Annual Report
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STOP TB PARTNERSHIP ANNUAL REPORT 2010 Abbreviations ACSM Advocacy, communication and social mobilization NGO Nongovernmental Organization AIDS Acquired Immune Deficiency Syndrome PEPFAR (US) President’s Emergency Plan for AIDS Relief CFCS Challenge Facility for Civil Society PPM Public-private mix CIDA Canadian International Development Agency STAG-TB Strategic and Technical Advisory Group for Tuberculosis CGI Clinton Global Initiative TAG Treatment Action Group DFID United Kingdom Department for International Development TB Tuberculosis DOTS The basic strategy that underpins the Stop TB Strategy TBTEAM Tuberculosis Technical Assistance Mechanism of the Stop TB Partnership EXPAND-TB Expanding Access to New Diagnostics for TB (project) UNAIDS Joint United Nations Programme on HIV/AIDS GDF Global Drug Facility UNITAID An international funding facility set up to accelerate treatment GLC Green Light Committee of HIV/AIDS, malaria and tuberculosis in developing countries GLI Global Laboratory Initiative USAID United States Agency for International Development HIV Human immunodeficiency virus WHO World Health Organization MDR-TB Multidrug-resistant tuberculosis XDR-TB Extensively drug-resistant tuberculosis Photo credits: Rebeccah Hearding, Pierre Abensur, Jean Chung, David Rochkind, Jennifer Dietrich, UNAIDS, Matthew Willman, Sam Nuttall, Tobias Hofsass, Riccardo Venturi, Misha Friedman. © World Health Organization CO 2 | Foreword 4 | Executive Summary ntents 8 | The Global Plan to Stop TB 2011 – 2015 12 | Governance 14 | Partner Engagement 20 | Challenge Facility for Civil Society 22 | TB REACH 26 | Political Advocacy 30 | UN Secretary-General’s Special Envoy to Stop Tuberculosis 32 | Communications, Celebrities and Events 38 | Working Groups 44 | TB Research Movement 45 | TB TEAM 46 | The Global Drug Facility 50 | Resource Mobilization and Financial Management 52 | Annexes ABOUT THE STOP TB PaRTNERSHIP The Stop TB Partnership is leading the way to a world without tuberculosis (TB), a disease that is curable but still kills three people every minute. Founded in 2001, the Partnership’s mission is to serve every person who is vulnerable to TB and ensure that high-quality treatment is available to all who need it. Our role is to ensure a bold vision for addressing TB and to coordinate and catalyse global efforts towards elimination of the disease. Together our nearly 1000 partners are a collective force that is transforming the fight against TB in more than 100 countries. They include international and technical organizations, government programmes, research and funding agencies, foundations, NGOs, civil society and community groups and the private sector. We operate through a secretariat hosted by the World Health Organization (WHO) in Geneva, Switzerland and seven working groups whose role is to accelerate progress on access to TB diagnosis and treatment; research and development for new TB diagnostics, drugs and vaccines; and tackling drug resistant- and HIV-associated TB. The secretariat is governed by a coordinating board that sets strategic direction for the global fight against TB. FO rew O rd 2010 was both an anniversary year & a year for making history. 2 FOREWORD It is my pleasure to present to you the Stop TB Partnership’s Annual Report 2010. This was both an anniversary year and a year for making history. It saw the development and reduced transmission and to have had the opportunity to launch of a new roadmap for the prevention of the emergence steward this exciting new initiative Partnership – the Global Plan to of drug-resistant forms of TB. through its first year, and at the Stop TB 2011 – 2015: Transforming As suggested by its name, end of that year to have been the Fight Towards Elimination TB REACH focuses on reaching selected as the Partnership’s of Tuberculosis. The new plan – people who have limited or no Executive Secretary. which follows on from the Global access to TB services. Plan to Stop TB 2006 – 2015, I have taken up my duties in while setting new and more 2010 was a milestone year in our challenging times, but these ambitious targets – for the first efforts to turn up the volume about challenges will not weaken my time identifies all the research TB among groups committed to resolve. We serve people all over gaps that need to be filled to bring fighting human immunodeficiency the world who are vulnerable to rapid TB tests, faster treatment virus (HIV). There was an historic TB. It is our task to change the regimens and a fully effective moment at the International AIDS world so that all people who need vaccine to market. It also shows Conference – a protest march TB care can access it, no matter public health programmes how calling for no more deaths from who they are or where they live. to drive universal access to TB TB in people living with HIV, Our partners share this vision, care, including how to modernise followed by a plenary session and if we work together we will diagnostic