HIGHLIGHTS_RET POUR PDF 17/10/01 11:34 Page 1 GUIDELINES for SOCIAL MOBILIZATION World TB Day 2001 Highlights Political Awareness Social Mobilization Increased Access to TB Care Sustainability Media and Community Events Best Practice HIGHLIGHTS_RET POUR PDF 17/10/01 11:34 Page 2 Preface p.5 Political Awareness Pakistan Australia United States India, Punjab Democratic Republic of the Congo Yemen he theme for World TB Day 2001— p.9 Social Mobilization T DOTS: TB cure for all—suggests that Oman we can eliminate tuberculosis from this Togo planet. A cure for all from tuberculosis (TB) is part Nigeria of the mission of the World Health Organization 3 India, Mumbai (WHO) and its Member States to allow access to The former Yugoslav Republic health services for all. of Macedonia Albania A first milestone occurred when Ministers of ACKNOWLEDGEMENT: Federal Republic of Yugoslavia Health, Development, and Finance Planning from Haiti 20 countries with the highest burden of TB met in Slovakia Amsterdam in March 2000 for the first summit THE STOP TB PARTNERSHIP WOULD LIKE TO THANK THOSE Maldives WHO TOOK THE TIME TO COMPLETE THE WORLD TB DAY against tuberculosis. 2001 QUESTIONNAIRE AND TO SUBMIT TO US REPORTS AND p.15 Increased Access Great progress has since been made as a result of ILLUSTRATIONS ABOUT THEIR ACTIVITIES. to TB Care the mobilization of the high TB burden countries India: supported by the international community as a Andhra Pradesh Rajasthan whole. This was reflected in World TB Day on 24 Tamil Nadu March 2001. Bihar This document brings to the fore the Uttar Pradesh accomplishments of World TB Day 2001, reports on Lebanon what has been achieved, underlines the remarkable Philippines events and initiatives, and analyses how the global p.19 Sustainability movement to stop TB is progressing towards its India goal of eliminating TB as a global public health Russian Federation problem. Peru Israel This year, World TB Day events were analysed on the basis of five themes: political awareness, social p.23 Media and mobilization, increased access to treatment and Community Events care, sustainability, and media and community Russian Federation events. The analysis was drawn from a structured Swaziland questionnaire developed by the Stop TB Kenya Partnership Secretariat. This document is based on Sri Lanka the many replies from all of you, out there, Egypt Czech Republic working in the field: from government officials, Gambia WHO outposts, medical professionals, TB This document may be freely reviewed, abstracted, reproduced and translated in part or in whole, but not for sale nor for use in conjunction with commercial purposes. Somalia advocates, and leaders of nongovernmental The mention of specific companies or of certain manufacturers’products does not imply United Kingdom organizations (NGOs). that they are endorsed or recommended in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are Best Practice World TB Day was, for the first time, launched distinguished by initial capital letters. The views expressed in documents by named from a poor community social centre in Africa by authors are solely the responsibility of those authors. p.27 Nepal p.29 South Africa His Grace Archbishop Desmond Tutu. It was innovative and highlighted the empowerment of p.32 Global Credits people—without which there can be neither Photos: WHO/TDR, Louise Gubb – Designer: Gilles Vérant Achievements development nor TB control. HIGHLIGHTS_RET POUR PDF 17/10/01 11:34 Page 4 PAKISTAN Pakistan to Fight TB Political The Chief Executive of Pakistan issued a message to the nation on World Tuberculosis Day, March 24, Political Awareness in which he called upon all concerned "to take up the stand Awareness against TB on an emergency footing until we succeed in significantly reducing the incidence of the disease THE ISLAMABAD DECLARATION TO STOP TB (Excerpts) in the country." "With political commitment and I. THE MINISTRY OF HEALTH OF THE GOVERNMENT THUS AN ACCELERATED response to TB founded broad social support, we can and OF THE ISLAMIC REPUBLIC OF PAKISTAN NOTES on an increased level of efforts is now 4 WITH GRAVE CONCERN THAT: required in Pakistan to match the political 5 must expand access to health THE MAGNITUDE of suffering and death caused commitment currently available. services for treatment of by tuberculosis is both alarming and unac- ealth programmes the world over have III: WE AFFIRM THAT: tuberculosis. We must act now to ceptable; always benefited when national leaders TUBERCULOSIS exerts a toll of three hundred […] THE WHO-recommended strategy of DOTS H halt the further emergence of and fifty thousand new sufferers and 26% of to combat tuberculosis is the internationally have come forward to