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