Stop TB Partnership

Out of Step - A survey of prevention, testing and treatment policies and practices

Although it can be prevented and successfully treated, tuberculosis (TB) is the world’s deadliest infectious disease: in 2015, 1.8 million people died from it. While there have been substantial and important innovations in the fight against TB, including faster, more accurate diagnostic tests and the first new medicines in nearly 50 years, deadly gaps remain in implementing and providing access to these advances. Outdated policies, practices and tools are key barriers to turning around the TB epidemic.

Adopting and implementing internationally recognised TB policies and guidelines from the World Health Organization (WHO) is fundamental to ending TB by 2030. But the Out of Step 2017 report reveals that many countries still lag behind in ensuring full implementation of the WHO guidelines and policies that are proven to reduce TB incidence and death.

Out of Step includes the results of a 29-country survey on national TB policies and practices. The report was created to identify gaps in implementation and monitor progress towards ending TB.

While countries have made progress since the 2015 Out of Step report, much more work needs to be done to make sure that these policies are fully implemented across all communities, so that they will make a real difference to people affected by TB.

In 2015, the Stop TB Partnership and Médecins Sans Frontières (MSF) published the Out of Step survey of TB treatment and diagnostic policies and practices in 24 countries. The 2017 edition is now available and covers 29 countries.

Out of Step 2017

Out of Step 2015 (English)

Out of Step 2015 (Russian)

About Out of Step in Eastern Europe and Central Asia (EECA)

Out of Step in EECA is a regional adaptation the Out of Step 2017 report that focuses on TB diagnosis and treatment challenges in Eastern Europe and Central Asia (EECA).

Out of Step in EECA 2017 (English)

Out of Step in EECA 2017 (Russian)

The #StepUpforTB campaign is calling upon governments to urgently update their key policies and practices in line with the WHO’s latest guidelines by World TB Day 2018. Join now!