Renewing the Fight Against TB and AIDSThe opportunity in our lifetime

Stop TB Partnership 22nd July, 2014 | AIDS 2014 presentation | Melbourne, Australia

4.4MILLION

Two Epidemics, One Fight,…One Disease?

TB and HIV - One Disease?

Save One Million Lives –

Launched in 2011 by

UNAIDS, WHO,

Stop TB

• Testing for HIV and TB should be provided every three years in places where both diseases are prevalent.

• Prompt TB treatment needs to be provided to every person living with HIV with active TB - or else treatment to prevent TB.

• HIV and TB treatment must be accessible and of good quality so that people living with HIV are cured of TB.

• ART should be started early since people living with HIV are far less likely to become ill with and die of TB if they begin ART before their immune systems begin serious decline

TB-HIV The

Numbers New HIV Positive TB Cases in 20121.1

mOf PLWHA screened for TB in 201213%

People with TB Tested for HIV in 201046%

125107

92796858504337322824201815131110

987654

target global10 / 100k / 100k

1990 2000 2010 2020 2030 2040 2050 2060 2070 2080 2090 2100 2110 2120 2130 2140 2150 2160 2170 2180 2190 2200 2210 2230 2250 2270 2290 year

TB incidence

theburden

1.3MILLION

8.6 MILLION estimated TB cases

5.7 MILLIONnew cases diagnosed

and treated

MDR-TB450,000estimated new cases

theburden

77,000 MDR-TB cases

diagnosed and on treatment

XDR

45, 000 （ 10%

） estimated cases of

XDR

we must

act now to end TB in our lifetimes

21802035

the road to 10 / 100,000TB incidence

• Scale-up to 100% coverage of proven interventions

• Prioritized focus on vulnerable groups- including women and children

• Integration within country-region context and system

• New tools

today125

10

What it takes

Good, reliable data with a focus on key affected groups and vulnerable

Know your epidemics

and hot spots

Walk away from everything everywhere and "vertical approaches"

Prioritize and invest

strategically

Involvement and engagement of all stakeholders throughout the entire processes.

Work in partnership

What we struggle

with Need for bold and ambitious targets based on data but pushing boundaries

Walk away from passive approaches and go towards active and patient/people centered work

Need for scale up plans – no more "pilot projects"

Work to fit in the overall country health system and plans

Integrated approaches with

efficiency savings

What we need

more of Science of Delivery on the Ground – Know How

Civil Society, communities and country based activists for TB

Increased funding for high-impact programs and R&D

Evolving global one size fits all approaches to more regional and country focused solutions

Discussion What are the barriers to better

integration of the TB-HIV response – technical barriers, global and local advocacy, integrated delivery and testing?

What are the barriers to accelerated scale up of testing and treatment?

What else do we need more of? What are some of the challenges you face in your work?

Which came first?

WHO Post

2015 Strategy

Goal: End the global tuberculosis epidemic

2035 Milstones:• 95% reduction in tuberculosis deaths (2015 baseline)• 90% reduction in tuberculosis incidence rate (2015 baseline)• No affected families facing catastrophic costs due to

tuberculosis

Rhetoric to

Action: The

Global Plan for

TB

• First Global Plan to Stop TB: 2001-2005• A ten-year Global Plan: 2006-2015• 5-year Global Plan: 2011-2015

The next 5-year Global Plan: 2016-2020

Global Plan for

2016-2020

2001-2005 2006-2010 2011-2015 2016-2020

Components of

the 2011-2015 Plan

• Part 1: Implementation– DOTS expansion and

enhancement– Drug-resistant TB– TB/HIV– Laboratory strengthening

• Part 2: Research and Development– Fundamental research– New diagnostics– New drugs– New vaccines– Operational Research

The Challenge Projections to 2035 compared with current trends

The Purpose

The Global Plan to Stop TB 2016 – 2020 will:

• Show what it takes to set the world on the right track to reach the goals set in the WHO post-2015 Global TB Strategy

• It will describe the activities needed in different regions of the world in order to “bend the curve” of TB incidence and mortality

• It will provide an estimate of costs

Timeline

Mar. ‘14

Start

Q3-Q4 ‘14

Modelling,Country

Missions & Regional

Consultations

Early-’15

Community/CS & StakeholderConsultation

Mid-’15

Draft for inviting

comments on the web

Sept. ‘15

Endorsement by the Stop TB

Board

Oct. ‘15

Launch

Discussion What should our country, regional, and

global priorities be in the 2016-2020 Global Plan for TB?

