In late 2021, working with the Global Coalition of TB Advocates, Matahari convened regional and national consultations with TB communities and experts in Africa, Eastern Europe and Central Asia, Latin America and the Caribbean and Asia-Pacific regions, and one national consultation in India, to discuss and map remaining challenges with human rights, stigma, and discrimination faced by TB communities. These rich discussions found, inter alia, that TB guidelines in Perú were last updated in 2013 and thus were outdated, and that they failed to account for TB services that were suited to indigenous populations and migrants. The discussions also showed that TB services for prisoners were found waiting in Haiti, with one expert saying:
“Here in Port-au-Prince where we work, the prisons are overcrowded, that is to say, a prison that was meant for a thousand people has four thousand prisoners. And a lot of people with tuberculosis in prisons come from the slums and have secondary illnesses or comorbidities, so what’s needed isn’tjust the TB drugs, but nutrition and access to drugs for their comorbidities. (Rolandy Edouard, Health through Walls, Haiti)”