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Closing the MGD Gap Through Health Literacy Working With Civil Society and Communities

Closing the MGD Gap Through Health Literacy Working With Civil Society and Communities. Dr Bernhard Schwartl ä nder ECOSOC Annual Ministerial Review Regional Ministerial Meeting for Asia and the Pacific 29 & 30 April 2009, Beijing, China.

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Closing the MGD Gap Through Health Literacy Working With Civil Society and Communities

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  1. Closing the MGD Gap Through Health LiteracyWorking With Civil Society and Communities Dr Bernhard Schwartländer ECOSOC Annual Ministerial Review Regional Ministerial Meeting for Asia and the Pacific 29 & 30 April 2009, Beijing, China

  2. MDG Goal 6: Combat HIV/AIDS, Malaria and other diseases • Target 6a: Have halted by 2015 and begun to reverse the spread of HIV/AIDS • Target 6b: Achieve by 2010,universal access to treatment for HIV/AIDS for all those who need it. • Target 6c: Have halted by 2015and begun to reverse the spread of malaria and other major diseases.

  3. AIDS: Anti Retroviral Treatment in Asia-PacificCoverage of those in need UNAIDS/S.NOORANI

  4. AIDS Treatment Literacy in ChinaCommunity based approach • 4 provinces, 35 project sites • Over 10,000 people on ART (about one quarter of all PLHIV on ART in China) • Peer motivators, SMS platform, women’s network • Positive prevention • Treatment literacy manual for PLHIV • ART management software, doctor’s forum Source: Thomas Cai, AIDS Care China, 2009. Data for 10 Yunnan sites in 2008

  5. China: AIDS Treatment LiteracyMore Than Doubling in Enrollment Source: Thomas Cai, AIDS Care China, 2009. Data for 10 Yunnan sites in 2008

  6. China: AIDS Treatment LiteracyMore Than Two Third Reduction in Drop-Out Source: Thomas Cai, AIDS Care China, 2009. Data for 10 Yunnan sites in 2008

  7. Prevalence (cases/100,000) Mortality (deaths/100,000) Target = 148 Target = 14 TB prevalence and mortality Global Targets Source: Global Tuberculosis Control 2009, WHO 2009

  8. TB DOTS in IndiaReaching Patients Through Angan Wari • Angan Wari: rural community health workers to improve nutrition of children and mothers • Access to communities • Can be efficiently utilized to increase health literacy Source: Singh et al, Indian J Tuberc 2005;15-20

  9. TB DOTS in IndiaBest Outcome Through Community Approach Source: Singh et al, Indian J Tuberc 2005;15-20

  10. TB DOTS in Bangla DeshDOTS more cost effective when CHWs are involved • Community Health Worker model could diagnose, treat and cure 50% more TB patients than the regular national programme Source: Islam et al, WHO Bulletin 2002, 80(6); 445-450

  11. Malaria Cases per 1000 populationTowards MDG Targets Target: > 75% Reduction in cases and deaths by 2015 compared to 2005 Source: World Malaria Report 2008, WHO 2008

  12. Teaching Mothers to provide Malaria TreatmentMore than 40% Reduction in Overall Child MortalityTwo Third Reduction in Malaria Mortality Source: Kidane G, Morrow RH. The Lancet, 2000, 356:550-4

  13. Malaria in ZambiaIncreased Malaria Literacy results in More Than 50% Reduction in Malaria Mortality Source: National Malaria Program Zambia, 2009

  14. Conclusions • MDG 6: challenges ahead, but possible • Acceleration is needed • Health Literacy is key • Community approaches are • Working • Cost effective • Equitable (reaching the poorest) • Sustainable • Scalable

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