Kazakstan Water Supply, Sanitation and Health Project

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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
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Presentation Objectives

• TB Today
• Importance of partners
• GFATM
• Leveraging for greater impact
• Health in context of development

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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 worlds 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 womens health
• 750,000 women of reproductive age die of TB each
  year

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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

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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

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Working Together

• Working in partnership is cornerstone of USAIDs
  approach
• In 2002, USAID invested 370 million in 85 health
  partnerships priority alliances, leveraging
  nearly 2 billion

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USAID TB Funding Trend 1998 - 2004
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Worldwide Burden

• USAID fights TB in 34 countries, including 17
  HBCs

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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

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Why is this a moral imperative
TB is destroying lives and families. Unchecked,
it will burden humanity forever
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Health is an economic and moral investment
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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