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

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

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 TB is not going away soon

 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 To succeed, we must not only …

… 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

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

USAID TB Funding Trend

Worldwide Burden  USAID fights TB in 34 countries, including 17 HBCs

 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 Partnership has bred success

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

Health is an economic and moral investment

 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 We need new approaches to Development Assistance