Post on 31-Dec-2015
description
HIV/AIDS and NTDs
Effective Solutions to Combat HIV/AIDS: Increasing Evidence of NTD Impact on HIV Transmission
HIV/AIDS and NTDs
Effective Solutions to Combat HIV/AIDS: Increasing Evidence of NTD Impact on HIV Transmission
NTDs and HIV/AIDS| April 19, 20232 |
Director-General
Dr Margaret Chan ( China )
Health Security and EnvironmentDr Keiji Fukuda( US )
HIV/AIDS, TB, Malaria and NTDDr Hiroki Nakatani( Japan )
Health Systems and ServicesDr. Carissa Etienne ( Dominica )
Noncommunicable Diseasesand Mental HealthDr Oleg Chestnov ( Russia )
General ManagementDr Mohamed Abdi Jama(Somalia)
WHO Senior Staff
( July 2012 )
Innovation, Information, Evidence and ResearchDr Marie-Paule Kieny ( France)
Family and Community HealthDr Flavia Bustreo( Italia )
Health Action in CrisisDr Bruce Aylward ( Canada)
Deputy Director-General
Dr Anarfi Asamoa-Baah( Ghana )
HQ
Regional Office for AfricaDr Luis Gomes Sambo ( Angola )
Regional Office for EuropeMrs Zsuzsanna Jakab (Hungary)
Pan American Health OrganizationDr Mirta Roses ( Argentina )
Regional Office for South- East AsiaDr Samlee Plianbangchang ( Thailand )
Regional Office for East-MediterraneanDr Ala Alwan ( Iraq )
Regional Office for Western PacificDr Shin Young-Soo ( Korea )
Director-General's Office
Dr Anne Marie Worning (Denmark)
Mr Fu Cong ( China )
Dr Ian Smith ( UK )
6 Regional Offices
NTDs and HIV/AIDS| April 19, 20233 |
2012 2013 2014 2015 2016 2017 Beyond
DG's Term July June
Global Framework MDG MDG 2015 SDG/MDG II ?
WHO Framework MTSP Present MTSP ( 2008-2013 ) GPW 2014-2019 ( 3 budget cycles )
Budget Framework
PB PB12/13 PB14/15 ( First Reform Budget by New WHO Priority ) PB16/17
GF Replenishment 3rd Replenishment ( 2011-13 ) ?
Plans/Strategies
GF Strategy 5 Y Strategy 2012-16
UNAIDS Strategy UNAIDS Strategy: Getting Zero 2011-2015
WHO HIV Strategy WHO HIV Health Sector Strategy 2011-2015
Stop TB Strategy Global Plan to Stop TB 2011-2015 ( by TBP )
Malaria Strategy Global Malaria Action Plan 2010-2015 ( by RBM )
NTD Road Map First Target ( Eradication of Dracunculiasis ) Second target by 2020 ( Eradication of Yaws, Elimination of Trachoma, Leprosy, HAT and LF )
HTMN Deliverables
Comprehensive Malaria Works to support MS: Situation Room
WHA Resolution.NTD Roadmap & Startegy
New TB Strategy 2015-2025
Revised HIV Strategy
2nd NTD Report Consolidated HIV Guidelines
Revised Global Malaria Action
Plan
World health
Report: Research for Health
Macro-Time Table of Global Health ( HTM related )
NTDs and HIV/AIDS| April 19, 20234 |
We need clear picture
Principles, values and fundamental approaches
WHO's core functions
CATEG
ORIES 1 2 3 4 5
PRIORITIES
IMPACT
Corporate services / enabling functions (illustrative)
• Providing leadership• Shaping the research agenda
• Setting norms and standards• Articulating policy options
• Providing technical support and building capacity
TWELFTH GENERAL PROGRAMME OF WORK 2014–2019 - DRAFT STRATEGIC OVERVIEW
MISSIONTo act as the directing and coordinating authority on international health work, towards the objective of the
attainment by all peoples of the highest possible level of health as a fundamental right.
