world health organization "3 by 5" initiative whot/3by5
DESCRIPTION
Treat 3 million by 2005. Naisiadet Mason HIV/AIDS Department, WHO, Geneva, Switzerland CCIH, May 2004. World Health Organization "3 by 5" Initiative http://www.who.int/3by5. What is the "3 by 5" Target?. 40,000,000 are infected with HIV/AIDS worldwide - PowerPoint PPT PresentationTRANSCRIPT
World Health Organization
"3 by 5" Initiativehttp://www.who.int/3by5
World Health Organization
"3 by 5" Initiativehttp://www.who.int/3by5
Treat 3 million
by 2005
Treat 3 million
by 2005Naisiadet Mason
HIV/AIDS Department, WHO, Geneva, Switzerland
CCIH, May 2004
World Health Organization
"3 by 5" Initiativehttp://www.who.int/3by5
• 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
What is the "3 by 5" Target?What is the "3 by 5" Target?
World Health Organization
"3 by 5" Initiativehttp://www.who.int/3by5
World Health Organization
"3 by 5" Initiativehttp://www.who.int/3by5
High burden countries in need of ART, Nov 2003
High burden countries in need of ART, Nov 2003
World Health Organization
"3 by 5" Initiativehttp://www.who.int/3by5
World Health Organization
"3 by 5" Initiativehttp://www.who.int/3by5
Countries that have appealed for WHO Technical Assistance, Feb 2004
Countries that have appealed for WHO Technical Assistance, Feb 2004
World Health Organization
"3 by 5" Initiativehttp://www.who.int/3by5
Yearl
y d
eath
s as
a f
act
or
of
tota
l in
1
99
5
0.0
0.5
1.0
1.5
2.0
Introduction of Highly Active Antiretroviral Treatment (HAART)
AIDS Deaths in Africa
AIDS Deaths in Western Europe
19921991 19991993 19951994 1996 1997 20011998 2000
Source: Adapted from WHO/UNAIDS Statistics & HIV/AIDS Surveillance in Europe, End-year report 2001, No 66, CESES
Widening Gap of AIDS Treatment
Widening Gap of AIDS Treatment
World Health Organization
"3 by 5" Initiativehttp://www.who.int/3by5
World Health Organization
"3 by 5" Initiativehttp://www.who.int/3by5
What ARVs Can DoWhat ARVs Can Do
World Health Organization
"3 by 5" Initiativehttp://www.who.int/3by5
Pillars of the "3 by 5" StrategyPillars of the "3 by 5" Strategy
• 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" Initiativehttp://www.who.int/3by5
World Health Organization
"3 by 5" Initiativehttp://www.who.int/3by5
A Simple Two-Pronged Approach
A Simple Two-Pronged Approach
World Health Organization
"3 by 5" Initiativehttp://www.who.int/3by5
Country DrivenCountry Driven SimplificationSimplification
WHO Strategy to Support Global Efforts to Scale Up Treatment
World Health Organization
"3 by 5" Initiativehttp://www.who.int/3by5
World Health Organization
"3 by 5" Initiativehttp://www.who.int/3by5
A Simple Two-Pronged Approach
A Simple Two-Pronged Approach
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" Initiativehttp://www.who.int/3by5
World Health Organization
"3 by 5" Initiativehttp://www.who.int/3by5
Simplification
A Simple Two-Pronged Approach
A Simple Two-Pronged Approach
• 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" Initiativehttp://www.who.int/3by5
The AMDS in FocusThe 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
World Health Organization
"3 by 5" Initiativehttp://www.who.int/3by5
What is "3 by 5" Building On?What is "3 by 5" Building On?
• 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
OpportunitiesOpportunities
Partners
Experience
World Health Organization
"3 by 5" Initiativehttp://www.who.int/3by5
World Health Organization
"3 by 5" Initiativehttp://www.who.int/3by5
What is "3 by 5" Building On?What is "3 by 5" Building On?
Opportunities
PartnersPartners
• 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" Initiativehttp://www.who.int/3by5
World Health Organization
"3 by 5" Initiativehttp://www.who.int/3by5
What is "3 by 5" Building On?What is "3 by 5" Building On?
Opportunities
ExperienceExperience
Partners
• 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" Initiativehttp://www.who.int/3by5
World Health Organization
"3 by 5" Initiativehttp://www.who.int/3by5
Funding for Treatment Scale-up
Funding for Treatment Scale-up
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
Budget requirements through to December 2005:
World Health Organization
"3 by 5" Initiativehttp://www.who.int/3by5
World Health Organization
"3 by 5" Initiativehttp://www.who.int/3by5
Achievements to date & next steps
Achievements to date & next steps
• Dec 1st 2003 - Launched "3 by 5" strategy and simplified
treatment guidelines
• Feb-April 2004 - 42 WHO staff deployed to 26 countries to
help draw up 4th round GFATM proposals and national AIDS
plans
• May-July 2004 - Technical assistance to countries ready for
immediate scale-up
• Aug-Dec 2004 - Continued technical assistance to countries
World Health Organization
"3 by 5" Initiativehttp://www.who.int/3by5
World Health Organization
"3 by 5" Initiativehttp://www.who.int/3by5
• July 2003 - Access to ART for all made WHO/UNAIDS core
policy
• Sept 2003 - HIV/AIDS declared Global Health Emergency, UN
General Assembly
• Nov 2003 - First partners meeting on proposed Strategy
• Dec 2003 - WHO UNAIDS "3 by 5" strategy launched
• Feb-June 2004 - WHO Technical Assistance in countries for
GFATM proposals and development of National AIDS scale up
plans and roll out
• May 2004 - WHA to consolidate political commitment and
action. Second partners meeting on Operational Planning
• July 2004 - Bangkok AIDS Conference – WHO Business plan and
report
Key dates Key dates
World Health Organization
"3 by 5" Initiativehttp://www.who.int/3by5
Milestones for December 2005Milestones 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
World Health Organization
"3 by 5" Initiativehttp://www.who.int/3by5
The Time to Act is NowThe 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" Initiativehttp://www.who.int/3by5
World Health Organization
"3 by 5" Initiativehttp://www.who.int/3by5