There is a need for accountability across the global health and development sector to ensure that commitments made by global, regional, national and subnational leaders are met. This need for accountability is particularly important for the world’s most deadly yet most overlooked infectious disease – Tuberculosis (TB). 

Building strong systems for TB requires not just global commitment, but a promise to follow through with genuine action and financing. For this, we need a robust system of accountability to ensure that national, regional and global leaders meet the promises they make if we are to end the TB epidemic and see an end to preventable deaths from TB by 2030.

This report makes the case for accountability within the global TB response, highlighting the lack of progress against the 2018 global commitments and the role of accountability within these commitments. The report recommends for accountability to become a critical and fully-funded workstream across the TB space, led by voices from TB-affected communities and civil society.

The recommendations proposed in this report are applicable to multilateral organisations such as the World Health Organisation and the Global Fund to Fights Aids, Malaria and Tuberculosis; the United Nations, and for national leaders.  

As the TB community and stakeholders prepare for the upcoming UN High-Level Meeting on TB this year, the need for country-level leadership and civil society engagement in being accountable for progress on TB is paramount to end TB by 2030.