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Global Fund Resource Mobilization: Back on Track - Tuberculosis. February 8 th 2012, Amsterdam. TB and Global Fund: Snapshot. 83% of donor funding for TB is via GF Countries pay the majority – but this varies GF TB investments have yielded over half of lives saved so far
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Global Fund Resource Mobilization: Back on Track - Tuberculosis February 8th 2012, Amsterdam
TB and Global Fund: Snapshot • 83% of donor funding for TB is via GF • Countries pay the majority – but this varies • GF TB investments have yielded over half of lives saved so far • TB share of GF investments fallen to 13-14% • Taking TB to the next level depends on a fully resourced GF; GF achievement of strategic objectives depends on smart investment in TB
TB and the GF • ‘I don’t know what to tell donors about TB – because I don’t know what to tell them that would make sense.’
TB: Lost in Translation? • TB punches above its weight in terms of programmatic results / dollar spent • TB punches below its weight in terms of translating this at global level to inspire sufficient action and financing • This ‘lost in translation’ piece impacts the contribution TB can make to GF resource mobilization efforts
New Developments and Technologies • Xpert, LED FM – economies of scale • SLD – new regimens possible by 2013 • New approaches: TB REACH – innovation incubator –- proof of concept • Transforming the conversation • SAML by 2015 (TB-HIV) • ‘In my lifetime’ – ZERO TB Deaths among Children
Impact of R11 Cancellation • 70 countries were going to apply for R11 • Expansion plans halted for up to 56 countries • MDR / civil society impact • 30 TB grants will run out before 2014 • 20 countries risk disruption of essential services and are applying to TFM • Loss unknown for TB/HIV funding in HIV proposals
R11 Impact: Examples • Tanzania: TB grant ends November 2012. GF = 30% of total in 2011. 45,600 patients at risk 2012-2014. • Mozambique: TB Grant ends July 2013. GF = 68% of total in 2011. 51,500 patients at risk 2012-2014 • Every infectious person with TB will infect 10-15 per year. Cost implications catastrophic. (e.g. MDR)
Phase 2 Renewals: Approach • A) TB Grants – ‘Know Your Epidemic’ for TB. Sit with FPM discuss country by country. • B) HIV Grants – Ensure adequate TB/HIV components (TB screening, IPT, infection control etc.)
Advocacy Opportunities • Save a Million Lives by 2015 (80% reduction in deaths among PLHA dying from TB) • Zero TB/HIV Deaths (South Africa 12/1/2011) • Country plans - UNAIDS • TB and Mining – SADC HoS Declaration • Zero Child Deaths from TB – WTBD (03/24/12) • TB Investment Framework
Questions • The 3 investment frameworks don’t mesh –Are we missing efficiency gains in between? • How does a GF umbrella campaign incorporate (or not) different goals and campaigns from the 3 diseases