1 900 new children affected each day by aids that is 1 child every 20 seconds
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dedicated to Global solidarity. UNITAID sets up programs for. HIV / AIDS. malaria. tuberculosis. 1.900 new children affected each day by AIDS , that is 1 child every 20 seconds. 20% deaths among children in Africa due to malaria , a disease which can be cured….

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1.900 new children affected each day by AIDS , that is 1 child every 20 seconds

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1 900 new children affected each day by aids that is 1 child every 20 seconds

dedicated to Global solidarity

UNITAID sets up programs for

HIV / AIDS

malaria

tuberculosis

1.900 new children affected each day by AIDS, that is 1 child every 20 seconds

20% deaths among children

in Africa due to malaria,

a disease which can be cured…

Near 2 billion people

affected by tuberculosis,

that is one third of the world population


1 900 new children affected each day by aids that is 1 child every 20 seconds

  • A Global State of Emergency…

  • Medicines are in the North, patients in the South

  • The less developed countries represent:

    • 84% of the world population

    • less than11% of the global health expenditure

    • more than 93% of the global disease burden


1 900 new children affected each day by aids that is 1 child every 20 seconds

  • 2.1 million HIV positive children in

    the world

  • 660,000 children need ARV

    Only 40,000 benefit from it

  • Drug resistance is increasing

  • Only 8% of pregnant women get

    ARV to prevent transmission of

    the disease to their baby


1 900 new children affected each day by aids that is 1 child every 20 seconds

  • 1st cause of child mortality for a disease

    that can be cured

  • The disease burden is growing

  • ACTs are the most efficient treatment

  • against growing drug resistances

  • (efficient for 95% cases)


1 900 new children affected each day by aids that is 1 child every 20 seconds

  • 2 million people die from tuberculosis

    each year

  • 1st cause of mortality for people with Aids

  • Drug resistance is growing

  • Multi drug resistant treatments are extremely expensive (4.000 $/year)


1 900 new children affected each day by aids that is 1 child every 20 seconds

Official signature of the five founder countries when UNITAID was launched,

on 19 September 2006, United Nations, New York


1 900 new children affected each day by aids that is 1 child every 20 seconds

27 donor countries already joined UNITAID

Guinea has just joined on 30th August 2007


1 900 new children affected each day by aids that is 1 child every 20 seconds

Countries that implemented the air tickets levy

  • Tax already in place or now been implemented:

    • France

    • Chile

    • Norway (tax on CO2 from airplanes)

    • Côte d’Ivoire

    • Congo

    • Guinea Conakry

    • South Korea

    • Madagascar

    • Mauritius

    • Namibia

    • Niger

Countries which have committed to implement the tax: Benin, Burkina Faso,

Cameroon, Gabon, Liberia, Mali, Morocco, Central African Republic, Senegal,Sao Tome & Principe, Togo


1 900 new children affected each day by aids that is 1 child every 20 seconds

More than 80% of UNITAID revenue

is based on the air ticket levy


1 900 new children affected each day by aids that is 1 child every 20 seconds

Impact of the air tickets levy: an example

Antimalarial treatment

for 2 children

ex: flight Paris - Berlin

1 HIV-positive child

under treatment

for 1 year

ex: flight Paris - Dakar

An aircraft with 300 passengers on board leaving from Paris will cover the treatment for 1 person with multi drug resistant tuberculosis, which is very expensive (approx. 4.000 $)

Furthermore… no economic impact on air traffic


1 900 new children affected each day by aids that is 1 child every 20 seconds

UNITAID objectives

1/ Improve access to treatment for HIV/AIDS, TB, malaria in developing

countries

2/ Get lower prices for quality drugs and diagnostics

3/ Speed up products availability

  • Predictable long-term funding

  • A budget over $ 300 million in 2007, 90% being already committed

  • Price reductions as a result of larger volumes (pool procurement)

  • 85% of funds for the poorest countries

  • A small secretariat hosted by WHO: no bureaucracy


1 900 new children affected each day by aids that is 1 child every 20 seconds

UNITAID added value

UNITAID use of funds allows to:

