30
Jan

Presentation on the Three Diseases Fund at the Border Infectious Disease conference

Here is the text of the presentation by an EC representative on the Three Diseases Fund. The presentation is attached.

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The Three Diseases Fund
- A Collaborative Donor Effort
in response to a
Public Health Emergency -
The Three Diseases Fund
• Why?
• Who?
• How?
• What?
• When?
• How much?
Why?

– High burden of disease (HIV & AIDS, tuberculosis, malaria) throughout the country
– Working in Burma/Myanmar is possible (lessons learnt)
– Global Fund withdrawal August 2005: need for concerted donor response
– Overall objective:
        to reduce the burden of communicable     disease in Myanmar
Who?

– Six donors: AusAid, DfID, EC, Netherlands, Norway, Sida
– Fund Manager: UNOPS
– Fund Board: Donor reps + independent experts
– UN agencies, NGOs, CBOs, private sector, civilian administrations
How?

– Transparent allocation of resources through both competitive bidding and direct grants to support interventions within the framework of National Strategies (plus other priorities)
– Calls for expressions of interest, followed by detailed workplans and budgets
– Procurement by UNOPS and specialised agencies to ensure equitable access

What? (1)

Provision of services, technical assistance, quality medicines and commodities

Programme priorities: cross-cutting issues
• Access, Coverage, Capacity building, Strategic planning
• Equity, Participation, Gender, Accountability, Transparency
• Coordination, Integrated approaches

Policy development to be commissioned in areas of:
• Inclusion
• Gender
• Strategic Development
• Corruption

What? (2)
HIV & AIDS priority areas for support I
• Men and women who sell sex and their regular partners
• Men who pay for sex and their regular partners
• Men who engage in male-male sexual practices
• Intravenous drug users and their partners
• Those based in institutions
• Those vulnerable to infection as a result of mobility
What? (3)
HIV & AIDS priority areas for support II

• Targeted service provision focusing on those engaging in high risk practices and/or through routine SRH services

• Voluntary counselling and testing
• Prevention of mother to child transmission
• Diagnosis, treatment and prevention of STIs
• Anti-Retroviral Treatment
• Treatment of opportunistic infections
• Integration of TB and HIV diagnosis and treatment
What? (4)
Malaria priority areas for support

• Early diagnosis (microscopy or rapid tests) and treatment (artemesenin combination therapy)

• Preventive measures including
• Insecticide-treated bed nets
• Vector control, such as indoor residual spraying

• Surveillance and epidemic response
What? (5)
Tuberculosis priority areas for support I
Consolidation, maintenance & expansion of DOTS programme
• Improved case-finding
• Strengthened diagnostic capacity
• Quality control
• Drug supply
• Supervision & follow up of patients on treatment
What? (6)
Tuberculosis priority areas for support II

• Community education
• Awareness raising on illness
• Effective treatment-seeking behaviour
• Support to patients on treatment

• Development of public-private partnerships to expand DOTS

• Strengthening the monitoring of drug resistance

• Improved diagnosis & treatment of people co-infected with TB & HIV

When?
• First transfer of donor funds November 2006
• First Fund Board meeting November 2006

• December 2006 call for Expressions of Interest for additional interventions to support  prevention, care and treatment for those affected by the three diseases
    (deadline 22.01.07)
• April 2007 contracts to be finalised

• Two proposals approved to  support essential TB and malaria activities

• Fund Manager’s office to be established February 2007
    
How much?

- Around 90 million USD plus over 5 years

Thank you for your attention!

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