While the gap between estimated numbers of TB patients and those ultimately found and provided with adequate care is slowly decreasing, it is not sufficient to get on top of the epidemic, end transmission and eliminate unnecessary suffering. Substantial investments in data systems, surveys, and tools have led to the availability of national and subnational data that are comprehensive, current and usable. An unprecedented opportunity to use data on epidemiology, health system capacities and patient care seeking behavior is now in our hands to drive programmatic impact towards TB elimination.
The approach generates and utilizes local evidence in a participatory manner and applies tried and tested targeted impact and cost-effectiveness modelling to help stakeholders to select an optimized set of proven people-centered interventions and targets in terms of both future health and economic outcomes, based on their available and projected resources. At this stage, a country may want to consider several resource scenarios; e.g. existing funding levels, increased funding, or an aspirational / fully financed budget. Under each scenario, the package of interventions that most effectively and efficiently targets root causes and priority problems will need to be determined. The budget with existing funding levels can be used for immediate action, while the other budget tiers can be used as the basis for future funding requests.
The resulting NSPs will enable countries to use the generated evidence and evidence-based strategies to negotiate harmonized and optimized engagement and resource allocations from domestic and external stakeholders alike. These NSPs would be the basis of a robust national response towards ending TB in line with the End TB Strategy and overall national moves towards Universal Health Coverage (UHC). The resulting NSPs will also enable countries to follow an accelerated Global Fund application process under the new application format tailored to respective country NSP