1/ have manufactured drugs better adapted to patient needs (fix dose combinations)

2/ reduce prices: more drugs available for the same budget

3/ contribute to a better quality (pre qualification of drugs, incentive for manufacturers to invest)

4/ rapidly deliver drugs in the countries in need


1 900 new children affected each day by aids that is 1 child every 20 seconds

UNITAID uses a wide range of tools

to help reduce prices and accelerate

availability of drugs

COST plus

pricing

Predictable funding

Pool procurement

Volume price negotiation

Market dynamics forecast

Information sharing

Encouraging/attracting

new manufacturers

Encouraging

market competition

Prequalification

Encouraging

technology sharing

Supporting local registration

Partnership pricing

Loweringbarriers

to entry on market

Reference price / price ceiling


1 900 new children affected each day by aids that is 1 child every 20 seconds

A unique partnership model

UNITAID works together with well-recognized partners :


In the last months unitaid has committed to funding projects against the three diseases

In the last months, UNITAID

has committed to funding projects

against the three diseases…


1 900 new children affected each day by aids that is 1 child every 20 seconds

Ongoing UNITAID programs

HIV / AIDS

I/ Pediatric ARV: Have 100,000 new HIV-positive children under adapted ARV treatments in 2007 (today only 40,000 are covered when 660,000 need it) in 40 countries.

II/ 2nd line ARV: reduce prices for 7 products and provide treatments for 60,000 new patients in 27 countries in 2007.

III/ Prevention of mother to child transmission: improve the care, reduce diagnostic prices, have 1.2 million pregnant women tested and 340,000 under ARV treatment in 8 countries in 2007-2008.

Partner: the Clinton Foundation

Partners: WHO and UNICEF


1 900 new children affected each day by aids that is 1 child every 20 seconds

53 recipient countries from UNITAID funds

against HIV / AIDS

SEARO

India

Thailand

WPRO

Cambodia

China

Lao

Papua New Guinea

Vietnam

AMRO

Dominican Rep.

Guyana

Haiti

Jamaica

OECS

(Anguilla,

Dominica,

St Lucia,

Antigua & Barbuda,

Grenada,

St Christopher & Nevis,

British Virgin Islands,

Montserrat,

St Vincent & Grenadines)

EURO

Moldova

Serbia

EMRO

Djibouti

Morocco

Tunisia

AFRO

Angola

Benin

Botswana

Burkina Faso

Burundi

Cameroon

Chad

DRC

Cote d'Ivoire

Ethiopia

Ghana

Guinea

Kenya

Lesotho

Liberia

Malawi

Mali

Mozambique

Namibia

Nigeria

Rwanda

Senegal

South Africa

Swaziland

Tanzania

Togo

Uganda

Zambia

Zimbabwe


1 900 new children affected each day by aids that is 1 child every 20 seconds

Ongoing UNITAID programs

Malaria

Partners: The Global Fund and UNICEF

I/ ACT scale up: Scale up ACT treatments in eleven countries, until 2010, for 55 million treatments, in order to have an impact on prices, give an incentive to manufacturers, avoid stock out in countries.

II/ ACT program in Liberia and Burundi: Provide nearly 1.3 million treatments in these two countries that had no coverage for 2007, before other donors stepped in.

Partners: WHO and UNICEF


1 900 new children affected each day by aids that is 1 child every 20 seconds

22 recipient countries from UNITAID funds

against malaria

AFRO

Burundi

Cote d'Ivoire

Eritrea

Ethiopia

Gambia

Ghana

Guinea

Guinea Bissau

Liberia

Madagascar

Mali

Mauritania

Mozambique

Namibia

Somalia

Zambia

EMRO

Djibouti

Sudan

SEARO

Bangladesh

Indonesia

WPRO

Cambodia

China


1 900 new children affected each day by aids that is 1 child every 20 seconds

Ongoing UNITAID programs

Tuberculosis

Partner: The Global Drug Facility

I/ 1st line TB : Support the transitional provision of 740,000 treatments in 2007-2008 for 18 countries and establish a strategic rotating stockpile.

