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Compendium of WHO guidelines and associated standards: ensuring optimum delivery of the cascade of care for patients with tuberculosis

The Global Tuberculosis Programme of the World Health Organization (WHO) has released the “Compendium of WHO guidelines and associated standards” to support the delivery of care for all persons affected by tuberculosis (TB).

The Compendium has been developed as a clear and concise instrument to facilitate the understanding and planning of delivery of high-quality care for everybody affected by TB. It incorporates all recent policy guidance from WHO; follows the care pathway of persons with signs or symptoms of TB in seeking diagnosis, treatment and care; and includes key algorithms and cross-cutting elements that are essential to a patient-centered approach in the cascade of TB care.

The Compendium is structured into 33 WHO standards and consolidates all current WHO TB policy recommendations into a single resource, with electronic links to the individual, comprehensive WHO policy guidelines.

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Ending the TB epidemic requires speedy adoption and implementation of the WHO End TB Strategy to reach its the ambitious targets, within the framework of the United Nations Sustainable Development Goals. This in turn requires implementation and scale-up of the most modern standards for TB  prevention, diagnosis and treatment, supported by cross-cutting elements such as ethics and human rights and with significantly enhanced human and financial resources.

Beyond accelerated implementation of existing tools, an effective TB response must embrace innovation through the rapid uptake of new interventions such as diagnostics, medicines, and digital platforms to modernize care provision. Working with communities, civil society and any partners, governments need to assume full responsibility for ensuring access to person-centered, modern, high-quality TB services, regardless of whether care is sought from public, voluntary, private or corporate care providers. Securing comprehensive care along with essential support for each person with TB also calls for collaboration within and beyond the health sector.

“After decades of stagnation, finally new diagnostics, drugs and regimens have become available through intensified research efforts and increased field experiences,” said Dr Mario Raviglione, Director of the WHO Global TB Programme. “Implementing the standards of TB care outlined in this Compendium will ensure that these innovations rapidly translate into optimal care for all affected by TB.”

The Compendium will be updated annually, including in its digital format, to allow incorporation of new evidence emerging from the rapidly evolving TB diagnostic and treatment landscape.

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