1. World Health Organization
Treat
3 million
by 2005
Naisiadet Mason
HIV/AIDS Department, WHO, Geneva, Switzerland
CCIH, May 2004
World Health Organization
"3 by 5" Initiative

2. World Health Organization
What is the "3 by 5" Target?
40,000,000 are infected with HIV/AIDS worldwide
6,000,000 need treatment every year
3,000,000 die because they do not get it
400,000 people living with AIDS have access to treatment today
Antiretroviral Therapy (ART) keeps people with HIV/AIDS
alive and healthy. It is not a cure
The Goal: Provide access to treatment for all
The Target: Treat 3 million HIV sufferers by 2005
World Health Organization
"3 by 5" Initiative

3. High burden countries in need of ART, Nov 2003

4. Countries that have appealed for WHO Technical Assistance, Feb 2004
World Health Organization
"3 by 5" Initiative

5. Widening Gap of AIDS Treatment World Health Organization
Yearly deaths as a factor of total in 1995
2.0
Source: Adapted from WHO/UNAIDS Statistics & HIV/AIDS Surveillance in Europe, End-year report 2001, No 66, CESES
AIDS Deaths in Africa
1.5
1.0
AIDS Deaths in Western Europe
0.5
Introduction of Highly Active Antiretroviral Treatment (HAART)
0.0
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
World Health Organization
"3 by 5" Initiative

6. What ARVs Can Do

7. Pillars of the "3 by 5" Strategy World Health Organization
Global leadership, strong partnership and advocacy
Urgent, sustained country support
Simplified treatment
Effective supply of medicines and diagnostics
Learn by doing
World Health Organization
"3 by 5" Initiative

8. A Simple Two-Pronged Approach
WHO Strategy to Support Global
Efforts to Scale Up Treatment
Country Driven
Simplification
World Health Organization
"3 by 5" Initiative

9. A Simple Two-Pronged Approach World Health Organization
Country Driven
Scale-up & treatment happens in country. It is country driven
Governments are responsible for the care and treatment of their citizens, including the poor and marginalized
Multiple actors are involved in ART and with scale-up
WHO provides technical support to governments
Focus on UNAIDS "three ones" approach
One National Plan
One Coordinating Body
One Monitoring and Evaluation System
World Health Organization
"3 by 5" Initiative

10. A Simple Two-Pronged Approach World Health Organization
Simplification
Fixed Dose Combination (FDC) drugs simplify drug regimen to just one pill twice a day
WHO has established an AIDS Medicines and Diagnostics Service (AMDS) to help countries streamline procurement and supply
AMDS links with the WHO Procurement, Quality and Sourcing Project (pre-qualification), assessing products and manufacturers, facilitating procurement
World Health Organization
"3 by 5" Initiative

11. The AMDS in Focus
A project of UNAIDS, WHO, UNICEF the World Bank and other partners
Activities of the AMDS:
Strategic information
Stockpiles and pooled procurement
Product selection
Demand forecasting
Market intelligence on sources, prices, raw materials
Technical support for product selection, procurement,
supply-management and local production
Prequalification of ARVs and diagnostics

12. World Health Organization
What is "3 by 5" Building On?
Opportunities
Increased global political commitment and resources
Simplified treatment and testing
Cheaper drugs and generic competition
Build on lessons from developing and developed countries
Use ART to strengthen health systems and accelerate prevention
Partners
Experience
World Health Organization
"3 by 5" Initiative

13. World Health Organization
What is "3 by 5" Building On?
Opportunities
Partners
UN and international agencies, governments, donors,
non-governmental organizations including faith based organizations, researchers, people living with HIV/AIDS, private sector, charitable foundations, and communities
Experience
World Health Organization
"3 by 5" Initiative

14. World Health Organization
What is "3 by 5" Building On?
Opportunities
Partners
Experience
Lessons learned by WHO in dealing with SARS, Polio, TB will be applied in addressing the world's worst health crisis: HIV/AIDS
Lessons learned from partners, e.g. MSF in Khayelitsha, Partners in Health in Haiti, MTCT in Burkina Faso and treatment programs in the private sector
World Health Organization
"3 by 5" Initiative

15. Funding for Treatment Scale-up
Budget requirements through to December 2005:
Countries
$5.5 billion to scale-up treatment to reach the target of 3 million people
WHO
$218 million for WHO technical assistance, 85% to be spent in country
World Health Organization
"3 by 5" Initiative

16. Achievements to date & next steps
Dec 1st Launched "3 by 5" strategy and simplified treatment guidelines
Feb-April WHO staff deployed to 26 countries to help draw up 4th round GFATM proposals and national AIDS plans
May-July Technical assistance to countries ready for immediate scale-up
Aug-Dec Continued technical assistance to countries

17. World Health Organization
Key dates
July Access to ART for all made WHO/UNAIDS core policy
Sept HIV/AIDS declared Global Health Emergency, UN General Assembly
Nov First partners meeting on proposed Strategy
Dec WHO UNAIDS "3 by 5" strategy launched
Feb-June WHO Technical Assistance in countries for GFATM proposals and development of National AIDS scale up plans and roll out
May WHA to consolidate political commitment and action. Second partners meeting on Operational Planning
July Bangkok AIDS Conference – WHO Business plan and report
World Health Organization
"3 by 5" Initiative

18. Milestones for December 2005
50 countries request WHO support
60 countries establish ARV target
60 countries develop national implementation plans
50 countries use AMDS
50 countries use WHO-based certification of competence
$50 to $200 yearly cost of ARV treatment
20,000 service outlets providing VCT
10,000 service outlets providing ART
100,000 health providers and community treatment supporters
30,000 partnerships with treatment outlets and community groups

19. World Health Organization
The Time to Act is Now
“To deliver antiretroviral treatment to the millions who need it, we must change the way we think and change the way we act.
“Business as usual will not work. Business as usual means watching thousands of people die every single day.”
LEE Jong-wook, Director-General, WHO
World Health Organization
"3 by 5" Initiative