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HIV/AIDS and NTDs Effective Solutions to Combat HIV/AIDS: Increasing Evidence of NTD Impact on HIV Transmission

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HIV/AIDS and NTDs Effective Solutions to Combat HIV/AIDS: Increasing Evidence of NTD Impact on HIV Transmission. Director-General Dr Margaret Chan ( China ). WHO Senior Staff ( July 2012 ). HQ. 6 Regional Offices. Regional Office for Africa Dr Luis Gomes Sambo ( Angola ). - PowerPoint PPT Presentation

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HIV/AIDS and NTDs

Effective Solutions to Combat HIV/AIDS: Increasing Evidence of NTD Impact on HIV Transmission

HIV/AIDS and NTDs

Effective Solutions to Combat HIV/AIDS: Increasing Evidence of NTD Impact on HIV Transmission

NTDs and HIV/AIDS| April 19, 20232 |

Director-General

Dr Margaret Chan ( China )

Health Security and EnvironmentDr Keiji Fukuda( US )

HIV/AIDS, TB, Malaria and NTDDr Hiroki Nakatani( Japan )

Health Systems and ServicesDr. Carissa Etienne ( Dominica )

Noncommunicable Diseasesand Mental HealthDr Oleg Chestnov ( Russia )

General ManagementDr Mohamed Abdi Jama(Somalia)

WHO Senior Staff

( July 2012 )

Innovation, Information, Evidence and ResearchDr Marie-Paule Kieny ( France)  

Family and Community HealthDr Flavia Bustreo( Italia ) 

Health Action in CrisisDr Bruce Aylward ( Canada)  

Deputy Director-General

Dr Anarfi Asamoa-Baah( Ghana )

HQ

Regional Office for AfricaDr Luis Gomes Sambo ( Angola )

Regional Office for EuropeMrs Zsuzsanna Jakab (Hungary)

Pan American Health OrganizationDr Mirta Roses ( Argentina )

Regional Office for South- East AsiaDr Samlee Plianbangchang ( Thailand )

Regional Office for East-MediterraneanDr Ala Alwan ( Iraq )

Regional Office for Western PacificDr Shin Young-Soo ( Korea )

Director-General's Office

Dr Anne Marie Worning (Denmark)  

Mr Fu Cong ( China )

Dr Ian Smith ( UK )

6 Regional Offices

NTDs and HIV/AIDS| April 19, 20233 |

    2012 2013 2014 2015 2016 2017 Beyond

  DG's Term  July         June  

Global Framework MDG  MDG 2015 SDG/MDG II ? 

WHO Framework MTSP Present MTSP   ( 2008-2013 ) GPW 2014-2019  ( 3 budget cycles  )

Budget Framework

PB PB12/13 PB14/15 ( First Reform Budget by New WHO Priority ) PB16/17  

GF Replenishment 3rd Replenishment ( 2011-13 ) ?    

Plans/Strategies

GF Strategy 5 Y Strategy 2012-16    

UNAIDS Strategy UNAIDS Strategy: Getting Zero 2011-2015      

WHO HIV Strategy WHO HIV Health Sector Strategy 2011-2015      

Stop TB Strategy Global Plan to Stop TB 2011-2015 ( by TBP )      

Malaria Strategy Global Malaria Action Plan 2010-2015 ( by RBM )      

NTD Road Map First  Target ( Eradication of Dracunculiasis ) Second target by 2020 ( Eradication of Yaws, Elimination of Trachoma, Leprosy, HAT and LF )

HTMN Deliverables

 Comprehensive Malaria Works to support MS: Situation Room

WHA Resolution.NTD Roadmap & Startegy

New TB Strategy 2015-2025

Revised HIV Strategy      

  2nd NTD Report Consolidated HIV Guidelines

Revised Global Malaria Action 

Plan       

   World health 

Report: Research for Health

         

Macro-Time Table of Global Health ( HTM related )

NTDs and HIV/AIDS| April 19, 20234 |

We need clear picture

                                       

                                                                     

Principles, values and fundamental approaches

WHO's core functions

CATEG

ORIES 1 2 3 4 5

PRIORITIES

IMPACT

Corporate services / enabling functions (illustrative)

• Providing leadership• Shaping the research agenda

• Setting norms and standards• Articulating policy options

• Providing technical support and building capacity

TWELFTH GENERAL PROGRAMME OF WORK 2014–2019 - DRAFT STRATEGIC OVERVIEW

MISSIONTo act as the directing and coordinating authority on international health work, towards the objective of the 

attainment by all peoples of the highest possible level of health as a fundamental right.

