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Dr. Eduardo Banzon, Senior Health Specialist, ADBDr. Benjamin Rolfe, Executive Secretary, APLMA

Disclaimer: The views expressed in this paper/presentation are the views of theauthor and do not necessarily reflect the views or policies of the AsianDevelopment Bank (ADB), or its Board of Governors, or the governments theyrepresent. ADB does not guarantee the accuracy of the data included in this paperand accepts no responsibility for any consequence of their use. Terminology usedmay not necessarily be consistent with ADB official terms.

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Implements the MTR recommendations and approved 27 March 2015.

Support Asia-Pacific DMCs achieve universal health coverage (UHC).

Using a systems approach to (i) improve coverage of populations with

quality health services, (ii) reduce out-of-pocket expenditures, and (iii)

safeguard against public health risks (health security).

Focus on 812 ADB DMCs, respond to opportunities in others.

Leverage loans and grants (co-financing, trust funds) to improve health

infrastructure, health sector governance, and health financing.

Build practice-based knowledge and innovations to ensure demand for

ADB health products.

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Universal Health Coverage

Qual ity heal th services to

al l those in need wi thout

undue f inancial hardsh ip

Almost all DMCs have embraced the goal of UHC Business-as-usual must make way for innovative and

solutions to build, manage, and finance services

Opportunity to provide effective health sector assistance focus support on operations that meet these needs aligned with the strengths of ADB

Combine lending with knowledge services

Malaria el im inat ion work can be a catalys t

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Major outbreaks of mutated influenza in the region:

SARS in 2003, H5N1 in 2004

05, and H7N9 in 2014-52015 Swine Flu in India infected 33,000, killing over 2,000

Multidrug-resistant tuberculosis (TB) in Bangladesh, PRC, India,

Indonesia, Myanmar, and elsewhere

Dengue is on the rise

Drug-resistant malaria in the Greater Mekong Sub-region (GMS)may undermine a decade of progress, costing billions

Regional connectivity brings both opportunities and risks

A Regional Public Health infrastructure is needed to

secure economic prosperityA Regional Health Security Architecture ADB can catalyse

Malaria elimination work will be an entry point.

Health Security

emerging demand

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An Asia-Pacific free of malaria by2030

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Source: World Malaria Report 2013

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Day 42 PCR adjusted MAS3 parasitological efficacy

and proportion of patients still parasitaemic at day

3.Artesunate-Mefloquine

Carrara VI, et al. (2013) Malaria Burden and Artemisinin Resistance in theMobile and Migrant Population on the ThaiMyanmar Border, 19992011: AnObservational Study. PLoS Med 10(3)

Under Threat Thai-Myanmar border.

Geographical extent of artemisinin resistance

as determined by the prevalence of K13

mutations.

Tun et. Al. Lancet Infect Disease 2015

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Previous spread of antimalarial resistance

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Previous spread of antimalarial resistance

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Connectivity and Health Security

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Australia, Brunei, Cambodia, PRChina,India, Indonesia, JapanRepublic of Korea, LaosMalaysia, New ZealandMyanmar, The PhilippinesRussia, SingaporeThailand, Viet Nam

United States of America

APLMA: Diplomacy and leadership

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APLMA A Policy Process

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Access to QualityMedicines andOtherCommodities TaskForce

Regional Financingfor Malaria TaskForce

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We welcomed the Asia Pacific Leaders Malaria Alliance (APLMA) Task ForceProgress Report 2014 and agreed to the goal of an Asia Pacific free ofMalaria by 2030.

We tasked the APLMA co-chairs to submit to the 10th EAS in Malaysia a planfor achieving this goal and to implement the recommendations of the APLMATask Forces.

A ROADMAP for MALARIA ELIMINATION

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Policy commitment APLMA secretariat

Supporting evidence based policy process. Engaging central government agencies via a Roadmap Increased financing, sustained policy reform - monitored by a scorecard

Technical leadership

Regional Malaria and other CommunicableDiseases Threats Trust Fund

Building ADBs leadership in health across multiple technicaldisciplines

Financing and Knowledge - Linking the two Taking a unique role in financing malaria elimination Exploring innovative products to increase efficiency and expand

financing Blending, bonds, cross-regional support

Positioning ADB in Health

Engagement & credibility in a sector poised for exponential growth

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Dr. Eduardo Banzon, Senior Health Specialist, ADBDr. Benjamin Rolfe, Executive Secretary, APLMA

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