Global Accelerator to End TB


From 2018-2022, 40 million people will be on treatment for TB.

In September 2018, the United Nations General Assembly High Level Meeting (UNHLM) on TB set the stage for high-level attention and action on TB. This meeting established the ambitious target of diagnosing and enrolling an additional 40 million people on TB treatment by 2022 (commonly referred to as 40x22), with a focus on countries with the highest TB burden, and enrolling 30 million on TB preventive therapy (commonly referred to as 30x22).

USAID supports countries in reaching the global targets of diagnosing and enrolling 40 million people on TB treatment and enrolling 30 million on TB preventive therapy by 2022.


At the UNHLM, USAID launched a new programmatic approach called the Global Accelerator to End TB (the Accelerator) to increase commitment from, and build the capacity of, governments, civil society, and the private sector to accelerate countries’ progress in reaching the global targets. The Accelerator focuses on countries with high burdens of TB where the Agency can align with local communities and partners to deliver results. To ensure the Accelerator’s effectiveness and increased transparency, USAID uses standardized data collection and performance-based indicators that align with the targets. Since launching, the Accelerator has made significant progress to support reaching country TB targets via:

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Strengthening our Partnerships with Ministries of Health:
USAID Missions have signed partnership statements with Ministries of Health in 20 countries. The statements are the basis for increased collaboration and coordination on interventions to reach the UNHLM targets.
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Introducing TB Country Roadmaps:
To support these partnership statements, USAID began developing annual country roadmaps, which are developed jointly with the National TB Programs and other major stakeholders.
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Improving the Sustainability of Technical Support:
USAID has embedded advisors to build National TB Programs’ capacities. Through mentorship and technical expertise, these advisors help improve systems and expand interventions for more sustainable and focused TB programming.
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Increasing Locally Generated Solutions:
To further build TB capacity and increase sustainability, USAID has made direct awards to local organizations in 21 countries, including faith-based groups and new partners.