• Equity and social justice                                            • Global solidarity• Gender equality

• Emphasis on countries and populations in greatest need• Due consideration to the economic, social, and environmental 

determinants of health

• Multilateralism• Science and evidence-based• Public health approach

Criteria for priority-setting

• The current health situation • Needs of individual countries for WHO support • Internationally agreed instruments       • The existence of evidence-based, cost-effective interventions

Communicable diseases

Noncommunicable diseases

Health through the life course

Health systems

Preparedness, surveillance and response

      • The comparative advantage of WHO• HIV/AIDS, tuberculosis, and 

malaria• Neglected tropical diseases (including vector-borne 

diseases)• Vaccine-preventable diseases 

• Heart disease, cancers, chronic lung diseases, diabetes

• Mental disorders• Injuries and disabilities

• Maternal and neonatal health• Sexual and reproductive health• Child and adolescent health

• Healthy ageing

• National health policies, strategies, and systems

• Integrated service delivery• Regulatory capacity

• Epidemic- and pandemic-prone diseases

• Health in humanitarian crises

• Environmental health risks• Food safety

CONTRIBUTION

 OF WHO

 (illustrative 

exam

ples)

omitted omitted omitted omitted

• Legal services• Audit and evaluation• Governing bodies

• Information technology  and knowledge management• Budget, finance, accounting• Executive management

• Operations, logistics and security• Communications• Human resources

omitted

Universal health coverage (universal access to key interventions; financial protection)

Improved healthy life expectancyReduced mortality due to HIV, TB, and malaria

Reduced mortality due to 

NCDs

Reduced mortality due to epidemics, disasters, and shared health threats

Reduced maternal 

NTDs and HIV/AIDS| April 19, 20235 |

17 diseases that are prevalent in tropical and subtropical areas in Africa, Asia and South America 

Mainly affect populations who are living in poverty, in areas where sanitation is lacking and who have close contact with infectious vectors 

Diseases for which research and development for treatment lags behind because those affected cannot afford new medicines

Perpetuate poverty because they retard growth, cause chronic morbidity and disability, and generate social stigma

What are neglected tropical diseases?What are neglected tropical diseases?

NTDs and HIV/AIDS| April 19, 20236 |

NTDs and HIV/AIDS| April 19, 20237 |

African trypanosomiasisBuruli ulcer

Chagas DiseaseDengue

Echinococcosis Leishmaniasis

LeprosyLymphatic filariasis

RabiesSchistosomiasis

TrachomaYaws

Soil-transmitted helminthiasesSchistosomiasis

Lymphatic filariasisOnchocerciasis

Trachoma Foodborne trematode infections

Cysticercosis

Transmission controlIntegrated vector managementVeterinary public healthWater and environmental sanitationBehavioural change education 

Intensified case management, surgery and chronic care

Preventive chemotherapy[Link with other Rapid Impact Interventions 

and their delivery channels]

Dracunculiasis eradication

Strategic approaches for NTD control

NTDs and HIV/AIDS| April 19, 20238 |

Relationship between the four strategic directions for a global response to HIVRelationship between the four strategic directions for a global response to HIV

NTDs and HIV/AIDS| April 19, 20239 |

An example of geographic overlap between HIV and NTD: the case of schistosomiasis

* S. haematobium

NTDs and HIV/AIDS| April 19, 202310 |

From Linking Global HIV/AIDS Treatments with National Programs for the Control and Elimination of the Neglected Tropical Diseases. Julie Noblick, Richard Skolnik, Peter J. Hotez

NTDs and HIV/AIDS| April 19, 202311 |

Operational synergies: universal coverage

From Julie Noblick, Richard Skolnik, Peter J. Hotez

Operational synergies: universal coverage

From Julie Noblick, Richard Skolnik, Peter J. Hotez

NTDs and HIV/AIDS| April 19, 202312 |

Challenges and ApproachesChallenges and Approaches

Challenges– More biomedical evidence to establish a case– Service delivery model– Resource competition

Approaches– Advocacy– Technical Assistance– Strategic Information

NTDs and HIV/AIDS| April 19, 202313 |

Proposed priorities for actionProposed priorities for action

WHO and its Member States give high priority to HIV, Tb, Malaria and NTDs: WHA Resolution for Policy Plat Form.

Improved clinical management of co-infection: visceral leishmaniasis, Chagas disease, helminthiasis

Control and eliminate schistosomiasis to reduce risk of transmission

Document the cost-effectiveness of linking NTD and HIV interventions

Flexible approaches to increase access to diagnostic and treatment for vulnerable populations.

Global Monitoring for strategic investment ( Second NTD Report )