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Renewing the Fight Against TB and AIDSThe opportunity in our lifetime
Stop TB Partnership 22nd July, 2014 | AIDS 2014 presentation | Melbourne, Australia
4.4MILLION
Two Epidemics, One Fight,…One Disease?
TB and HIV - One Disease?
Save One Million Lives –
Launched in 2011 by
UNAIDS, WHO,
Stop TB
• Testing for HIV and TB should be provided every three years in places where both diseases are prevalent.
• Prompt TB treatment needs to be provided to every person living with HIV with active TB - or else treatment to prevent TB.
• HIV and TB treatment must be accessible and of good quality so that people living with HIV are cured of TB.
• ART should be started early since people living with HIV are far less likely to become ill with and die of TB if they begin ART before their immune systems begin serious decline
TB-HIV The
Numbers New HIV Positive TB Cases in 20121.1
mOf PLWHA screened for TB in 201213%
People with TB Tested for HIV in 201046%
125107
92796858504337322824201815131110
987654
target global10 / 100k / 100k
1990 2000 2010 2020 2030 2040 2050 2060 2070 2080 2090 2100 2110 2120 2130 2140 2150 2160 2170 2180 2190 2200 2210 2230 2250 2270 2290 year
TB incidence
theburden
1.3MILLION
8.6 MILLION estimated TB cases
5.7 MILLIONnew cases diagnosed
and treated
MDR-TB450,000estimated new cases
theburden
77,000 MDR-TB cases
diagnosed and on treatment
XDR
45, 000 ( 10%
) estimated cases of
XDR
we must
act now to end TB in our lifetimes
21802035
the road to 10 / 100,000TB incidence
• Scale-up to 100% coverage of proven interventions
• Prioritized focus on vulnerable groups- including women and children
• Integration within country-region context and system
• New tools
today125
10
What it takes
Good, reliable data with a focus on key affected groups and vulnerable
Know your epidemics
and hot spots
Walk away from everything everywhere and "vertical approaches"
Prioritize and invest
strategically
Involvement and engagement of all stakeholders throughout the entire processes.
Work in partnership
What we struggle
with Need for bold and ambitious targets based on data but pushing boundaries
Walk away from passive approaches and go towards active and patient/people centered work
Need for scale up plans – no more "pilot projects"
Work to fit in the overall country health system and plans
Integrated approaches with
efficiency savings
What we need
more of Science of Delivery on the Ground – Know How
Civil Society, communities and country based activists for TB
Increased funding for high-impact programs and R&D
Evolving global one size fits all approaches to more regional and country focused solutions
Discussion What are the barriers to better
integration of the TB-HIV response – technical barriers, global and local advocacy, integrated delivery and testing?
What are the barriers to accelerated scale up of testing and treatment?
What else do we need more of? What are some of the challenges you face in your work?
Which came first?
WHO Post
2015 Strategy
Goal: End the global tuberculosis epidemic
2035 Milstones:• 95% reduction in tuberculosis deaths (2015 baseline)• 90% reduction in tuberculosis incidence rate (2015 baseline)• No affected families facing catastrophic costs due to
tuberculosis
Rhetoric to
Action: The
Global Plan for
TB
• First Global Plan to Stop TB: 2001-2005• A ten-year Global Plan: 2006-2015• 5-year Global Plan: 2011-2015
The next 5-year Global Plan: 2016-2020
Global Plan for
2016-2020
2001-2005 2006-2010 2011-2015 2016-2020
Components of
the 2011-2015 Plan
• Part 1: Implementation– DOTS expansion and
enhancement– Drug-resistant TB– TB/HIV– Laboratory strengthening
• Part 2: Research and Development– Fundamental research– New diagnostics– New drugs– New vaccines– Operational Research
The Challenge Projections to 2035 compared with current trends
The Purpose
The Global Plan to Stop TB 2016 – 2020 will:
• Show what it takes to set the world on the right track to reach the goals set in the WHO post-2015 Global TB Strategy
• It will describe the activities needed in different regions of the world in order to “bend the curve” of TB incidence and mortality
• It will provide an estimate of costs
Timeline
Mar. ‘14
Start
Q3-Q4 ‘14
Modelling,Country
Missions & Regional
Consultations
Early-’15
Community/CS & StakeholderConsultation
Mid-’15
Draft for inviting
comments on the web
Sept. ‘15
Endorsement by the Stop TB
Board
Oct. ‘15
Launch
Discussion What should our country, regional, and
global priorities be in the 2016-2020 Global Plan for TB?
