Abstract
Universal social protection is at the core of the 2030 Agenda for Sustainable Development and is also reflected in Pillar 2 of the WHO End TB Strategy (1), which acknowledges social protection and poverty alleviation as integral and essential parts of the global response to TB. During the 2023 High level Meeting of the United Nations General Assembly on the Fight Against Tuberculosis (3) world leaders approved a new political declaration that re-emphasises the critical role of social determinants in perpetuating the cycle of TB and poverty and how these determinants and the socioeconomic consequences of TB are triggered or exacerbated by health and humanitarian crises, including pandemics, disasters and climate change. The 2023 political declaration further emphasises the continued importance of multisectoral action and accountability across the health, nutrition, finance, labour, education and social protection.