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Advocacy on Access to Treatment

Advocacy on Access to Treatment. The obstacles. poor health infrastructures. the high cost of drugs Inadequate political will. The Context. Epidemiology: More than 95% of PLWHIV/AIDS live in developing countries,

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Advocacy on Access to Treatment

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  1. Advocacy on Access to Treatment International HIV/AIDS Toolkit

  2. The obstacles • poor health infrastructures. • the high cost of drugs • Inadequate political will International HIV/AIDS Toolkit

  3. The Context • Epidemiology: More than 95% of PLWHIV/AIDS live in developing countries, • Per Capita Income: $25,732 in rich countries versus $440 in sub-Saharan Africa and $500 in South Asia, • Per Capita Health Spending: $1500 in North America vs. $204 in Africa and Asia, International HIV/AIDS Toolkit

  4. Context • Other priorities such as; clean water, adequate housing and nutrition, and decent schools and highways. • Other serious epidemics, such as tuberculosis and malaria • The Market for Drugs. Africa accounts for just 1%. International HIV/AIDS Toolkit

  5. Poor Health Infrastructure • Too few clinics, hospital beds and laboratories. • Shortage of competent health care professionals. • lack of medical and laboratory equipment • Drug distribution systems are incomplete. • Adequate food, clean water, International HIV/AIDS Toolkit

  6. Addressing the The High Cost of Drugs • Distribution Pipelines: United States-Venezuela Air Bridge • Bulk Buying: has reduced prices in the countries of the Caribbean • Technology Transfer: Building local infrastructure • Amendment to Canadian Patent Legislation to allow generic manufacturers to export cheaper drugs to countries in need International HIV/AIDS Toolkit

  7. International initiatives • WHO 3by5* -- provides technical assistance and standards concerning the scale up of treatment programs (*3 million on treatment by 2005) • Global Fund to Fight HIV/AIDS, TB and Malaria – provides financing to country-led initiatives • President’s Emergency Plan for AIDS Relief (PEPFAR) will spend US$15 billion over 5 years in 14 countries in the Caribbean and Africa to support AIDS projects • Clinton Foundation – works with governments to help finance projects using bilateral funding mechanisms International HIV/AIDS Toolkit

  8. Global Treatment Access Group (GTAG) • Increasing support to the Global Fund and other bilateral and multi-lateral mechanisms; • All trade agreements (including TRIPS, FTAA and others) must allow for the effective use of compulsory licenses for producing quality generic medicines for export to developing countries; • Official Development Assistance for health care infrastructure in developing countries should be increased. International HIV/AIDS Toolkit

  9. What is GTAG • GTAG is a working group of Canadian non-governmental organizations (NGO’s) sharing information and developing joint campaigning activities aimed at improving access to essential medicines and other aspects of care, treatment and support for people living with HIV/AIDS in developing countries • GTAG focuses its efforts on both the Canadian government and international actors International HIV/AIDS Toolkit

  10. What does GTAG do? • The working group monitors and undertakes activities with respect to issues such as: • Canada’s positions in political and trade forums which affect access to essential medicine for treatment of HIV/AIDS and opportunistic infections • Canada’s contributions to global initiatives such as the Global Fund and Canada’s contributions to ODA and debt cancellation • CIDA policies and guidelines as they related to access to treatment • Prepares policy papers and public education information • Participates in national and international forums dealing with global access to treatment and health care • Letter writing campaigns, policy submissions and other actions directed at government policy makers in Canada and internationally International HIV/AIDS Toolkit

  11. How to become a member • NGO’s are encouraged to become members of GTAG • The NGO should designate a person who can represent it on GTAG and serve as the liaison between their organization and GTAG and be responsible for obtaining the necessary approval of their organization to participate in joint activities • No funding is available for GTAG’s work. Costs of participation and activities are borne by participating NGO’s • Contact Richard Elliott at the Canadian HIV/AIDS Legal Network. Telephone (416) 595-1666 or e-mail relliott@aidslaw.ca International HIV/AIDS Toolkit

  12. ORGANIZATIONS: CANADA • Canadian HIV/AIDS Legal Network • Canadian Treatment Advocates Council (CTAC) • Interagency Coalition on AIDS and Development (ICAD) • Médecins sans frontières / Doctors Without Borders Canada (MSF Canada) • Oxfam Canada • Canadian Labour Congress International HIV/AIDS Toolkit

  13. International Organizations involved in access to treatment • Countries Consumer Project on Technology (CPT) • Health Global Access Project (GAP) Coalition • HIV & AIDS Treatment Action Campaign (TAC) • International Gay and Lesbian Human Rights Commission (IGLHRC) International HIV/AIDS Toolkit

  14. E-mail discussion fora • Treatment Access Forum • www.hivnet.ch:8000/topics/treatment-access/ • Pharm-Policy Mailing List • Lists.essential.org/mailman/listinfo/pharm-policy International HIV/AIDS Toolkit

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