Transcript Slide 1

Global Fund Resource Mobilization:
Back on Track - Tuberculosis
February 8th 2012, Amsterdam
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TB and Global Fund: Snapshot
• 83% of donor funding for TB is via GF
• Countries pay the majority – but this varies
• GF TB investments have yielded over half of
lives saved so far
• TB share of GF investments fallen to 13-14%
• Taking TB to the next level depends on a fully
resourced GF; GF achievement of strategic
objectives depends on smart investment in TB
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TB and the GF
• ‘I don’t know what to tell
donors about TB – because I
don’t know what to tell them
that would make sense.’
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Challenge: Inspiring people to care about TB
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TB: Lost in Translation?
• TB punches above its weight in terms of
programmatic results / dollar spent
• TB punches below its weight in terms of
translating this at global level to inspire
sufficient action and financing
• This ‘lost in translation’ piece impacts the
contribution TB can make to GF resource
mobilization efforts
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New Developments and Technologies
• Xpert, LED FM – economies of scale
• SLD – new regimens possible by 2013
• New approaches: TB REACH – innovation
incubator –- proof of concept
• Transforming the conversation
– SAML by 2015 (TB-HIV)
– ‘In my lifetime’ – ZERO TB Deaths among Children
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Impact of R11 Cancellation
• 70 countries were going to apply for R11
– Expansion plans halted for up to 56 countries
– MDR / civil society impact
• 30 TB grants will run out before 2014
• 20 countries risk disruption of essential
services and are applying to TFM
• Loss unknown for TB/HIV funding in HIV
proposals
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R11 Impact: Examples
• Tanzania: TB grant ends November 2012. GF =
30% of total in 2011. 45,600 patients at risk
2012-2014.
• Mozambique: TB Grant ends July 2013. GF =
68% of total in 2011. 51,500 patients at risk
2012-2014
• Every infectious person with TB will infect 1015 per year. Cost implications catastrophic.
(e.g. MDR)
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Phase 2 Renewals: Approach
• A) TB Grants – ‘Know Your Epidemic’ for TB.
Sit with FPM discuss country by country.
• B) HIV Grants – Ensure adequate TB/HIV
components (TB screening, IPT, infection
control etc.)
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Advocacy Opportunities
• Save a Million Lives by 2015 (80% reduction in
deaths among PLHA dying from TB)
– Zero TB/HIV Deaths (South Africa 12/1/2011)
– Country plans - UNAIDS
• TB and Mining – SADC HoS Declaration
• Zero Child Deaths from TB – WTBD (03/24/12)
• TB Investment Framework
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Questions
• The 3 investment frameworks don’t mesh –
Are we missing efficiency gains in between?
• How does a GF umbrella campaign
incorporate (or not) different goals and
campaigns from the 3 diseases
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