How can the next Global Plan incentivize TB-HIV integration?

Why does TB need an identity?

22

Identity is not a… Logo Slogan Campaign

But a lens for how we…

Think ActCommunicate

We need a paradigm shiftin the way wethink and speak

about TB.

23

Stakeholder interview

This is not a rebranding exercise. It’s about creating a movement that changes attitudes and behaviours.

Stakeholder interview

6

From

7

To

Project Timeline

Feb

27

Mar Apr May June July Aug Sept Oct Nov

Phase 1:Discovery + Analysis

Phase 2:Strategic Platform

Phase 3:Messaging Guidelines

Phase 4: Visual Identity

Phase 5:Validation Research

Phase 6: Guidelines

Phase 7: Implementation

We need to make TB everyone’s problem.

Stakeholder interview28

There needs to bea willingness to acceptthe way we’ve been doing things [around messaging]hasn’t worked.

Stakeholder interview29

advocate or donor

“XDR-TB”30

TB isn’t speaking tothe everydaypersonLanguage and terminology is very clinical

Doesn’t feel accessible to the average person

Stigmatises people living with TB

Doesn’t motivate the

“incidence”“prevalence”

“cases”“suspects”

“detection”“default” “MDR-TB”

TB has beenhere forever and it hasn’tchanged. It’s

time to make it fit for the 21st

century.

Stakeholder interview31

We need to make it unacceptable that people are dying ofTB.

People should be outraged by thefact wehave adisease that iscurable.Stakeholder interviews

32

In the political sphere people want a practical, positive way forward. TB needs to feel like it’s a winning race.

Politicians want to be associated with a cause that works.

Policy Maker interviews33

The insights1. TB is trapped in the medical world

2. A scientific approach doesn’t engage hearts and minds

3. Complacency within the TB community is stifling progress

4. TB as a global issue is remote and lacks urgency

5. TB has played the unconfident underdog for too long

The opportunities

1. Position TB as a social issue

2. Create a human connection

3. Be entrepreneurial with TB

4. Make impact personal

5. Tell a hopeful + heroic story

The identity of TB must capture two core thoughts…

Proximity Humanity

Closer

The concept:

Disclaimer This is not finalised – we are sharing it as an initial

concept for discussion

TB is closer than we think.The solution is closer than we imagine.

The fight is more urgent than ever before.

Get closer to TB.

Intimacy: an emotional connection that makes TB real and personal

Unity: understanding that TB is everyone’s problem to solve

Empowerment: unleashing latent power in others to beat TB

Progress: fighting stigma, raising awareness and creating results

The principles:

Confront stigma by getting closer together and talking about TB’s truth

Create urgency by demonstrating the need for global, collective action

Activate support by empowering each other with the tools and inspiration

Push for progress by working closer together to create change where it matters

The asks:

TB is closer than we think.

Getting closer to the reality of TB, the survivors and supporters, brings you harsh truth; a deplorable kind of injustice.

Uniting our collective strength gets us closer to resolution. We can confront stigma, create urgency, activate support and push for progress.

With advocacy, perseverance and passion we can get closer to reaching the 3 million that need treatment, closer to stronger communities and closer to life that goes on living.

Get closer to what TB is. Humanity's problem to solve.For our children. For our future. For all of us. We deserve to live without fear.

Get closer to a world free of TB.

The story:

Options for the visual identity are being prepared, and different ideas will be tested across the global health community.

Only after a wide consultation will the identity be ready to be launched into the world.

Visual Identity

of TBThe world is becom‹iJg smaller and we are closer to each other than ever before.

Explore thetruth of TB.18 OCTOBER - 20 DECEMBER 2014

FREE FOR MEMBERS

The real stories of TB Survivors.Don't let barriers stand in your way. Get closer to the truth.Get closer to what TB means, how it works and how to fight back.

Showing 1 -50 of 1221 stories

Getting the supportI needed to beat TB

Protect yourself from TB

Dangers of TB in school

Living with latent TB

Most recent

5

6

Skype stories

Thankyou.

Discussion

What was your initial reaction?

What works?

What could be better?

Would the TB Community unite behind it?

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