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Spreading Spreading STOP TBSTOP TB
National partnerships National partnerships
Cape Town, November, 2007
objectivesobjectives
• Evolution of STOP TB partnerships
• Strength in diversity
• Shared products
• Potential strengths
• Vehicle for ACSM, linking mothership to the grassroots
Circa 2000
GlobalAlliancefor TB
Drug R&D
Global STOP TB PartnershipGlobal STOP TB Partnership20002000
Global Partners Forum
TB/HIV DOTS-PlusMDR-TB
TB Diagnostics
Initiative
Global DOTS
Expansion
W O R K I N G G R O U P SW O R K I N G G R O U P STB
VaccineDevelopm
entCoalition
Advocacy & Communications Task Force now a working groupAdvocacy & Communications Task Force now a working groupAdvocacy & Communications Task Force now a working groupAdvocacy & Communications Task Force now a working group
Financing Task ForceFinancing Task ForceFinancing Task ForceFinancing Task Force
Global TB FundGlobal TB Drug Facility
Coordinating BoardPartnership Secretariat
WHO TechnicalAdvisory Group
Now 500 members
A Rotary partnership proposed
FlorenceFlorence World Lung Congress August 2000 World Lung Congress August 2000
How STOP TB CANADA started
•What are you doing about Canada’s commitment to the G8?...don enarson
So we met …..So we met …..• February 2001, TRADITIONAL partners, TB
controllers + Canadian Lung association + UNION• NEW Partners, RESULTS, Academics, professional
associations, ID specialists, Thoracic Society, Canadian nursing, Interagency coalition on Aids and development (ICAD), NGOs
• Mission: to support the Government of Canada in reaching G-8 goal of reducing TB by 50% by 2010 through education, co-ordination, communication and advocacy
• Website, Coordinating board, Monthly conference calls • Annual World TB day celebration• Response to emergencies, eg HQ funding• Need for linkages• Discovered other STOP TB in-country partnerships
•Seeking broader partnership
Other STOP TB country orgsOther STOP TB country orgs
• Uganda- Dec 10-04 Joseph Kawuma, country-wide MPs Business, AIDS groups
• Russia- Wieslaw Jabowiak WHO rep meetings with ministries of states, TB /HIV programs but ?? how to engage civil society; annual press prize
• Italy- Daniela Cirillo: training course for managers, meeting on TB and immigration, fund raising for research, ‘07 offer to host training course in STOP TB partnerships
• Mexico- Roberto Tapia, country wide, strong support for NTP, model for evaluation of impact
Other STOP TB orgsOther STOP TB orgs
• Sudan - Asma El Sony NTP director and grassroots activities to stop TB in Sudan, to build community coalition, with local committee DOTS’ supporters, universities in 26 states, elementary schools, prisons, military establishments, private sector, patient associations
• Nigeria- Nasir Sani Gwarzo inter-agency committee of NGOs and other sectors as STOP TB Committee of Nigeria. Mobilization is beginning, government is talking more about TB and case detection has increased 30% over the past year.
• Indonesia- Carmelia Basari- Gerdunas(STOP TB) Indonesia 44 partners probably the first ..-good knowledge and experience on how to engage at provincial levels local government and community based organizations.
OthersOthers
• Iran• Pakistan• Ghana• Nigeria• Bangladesh• Malawi
• Ecuador start up• USA restructure• Turkey
In industrialized countries, low rates, disease in marginalized populations, foreign born, aboriginal, dispossessed
Forgotten
In low income countries HIV co-infection , rates rising , overwhelming control programs ; Health sector reform, and infrastructure decay impede good control
Limited funds, human resources
In Both: Lack of political will, delayed treatment allows transmission and poor treatment leads to drug resistance
Both need Advocacy Communication and Social mobilization
Next stepsNext steps• link STOP TB Partnerships in a network• Regular communication + with ACSM Core, task groups• Share point with tools• Handbook on how to start• Successes; Challenges shared• Potential for linked projects:
– Patient handbook– Rotary advocacy– Training courses – Updates from Partnership and Working groups. – Monitor donor country fair share.– list serve, website, fact sheets, clear goals. – best practise in advocacy and measurements shared.– Art, Music, Ambassadors– Indigenous initiative
ACSM coreACSM core
Patient ledMobilizing business
GLOBAL COUNTRY LEVEL
National Partnerships
Mobilizing Civil Society
FIND AND CURE CASES
WORK PLAN
XDR
Community based care
Media and Events
G8
Standards
EU Mobilize resources for TB control
ACSMACSM
Global ACSMStrategiesMessages
Global level political action
Country level
Patient voice
Retooling
XDR
Community based care
Network of STOP TB national partnerships
In the end the goal is to find and In the end the goal is to find and cure cases at country levelcure cases at country level
Proposal:Proposal:that ALL nations initiate a StopTB that ALL nations initiate a StopTB
movement to accelerate social and movement to accelerate social and political action to stop the political action to stop the
unnecessary spread of unnecessary spread of tuberculosis around the world, tuberculosis around the world, linked to GFATM and relevant linked to GFATM and relevant
trade and debt issues trade and debt issues
Reality checkReality checkG8 commitmentsG8 commitments
2001: pledged to Global Health fund for ATM2002: Kananaskis NEPAD
2003: Evian-share debt, more access to clean water, Reaffirm GFATM, access to drugs, strengthen health systems
2004: Sea Island Georgia, borders, education N Africa and ME
2005 Scotland
2006 St Petersberg
2007 Germany
2000: To reduce poverty and diseases of poverty including TB by 50% by 2010
Promises to keepPromises to keep
Net Official Net Official Development Development
Assistance 2005, Assistance 2005, %GNI%GNI
0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
0.9
1
%GNI
SwedenNorwayNLLuxDenmBelgAustrFranceUKFinalndSwissIrelandGermanyCanadaItalyJapanSpainNZAustrUSPortugalgreece
Canada 0.34,= 3.7B