tb and hiv : improving efficiency, saving...
TRANSCRIPT
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Presentation at the World Bank
Conference on “Improving Efficiency in Health” Jane Coyne, Office of the UN Special Envoy on Tuberculosis, UCSF
TB and HIV : Improving Efficiency, Saving Lives
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Determining how we best use our resources to:
• Diagnose and treat more people • Make it easier for patients to succeed
Efficiency = More lives saved
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PEPFAR 2.0
• Country owned and country driven • Address HIV within a broader health and
development context • Build upon strengths and increase
efficiencies
• GET MORE PATIENTS ON TREATMENT
“ Transitioning from emergency phase to sustainable country
programs”
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People receiving antiretroviral therapy 2000–2015
Source: UNAIDS 2014 estimates. Numbers receiving antiretroviral therapy through March 2015 provided by selected countries in sub-Saharan Africa.
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Strengthening a data driven approach
STANDARD OF
CARE
Today Tomorrow
HEALTH
SYSTEM NEEDS
HEALTH
SYSTEM
CAPACITY
RIGOROUS
MEASUREMENT
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Identify GAPS in service
End DUPLICATION of services
Recognize the CONTRIBUTION of countries
Achieving “Value for Money”
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angu
Providing a common language and
highlighting goals The Care Cascade
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Creating greater efficiencies
Generic Drugs
Supply Chain Management
Transportation
Laboratory Management
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Disease focused interventions created: • Competing demand for resources
• Inefficient delivery of services
One health infrastructure: • One-stop-shop for care
Moving from disease-siloes to ONE health infrastructure
HIV
Ministry of
Health
ONE health
infrastructure
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Empowering partner countries
Recognition of country contributions stimulates shifts in accountability and responsibility
Country
Contribution
Donor
Contributio
n
Patients
?
Private
Sector
?
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• Data driven decisions • Country lead partnerships • Service integration UHC
Lessons learned
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TB Today
Deadliest infectious disease Important mortality reduction
3.6 million cases missed 6 million cases reported
Weakness in base science 1st new tools in years
Rising resistance Treatment that works
Fatigue
Opportunity
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Challenge for TB
Building on what we already know • Be ambitious • Enable data driven decisions • Integrate patient services and support services
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Thank you