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World Health Organization "3 by 5" Initiative whot/3by5

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

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World Health Organization "3 by 5" Initiative whot/3by5

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  1. 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

  2. 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 http://www.who.int/3by5

  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 http://www.who.int/3by5

  5. Widening Gap of AIDS Treatment 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 http://www.who.int/3by5

  6. What ARVs Can Do

  7. Pillars 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" Initiative http://www.who.int/3by5

  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 http://www.who.int/3by5

  9. 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" Initiative http://www.who.int/3by5

  10. A Simple Two-Pronged Approach 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 http://www.who.int/3by5

  11. 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 The AMDS in Focus

  12. 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 http://www.who.int/3by5

  13. 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 http://www.who.int/3by5

  14. 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 http://www.who.int/3by5

  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 http://www.who.int/3by5

  16. 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 Achievements to date & next steps

  17. Key dates • 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 World Health Organization "3 by 5" Initiative http://www.who.int/3by5

  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. 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 http://www.who.int/3by5

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