Health Ministers of South-East Asia Region commit to renew efforts to end TB

New Delhi [India], October 26 : The Ministers of Health of countries in WHO South-East Asia Region on Tuesday committed to renew and accelerate efforts to end tuberculosis, in view of the pandemic disrupting services and leading to increase in TB cases in the already high-burden Region.
"Despite being preventable and treatable, TB kills more than a million people every year, almost half of them in the WHO South East-Asia Region. We must intensify effort towards ending TB," said Dr Tedros Adhanom, Director-General, WHO, addressing a High-Level Meeting for Renewed TB Response.
Inaugurating the meeting, Dr Poonam Khetrapal Singh, Regional Director, WHO South-East Asia Region, said, "Immediate steps are needed to scale-up preventive, diagnostic and treatment services for TB, and significantly bolster social protection measures while specifically addressing undernutrition among the vulnerable populations."
At the day-long meeting held virtually, the Ministers of Health signed on a 'Ministerial Statement of Commitment' unanimously committing to actualize and intensify essential interventions. The meeting was organized by ministries of health of India, Indonesia, and Nepal and WHO South-East Asia Regional Office.
The Ministers committed to multi-sectoral and whole of society approach to end TB with national programs led by the highest possible political level, and closely monitored for targets.
They agreed to increase budgetary and human resource allocations including upfront investments required to catch-up on lost ground during the COVID-19 pandemic. It is estimated that US$ 3 billion may be needed annually to implement a comprehensive set of interventions required to end TB in the Region.
The Ministerial statement called for ensuring the highest attainable standards of rights-based, stigma-free, quality-assured, and people-centric services. It emphasized that preventive, diagnostic, treatment, rehabilitative, and palliative care, should be accessible to all including migrants, prisoners, children, the aged, and other high-risk populations such as people with TB/HIV co-infections.
The statement called for increasing outreach of care by strengthening services at all possible health centers and use of innovative care and delivery approaches such as digital health and efficient use of technology to reach the unreached.
The Ministers of Health committed to mainstream social and financial protection along with TB care services. Poverty and undernutrition are among the biggest contributor to TB disease. Systematic provision of socioeconomic support, adapted to the country context, to the patient and family are essential and more relevant in the COVID-19 era, the statement said.
It called for social support to TB patients and their families from the time of development of symptoms, to diagnosis till the successful treatment completion and in some case beyond treatment to address the sequelae, to achieve the goal of eliminating catastrophic financial losses.
The Ministerial statement emphasized on empowerment and engagement of community and civil society representatives in planning, monitoring, organizing and providing for such support to ensure a people-centered response.
The Regional Director said, "While we continue to work together to mobilize political and financial commitment, we will also continue to provide rapid and relevant guidance and technical assistance to all countries in the Region."
"Together, let us renew and reinvigorate our commitment to End TB, for a fairer, healthier, more health-secure and sustainable Region and world for all," Dr Khetrapal Singh said.
Representatives of partner agencies - Global Fund, Stop TB Partnership, JICA, ADB, World Bank, US Embassy, among others, participated in the meeting.