Many countries TB responses target the general population and would benefit from further gender nuance. In many countries the barriers to accessing quality services differ across gender. The responses to overcoming these barriers must be nuanced in the same way.
For example, we know more men are affected by TB in most countries. There is therefore a need to reach men with information, screening, testing and treatment support where they live, where they work, where they socialize. We require the engagement of leaders to also proactively champion.
A second example relates to the experiences of women. Women play a significant role as carers of those with TB - where professionally in the health work force, or, domestically. The experience of women with TB in pregnancy also requires tailored efforts and attention. Evidence shows us that stigma disproportionately impacts women and can result in divorce, homelessness and family exclusion. Policies and programs must be designed to respond to the needs of women and girls.
These examples demonstrate the importance of having TB responses that are tailored to gender to support local communities and national TB programs to respond to these challenges, by which ensuring that all people can access the quality TB services they need.