Step up for TB Policies.

Step Up for TB project

Tuberculosis (TB) remains one of the world’s major infectious killer-diseases, demanding urgent and coordinated action. While scientific advancements and global strategies have significantly improved TB prevention, diagnosis, and treatment, their impact depends on how effectively they are translated into national policies. 

Some high TB burden countries (HBC) still operate with outdated TB policies that do not reflect the latest international recommendations. This gap can result in delayed diagnosis, suboptimal treatment, and preventable deaths. Aligning national TB policies with evidence-based global guidelines ensures that people receive the best possible care, healthcare systems operate efficiently, and resources are used effectively. 

The Step Up for TB (SUFT) project is an initiative led by the Stop TB Partnership (STBP) that tracks the adoption of evidence-based TB policies across HBCs. It provides a comprehensive assessment of how well national TB programs (NTPs) align with the latest international recommendations from different global health institutions. For over a decade, STBP has worked hand in hand with NTPs, supporting countries in adopting and implementing internationally recommended policies. This work has been strengthened by the support of national partners, global health agencies, and key stakeholders committed to ending TB. By updating national TB policies, countries can accelerate progress toward eliminating TB, reduce transmission, and improve health outcomes. It is not just about policy alignment — it is about saving lives, strengthening health systems, and achieving the goal of a TB-free world.

Key Aspects of SUFT project

1. Purposes & Goals

SUFT aims to bridge the gap between scientific advancements in TB care and their implementation at the national level.  It tracks policy progress, gaps, and barriers in TB diagnosis, treatment, prevention, care and financing.  The project serves as an advocacy tool for governments, civil society, and funding agencies to push for stronger TB policies.

2. How it Works 

SUFT surveys National TB Programs in high-burden TB countries.  It assesses key policy areas and dozens of indicators, covering diagnostics, treatment, prevention, financing, care and equity.  The findings are published in detailed country reports, fact sheets, trend analyses, and interactive data maps, allowing stakeholders to track national and regional progress.  SUFT projects provides an instant access to the electronic platform to trace TB policies in HBCs

3. History & Impact

Launched over a decade ago, SUFT has tracked TB policies in high-burden countries.  The 2024 survey, released during the 38th Board Meeting in Abuja, Nigeria, assessed 43 out of 49 high-burden countries.  Over time, the project has influenced policy adoption, with more countries implementing WHO-recommended TB guidelines.

4. Challenges &The Road Ahead  

Slow policy adoption in some regions due to resource constraints and bureaucratic delays.  Limited access to innovative diagnostics and treatment regimens in certain countries.  The need for stronger national and international advocacy to ensure TB policies keep pace with scientific advancements.