Through the Find. Treat. All. Initiative, WHO, the Stop TB Partnership and the Global Fund are calling for a paradigm shift and strategic transformation of the global and national TB responses on three fronts:

Commitments

World leaders, Heads of States, and Ministers of Health and other ministries, Members of Parliament, working with country programmes, civil society, communities and technical partners are called upon to:

• Jointly define and endorse concrete and measurable country-specific targets, and ensure that their National Health Strategies, National TB Strategic Plans include tangible, measurable actions to reach the above targets and announce them from March to September 2018, leading up to the UNHLM.
• Increase resources to achieve country specific targets including human and financial resources. At the same time, increased financing and Innovative financing collaborations, through enlarged budgets to accompany the national strategic and operational plans including partnerships with international, multilateral, bilateral, private and innovative finance stakeholders.
• Increase investment in TB research through funding of research networks, specific initiatives, new drugs, diagnostics and vaccines.
• Elevate the profile of the TB programme and response by the establishment of time-bound high level national TB commissions or panels to help oversee ambitious accelerated response that includes civil society and multisectoral partners, and/or national or local declarations of emergencies due to high levels of DR-TB and treatment gaps, backed by action and investments.

Harmonized and Accountable actions to accelerate access

• Ensure all people with TB are reported to the national authorities through a real time notification system.
• Promote community leadership in the TB response through community-led, people-centered, rights-based and gender-transformative interventions in line with the national and global targets in order to leave no one behind.
• Innovate for improved access and delivery of TB diagnostic and treatment services and rapid uptake of new tools through new/renewed National and sub-national Strategic Plans linked to universal health coverage (UHC).
• Scale up the number of people tested for TB with early diagnosis of tuberculosis including drug susceptibility testing, systematic screening of contacts and high risk groups, active case finding in vulnerable population groups (based on country context) with community participation, and engagement of the private healthcare sector and other non-governmental health care delivery systems.

Measurable Progress

• Develop core indicators at all levels (sub national, national, regional and global) to measure progress with the involvement of all relevant partners.
• Monitor progress through real-time national, electronic, case-based, TB surveillance systems for cases and deaths to enable prompt action at all levels. This will require regular reporting of national TB notification data. In all countries, these data are already compiled on a regular basis, ranging from “real-time” where there is national coverage of a web and case-based surveillance system to quarterly reporting in countries that still rely on traditional paper-based systems.
• Country high-level taskforce to review data on a quarterly basis and identify areas for increased technical assistance or support, with support from Joint Initiative core team (WHO, Stop TB, GF, and other partners).