Update from the rbm secretariat
Download
1 / 29

UPDATE FROM THE RBM SECRETARIAT - PowerPoint PPT Presentation


  • 242 Views
  • Uploaded on

UPDATE FROM THE RBM SECRETARIAT. David Alnwick Project Manager RBM Global Partners’ Meeting Washington, DC April 18 - 19, 2001. Malaria Burden. One fifth of the world population at risk in over 100 malaria endemic countries Facing a huge disease burden

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'UPDATE FROM THE RBM SECRETARIAT' - PamelaLan


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Update from the rbm secretariat l.jpg

UPDATE FROM THE RBM SECRETARIAT

David AlnwickProject Manager RBMGlobal Partners’ MeetingWashington, DC April 18 - 19, 2001


Malaria burden l.jpg
Malaria Burden

  • One fifth of the world population at risk in over 100 malaria endemic countries

  • Facing a huge disease burden

  • 300-500 million cases of malaria per year

    • 1 million malaria deaths per year

      • > 90% of deaths in Africa

    • Disability from severe form of the disease


Economic burden l.jpg
Economic burden

GNP per capita (1995)

  • 1.3% reduced growth of national economies

  • 3 - 12 b US$ short term cost per year

  • Affects mainly agricultural productivity and school attendance of children

$0-70

$1941-2580

0

0

3

3

Malaria Index


Drug resistance l.jpg
Drug resistance

Chloroquine resistance

S/P resistance

Mefloquine resistance


Rbm goal l.jpg

RBM Goal

To halve global malaria

burden by 2010


Aims of the global partnership l.jpg
Aims of the Global Partnership

  • Create a societal movement to support malaria endemic countries and people at risk to reduce the burden of malaria

  • Provide an environment in which policies and actions that are effective, sustainable and locally adapted, can be created by countries to roll back malaria

  • Respond to resource gaps


Interventions l.jpg
Interventions

  • Early detection and prompt treatment

  • Insectide treated materials and other vector control methods

  • Preventive intermittent treatment in pregnancy

  • Disease surveillance, epidemic preparedness and response


Progress 1 interventions l.jpg
Progress 1: Interventions

Global partners have made progress in the development of:

  • Rational selection of interventions (LSHTM)

  • New therapy including combination therapy (MMV, private sector)

  • Pre-packaging of drugs (TDR, private sector)

  • Long lasting insectice treated materials (private sector)

  • Tools for complex emergencies (Technical support network)

  • Workplan to reduce reliance on DDT


Rationale for selection of interventions l.jpg
Rationale for selection of interventions

Cost-effectiveness in a very low income country with high transmission: mean and 90% range for the cost/DAYLY adverted (1995 US dollars)


Workplan to reduce reliance on ddt l.jpg
Workplan to reduce reliance on DDT

DDT continues to available to those countries that need it to roll back malaria

Efforts are made to make accessible alternative vector control tools


Progress 2 evidence based decisions l.jpg
Progress 2: Evidence based decisions

  • Research and control act together at country level (Ghana, Asia)

  • Global Framework for Monitoring Progress and Evaluating outcomes and Impact

  • Baseline for M&E in 24 countries in Africa is being collected;

  • Systems for monitoring malaria transmission intensity and mortality burden developed (MTIMBA)


Progress 2 evidence based decisions12 l.jpg
Progress 2: Evidence based decisions

  • Web based information system www.rbm.who.int

  • HealthMapper



Web based information systems14 l.jpg
Web based information systems

Compare where the outbreaks occur with current

distribution of partners


Web based information systems15 l.jpg
Web based information systems

Maximize resources in most needed areas


Progress 3 focused research l.jpg
Progress 3: Focused Research

  • Increase in institutions undertaking R&D in malaria (Multi- bilateral, Gates Foundation, EC, NIH, MIM, MMV, Gates Malaria Vaccine initiative, VIH/PAL)

  • TSN in operational research (South East Asia, South America)