adopt them. A multidrug-resistant strains of TB. all the avoidable deaths every year, including accepted set of core practices required to con- many children. front the disease and prevent the emergence AUSTRALIA strong statement by a top leader sensitises the [email protected] National TB Control Programme The government of Pakistan has of drug resistance. […] NO OTHER disease in Pakistan more direct- media, encourages social and volunteer groups, already taken several steps to TB CONTROL Australia does not ly blocks the development of families, com- represents a global public good. mobilises the bureaucracy and builds personal translate its commitment into munities and resultantly our national econo- […] have the massive TB my. concrete actions by implementing IV. WE COMMIT OURSELVES TO ACCELERATE ACTION burden of its Asian neigh- commitment. THE LEVEL of public awareness concerning AGAINST TUBERCULOSIS THROUGH : the National TB Control tuberculosis remains inadequate. bours, but the mobilization EXPANDED coverage of our population with on World Tuberculosis Day Programme based on the DOTS DOTS providing for at least 70% detection of II.WE RECOGNIZE THAT : Measuring political will can be a difficult task. Strategy.(...). Every one of us has a infectious cases throughout Pakistan by 2005. centred on what the country […] CONFRONTING TB requires collaboration Only with the passage of time will the effect of crucial role to play in TB control. across government sectors and action across ENSURING that sufficient human and financial could do to heighten political resources are available... society; commitment to control TB, political representatives’ talk about TB, and professed We must all join our forces..." IMPLEMENTING, monitoring and evaluating our THERE exists a cost-effective cure; however the not for itself, but for the [email protected] Association Community Health and Anti-TB commitment to the TB programme, be measured. access of the population to safe and effica- national tuberculosis programmes in line with cious first-line drugs remains a point of con- internationally-accepted WHO standards; region as a whole. Other important questions include: cern in Pakistan and needs to be grossly V: WE CALL ON PARTNERS: The Community Health and improved. I […] We call upon our partners to join...in the Anti-Tuberculosis Association To what extent are the health services well Moreover efforts need to be made to avert Stop TB Initiative to actively participate in equipped in both human and technical resources and contain the potential threat of multidrug- building new momentum against TB as a (CHATA) fronted a media cam- resistant tuberculosis which will have tremen- means towards ensuring better health for all paign focused on World TB to implement DOTS? To what extent are they dous social and economic costs; in the new millennium. Day. “We developed our own informed? To what extent do they have the means message highlighting the rel- to reach the entire population? Identitity, Merge and Action (AIM), a Pakistani NGO, evance of the Asia-Pacific have gathered TB patients under treatment to celebrate World region’s TB problem to I To what extent are NGOs and community groups TB Day. During the meeting, they distributed certificates to the persons who has completed their treatment. Australia,” Kathryn Dinh of aware of the TB situation and are able to apply [AIM: [email protected]] CHATA wrote. ”The pressure on elected officials and bureaucrats so Association urges the that TB becomes a political issue? Government to continue to increase its commitment to fighting TB in the region In Burkina Faso some years ago, a well known TB while there is still an oppor- medical expert, Dr Guy Auregan, told an assembly of tunity to bring this epidemic media people that to get elected and maintain under control.“ popularity for life, a politician in that poor African The press releases stressed country should run his campaign on just one issue: the fact that Australia plays an important role in south- TB. He suggested that getting rid of TB presents an east Asia, and TB cannot be unique opportunity to address the issues of poverty kept out of Australia. The comprehensively: to help people rise out of poverty, organization distributed facts, to increase labour and farm productivity, to decrease video clips, and photographs the burden of disease, to improve municipal services to the media for general edu- funding, to increase school attendance and cational purposes, but also to indirectly raise the issue of performance... To this day, no politician has taken up TB in the Australian the challenge. government. HIGHLIGHTS_RET POUR PDF 17/10/01 11:35 Page 6 Political Awareness UNITED STATES PUNJAB