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Introduction to the Clinton Foundation HIV/AIDS Initiative

12 July 2007Africa Recruit

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The mission is pursued through programs and partnerships in 6 areas:

• Health Security– HIV/AIDS Initiative – Childhood Obesity Initiative

• Economic Empowerment – Clinton Small Business Initiative (Harlem, Bronx, Brooklyn)

• Leadership Development and Citizen Service – Clinton Democracy Fellows

• Racial, Ethnic and Religious Reconciliation • Climate Change Initiative (CCI)• Clinton Global Initiative (CGI)

The Foundation’s mission is to strengthen the capacity of people in the United States and throughout the world to meet the challenges of global interdependence.

The Clinton Foundation

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Why HIV/AIDS?

“There are over 40 million people who are HIV-positive. It struck me that this was a problem that cried out for organization and entrepreneurial skill. And that for a relatively small amount of money, we could have a huge impact.”

-President William J. Clinton

• AIDS is the greatest public health challenge of our time – 25m people have died already, and 40m are living with HIV– Every day, 8,000 more die even though AIDS is treatable– AIDS makes economic development impossible in much of

the world

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“…in my experience the Clinton Foundation embodies all that is best in the international response. I’m impressed by how focused they are, how urgent and wondrously instantaneous is their sense of intervention. They waste no time. If you need lower drug prices negotiated, they do it that week. If you need laboratory equipment, they race to put it in place. If you want a memorandum of agreement signed, they have it done in a month instead of a year. If you need technical assistance, they ransack the planet to find the right people. They understand that the pandemic has come down to saving that child, to rescuing that mother’s future, to putting the highest value on individual lives.”

-Stephen Lewis – UN AIDS Envoy

Why CHAI?

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To be effective, programs must:• combine prevention, care, and treatment• be integrated into public health infrastructure• have strong in-country political and policy support• be viewed as an emergency, not as business as usual

1) Mobilize political will (donor and host governments)2) Combine business and clinical expertise in operational planning and ongoing

implementation support 3) Change economics of care and treatment

ARV treatment: 2 million people on ARVs by the end of 2008 in partner countries

Philosophy

Value-Add

Goals

CHAI works with governments and other partners to increase the availability of high quality AIDS care and treatment for people in need We accomplish this by lowering the cost of treatment, providing technical assistance where it is most needed, and establishing major initiatives to enable widespread access to HIV-related care. CHAI also helps to create systems to improve overall health care in resource poor settings.

Mission

CHAI Overview

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CHAI has worked with governments and manufacturers to increase access to HIV/AIDS care and treatment

68 total consortium countries = 90%+ of 2m people on treatment42 UNITAID beneficiaries for peds & 2nd-line = ~60% of people on treatment

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CHAI aims to rationalize the market – to optimize outcomes for patients – through efforts which bridge supply and demand needs

AccessPrograms

CountryOperations

CHAI

Supply(Manufacturers)

Demand(National

Programs)

Marketplace

Work with manufacturers:

• Technical assistance to lower costs• Global demand forecasting• Regulatory support

Work with national programs:

• Policy and planning• Enhancing health system capacity• TA on lab management

Work bridging supply and demand:

• Informing global forecasts with info on country protocols and priorities• Informing country guidelines with supplier pricing and product trends

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Opportunities

Position Location(s)

Country and Deputy Country Director

Zambia, Uganda, West Africa region, Southern Africa region, Dominican Republic, Mozambique, Malawi

Program Coordinator DR Congo, Zambia, Liberia, Roving Malaria

Program Analyst Nigeria, West Africa region, DR Congo, Liberia, Malawi, Roving Malaria

Roving Specialists Labs, Operations, Malaria