The UNHLM on TB had set the target of providing TPT to 30 million people during 2018-2022, out of which, 6 million will be people living with HIV, and 24 million will be household contacts (4 million children aged under 5 years, and 20 million other household contacts).
Globally in 2018, 65 countries reported initiating TB preventive treatment for 1.8 million people living with HIV, up from just under 1 million in 2017. South Africa accounted for 61% of the total number of people living with HIV enrolled in TB preventive treatment in 2018.
Of the 38 high TB or TB-HIV burden countries, 16 reported providing treatment to people newly enrolled in HIV care in 2018. Among these, coverage ranged from 10% of PLHIV newly enrolled in care in Indonesia to 97% in Russia. Overall, in 66 countries for which it could be calculated, coverage was 49%.
In India, 17% of new cases of people living with HIV notified in 2018 (175,361) were put on TPT (29,214).
Globally in 2018, an estimated 1.3 million children aged under 5 years were household contacts of bacteriologically confirmed pulmonary TB cases. The number of household contacts initiated on TB preventive treatment in 2018 was much smaller: data reported by 109 countries show 349,487 children aged under 5 years (a 20% increase from 292,182 in 2017), equivalent to 27% of the 1.3 million children estimated to be eligible; and 79,195 people in other age groups (a 30% decrease from 103,344 in 2017) received TPT.
Among estimated number of eligible children under 5 years of age in India (322,000), 26% were put on TPT (83,109).
In 2018, 153 countries reported providing BCG vaccination as a standard part of childhood immunization programmes, of which 113 reported coverage of at least 90%.
TPT also is listed among top 10 indicators for monitoring implementation of the WHO End TB Strategy.
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