Page 66 - Mann Ki Baat September 2022
P. 66

Community Ownership Critical to

          Accelerate Efforts to End TB in India



                                           health   spending,   with   an
                                           estimated 30–80% of TB-affected
                                           households   in   the   Region
                                           incurring  catastrophic  costs,
                                           despite  access   to  free  TB
                                           diagnostic   and     treatment
                                           services.
                                              The COVID-19 pandemic has
                                           exacerbated   the  social  and
                                           economic determinants of TB,
                                           pushing tens of millions of people
               Poonam Khetrapal
                                           in  the Region  into extreme
               Regional Director,          poverty,   and     heightening
              Southeast Asia, WHO          undernutrition,  which  in  2019  is
                                           estimated to have contributed to
                                           nearly  a  million  new  TB  cases  in
                                           the Region.
                                              Today, and in the months and
                                           years ahead, addressing these
                                           determinants – and empowering
            Community ownership and        TB-affected communities – is
        empowerment are critical to        critical.  And  on  this,  India
        accelerate efforts to end TB by    continues to lead from the front.
        2030, in line with the WHO South-     In October 2021, at a virtual
        East Asia Region’s eight Flagship   ministerial meeting co-hosted by
        Priorities,  the    Sustainable    India,  Indonesia  and  Nepal,
        Development Goals and the          countries of the Region committed
        Global End TB Strategy.            to renew the TB response, drawing
            Since as early as 1944, an     on the legacy of the 2018 Delhi
        effective antibiotic has been      End TB Summit and the Region’s
        available to treat TB. However, the   Statement of Action.
        fight  against  TB  has  traditionally   Member States also endorsed
        followed a biomedical approach,    a new Regional Strategic Plan
        disconnected from key social and   towards ending TB by 2030, which
        economic determinants, such as     calls    for    community-led
        poverty and undernutrition.        monitoring,  participation  and
            In the South-East Asia Region,   engagement in TB governance,
        TB continues to be closely         law and policy reform, as well as
        associated   with  catastrophic    increased   social  protection,

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