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Feedback Report on the Anglophone and Lusophone Africa Regional TB Meeting on 18-20th November 2024 in Lilongwe, Malawi

  1. Summary Introduction

From November 18th to 20th, Malawi hosted a high-level meeting aimed at advocating for a 33% increase in funding for tuberculosis (TB) elimination efforts. The event brought together government representatives, global health stakeholders to discuss strategies to close the funding gap for TB elimination and accelerate progress toward global TB goals. The Anglophone and Lusophone Africa Regional TB Meeting was mainly focused on Strengthening Advocacy for Enhanced Investment and Accountability which is a Pathway to Ending TB in Africa by 2030.

The meeting was jointly hosted by the Eastern Africa National Networks of AIDS and Health Service Organizations (EANNASO), FACT Malawi, and the Africa Coalition on TB (ACT Africa) with support from the Stop TB Partnership through the Challenge Facility for Civil Society which brought together over 80 stakeholders from 13 countries, including civil society, TB-affected communities, National TB Programs, WHO, Stop TB Partnership, and Global Fund amongst others to discuss strategies for closing the TB funding gap and  improving advocacy efforts, and ensuring that community-led initiatives for effective implementation to accelerate progress toward ending in Africa.

Tuberculosis (TB) remains one of the deadliest infectious diseases globally, disproportionately affecting low- and middle-income countries. Despite TB being preventable and curable, funding gaps continue to undermine efforts to eliminate the disease. The meeting was mainly focused to urge the Global Fund to increase TB funding by 33% and call for strengthened mobilization of domestic resources to complement global efforts.

2. Key Issues discussed during the meeting

A. Underfunding in the Fight Against TB

    • Current investments are insufficient to meet targets outlined in the WHO End TB Strategy and the Sustainable Development Goals.
    • Global funding gaps are particularly acute in African and Asian regions, where TB prevalence is highest.

 

B. Impact of TB on Vulnerable Populations

    • TB disproportionately affects marginalized groups, including people living in poverty, those with HIV, and children.
    • Insufficient funding has led to limited access to diagnostics, treatment, and preventive care.

 

C. Potential to Save Lives

    • A 33% funding increase could scale up proven interventions, such as advanced diagnostics, shorter drug regimens, and community-based care.
  1. Call to Action was deliberated for Global Fund and Governments as follows;

A. Increase Global Funding for TB by 33%

  • We urge the Global Fund and international donors to prioritize TB elimination by allocating a 33% funding increase in the next funding cycle.
  • Enhanced funding will enable countries to strengthen TB surveillance, invest in innovative treatment options, and integrate TB programs with other health initiatives such as HIV/AIDS and maternal health.

 

B. Mobilize Domestic Resources for TB

  • Governments must increase domestic funding for TB to ensure sustainable progress.
  • Public-private partnerships, innovative financing mechanisms, and targeted taxation can provide additional resources for TB programs.
  • Strengthened political commitment is needed to make TB elimination a national priority.

C. Enhance Accountability and Efficiency

  • Strengthened accountability mechanisms will ensure that funds are used effectively.
  • Investments should prioritize community-based programs and marginalized populations to maximize impact.

D. Take home

  • National advocacies should be mounted by CSOs for both Global Fund to increase 33% TB investment as well as mobilize to domestic funding to support TB elimination.
  • National TB programs should work with CSOs to scale up the One Impact CLM
  • National TB programs should leverage on One Impact CLM to support their interventions.

4. Conclusion

Ending TB is a moral, economic, and public health imperative. A 33% increase in Global Fund allocations for TB, coupled with robust domestic resource mobilization, is critical to closing the funding gap and saving millions of lives. We call upon global and national leaders to demonstrate unwavering commitment to ending TB by acting on these recommendations.

During this meeting a position paper was presented to the Global Fund and a breakfast ceremony was hosted by the first Lady of Malawi in support of increasing investment for TB.

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