Need a strategy to increase district commitment to TB:
• Efforts, in coordination with community and NGOs, to ensure domestic budgetary needs are met at local and national levels.
• Improved communication between communicable disease control and district planning offices to integrate parallel reporting lines.
• Explore creative means of stimulating local spending such as conditional grants or matching funds, taking into account the financial capacities of districts.
• Formalize financial relations between different levels of government and donors [MOU or other means].
• District planning needs to commit funds for longer term: At least 2 years, but ideally 5 years.