laboratories and adopt on TB/HIV featuring the United realise it. revolutionary TB tests that have Nations (UN) Secretary General’s become available recently. Special Envoy to Stop TB, We can do it only in partnership! Dr Jorge Sampaio. The session In another historic development, culminated in the signing of a Dr Lucica Ditiu the Stop TB Partnership launched memorandum of understanding Executive Secretary, the TB REACH initiative. between the Stop TB Partnership Stop TB Partnership Supported by the Canadian and the Joint United Nations International Development Agency Programme on HIV/AIDS (UNAIDS). (CIDA), TB REACH funds projects The agreement binds the two that promote early and increased organizations together in a case detection of people with TB common goal: To strive towards and ensure their timely treatment, halving the number of people while maintaining high cure rates living with HIV who die from TB by within national TB programmes. 2015, compared with 2004 levels. TB REACH encourages the development and application of 2010 was also a landmark for me innovative, groundbreaking and personally. It was the year I joined efficient techniques, interventions the Stop TB Partnership as team and activities that result in leader for the newly established increased TB case detection, TB REACH. I felt so privileged FOREWORD 3 EX ecut IV E summar The launch of the Global Plan to Stop TB 2011 – 2015 in 2010 showed the power of partnership in action. An update to the Global Plan to care and research which needs to Stop TB 2006 – 2015, the new plan be filled by international donors. draws on expertise from across the partnership to pave the way to The goals set out in the Global Y eliminating TB as a global health Plan gave fresh impetus to the problem. As well as showing public partnership’s work at a country health programmes how to drive level. At the end of 2010 there were universal access to TB care, 32 country-level partnerships. the plan for the first time identifies Bringing together organizations the research gaps that need to be from different sectors of society, filled to bring rapid TB tests, faster these partnerships have drawn up treatment regimens and a fully shared operational plans which effective vaccine to market. aim to maximise resources and The plan provides a clear roadmap increase coordination with national for addressing drug-resistant TB TB programmes. Swaziland, for and sets ambitious targets for example, has reported excellent testing and treating people who results following the development are co-infected with TB and HIV. of a shared five year plan to combat The plan is fully costed and TB. The case detection rate has identifies a funding gap of around increased from 43% to 70% and US $21 billion, approximately the treatment success rate has US $4 billion a year, for both TB increased from 47% to 68%. 4 EXECUTIVE SUMMARY The treatment success rate from in Swaziland has increased to 47% 68 % The launch of TB REACH in The Challenge Facility for Civil TB and HIV was a key topic in 2010. January brought new hope to the Society continued its work to The Partnership had a strong estimated three million people a empower communities in the fight presence at the International AIDS year with TB who fail to access against TB, awarding a third round Conference in July, with several accurate diagnosis or effective of grants worth between US$ 5 000 key events including a symposium treatment. Supported by CIDA, and US$ 20 000 to 22 civil society on TB/HIV coninfection in eastern the fast track funding mechanism organizations across the globe Europe. Protesters calling for approved 30 projects in 2010 in 2010. These grants supported “no more deaths from TB in people which are designed to encourage various community-level activities, living with HIV” marched through increased case detection including public forums, door- the conference centre in advance using innovative techniques to-door outreach, distribution of of a special session on TB/HIV. and activities. Early results are communication materials, reduction At a special ceremony convened encouraging. A project run by of stigma in the workplace, and by Dr Jorge Sampaio, the United the Indus Hospital in Karachi, enhancing support from local Nations Secretary General’s Pakistan, has reported a doubling leaders and women’s groups. Special Envoy on Tuberculosis, in the number of cases detected In Cote D’Ivoire, one community the Stop TB Partnership signed following the implementation of a organization has increased a memorandum of understanding new programme that uses mobile case detection three-fold after with UNAIDS to work together to phone technology and financial implementing advocacy initiatives, improve the response to TB and HIV. incentives to track down people community events and education with tuberculosis. for community volunteers. EXECUTIVE SUMMARY 5 The Global Drug Facility continued drug market, purchasing capacity and Social Mobilization (ACSM) its work to ensure the delivery of first and logistics expertise.