TELL HEALTH LEADERS TO #STEPUPFORTB

Tuberculosis kills one person every 18 seconds, yet the disease can be prevented, treated and cured.

Tens of thousands of concerned citizens, united with people affected by tuberculosis, have taken action to #StepUpforTB.

Now it is time for health ministers to step up their fight against the world’s deadliest infectious disease, by delivering better care that meets international medical standards.

Find out more...


Step Up For TB

Tuberculosis, the world’s deadliest infectious disease, kills 1.7 million people a year.

These deaths are preventable. The latest diagnostic tests can quickly and accurately diagnose TB. New medicines have revolutionised treatment.

So why are people still dying? The 2017 Out of Step report by Stop TB Partnership and Médecins Sans Frontières (MSF) surveyed 29 countries and found that many are using outdated and ineffective policies, practices and tools for diagnosing and treating TB.

Stop TB Partnership, Médecins Sans Frontières (MSF) and others are calling upon governments to urgently update their key practices in line with the World Health Organization’s latest guidelines.

The clock is ticking.

Facts
About
TB

Each Year
10.4 Million Cases
1.7 Million Deaths
Each Day
28,498 Cases
4,577 Deaths
11,107 Missed

#Stepupfortb Share the message

Governments must urgently scale-up improved #TB testing, treatment and prevention. #StepUpforTB www.stepupfortb.org @MSF_access @StopTB

#TB is curable but kills 1 person every 18 seconds. Governments must take action! www.stepupfortb.org #StepUpforTB @MSF_access @StopTB

Phumeza Tisile,
TB Survivor and Activist, South Africa

"The machines that can detect DR-TB in hours should be available world-wide so that everyone might have a chance of cure, in my case it took three weeks to get the TB results, by then I was so weak that I had to be hospitalised"

Safar Naimov,
TB Survivor and Activist, Tajikistan

"Many countries are using outdated medicines and regimens with terrible side effects - vomiting, headaches, depression and confusion. Many face barriers to accessing testing and treatment – stigma, discrimination, poverty, and lack of knowledge. While I was cured, I lost several family members to MDR-TB"

Deepti Chavan,
TB Survivor and Advocate, India

"Can you imagine how DR-TB patients consume 15-20 pills per day for 2 years? We need shorter and safer drug regimens. People are dying of curable disease isn't that a reason enough to Step Up for TB"

Endalkachew Fekadu,
TB Activist and Pharmacist, Ethiopia

"The MDR-TB drugs were difficult to import and weren’t registered with drug administration. But after raising our voices, I got the medicine I needed and they are now widely available"

TB Policies Snapshot

How does each country’s TB programme stack up against key international guidelines?
Use this interactive map to find out

The 2017 Out of Step report surveyed 29 countries on key policies to prevent, diagnose, and treat TB. Click on one the five key policy areas below to see the results:

Is this policy in place at the national level? - Yes - No - Unknown

Xpert MTB/RIF is the initial TB diagnostic test for adults and children being investigated for TB

Afghanistan, Armenia, Bangladesh, Belarus, Brazil, Cambodia, CAR, China, Democratic Republic of Congo (DRC), Ethiopia , Georgia, India, Indonesia, Kazakhstan, Kenya, Kyrgyzstan, Mozambique, Myanmar, Nigeria, Pakistan, Papua New Guinea (PNG), Philippines, Russian Federation, South Africa, Swaziland, Tajikistan, Ukraine, VietNam, Zimbabwe

ARV treatment is offered to all PLWHA (‘test and start’)

Afghanistan, Armenia, Bangladesh, Belarus, Brazil, Cambodia, CAR, China, Democratic Republic of Congo (DRC), Ethiopia , Georgia, India, Indonesia, Kazakhstan, Kenya, Kyrgyzstan, Mozambique, Myanmar, Nigeria, Pakistan, Papua New Guinea (PNG), Philippines, Russian Federation, South Africa, Swaziland, Tajikistan, Ukraine, VietNam, Zimbabwe

DR-TB medicines can receive accelerated registration

Afghanistan, Armenia, Bangladesh, Belarus, Brazil, Cambodia, CAR, China, Democratic Republic of Congo (DRC), Ethiopia , Georgia, India, Indonesia, Kazakhstan, Kenya, Kyrgyzstan, Mozambique, Myanmar, Nigeria, Pakistan, Papua New Guinea (PNG), Philippines, Russian Federation, South Africa, Swaziland, Tajikistan, Ukraine, VietNam, Zimbabwe

New paediatric TB FDCs are the standard of care

Afghanistan, Armenia, Bangladesh, Belarus, Brazil, Cambodia, CAR, China, Democratic Republic of Congo (DRC), Ethiopia , Georgia, India, Indonesia, Kazakhstan, Kenya, Kyrgyzstan, Mozambique, Myanmar, Nigeria, Pakistan, Papua New Guinea (PNG), Philippines, Russian Federation, South Africa, Swaziland, Tajikistan, Ukraine, VietNam, Zimbabwe

National policy reflects WHO guidance on bedaquiline use for adults

Afghanistan, Armenia, Bangladesh, Belarus, Brazil, Cambodia, CAR, China, Democratic Republic of Congo (DRC), Ethiopia , Georgia, India, Indonesia, Kazakhstan, Kenya, Kyrgyzstan, Mozambique, Myanmar, Nigeria, Pakistan, Papua New Guinea (PNG), Philippines, Russian Federation, South Africa, Swaziland, Tajikistan, Ukraine, VietNam, Zimbabwe

Tuberculin skin or IGRA test must be carried out prior to starting TB prophylaxis

Afghanistan, Armenia, Bangladesh, Belarus, Brazil, Cambodia, CAR, China, Democratic Republic of Congo (DRC), Ethiopia , Georgia, India, Indonesia, Kazakhstan, Kenya, Kyrgyzstan, Mozambique, Myanmar, Nigeria, Pakistan, Papua New Guinea (PNG), Philippines, Russian Federation, South Africa, Swaziland, Tajikistan, Ukraine, VietNam, Zimbabwe

Download the Out of Step report to see the full results.

Download a map of key indicators in the 29 countries surveyed.

Read More about the 5 key policy areas and our recommendations for how countries can improve their practices.

Out of Step Report

In 2017, the Stop TB Partnership and MSF published this survey of TB treatment and diagnostic practices in 29 countries. The results show that many of these countries urgently need to bring their practices in line with international guidelines for the effective prevention, diagnosis, and treatment of this life-threatening disease.

Download
Out of Step Report 2014
2014 Report
Download
Out of Step Report 2015
2015 Report
Download
Out of Step Report 2017
2017 Report
Download
Out of Step Report 2017
2017 EECA Report (Eng)
Download
Out of Step Report 2017
2017 EECA Report (Rus)
Out of step in eeca
Out of step in eeca