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MDG 6 Alessandra Pizzuto Debora Ferro Luca Vasile Suyene Garcia Roma, 2008. People. Batho. Are People. Ke Batho. Through People. Ka Batho. “ Ugandan Proverb ”. MDG 6: combat HIV/AIDS, malaria and other diseases 40% OF THE WORLD’S POPULATION AFFECTED BY THESE DISEASES
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MDG 6 Alessandra Pizzuto Debora Ferro Luca Vasile Suyene Garcia Roma, 2008
People Batho Are People KeBatho Through People KaBatho “UgandanProverb”
MDG 6: combat HIV/AIDS, malaria and other diseases 40% OF THE WORLD’S POPULATION AFFECTED BY THESE DISEASES Millions of Deaths every year Orphans worldwide Economy Backwardness Cycle of Dependence – “Neocolonialism” Eternal Cycle of Aid
Target 7 Halt and begin to reverse the spread of HIV/AIDS Target 8 Halt and begin to reverse the incidence of malaria and other major diseases Incidence of HIV/ AIDS in the world
Indicators HIV/ Aids 6.1 HIV prevalence among population aged 15-24 years6.2 Condom use at last high-risk sex6.3 Proportion of population aged 15-24 years with comprehensive correct knowledge of HIV/AIDS6.4 Ratio of school attendance of orphans to school attendance of non-orphans aged 10-14 years 6.5 Proportion of population with advanced HIV infection with access to antiretroviral drugs Orphans/ non-orphans attendance
Indicators Malaria 6.6 Incidence and death rates associated with malaria6.7 Proportion of children under 5 sleeping under insecticide-treated bednets6.8 Proportion of children under 5 with fever who are treated with appropriate anti-malarial drugs Indicators TB 6.9 Incidence, prevalence and death rates associated with tuberculosis6.10 Proportion of tuberculosis cases detected and cured under directly observed treatment short course
Malaria • Figures • 300-500 million cases worldwide annually • Over 1 million deaths annually • Main Points • Children Infection • Every 30 seconds, an african child dies of malaria; • Preventable • Vaccines*, bednets ($5) • Curable • ACT ($2,20 p/ treatement) Number of infections WHO
Malaria • Tanzania • GDP Growth 6,3% (US$ 350 per capita income) • Drought in the early years 21st century; • Highly dependent on agricluture (>75%) • 31st in the rank mortality rate children <5 • Change in Political and Legal Framework to support development: • Government’s Poverty Reduction Strategy
A to Z $ NETS Malaria • “A to Z” Economic Cycle • Employment • Economic Growth • Private Sector Development • Saving Lives It Addresses to gender issues, giving preference to women. • One of the biggest • companies in Tanzania;
Tuberculosis • Figures • 9.2 million cases annually; • 1.5 million deaths • Main Points • Indifference • Spread of the disease • Multi-Drug resistance (MDR – TB) • Treatment – 6 months/ 2 years • DOTS – WHO Strategy • Global Plan Strategy • Drugs ($10 p/ person)
Tuberculosis • Pakistan • 6th most populous • 2nd largest muslim population • Major emerging market: • 7% growth (US$ 770 per capita) • 7th high-burden TB country (among 22); • DOTS Coverage increased from 9 to 79% • Detection rate: 27% (Target 70%) • TB Budget 1,6 mi to 26 million since 2001 • Main challenges: reaching rural areas, socio – cultural constraints
Tuberculosis • Mercy Corps Initiative – Moving towards comprehensive DOTS • Fighting Tuberculosis, Village by Village • Use of community health workers to deliver medications and observe treatment • Regimens in patients’ homes. • Treated 4,700 patients*; • Trained 1,000 paramedics, lab technicians, outreach workers*; • 400 “awareness sessions” in schools and villages; • It improves and institutionalizes the “treatment supporter model” from WHO. • * Data 2006
HIV/ Aids • Figures • 39,5 million living with HIV/Aids worldwide • 2,9 million died of Aids related disease in 2006 • Main Points • Young People Infection • Feminization of the Disease • Children • Mother-to-child • Orphans – a social problem
HIV/ Aids • Brazil • Emerging economy BRIC – 10th • Growth 6% - ( US$ 4,730 per capita) • In the 90’s, HIV cases estimated 1,2 million • Actual rate: 600,000 cases • HIV/ AIDS Governmental Program • International Conflict • Art. 71 WTO x TRIP WTO • TRIPs "does not and should not prevent Members from taking • measures to protect public health" including "medicines for all."
HIV/ Aids • Better by the Day • Amazonas State Municipal Programme • STD/ HIV/ AIDS Itacoatiara • Voluntary Counselling and Testing Center • Testing, workshop, condoms’distribution • ART medications, infant formula. • It organizes campaigns, “peer-education • prevention program” • The program facilitates and improves access to prevention services, healthcare, • and proper information.
Strengths • Interlinkages with the other MDGs • Political Commitment and International Framework • Weaknesses • Funding gap* • Opportunities • Perfect timing for Engagement • Threats • Political Commitment and International Framework • If all the diseases in matter are preventable or curable, why will we miss this Goal?
Thanks a lotforyourattention 30 childrendiedof malaria in Africa Duringthispresentation More than 30 people diedof TB around the world 82 people diedof AIDS relateddesease