Progress 3 focused research17 l.jpg
Progress 3: Focused Research

  • New therapy including combination therapy (MMV, private sector)

  • Pre-packaging of drugs (TDR, private sector)

  • Long lasting insecticide treated materials (private sector)

  • Tools for complex emergencies (technical support network)


Progress 4 scaling up l.jpg
Progress 4: Scaling-up

Functioning country partnership:

  • Partner agreement on medium term strategies (e.g. 11 + countries in Africa) including commitment of resources

  • Harmonization of RBM strategy with sector wide approach (Ethiopia, Ghana, Kenya, Tanzania, Zambia)

  • Increased district health budget allocation to malaria efforts (South America, Asia and Western Pacific)


Progress 4 scaling up19 l.jpg
Progress 4: Scaling-up

  • Increased resource availability through poverty reduction strategy and debt relief (Cameroon, Uganda, Zambia)

  • Capacity increased through expanded country partnership with NGOs and private sector providers (Ghana, Zambia, Tanzania, Kenya, Mozambique)

  • Many countries working across sectors (Irrigation, education, tourism, public works, agriculture, defense)

  • Working across health programs (IMCI, reproductive health) (Uganda, Malawi)


Progress 4 scaling up20 l.jpg
Progress 4: Scaling-up

  • Countries working together:

  • Lumbombo Initiative (Swaziland, Mozambique, South Africa)

  • Health for Peace Initiative (The Gambia, Guinea Bissau, Guinea Conakry,Sénégal)

  • North African Countries Initiative (Morocco, Algeria, Tunisia, Libya, Egypt)

  • Mekong Initiative (Cambodia, China, Laos, Myanmar, Vietnam, Thailand)

  • Haiti-Dominican Republic and Guianese shield


Progress 4 scaling up21 l.jpg
Progress 4: Scaling-up

  • Mechanisms for corporate involvement

  • Guidelines for complex emergency

  • Global organizational commitment from complex emergency partners

  • Reduction in drug prices


Slide22 l.jpg

Progress 5:Dynamic Global Movement

3. RESOLVE TO:

Initiate appropriate and sustainable action to strengthen the health systems to ensure that by the year 2005,

At least 60% of those suffering from malaria have prompt access to and are able to use correct, affordable and

appropriate treatment within 24 hours of the onset of symptoms.

At least 60% of those at risk of malaria particularly pregnant women and children under five years of age, benefit from the most suitable combination of personal and community protective measures such as insecticide treated mosquito nets and other interventions which are accessible and affordable to prevent infection and suffering.

At least 60% of all pregnant women who are at risk of malaria, especially those in their first pregnancies, have access to chemoprophylaxis or presumptive intermittent treatment.



Progress 5 dynamic global movement24 l.jpg
Progress 5: Dynamic Global Movement

  • Global Awareness of malaria is high

  • Consensus on principles and strategies

  • Additional global resources pledged at G8 and Abuja summits

  • All malaria affected countries have participated in dialogue on RBM organized by secretariat


Challenges l.jpg
Challenges

  • Dealing with resistance

  • Optimizing adherence

  • Investment into new tools such as vaccine

  • Improving M&E systems to track progress


Challenges26 l.jpg
Challenges

  • Access to goods and services (pricing, distribution systems, physical outlets, effective human resources)

  • Increasing delegation of control by governments to implementing partners

  • Responsive channeling of globally pledged resources to good country plans (clearing- and disbursement mechanisms)


Challenges27 l.jpg
Challenges

  • Ensuring and monitoring of quality (e.g. against counterfeit drugs)

  • Ensuring a minimum per capita health investment

  • Increasing the capacity of malaria control community to take advantage of resources availed by poverty reduction mechanisms


Challenges28 l.jpg
Challenges

  • Complex emergencies

  • Global financing of new technologies

  • Rapid global distribution systems for new tools


Expectations of the meeting l.jpg
Expectations of the meeting

  • Identify responsibilities for follow-up action by global partners to all major challenges identified