Executive summary -- -- I. The Global tuberculosis context -- -- II. Leading and leveraging: U.S. government TB strategic approach -- Case study: Ethiopia -- USAID flagship: extending access to TB care -- Case study: Indonesia -- Highlights of USAID tier I countries -- -- III. Building on success and conclusion -- -- Endnotes.

The U.S. Government’s (USG) tuberculosis (TB) program is mainly implemented through USAID as the lead agency in international TB control, in close collaboration and coordination with U.S. Centers for Disease Control and Prevention (CDC), Department of State/ The Office of the Global AIDS Coordinator (OGAC), the National Institutes of Health (NIH), and Department of Defense (DoD). The U.S. Government continues to prioritize support to countries with high rates of TB and multi-drug resistant TB (MDR-TB), lagging case detection, poor program performance, and where the HIV epidemic is a driver of TB disease. This prioritization of countries led to investments in 20 “Tier 1” or focus countries, with funding levels of at least $3 million per country; and in 21 “Tier 2” countries, with smaller but strategically targeted interventions.

Stephen B. Thacker CDC Library collection