Global Partnership to Stop TB Overview Marcos A. Espinal Executive Secretary

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Global Partnership to Stop TB OverviewMarcos
A. EspinalExecutive Secretary

• 26 April 2004 Lahore, Pakistan

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Overview

• Progress Fulfilling Amsterdam and Washington
• Preview Plotting the way forward

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History

• Stop TB Initiative (1998) 1st Ad-hoc Committee
  (London)
• Amsterdam Declaration to Stop TB (March, 2000)
• Ministerial delegations from 20 high-burden
  countries
• Call for Accelerated Action
• Coordinated National Plans
• New Mechanisms for Access to Drugs
• Accelerated Research on Drugs, Diagnostics and
  Vaccines
• World Health Assembly (2000)
• endorsed targets
• endorsed Global Partnership to Stop TB
• Washington Commitment (Oct 2001)
• Urgent action is necessary to meet the 2005 goals

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Strategic objectives
STRENGTHEN Stop TB Partnership
ADAPT MDR-TB / TB-HIV
EXPAND DOTS
IMPROVE New tools
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Structure
Global Partners Forum
WHO Technical Advisory Group
Coordinating Board Partnership Secretariat
Global TB Drug Facility
New TB Vaccines
Working Group on Advocacy Communication Task
Force on Resource Mobilisation
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STOP TB PARTNERSHIP SECRETARIAT Executive
Secretary Marcos A. Espinal
Finance Resource Mobilization Anant Vijay
M
Global Support Partners - WG Sarah
England
Global Drug Facility Gini Arnold
Regl/ National Partnership Ger Steenbergen
Advocacy Communication
Michael Luhan
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Review progress through 2003

• The Global Stop TB Partnership is working

• Grown 50 fold 280 members
• Accelerated TB control progress and funding
• Become a model for international public health
  partnerships
• Reach out to new partnerse.g. the private sector
  and civil society

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Achievements Aims 20012005

• Global Firsts
• The Global Plan to Stop TB, the Global DOTS
  Expansion Plan, the Global Drug Facility (GDF),
  the Green Light Committee (GLC) and the link with
  the Global Fund to Fight AIDS, TB and Malaria
  (GFATM)
• By 2001 National plans and increased commitments
  
• By 2002 NIACCs, accelerating detection rates to
  37, and a fully operational GDF
• By 2005 70/85 TB control targets

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The Global Plan to Stop TB

• Working Group on DOTS Expansion
• 180 countries implementing DOTS
• Working Group on TB/HIV
• Policy for TB/HIV collaborative activies
• Working Group on DOTS-Plus for MDR-TB
• Treatment for MDR-TB in more than 10 countries

• Working Group on New Diagnostics
• Enabling environment for commercial tool
  development
• Working Group on New TB Drugs
• Pipeline of promising compounds
• Working Group on New Vaccines
• Two vaccine candidates entering phase I clinical
  trials

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The Targets
100
TARGET ZONE
85
90
Treatment success ()
80
70
50
60
70
80
90
100
110
120
70
DOTS detection rate ()
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The Partnerships Report Card

• First independent external evaluation
• Scored extremely high marks
• Added value, new initiatives, increased funding
• Made progress against TB
• Supported new diagnostics, drugs and vaccines
• Operationalized GDF and GLC
• Increased political commitment to the Global Plan
• Weve made a great start but ...

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The clock is ticking This is no time for
complacency
II. The WayForward
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II. Preview of the future

• Plotting the way forward
• 2005 (Global Targets 70/85)
• 2015 (Millennium Development Goals halving
  prevalence and mortality)

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Accelerate progress 2005

• Win the case race
• ONE MILLION TB PATIENTS EXTRA EVERY YEAR

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Accelerate progress 2005

• Win the case race
• Double DOTS detection from 37 to 70 by
• ensuring diagnosis and cure of known TB cases
  according to DOTS standards
• recruiting patients from non-DOTS participating
  clinics and hospitals and from beyond the public
  health systems
• Inch up treatment cure rates from 82 to 85
• Strengthen focus on countries and communities
• Focus on TBs human face

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Intensify action 2005

• Bold initiatives
• ISAC Emergency Intensified Support Action
  Countries accelerates efforts in lagging HBCs
• PPM DOTS The public-private and public-public
  Mix DOTS casts the health care net wider
• Global Plan Phase I Finalize and secure funding

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Initiatives 2003-2004 a focus on countries

• Regional and national partnerships
• Resource mobilization and political advocacy
• Support networks in HBCs to sustain and increase
  political commitment and resources for TB
• TB and poverty
• Integrate TB into poverty reduction strategies,
  especially in HIPC
• Social mobilization / communication / advocacy
• Increase community awareness about TB
• Broadening the Partnership
• TB patients, HIV/AIDS community, private and
  corporate sector, foundations

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Energize partnerships

• Partnerships play a strong role
• Countries Strengthen / building partnerships
• HIV/AIDS community Make TB a major issue
• Diverse partners Define complementary roles
• Donors Cultivate investments, expand the base
• Media Raise awareness, increase advocacy
  networks
• Stakeholders Broaden the range

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Why long-term goals matter

• TB will not go away tomorrow
• TB is still a disease of the poor
• Ill health and poverty are a vicious circle
• Effective interventions exist need to reach more
  people
• Improve national TB control policies,
  institutions, investment
• Coordinate partner-donor efforts
• The LIVES and CASES prevented are the bottom line

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Long-term goals2015

• 2nd Ad Hoc Committee recommendations
• Consolidate, sustain, advance achievements to
  date
• Enhance political commitment
• Address the health workforce crisis
• Strengthen health systems, especially PHC
  delivery
• Accelerate responses to the TB-HIV/AIDS emergency
• Mobilize communities and the private sector
• Invest in RD to shape the future

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Long-term goals2015

• Global Plan To Stop TB II
• Poverty Reduction Strategy Papers
• Investments plans based on well-documented needs
  and costing scenarios

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New DelhiKeep the Pledges

• The international community must infuse a
  greater sense of urgency into the TB movement and
  support national campaigns aimed at achieving the
  targets
• The donor community must expedite the release
  of allocated funding in order to make a
  difference and reach the 2005 Targets
• NGOs must increase their TB control involvement
  by aligning themselves closely with national TB
  programs accelerating initiatives to fight TB
  through

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New DelhiKeep the Pledges

• Advocates, communicators, and media must play a
  bigger role at global, regional, and national
  level in order to mobilize society and resources
  for better TB control
• The people suffering from TB need a stronger
  voice within the global movement to Stop TB and
  should be welcomed and supported by countries and
  organizations to be actively participating in
  Stop TB efforts.
• All stakeholders should do their utmost to
  accelerate efforts to meet the 2005 TB control
  targets.

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Keep the pledges

• The reward will be found most meaningfully
• in the faces of those whose lives have been saved
  
• and health restored through our unremitting
  efforts.