The Philippines' battle against tuberculosis (TB) is a story of progress and challenges, as revealed by Rugaiya Calapis, a public health expert and chair of the DOH National Capital Region (NCR) South TB Medical Advisory Council. While the country has made significant strides in TB control, including the adoption of artificial intelligence (AI) for faster diagnosis and the development of shorter treatment regimens, the need for sustained local investment remains a critical issue. Calapis highlights the importance of financial sustainability in TB control programs, emphasizing that reduced support can lead to delayed diagnoses and incomplete treatments. The Philippines' TB control program received US$68.9 million from international sources and US$50.3 million from domestic sources in 2024, according to the WHO. However, Calapis suggests that the country should aim for greater self-sufficiency in funding its TB efforts. One area of improvement is multi-disease testing, which can reduce costs for patients and medical laboratories but requires a robust specimen transportation system. Additionally, Calapis acknowledges the ongoing challenge of raising awareness among Filipinos about TB. Despite the National TB Control Program's establishment in 1978, there is still a gap in public understanding of the disease, with many patients seeking treatment at late stages due to misdiagnosis or self-medication. Calapis believes that improving information dissemination and awareness is crucial for the program's success. In conclusion, while the Philippines has made notable progress in TB control, Calapis underscores the need for continued investment and awareness efforts to ensure the long-term sustainability of the program and the health of its citizens.