II/ Pediatric TB: provide treatments adapted to children in order to treat 150,000 children by the end of 2007.

III/ Multi drug resistant TB : Support the purchase of 4,700 treatments in 2007 for 17 low income and lower middle income countries, with a view to decreasing prices.

Partners: WHO and UNICEF

Partners: The Global Drug Facility and the Global Fund


1 900 new children affected each day by aids that is 1 child every 20 seconds

58 recipient countries from UNITAID funds

against tuberculosis

AFRO

Benin

Burkina Faso

Cape Verde

Cameroon

Congo Brazzaville

DRC

Cote d'Ivoire

The Gambia

Guinea

Kenya

Lesotho

Madagascar

Malawi

Mali

Mauritania

Mozambique

Niger

Nigeria

Rwanda

Somalia

Tanzania

Togo

Uganda

Zambia

SEARO

Bangladesh

Bhutan

India

Indonesia

Myanmar

Nepal

Sri Lanka

Timor-Leste

EURO

Azerbaijan

Bosnia-Herzegovina

Belarus

Bulgaria

Georgia

Kyrgyzstan

Kazakhstan

Moldova

Tajikistan

Uzbekistan

EMRO

Afghanistan

Djibouti

Egypt

Iraq

Lebanon

Pakistan

Syrian Arab Rep.

Yemen

WPRO

Cambodia

Lao

Philippines

Vietnam

AMRO

Dominican Rep.

Guatemala

Haiti


1 900 new children affected each day by aids that is 1 child every 20 seconds

Facing a global state of emergency, UNITAID contributes to bring solutions

In less than a year, UNITAID has

already achieved major results…


1 900 new children affected each day by aids that is 1 child every 20 seconds

1/ First significant price reductions

30 November 2006

on antiretroviral

for HIV positive children

(with the Clinton foundation)

8 May 2007

on second-line

antiretroviral

(with the Clinton foundation)


1 900 new children affected each day by aids that is 1 child every 20 seconds

UNITAID first results

"My long experience in public policy taught me that even those who don't like taxes are not reluctant to pay a contribution for a good cause.

Thanks to UNITAID, we succeeded to lower the annual cost of a treatment for a child with AIDS from 196 $ to 60 $. Each citizen who gets into an plane and pays its contribution should reflects on that : with the same amount of money, we save three time more children.."

President Bill Clinton

Le Monde – 25th July 2007


1 900 new children affected each day by aids that is 1 child every 20 seconds

2/ More user-friendly drugs

  • With UNITAID funding, new treatments put on the market against HIV/AIDS are more adapted :

  • Doses well adapted to children corpulence

  • Drugs to be taken in the form of tablets (fix dose combination) :

  • 1 tablet replaces several doses daily

  • Heat stable drugs : no refrigeration needed anymore

  • No need to dilute them in water (problem of access to drinkable water

  • in some countries).


1 900 new children affected each day by aids that is 1 child every 20 seconds

Daily treatment for a patient


1 900 new children affected each day by aids that is 1 child every 20 seconds

3/ The first drugs already in the field…

against HIV/AIDS

Number of children under treatment (31st May 2007)

(000’s)

Pediatric ARV program with the Clinton foundation

28,229 new children

40,758 children already under treatment

TOTAL

Source: Clinton foundation


1 900 new children affected each day by aids that is 1 child every 20 seconds

Results obtained: Impact for a patient

Jennifer

On admission

Atter 3 months

After 5 months

Pediatric ARV program with the Clinton foundation

Source: Partners In Health / Clinton foundation


1 900 new children affected each day by aids that is 1 child every 20 seconds

Against malaria

Arrival on 12th June 2007 of 670,000 ACTdoses in Liberia that will help to prevent the death of 6,800 children per year

(partners: UNICEF / WHO)


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