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PMNCH Board Meeting December 3Rd 2009

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PMNCH Board Meeting December 3Rd 2009 Presentation for the PMNCH Board Meeting December 3rd 2009 Bernard Salomé, Managing Director Millennium Foundation For Innovative Finance For Health 1 Executive Summary (1) Background on Innovative Finance and UNITAID Establishment and composition of The Millennium Foundation Presentation of • The MASSIVEGOOD Technical Solution • The MASSIVEGOOD Communications Framework • The MASSIVEGOOD Model (magic square, delivery of health products and services) 2 Executive Summary (2) Why and How can MASSIVEGOOD support Maternal, Newborn and Child Health? • Statutes / Use of funds • Integrated vision of the Health Millennium Development Goals (MDG‟s) • Support to MDG 4, 5 and 6 • Key milestones and events • Suggestion for collaboration with PMNCH • Next steps 3 In addition to Official Development Aid, the United Nations and the international community has called for additional resources for development to be complementary, additional and sustainable: Innovative Finance for Development 2000 2006 2010 Voluntary Contribution GAVI : The Global Alliance for Vaccines and Immunization IFFIm: International Finance Facility for Immunization 4 4 UNITAID’s mission is to reinforce access to treatments against HIV/AIDS, malaria and tuberculosis Principles of UNITAID’s action: • Interventions to correct market failures. • Innovative approaches for promoting access to new cost-effective products. • Strategies to increase market intelligence of the global health community. 5 UNITAID and its partners have already driven major prices reductions; for example, the Clinton HIV-AIDS Initiative procures the drugs at agreed prices using UNITAID funds Change in paedicatrics ARV prices Change in 2nd-line ARV prices (TDF+3TC) (AZT FDC vs. individual syrups) US$/patient per year US$/patient per year 6 To raise more money for Health and in particular to support MDG 4,5 and 6, the Millennium Foundation was established to take innovative finance mechanisms to the next level Goal: To develop and launch innovative finance mechanisms in order to provide additional funding to support the three health-related Millennium Development Goals: Combat malaria, tuberculosis, HIV/AIDS • A non-profit swiss Foundation i. and other diseases established in November 2008 ii. Reduce child mortality iii. Improve maternal health 7 The Millennium Foundation is a Public-Private Initiative with six Governments, civil society and private foundations represented The Institution Communities Civil society WHO The Board living w/diseases FR UK NO BR CHL African Union* SK The Technology The EARLY supporters *to be nominated 8 8 Thanks to Voluntary Contributions, a worldwide mobilization of resources through travel and tourism will be implemented Airline tax Voluntary Contributions • Close coordination for travel and tourism products between the two secretariats • Same constituencies represented at the Boards • Same Chairman 9 Because the time has come to make a bigger impact, the Millennium Foundation created a brand based on micro donations:MASSIVEGOOD A SMALL X EFFORT = X BY MANY Presence Ease of use Global Movement First worldwide Public-Private Initiative 10 Worldwide partnerships for MASSIVEGOOD have been established Individualthrough integration Donationinto many platforms Travel Players Non Travel Players PSP provider Call-center solution Advocate in the Travel and Tourism Industry The technical solution will enable MASSIVEGOOD to be gradually rolled out across geographies and industries LAUNCH Individuals Group 1 • Integrated to NON-AIR Travel and Tourism Products • Extension to Corporations • Pluggable into other online purchases • Extension to other countries in concertation with UNITAID‟s strategy 12 The communications strategy will support and complement the technical roll-out Main Objectives: • Communicate about the movement in a way that will provide major media attraction online and offline • Build interest and support from a wide spectrum of stakeholders (Travel Agents, General Public, Existing and Potential Partners, Civil Society…) • Motivate people to generate momentum for the movement in launch countries so they will ultimately: The communications milestones of the launch strategy Event Pre-Launch Launch September 23 December 2010 January 28 Feb - March 2010 March 2010 Signature of Participation in Operational Celebration of Participation in Declaration World AIDS Day, Pre-Launch period… Launch MASSIVEGOOD World TB and “Counting Malaria Out” • Information to key stakeholders (newsletters, Media/PR in European Malaria Days toolkits…) around events launch countries • PR Efforts (press contacts, releases, gaining in the US and celebrity support…) Europe June 2010 • Digital Outreach preparation (raising