Unfortunately, those countries away from the targets are the ones for whom all these initiatives were meant. Despite a number of effective and affordable interventions with the international assistance of billion-dollar funds, there is not much progress and their health systems are really in a bad shape. There is the convergence of opinion, evidence-based studies, and analyses that suggest the biggest obstacles in progress of initiatives and programs to alleviate TB and other diseases is the health systems of the low and middle-income countries, the ones most affected by the scourge TB and other diseases. This has led to believe that concerted and coordinated efforts should be made to scale up the health systems of the affected countries. While robust health systems are critical to achieving the health MDGs, there is presently little direct focus on systems strengthening. The motivation to produce results for the MDGs has led many health care providers of the concerned health systems to focus on the disease itself with a notion that through the implementation of specific interventions the system will be automatically strengthened in course of time. The present health systems of the affected countries lack in the key areas such as the health workforce, drug supply, health financing, and information systems. Health System Utilized by Countries Most Affected by TB.
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