What is it about?

Tuberculosis (TB) remains a significant global health challenge, despite the World Health Organization (WHO) actively working towards its eradication through various initiatives and programs. Undernutrition, forced displacement, and homelessness worsen TB’s burden and challenge control efforts; however, there is still no adequate research that shows the trend of these underlying factors to attain the WHO’s ambitious TB targets. So, this study aims to analyze the trend analysis of these underlying factors worldwide from 2015 to 2022 and their impact on the feasibility and implications of reaching the End TB targets by 2035.

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Why is it important?

Existing studies often focus narrowly on individual risk factors or specific populations, neglecting comprehensive trend analyses and long-term implications for achieving the World Health Organization’s (WHO) End TB targets. Hence, this study aims to bridge these gaps by analyzing trends from 2015 to 2022, elucidating the evolving patterns of these determinants and their impact on the TB incidence rate, as well as the feasibility and implications of achieving the End TB targets by 2035. This strategic alignment ensures that our analysis captures the implementation phase of the End TB Strategy, enabling us to assess progress towards its ambitious goals. By incorporating data spanning this timeframe, we aim to contribute to the monitoring and evaluation of global efforts to combat tuberculosis and inform evidence-based strategies for accelerating progress towards achieving the WHO’s targets for TB control and elimination by 2035.

Perspectives

We found that undernutrition, forced displacement, and homelessness have worsened significantly over time, which makes it very hard to meet the End-TB Targets by 2035 without addressing these interrelated root causes. These factors increase the vulnerability of the community to TB infection, transmission, and treatment failure, as well as reduce their access to quality health care and social protection. Therefore, we recommend that TB programs adopt a comprehensive and multi-sectoral approach that addresses the underlying determinants of TB burden and improves the health and well-being of affected populations.

Mr. Dawit Misganaw Belay
Assosa University

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This page is a summary of: WHO’s end of TB targets: unachievable by 2035 without addressing under nutrition, forced displacement, and homelessness: trend analysis from 2015 to 2022, BMC Public Health, April 2024, Springer Science + Business Media,
DOI: 10.1186/s12889-024-18400-5.
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