Stop TB Partnership

Declaration of the Rights of People Affected by TB

On Monday, 13 May 2019, the Stop TB Partnership, together with TB People (a global network of people affected by TB), as well as NGOs and community delegations launched the Declaration of the Rights of People Affected by TB in Geneva, Switzerland.

The launch of this Declaration marks a major milestone in recognising the urgent need to adopt a human rights-based approach to TB, to fund human rights-based interventions that overcome barriers to universal access to TB diagnosis, prevention, treatment, care and support services – and to put people affected by TB at the centre of the TB response.

The Declaration itself aims to empower people affected by TB so they may know and claim their human rights.

The following are principles for a human rights-based approach to TB:

  • People (and affected communities) are placed at the centre, as equal partners, driving health policy, providing the individual and groups with the tools to participate and claim specific rights
  • The most marginalised, at risk and vulnerable people/groups are identified, informed and empowered to access TB prevention, treatment and care
  • Dignity is assured for patients and those affected
  • Socio-economic determinants of TB are addressed
  • Human rights implications of TB policy, legislation and programming are addressed
  • Institutional constraints and capacity gaps that prevent individuals and groups from fulfilling their rights related to TB are overcome
  • There is an integrated and multisectoral response to TB, making human rights an integral dimension in the design, implementation, monitoring and evaluation of TB-related policies and programmes
  • Accountability tools are provided for governments, the international community and civil society to monitor the progress of all stakeholders in realising the right to health
  • A platform is provided for documenting and sharing best practices, supporting advocacy and social mobilisation around human rights relevant to TB.

(Source: www.stoptb.org)  

You can read the full Declaration here.

St George’s Cathedral marks World TB Day with special service

On Sunday, 24 March, St George’s Cathedral in Cape Town was lit up in red to mark World TB Day 2019.

It was part of the Stop TB Partnership’s international campaign to shine a spotlight on tuberculosis: Light up the World in Red to End TB.

St George’s Cathedral was chosen as a symbol of this year’s campaign because South Africa has adopted the “It’s Time” theme, but adapted it to say:

It’s time…for religious leaders, parliamentarians and legislators to lead the fight to end TB in South Africa

This theme was chosen in recognition of the role of faith-based leaders as powerful influencers in South Africa. It is hoped that they can contribute in at least two ways:

  • By exemplifying the principles of acceptance and inclusion that underpin most faiths and welcoming and supporting those affected by TB, thereby combatting stigma associated with the disease; and
  • By contacting their local clinics to invite them to perform health screenings in their congregations.

Earlier in the day, South Africa’s Minister of Health, Dr Aaron Motsoaledi, together with the National Assembly Speaker, Ms Baleka Mbete, joined the Anglican Archbishop, Thabo Makgoba and other faith-based leaders, parliamentarians, civil society and TB ambassadors at a special 09h30 service at St George’s Cathedral dedicated to those affected by TB in South Africa.

TB HIV Care was also honoured to be involvement in the national World TB Day commemoration, which took place in Mdantsane in the Eastern Cape on the 28th of March. Simphiwe Sandlana (TB HIV Care’s Stakeholder Manager) joined the provinicial steering committee in the lead up to the event.

The day started with an activation at the taxi rank at highway NU1, Mdantsane and this was followed by a political briefing. The political principals were divided into two groups and were joined by senior DOH Managers to visit either Wesbank Correctional Centre or a household of a TB survivor in Mdantsane.

At Wesbank Correctional Centre, they were provided with an overview of the innovative and creative ways TB is managed within the Correctional Centre. At the household of the TB survivor, the politicians witnessed first-hand how contact tracing and TB screening is conducted.

The World TB Day event was held at Orlando Sports Field, which is adjacent to Sisa Dukashe Stadium. By 07h45, throngs of people were lining up and ready to go through the turnstiles, development partners had pitched their gazebos for HTS services and TB HIV Care had erected tents for testing and screening. Development partners provided HTS services throughout the day.

The formal part of the programme was well attended with the main tent overflowing. The dignitaries who gave messages of support included Mr John Groarke (USAID Mission Director) and Dr Mbulawa Mugabe (UNAIDS Country Director). Both commended the country for its investment and focus on TB programmes and encouraged the attendees to realise that ‘It’s Time…to advocate for TB”. However, the highlight of the day was the keynote address by Dr Aaron Motsoaledi, the National Minister of Health.

The essence of Dr Motsoaledi’s speech was that all South Africans should take an interest in knowing their TB status by getting screened and tested for TB. In addition, he emphasised that in households where a member of the family is a confirmed TB patient (or presumptive for TB), all members of the household must be screened and tested for TB.

It was a great day, many thanks to Simphiwe Sandlana and the TB HIV Care teams who helped make it such a success!

A plan for Human Rights and Health: Multi-stakeholder meeting maps the way forward

What do human rights have to do with health? If you think about it, quite a lot. Many reasons people don’t access care are a result of human rights violations. These can be anything from a policeman breaking the needle of someone who injects drugs thereby putting them at risk of blood-borne diseases, to someone not wanting to attend a clinic appointment for fear of losing their job. Denying someone health care is itself a violation of a human right.

This was the reason behind a multi-stakeholder meeting held on the 21 and 22 November in Johannesburg. Nearly 100 delegates from civil society organisations around the country gathered to discuss the data on human rights violations and to formulate the steps to generating a national plan that can address them. Completing this task is a critical part of the National Strategic Plan for HIV, TB and STIs 2017-2022.

TB HIV Care was highly visible at the meeting. CEO, Prof Harry Hausler, presented a case study of how human rights violations impact people who inject drugs, with particular reference to the closing of our needle and syringe programme in eThekwini.

Anna Versfeld and Christian Tshimbalanga, independent consultants working with TB HIV Care, presented the findings of the research they have been doing into the barriers people experience when accessing TB services.

It was an intense two days hearing about how much work we still have to do to address a variety of stigma and structural barriers. We look forward to a plan that will move us towards ensuring that no one is left behind, and that health is accessible to all.