How can the next Global Plan incentivize TB-HIV integration?
Why does TB need an identity?
22
Identity is not a… Logo Slogan Campaign
But a lens for how we…
Think ActCommunicate
We need a paradigm shiftin the way wethink and speak
about TB.
23
Stakeholder interview
This is not a rebranding exercise. It’s about creating a movement that changes attitudes and behaviours.
Stakeholder interview
6
From
7
To
Project Timeline
Feb
27
Mar Apr May June July Aug Sept Oct Nov
Phase 1:Discovery + Analysis
Phase 2:Strategic Platform
Phase 3:Messaging Guidelines
Phase 4: Visual Identity
Phase 5:Validation Research
Phase 6: Guidelines
Phase 7: Implementation
We need to make TB everyone’s problem.
Stakeholder interview28
There needs to bea willingness to acceptthe way we’ve been doing things [around messaging]hasn’t worked.
Stakeholder interview29
advocate or donor
“XDR-TB”30
TB isn’t speaking tothe everydaypersonLanguage and terminology is very clinical
Doesn’t feel accessible to the average person
Stigmatises people living with TB
Doesn’t motivate the
“incidence”“prevalence”
“cases”“suspects”
“detection”“default” “MDR-TB”
TB has beenhere forever and it hasn’tchanged. It’s
time to make it fit for the 21st
century.
Stakeholder interview31
We need to make it unacceptable that people are dying ofTB.
People should be outraged by thefact wehave adisease that iscurable.Stakeholder interviews
32
In the political sphere people want a practical, positive way forward. TB needs to feel like it’s a winning race.
Politicians want to be associated with a cause that works.
Policy Maker interviews33
The insights1. TB is trapped in the medical world
2. A scientific approach doesn’t engage hearts and minds
3. Complacency within the TB community is stifling progress
4. TB as a global issue is remote and lacks urgency
5. TB has played the unconfident underdog for too long
The opportunities
1. Position TB as a social issue
2. Create a human connection
3. Be entrepreneurial with TB
4. Make impact personal
5. Tell a hopeful + heroic story
The identity of TB must capture two core thoughts…
Proximity Humanity
Closer
The concept:
Disclaimer This is not finalised – we are sharing it as an initial
concept for discussion
TB is closer than we think.The solution is closer than we imagine.
The fight is more urgent than ever before.
Get closer to TB.
Intimacy: an emotional connection that makes TB real and personal
Unity: understanding that TB is everyone’s problem to solve
Empowerment: unleashing latent power in others to beat TB
Progress: fighting stigma, raising awareness and creating results
The principles:
Confront stigma by getting closer together and talking about TB’s truth
Create urgency by demonstrating the need for global, collective action
Activate support by empowering each other with the tools and inspiration
Push for progress by working closer together to create change where it matters
The asks:
TB is closer than we think.
Getting closer to the reality of TB, the survivors and supporters, brings you harsh truth; a deplorable kind of injustice.
Uniting our collective strength gets us closer to resolution. We can confront stigma, create urgency, activate support and push for progress.
With advocacy, perseverance and passion we can get closer to reaching the 3 million that need treatment, closer to stronger communities and closer to life that goes on living.
Get closer to what TB is. Humanity's problem to solve.For our children. For our future. For all of us. We deserve to live without fear.
Get closer to a world free of TB.
The story:
Options for the visual identity are being prepared, and different ideas will be tested across the global health community.
Only after a wide consultation will the identity be ready to be launched into the world.
Visual Identity
of TBThe world is becom‹iJg smaller and we are closer to each other than ever before.
Explore thetruth of TB.18 OCTOBER - 20 DECEMBER 2014
FREE FOR MEMBERS
The real stories of TB Survivors.Don't let barriers stand in your way. Get closer to the truth.Get closer to what TB means, how it works and how to fight back.
Showing 1 -50 of 1221 stories
Getting the supportI needed to beat TB
Protect yourself from TB
Dangers of TB in school
Living with latent TB
Most recent
5
6
Skype stories
Thankyou.
Discussion
What was your initial reaction?
What works?
What could be better?
Would the TB Community unite behind it?
81