Spreading STOP TB National partnerships Spreading STOP TB National partnerships Cape Town, November, 2007

objectives Evolution of STOP TB partnerships Strength in diversity Shared products Potential strengths Vehicle for ACSM, linking mothership to the grassroots

Circa 2000

Global Alliance for TB Drug R&D Global STOP TB Partnership 2000 Global Partners Forum TB/HIV DOTS-Plus MDR-TB TB Diagnostics Initiative Global DOTS Expansion W O R K I N G G R O U P S TB Vaccine Developm ent Coalition Advocacy & Communications Task Force now a working group Financing Task Force Global TB Fund Global TB Drug Facility Coordinating Board Partnership Secretariat WHO Technical Advisory Group Now 500 members A Rotary partnership proposed

Florence World Lung Congress August 2000 How STOP TB CANADA started What are you doing about Canada’s commitment to the G8?...don enarson

So we met ….. February 2001, TRADITIONAL partners, TB controllers + Canadian Lung association + UNION NEW Partners, RESULTS, Academics, professional associations, ID specialists, Thoracic Society, Canadian nursing, Interagency coalition on Aids and development (ICAD), NGOs Mission: to support the Government of Canada in reaching G-8 goal of reducing TB by 50% by 2010 through education, co- ordination, communication and advocacy Website, Coordinating board, Monthly conference calls Annual World TB day celebration Response to emergencies, eg HQ funding Need for linkages Discovered other STOP TB in-country partnerships Seeking broader partnership

Other STOP TB country orgs Uganda- Dec Joseph Kawuma, country-wide MPs Business, AIDS groups Russia- Wieslaw Jabowiak WHO rep meetings with ministries of states, TB /HIV programs but ?? how to engage civil society; annual press prize Italy- Daniela Cirillo: training course for managers, meeting on TB and immigration, fund raising for research, ‘07 offer to host training course in STOP TB partnerships Mexico- Roberto Tapia, country wide, strong support for NTP, model for evaluation of impact

Other STOP TB orgs Sudan - Asma El Sony NTP director and grassroots activities to stop TB in Sudan, to build community coalition, with local committee DOTS’ supporters, universities in 26 states, elementary schools, prisons, military establishments, private sector, patient associations Nigeria- Nasir Sani Gwarzo inter-agency committee of NGOs and other sectors as STOP TB Committee of Nigeria. Mobilization is beginning, government is talking more about TB and case detection has increased 30% over the past year. Indonesia- Carmelia Basari- Gerdunas(STOP TB) Indonesia 44 partners probably the first..-good knowledge and experience on how to engage at provincial levels local government and community based organizations.

Others Iran Pakistan Ghana Nigeria Bangladesh Malawi Ecuador start up USA restructure Turkey

In industrialized countries, low rates, disease in marginalized populations, foreign born, aboriginal, dispossessed  Forgotten In low income countries HIV co-infection, rates rising, overwhelming control programs ; Health sector reform, and infrastructure decay impede good control  Limited funds, human resources In Both: Lack of political will, delayed treatment allows transmission and poor treatment leads to drug resistance Both need Advocacy Communication and Social mobilization

Next steps link STOP TB Partnerships in a network Regular communication + with ACSM Core, task groups Share point with tools Handbook on how to start Successes; Challenges shared Potential for linked projects: –Patient handbook –Rotary advocacy –Training courses –Updates from Partnership and Working groups. –Monitor donor country fair share. –list serve, website, fact sheets, clear goals. –best practise in advocacy and measurements shared. –Art, Music, Ambassadors –Indigenous initiative

ACSM core Patient ledMobilizing business GLOBALCOUNTRY LEVEL National Partnerships Mobilizing Civil Society FIND AND CURE CASES WORK PLAN XDR Community based care Media and Events G8 Standards EU Mobilize resources for TB control

ACSM Global ACSM Strategies Messages Global level political action Country level Patient voice Retooling XDR Community based care Network of STOP TB national partnerships

In the end the goal is to find and cure cases at country level

Proposal: that ALL nations initiate a StopTB movement to accelerate social and political action to stop the unnecessary spread of tuberculosis around the world, linked to GFATM and relevant trade and debt issues

Reality check G8 commitments 2001: pledged to Global Health fund for ATM2002: Kananaskis NEPAD 2003: Evian-share debt, more access to clean water, Reaffirm GFATM, access to drugs, strengthen health systems 2004: Sea Island Georgia, borders, education N Africa and ME 2005 Scotland 2006 St Petersberg 2007 Germany 2000: To reduce poverty and diseases of poverty including TB by 50% by 2010

Promises to keep

Net Official Development Assistance 2005, %GNI