TB Accountability Consortium

TB Accountability Consortium


The TB Landscape

In South Africa TB remains a significant threat and a serious public health issue. It is the leading cause of death in the country, claiming the lives of more than 60 000 people each year. Prevalence studies on TB show that South Africa has higher numbers of people with TB than has been estimated in the past – and that many people who are living with TB remain undiagnosed and untreated.

The country has robust policy frameworks for tackling TB, including the National TB Programme Strategic Plan 2017-2021, National Strategic Plan (NSP) on HIV, TB and STIs 2017–2022, National TB Management Guidelines, and international donor guidelines. These articulate a clear intent and could enable and promote accountability in the delivery of TB care.

However, despite strong policy frameworks, accountability for TB care is hard to define and operationalise in the country’s health system, which is plagued by systemic challenges such as disparities in quality service delivery in urban and rural areas, shortages of trained healthcare workers particularly at primary healthcare facilities, medicine stock-outs and corruption.

Origin of TBAC

In 2021, Global Health Strategies (GHS), in partnership with the Rural Health Advocacy Project (RHAP) at the Witwatersrand University, conducted a rapid assessment of the TB accountability mechanisms at the national level and in two provinces that carry the highest burden of TB cases in the country - KwaZulu-Natal (KZN) and the Western Cape (WC).

This looked to advance the Bill and Melinda Gates Foundation’s (BMGF) aims of consolidating advocacy efforts to improve TB accountability at the national and provincial levels. The results from this study (which can be found here) laid the grounds for the TB Accountability Consortium (TBAC).

As a leading figure in advocacy efforts surrounding challenges facing rural healthcare, RHAP was approached to act as the incubator and initial Secretariat for this consortium.


The consolidation of partnerships is currently underway, yet TBAC looks to work closely with the following leading organisations in the TB landscape: