Ambitious post-2015 global End TB Strategy, with the goal to end the global TB epidemic, was endorsed by the World Health Assembly in 2014 through resolution WHA 67.1. The success of the End TB Strategy, among others, depends on effective addressing of tuberculosis concentration and transmission within high-risk populations, including inmates. For instance, the tuberculosis notification rate in prisons, reported in 2015 was 1,055 per 100,000 population, 24 times the notification rate in the general population.
In order to facilitate the scale-up of effective interventions in prevention and control of tuberculosis in prisons, WHO is developing a Compendium of good practices in prevention and care of tuberculosis and drug-resistant tuberculosis in prisons. This new compendium will focus on good practices in implementation of the End TB Strategy in prison settings. This initiative is critical for enabling countries to share and adopt successful strategies at both national and regional levels.
The World Health Organization is inviting you to submit any examples of good practice that have been carried out in your country in respect of:
Integrated, Patient-Centred Care and Prevention
- Systematic screening for tuberculosis;
- Early diagnosis of all forms of tuberculosis and universal access to drug-susceptibility testing, including the use of rapid tests;
- Equitable access to quality treatment and continuum of care for all tuberculosis patients released from prisons to civilian system, and patient support to facilitate treatment adherence;
- Collaborative tuberculosis/HIV activities, and management of co-morbidities;
- Management of latent tuberculosis infection and preventive treatment.
Bold Policies and Supportive Systems
- Political commitment with adequate resources, including universal health coverage policy in prisons. Health reform and penal reform aimed to improve tuberculosis control in prisons;
- Health systems strengthening in all functions, including well-aligned financing mechanisms for tuberculosis and human resources;
- Regulatory frameworks for case-based surveillance, strengthening vital registration, quality and rational use of medicines, and pharmacovigilance;
- Airborne infection control, including regulated administrative, engineering and personal protection measures in all relevant healthcare facilities and congregate settings;
- Engagement of Ministries, communities, civil society organizations, and public and private care providers to ensure uninterrupted treatment of TB patients released from prison to civilian system;
- Ethics and human rights applied to TB control in prisons. Social protection, poverty alleviation and actions on other determinants of tuberculosis.
Intensified Research and Innovation
- Rapid uptake of new tools, interventions and strategies;
- Research to optimize implementation and impact, and promote innovation;
The preliminary draft of compendium will be presented at The UNION meeting in Mexico, in November 2017.
The deadline for submission is 27 April 2017.
If you have any questions, please do not hesitate to contact the consultant for this initiative, Dr Elmira Gurbanova, Head of WHO Collaborative Centre on prevention and control of tuberculosis in prisons at firstname.lastname@example.org / email@example.com with copy to Dr Ogtay Gozalov (firstname.lastname@example.org), Medical officer.