South Africa

Report Card
Meets UN diagnosis and treatment targets4 Drug sensitive TB On target
Multi-drug resistant TB On target
Children with TB Approaching target
Provides universal health coverage and health equity National public-sector financing5 Approaching target
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
Approaching target
Tobacco taxation11 On target
SDG 3.9
Air pollution12
Approaching target
Political will High13

Disease Burden

20171

Number of cases per 100,000 population: 567
Percentage of global burden: 3.2
Number of people who fell ill: 320,000
Of those who fell ill, % not diagnosed or notified: 32
TB deaths: 78,000

TB Financing

20182

National TB budget: USD 271 million
Funded: 99%

United NationsTargets

(Number of cases, cumulative 2018–2022)3

Diagnosis and treatment: 1,023,800
MDR: 54,000
Prevention: 2,676,800
Child TB: 97,100

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Recommendations

  • Commit to fully funding the national TB program by increasing domestic expenditures on health to match investment to that proposed in the South Africa TB Investment case.
  • Reach populations at high risk for TB, especially people living with HIV.
  • Target people living with HIV for TB preventive therapy in tandem with active case-finding strategies.
  • Ensure patient- and family-centered services are available to all individuals who receive care for TB, guaranteeing that high quality diagnostics and treatment are available to all wherever they seek care. This is especially vital for people at risk for or suffering from Drug Resistant tuberculosis.
  • Establish independent, multisectoral accountability mechanisms to ensure that all Ministry of Health and regional TB programs are accountable for progress towards ending the TB epidemic.
  • Increase investment in TB R&D efforts in South Africa.

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.