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Dr. E. Anne Peterson, MD, MPH Assistant Administrator, Bureau for Global Health, USAID

Sustainable Investment and Donor Coordination Stop TB Partners Forum March 25, 2004. Dr. E. Anne Peterson, MD, MPH Assistant Administrator, Bureau for Global Health, USAID. Presentation Objectives. TB Today Importance of partners GFATM Leveraging for greater impact

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Dr. E. Anne Peterson, MD, MPH Assistant Administrator, Bureau for Global Health, USAID

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

  2. Presentation Objectives • TB Today • Importance of partners • GFATM • Leveraging for greater impact • Health in context of development

  3. TB is not going away soon 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 year Key factor in survival of people living with HIV/AIDS • 1/3 of AIDS patients die of TB Implications for women’s health • 750,000 women of reproductive age die of TB each year

  4. To succeed, we must not only … • 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

  5. … But also • Identify new partners, reach out in collective, not competitive effort to find new resources • GFATM -- $295 million in 19 HBCs -- Country level alliances critical for CCMs and GTAFM proposals • ICC can ensure optimal use of funds

  6. 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

  7. USAID TB Funding Trend 1998 - 2004

  8. Worldwide Burden • USAID fights TB in 34 countries, including 17 HBCs

  9. Partnership has bred success • 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

  10. Why is this a moral imperative TB is destroying lives and families. Unchecked, it will burden humanity forever

  11. Health is an economic and moral investment

  12. We need new approaches to Development Assistance • 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

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