© OnAir 2010 Global Fund Resource Mobilization: Back on Track - Tuberculosis February 8 th 2012, Amsterdam

© World Health 2011Organization TB and Global Fund: Snapshot 83% of donor funding for TB is via GF Countries pay the majority – but this varies GF TB investments have yielded over half of lives saved so far TB share of GF investments fallen to 13-14% Taking TB to the next level depends on a fully resourced GF; GF achievement of strategic objectives depends on smart investment in TB 1

© World Health 2011Organization TB and the GF ‘I don’t know what to tell donors about TB – because I don’t know what to tell them that would make sense.’ 2

© World Health 2011Organization Challenge: Inspiring people to care about TB

© World Health 2011Organization TB: Lost in Translation? TB punches above its weight in terms of programmatic results / dollar spent TB punches below its weight in terms of translating this at global level to inspire sufficient action and financing This ‘lost in translation’ piece impacts the contribution TB can make to GF resource mobilization efforts 4

© World Health 2011Organization New Developments and Technologies Xpert, LED FM – economies of scale SLD – new regimens possible by 2013 New approaches: TB REACH – innovation incubator –- proof of concept Transforming the conversation – SAML by 2015 (TB-HIV) – ‘In my lifetime’ – ZERO TB Deaths among Children 5

© World Health 2011Organization Impact of R11 Cancellation 70 countries were going to apply for R11 – Expansion plans halted for up to 56 countries – MDR / civil society impact 30 TB grants will run out before countries risk disruption of essential services and are applying to TFM Loss unknown for TB/HIV funding in HIV proposals 6

© World Health 2011Organization R11 Impact: Examples Tanzania: TB grant ends November GF = 30% of total in ,600 patients at risk Mozambique: TB Grant ends July GF = 68% of total in ,500 patients at risk Every infectious person with TB will infect per year. Cost implications catastrophic. (e.g. MDR) 7

© World Health 2011Organization Phase 2 Renewals: Approach A) TB Grants – ‘Know Your Epidemic’ for TB. Sit with FPM discuss country by country. B) HIV Grants – Ensure adequate TB/HIV components (TB screening, IPT, infection control etc.) 8

© World Health 2011Organization Advocacy Opportunities Save a Million Lives by 2015 (80% reduction in deaths among PLHA dying from TB) – Zero TB/HIV Deaths (South Africa 12/1/2011) – Country plans - UNAIDS TB and Mining – SADC HoS Declaration Zero Child Deaths from TB – WTBD (03/24/12) TB Investment Framework 9

© World Health 2011Organization Questions The 3 investment frameworks don’t mesh – Are we missing efficiency gains in between? How does a GF umbrella campaign incorporate (or not) different goals and campaigns from the 3 diseases 10