• Equity and social justice • Global solidarity• Gender equality
• Emphasis on countries and populations in greatest need• Due consideration to the economic, social, and environmental
determinants of health
• Multilateralism• Science and evidence-based• Public health approach
Criteria for priority-setting
• The current health situation • Needs of individual countries for WHO support • Internationally agreed instruments • The existence of evidence-based, cost-effective interventions
Communicable diseases
Noncommunicable diseases
Health through the life course
Health systems
Preparedness, surveillance and response
• The comparative advantage of WHO• HIV/AIDS, tuberculosis, and
malaria• Neglected tropical diseases (including vector-borne
diseases)• Vaccine-preventable diseases
• Heart disease, cancers, chronic lung diseases, diabetes
• Mental disorders• Injuries and disabilities
• Maternal and neonatal health• Sexual and reproductive health• Child and adolescent health
• Healthy ageing
• National health policies, strategies, and systems
• Integrated service delivery• Regulatory capacity
• Epidemic- and pandemic-prone diseases
• Health in humanitarian crises
• Environmental health risks• Food safety
CONTRIBUTION
OF WHO
(illustrative
exam
ples)
omitted omitted omitted omitted
• Legal services• Audit and evaluation• Governing bodies
• Information technology and knowledge management• Budget, finance, accounting• Executive management
• Operations, logistics and security• Communications• Human resources
omitted
Universal health coverage (universal access to key interventions; financial protection)
Improved healthy life expectancyReduced mortality due to HIV, TB, and malaria
Reduced mortality due to
NCDs
Reduced mortality due to epidemics, disasters, and shared health threats
Reduced maternal
NTDs and HIV/AIDS| April 19, 20235 |
17 diseases that are prevalent in tropical and subtropical areas in Africa, Asia and South America
Mainly affect populations who are living in poverty, in areas where sanitation is lacking and who have close contact with infectious vectors
Diseases for which research and development for treatment lags behind because those affected cannot afford new medicines
Perpetuate poverty because they retard growth, cause chronic morbidity and disability, and generate social stigma
What are neglected tropical diseases?What are neglected tropical diseases?
NTDs and HIV/AIDS| April 19, 20237 |
African trypanosomiasisBuruli ulcer
Chagas DiseaseDengue
Echinococcosis Leishmaniasis
LeprosyLymphatic filariasis
RabiesSchistosomiasis
TrachomaYaws
Soil-transmitted helminthiasesSchistosomiasis
Lymphatic filariasisOnchocerciasis
Trachoma Foodborne trematode infections
Cysticercosis
Transmission controlIntegrated vector managementVeterinary public healthWater and environmental sanitationBehavioural change education
Intensified case management, surgery and chronic care
Preventive chemotherapy[Link with other Rapid Impact Interventions
and their delivery channels]
Dracunculiasis eradication
Strategic approaches for NTD control
NTDs and HIV/AIDS| April 19, 20238 |
Relationship between the four strategic directions for a global response to HIVRelationship between the four strategic directions for a global response to HIV
NTDs and HIV/AIDS| April 19, 20239 |
An example of geographic overlap between HIV and NTD: the case of schistosomiasis
* S. haematobium
NTDs and HIV/AIDS| April 19, 202310 |
From Linking Global HIV/AIDS Treatments with National Programs for the Control and Elimination of the Neglected Tropical Diseases. Julie Noblick, Richard Skolnik, Peter J. Hotez
NTDs and HIV/AIDS| April 19, 202311 |
Operational synergies: universal coverage
From Julie Noblick, Richard Skolnik, Peter J. Hotez
Operational synergies: universal coverage
From Julie Noblick, Richard Skolnik, Peter J. Hotez
NTDs and HIV/AIDS| April 19, 202312 |
Challenges and ApproachesChallenges and Approaches
Challenges– More biomedical evidence to establish a case– Service delivery model– Resource competition
Approaches– Advocacy– Technical Assistance– Strategic Information
NTDs and HIV/AIDS| April 19, 202313 |
Proposed priorities for actionProposed priorities for action
WHO and its Member States give high priority to HIV, Tb, Malaria and NTDs: WHA Resolution for Policy Plat Form.
Improved clinical management of co-infection: visceral leishmaniasis, Chagas disease, helminthiasis
Control and eliminate schistosomiasis to reduce risk of transmission
Document the cost-effectiveness of linking NTD and HIV interventions
Flexible approaches to increase access to diagnostic and treatment for vulnerable populations.
Global Monitoring for strategic investment ( Second NTD Report )