FIFA Football World Cup awareness from key bloggers, preparing MASSIVEGOOD website…) South Africa • Event Preparation • Film production (at least 1 set for distribution for launch date) March June Sept Dec 2010 Internet “rendez-vous” with key supporters (actors, directors, celebrities, etc.) Powered by MASSIVEGOOD will individualize donor and recipient: concept of a Magic Square for the MASSIVEGOOD architecture Trust Resource Transparency Mobilization Traceability MASSIVEGOOD on travel and tourism Mobile and new services technologies MASSIVEGOOD to adapt to needs mobile and digital from the field and as Social E-Health tracking tool Networking M-Health MASSIVEGOOD conceptual vision for delivery of health products and services based on community-driven demand 2 $ Click when purchasing Feedbacks from health facility / worker / Community of beneficiaries tourism and travel product Or via mobile fundraising (sms or web personal page) New technologies : tool for demand- driven process for specified health Click goods Health Delivery $ Outlet Health (Facility, Distribution Health Product Community, $ Agent $ Or Voucher Family) Load mobile with voucher value (individual or health facility) Mobile Account ++ Mobile Partners $ Delivery of product, voucher Mechanism via mobile operators Link to communities, social network Why and how can The Millennium Foundation and MASSIVEGOOD support Maternal, Newborn and Child Health? 17 Millennium Foundation statutes are based on an integrated vision of the three Health-related MDG’s to have the most effective impact • Purposes: 1. to combat HIV/AIDS, malaria, tuberculosis and other diseases: MDG 6 2. to reduce child mortality: MDG 4 3. to improve maternal health: MDG 5 • Order of priority as in the Millennium Foundation statutes: 1. Support UNITAID up to the maximum effectiveness of its interventions; 2. If there are resources left, support interventions to improve markets for products and technologies against other health problems than HIV/AIDS, tuberculosis and malaria that also cause a high health burden in developing countries, including maternal and child health; 3. If there are resources left, support interventions to strengthen systems needed for the effective delivery of these health products and technologies to populations in developing countries. 18 By supporting UNITAID, MASSIVEGOOD will strengthen delivery of integrated MDG 4, 5 and 6 interventions • Maternal Newborn and Child commodities have been targeted by UNITAID: - HIV paediatric Products (120 000 children reached by the end of 2008) - Prevention of Mother to Child Transmission (820 000 pregnant women were tested and 95 000 women and 43 000 infants were treated for HIV/AIDS in 8 countries across Asia and Africa) - Since the start of the Partnership, CHAI and UNITAID have reduced prices by an average of 64% for leading paediatric regimen* - TB paediatric (Goal of reaching a total of over 750 000 treatments by 2011) * Quoted from PA3, Commodity Security scoping report by Cambridge Economic Policy Associates 19 The current vision of the Health-MDG’s is segmented: no single player is focusing on MNCH commodities as a continuum* Current vision of MDG‟s implied that potential synergies have not yet been fully exploited: Referral Segmented Health Health-System services Services and weakened Pyramid** Health Systems. Community Health •Quoted from PA3, Commodity Security scoping report by Cambridge Economic Policy Associates ** Adapted from Presentation by Mark Dybul, Operationalising deliverables for MDG’s 4,5,6, Oslo, November 24, 2009 20 The time has come for a paradigm shift: push to ‘break out of silos’ between the Health-MDG’s. Commodities and interventions to support MDGs 4,5, and 6 should be delivered to support the continuum of care throughout health systems Referral Advanced services • Be evidence-based and Health provide performance incentives Systems** • Be demand-driven, to empower and support the integration of Community level Health-Care health systems from the Job aids, training, checklists, kits community level up to the referral level ** Adapted from Presentation by Mark Dybul, Opertionalising deliverables for MDG’s 4,5,6, Oslo, November 24, 2009 21 Examples: through support for selected interventions targeted at the community level MASSIVEGOOD will support MDGs 4,5, and 6 Timing and service delivery opportunity Pre-pregnancy Antenatal Delivery care Postnatal Childhood Inter-partum care services Malaria Detection and ITBN Antimalarial treatment treatment for fever HIV/AIDS VCT Breastfeeding PMTCT/ARV‟s ARV‟s ARV‟s VCT counselling Breastfeeding Breastfeeding ARV‟s Treatment of counselling counselling Safe sex opportunistic Treatment of Nutritional infections Family Planning opportunistic advice Safe sex infections Safe sex TB detection and detection and treatment treatment
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