Digital First, Faster Access: How TB Alliance Is Using Tech to Speed BPaL/M to People Who Need It

For decades, breakthrough TB science has too often moved slowly from approval to those in need. In the roll out of pretomanid and BPaL/M, TB Alliance changed that—achieving global access of a new DR-TB regimen within three years of approval, compared to the typical timeline of 7-9 years.

A set of digital health innovations is among the tools helping to drive the rapid and responsible use of these new regimens. Many of these technologies and platforms have been co-developed and deployed with high TB burden country partners.

Digital health tools are extremely well-suited for the fight against TB, as they’re built to scale globally, relatively inexpensive, and deployed at a marginal cost close to zero. For a disease that is global, affects millions, and concentrated in resource-limited settings, digital tools are a force multiplier, helping tools like BPaL/BPaLM move from policy to practice—fast.

A portfolio built for scale and equity

Fast Track the Cure (FTTC)
Community power + digital reach. FTTC mobilizes local leaders and civil society to educate, advocate, and monitor access to BPaL/M and other new TB treatments—combining social media campaigns, digital toolkits, and in-person outreach with community-led monitoring and patient support.

G-TEC (Global TB Expert Consultation)
Expert answers, when clinicians need them. An initiative of PeerLINC, G-TEC is a digital advisory platform connecting front-line providers managing difficult DR-TB cases with experts across 18 countries—typically turning around practical guidance within 24 hours.

SLASH-TB
Decisions backed by data. This online economic forecasting tool helps country decision-makers estimate the cost savings, outcomes, and health-system impact of adopting BPaL/M and other new TB regimens—supporting faster, evidence-based policy transitions.

Upskill TB
The classroom that travels. An interactive, open online training platform on DR-TB best practices, starting with how to implement BPaL/M safely and effectively.

Manage TB
Point-of-care precision. A clinical decision support system that helps public and private clinicians deliver guideline-aligned care for complex DR-TB cases, reducing variation and improving outcomes.

Together, these tools collapse the distance between evidence and access. Clinicians get real-time support; ministries can see the budget impact of switching to shorter regimens; communities organize around transparent, timely information; and health workers learn best practices for implementing new technologies without leaving their posts.

See these tools in action at the 2025 Union Conference

If you’re heading to the Union World Conference on Lung Health in Copenhagen, there are many opportunities to familiarize yourself with these initiatives. We’d love to see you at the following workshops and sessions.

TUESDAY, NOVEMBER 18

Workshop | UPSKILL TB: Strengthening of drug-resistant TB management through implementation of global open online training
10:10 – 13:10 CET | Room: B4A
Hands-on exploration of Upskill TB—walk through priority modules on BPaL/M, try interactive exercises, and help shape the roadmap with real-time feedback.

Community Connect | Catalysing community power: Driving demand and accountability in drug-resistant TB care
12:30 – 13:15 CET | Meeting Room 19
The next phase of Fast Track the Cure: youth and community partners from India, Nigeria, Pakistan, Peru, and Bangladesh share concrete tactics for demand creation and community-led monitoring to speed access to shorter regimens.

Workshop | Navigating the complexity of TB: A digital clinical decision support system for optimised care pathways
15:00 – 18:00 CET | Meeting Room 17
Get a working understanding of Manage TB, a DR-TB clinical decision support system. Learn how it’s being implemented and what it takes to replicate in new national contexts.

THURSDAY, NOVEMBER 20

Community Connect | Youth-led initiatives and using technology to drive access to better TB service and treatments
08:00 – 08:45 CET | Meeting Room 19
Explore how youth leadership and digital tools are accelerating uptake of BPaL/M and strengthening accountability—a collaboration between YOUNITE Global and Fast Track the Cure