ArticleIJTLD open2024
Commitment, partnerships and operational research: three priorities for 11 EMR countries to achieve TB elimination.
Article in IJTLD open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Ending the TB Crisis in Low- and Middle-Income Countries of the Eastern Mediterranean Region-Overcoming Inaction Through Strategical Leaps.Tropical medicine and infectious disease · 2025Article
- Review
- Article
- Introducing a new series in IJTLD OPEN 'Ending the TB epidemic'.IJTLD open · 2025Article
- Progress in programmatic management of drug-resistant TB, WHO Eastern Mediterranean Region, 2018-2023.IJTLD open · 2024Article
- Launch ofIJTLD open · 2024Article
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Authors and funding
8 authors.
Funding
Abstract
backgroundIn 2022, 11 of 22 Member States of the WHO Eastern Mediterranean Region (EMR) had an estimated TB incidence of <20 cases per 100,000 population. We assessed preparedness for elimination and provided recommendations to pursue the process.
methodsWe surveyed 11 EMR national TB programme managers and collected information on eight TB elimination framework domains using a close-ended data collection tool. We compiled, consolidated and validated data, including a virtual consultation before triangulating data with other sources.
resultsImplementation was sufficient (≥74%) for 5 of 8 domains, highest for TB infection management, TB preventive treatment, laboratory service, drug management, drug-resistant TB and TB-HIV collaboration (89%, 83% and 78%, respectively). Countries ranked lowest for commitment (73%), operational research and infection control (63%), and partnership/collaborations (41%). Five countries reached >80% when consolidating the responses, reaching sufficient from all domains. Two reached <50%.
conclusionKey identified obstacles to TB elimination in EMR were insufficient commitment/financing, sub-optimal partnerships/collaborations and operational research calling for 1) all-stakeholder-inclusive, sustainably funded TB elimination plans, 2) cost-effective tools to exchange strategic information and build operational research capacity, and 3) improved collaboration.
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