dr. e. anne peterson, md, mph assistant administrator, bureau for global health, usaid sustainable...

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Dr. E. Anne Peterson, MD, MPH Dr. E. Anne Peterson, MD, MPH Assistant Administrator, Assistant Administrator, Bureau for Global Health, Bureau for Global Health, USAID USAID Sustainable Investment and Donor Coordination Stop TB Partners Forum March 25, 2004

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Dr. E. Anne Peterson, MD, MPHDr. E. Anne Peterson, MD, MPH

Assistant Administrator, Assistant Administrator,

Bureau for Global Health,Bureau for Global Health,

USAIDUSAID

Sustainable Investment and Donor CoordinationStop TB Partners Forum

March 25, 2004

TB Today Importance of

partners GFATM Leveraging for

greater impact Health in context of

development

Presentation Objectives

Significant development/economic implications 2-3 million deaths each year 98% of deaths occur in developing

world Affects the economically

productive population Serious global public health threat

1/3 of the world’s population is infected

8 million new cases per yearKey factor in survival of people living

with HIV/AIDS 1/3 of AIDS patients die of TBImplications for women’s health 750,000 women of reproductive

age die of TB each year

TB is not going away soon

Expand DOTS coverage Improve DOTS

performance Adapt DOTS to the

challenges of MDR TB and HIV/AIDS

Improve existing tools – diagnostics, drugs and vaccines

Work better between public, private sector and NGOs

To succeed, we must not only …

… But also

Identify new partners, reach out in collective, not competitive effort to find new resourcesGFATM -- $295 million in 19 HBCs -- Country level alliances critical for CCMs and GTAFM proposalsICC can ensure optimal use of funds

Working Together Working in partnership

is cornerstone of USAID’s approach

In 2002, USAID invested $370 million in 85 health partnerships & priority alliances, leveraging nearly $2 billion

USAID TB Funding Trend 1998 - 2004USAID TB Funding Trend 1998 - 2004

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

90.0

Pre-1998

1998 1999 2000 2001 2002 2003 2004

Fu

nd

ing

Le

ve

l (M

illio

ns

US

$)

Worldwide Burden USAID fights TB in

34 countries,

including 17 HBCs

India is a great example of strong political will and many Stop TB Partners working together

Government of India works with WHO, USAID, CIDA, CDC, World Bank, DFID, DANIDA, NGOs and the private sector amongst others

By 2004, India has made DOTS accessible to more than 800 million & quality services has been maintained throughout this rapid expansion

Nationwide DOTS coverage has increased from 50% in 2002 to 65 % in 2003

Partnership has bred success

TB is destroying lives and families. Unchecked, it will burden humanity forever

Why is this a moral imperative

Health is an economic and moral

investment

Revolutionize thinking Health must be combined with development

assistance Economic growth and poverty reduction Health and education as economic investment No magic bullet – we must commit to training

health care workers in the public, private sector, and NGOs, invest in new diagnostics and treatment regimens

We need new approaches to Development

Assistance