The World Health Organization (WHO) has launched a new policy brief aimed at assisting national tuberculosis (TB) programmes in prioritizing and allocating resources effectively. This initiative focuses on strategic, evidence-informed, and people-centred approaches designed to accelerate the global fight against the TB epidemic. The brief outlines a structured methodology for priority setting, highlighting the importance of transparency, inclusion, evidence-based decision-making, and accountability in TB programme planning.
Strategic Framework for Effective Resource Allocation
The newly introduced policy brief emphasizes that effective priority-setting is an ongoing necessity rather than a single event. As stated by Dr. Tereza Kasaeva, Director of WHO’s Department for HIV, Tuberculosis, Hepatitis, and STIs, “Effective priority-setting is not a one-off exercise – it is the compass that guides countries through changing epidemics, shifting resources and evolving health systems.” This framework is intended to equip national TB programmes with the necessary tools to enhance their efforts in line with evidence, equity, and impact.
In light of existing resource constraints and competing health priorities, prioritization becomes crucial for maintaining and expanding TB services. The brief also presents strategies to address the challenges posed by unexpected funding shortfalls. These include enhancing efficiency, integrating TB care into primary health care systems, and ensuring the continuation of high-impact, life-saving interventions.
Despite significant advancements in TB prevention and care, the global burden of the disease remains substantial. In 2024, worldwide investments in TB fell to just US$ 5.9 billion, which covers only 27% of the US$ 22 billion needed annually by 2027 to meet the targets established during the 2023 UN High-Level Meeting on TB. Furthermore, anticipated cuts to international donor funding starting in 2025 represent a serious challenge to TB control efforts.
Future Implications and Collaborative Efforts
Modeling studies indicate that sustained reductions in international donor funding could lead to dire consequences, including up to 2 million additional deaths and 10 million people falling ill with TB between 2025 and 2035. In response to these critical issues, the WHO is prepared to facilitate peer-learning exchanges and document best practices in TB programme planning to promote effective prioritization.
This policy brief serves as a vital resource for countries grappling with the complex dynamics of TB management, empowering them to make informed decisions that can ultimately save lives and enhance public health outcomes. By focusing on equitable and effective resource allocation, the WHO aims to fortify the global response to tuberculosis and pave the way for a future free from this preventable disease.
