems for TB and HIV care, while also increasing capacity for drug-susceptibility testing, antiretroviral therapy and preventive therapy coverage.
- Boost domestic resource mobilization by increasing the distribution of public resources to health, pooling financing, and allocating tax revenues to health. In Nigeria, implementing such strategies can enable a six-fold increase in domestic TB expenditure between now and 2023.
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.