Name: Brainstorm Health 2019: How The Global Fund Saved 27 Million Lives
Uploaded: 2020-01-03
Duration: 9 min 22 s
Description: 27 million. That’s how many lives have been saved by The Global Fund in its quest to end the epidemics of AIDS, tuberculosis, and malaria.

Brainstorm Health 2019: How The Global Fund Saved 27 Million Lives

Health

27 million. That’s how many lives have been saved by The Global Fund in its quest to end the epidemics of AIDS, tuberculosis, and malaria. 

if you are one of the personal, most vulnerable people in the world, whether that's a child in Marley, uh, mother in a rocking a refugee camp in Bangladesh, a mind working an illegal mine in Zambia, a teenage girl in Malawi. One of the events in 2019 that is language have most impact on your and your family's health is the replenishment off the Global Fund to Fight AIDS, TB and Malaria. We fund on a three year cycle. On this year we have a replenishment conference, which President Macron will host in Lille, where we are going to off done a around the world for at least $14 billion to fund the next three years of programming. It's a little smaller man. It's actually 15% more than we raised in the last replenishment off the global fund. But it's what we need if we are going to be serious about delivering on our mission, which is put simply, end the epidemics off AIDS, TB and malaria. The Global fund has bean extraordinarily successful. It's been an incredible partnership off public sector, private sector of civil society, and I say that without claiming any credit, because I've only been there for 12 months, but it's unfinished business and we have had more success in saving lives. 27 million. Then we have in reducing infections. Infections have come down, but not by nearly enough to put us on track to ending the epidemic as fast as we want to, which is by 2030. To give you a flavor off the skeletal challenge, let me just take you through each of the diseases HIV in the countries in which we invest. There are some 19 million people on anti retroviral treatment thing, about 19 million people who would otherwise not be alive. However, there's one and 1/2 1,000,000 people getting infected every year and country to most people supposition. Actually, the most likely next person together infected by HIV is an adolescent go adolescent girl in particularly eastern and southern Africa, 58 times more likely than an adolescent boy the same age to get infected. We're talking about 1000 a day dealing with this means going way beyond the narrow by medical. We're dealing with deep structural, gender inequalities, sexual violence, economic disadvantage, economic, educational environment. So we have the global fund Uh doing all sorts of things we are working with. Schools were actually paying girls to stay in school. We're working on a whole range of issues around the economic empowerment of young women. But we have to scale it up at the moment when no reaching nearly as many women as we need to and the demographics of running away with us. The number of five year old girls in a country like Zambia is almost 50% more than number 15 year old, So we keep the same rates of infection. We're gonna end up with a disaster. TV TV is now the world's biggest killer among infectious diseases. It's the least fashionable of the diseases is the one that tracks least money. The problem. There is easy to summarize. Roughly 10 million people a year full ill with TB on the 6.4 million get diagnosed and treated. You don't have to be a fantastic epidemiologist toe workout that if you've got 3.6 million people wandering around with a highly infectious disease, you're nothing control of the epidemic. And there's a nasty version. MDR TB, multi drug resistant TB off the nearly 600,000 people with drug resistant TB only about 1/4 off, um, are diagnosed and treated mainly by the global fund. We have to step up our game in fighting TB and then malaria. Malaria is in many ways one of the great success stories off global health. In the last decade or so, death from Malaya, which is largely Children and pregnant women, have roughly haul. And that's been primarily due to the Rolex off insecticide impregnated bread net alongside other tools. Cheap diagnostics, cheap treatments. But actually, malaria is a good news bad news story. We have a whole bunch of countries that are well on the way toward eliminating malaria, and every year new countries get sort of Haider's malaria free. In 2018 it was his Pakistan and Paraguay, but in the highest burden places. We are doing enough to save more lives every year. But we're not doing enough to actually break the transmission dynamic between mosquitoes and humans. And actually, the number of cases in the highest burden places is going up again. If we're serious about beating malaria, a disease we know has a beat, we can kill. We have to step up our game to step up fine. We know that beating this disease is not just a bank disease, specific interventions. We have to build the overall system. So we are also investing very heavily in health systems. In fact, TV what kind of idea of the scale of what the global fund is doing. We are the second largest investor on HIV after PEPFAR. We are the largest investor in malaria, where 60% of external assistance on Clara. We are the largest investor on tuberculosis, where 2/3 of all external assistance. And we are also the largest provider off grant to low income countries for health systems development. One of the things we're investing very heavily on his supply chains. We don't just build supply chains for a TB and malaria. We do it on an essential medicines basis building supply chains for the entire country. This one here is in most beak. It's a bit disrupted at the moment following the cyclone. Um, but having resilient supply chains, having workforce, having data systems, having national hands, these are a ll, the component parts that we need to build infrastructure in capacity to make things happen. I typically, um D'oh! My presentation about the global fund with a lot of numbers about incident, about infection rates, about resistance and all that sort of stuff. But, um, I always think it's important to come back from that. Fundamentally, the work of the Global fund is about people. People like this mother here who called the Alfa who I met in Ethiopia in November. She had been living on the streets of added and was brought in by a community health work out. She was pregnant. She was HIV positive when I met her, her son Yem Waas, eight months old and HIV negative. She had Bean given a place to live. She had been teamed up with a bunch of experience. Mothers who were sort of mother mental help her through the process off being treated and ensuring that our child didn't become HIV positive. She was transformed. She was so excited to talk about Yem, who as a shed was her joy, her purpose, the source of her community. And I think when one talks about the Global Fund, it's very easy to talk about big numbers. But actually it comes down to these individuals. So finally, my art to you. One of you are in polls. In health care, you have fantastic assets, capabilities, knowledge we need on. We work with all sorts of partners around the world. If you can help bring these three diseases the biggest epidemic of the 20th 21st century, which has killed nearly 40 million people, eh? The disease that is killing most people now TB, the disease that has probably killed more than any other in human history. Malaria. We have the opportunity to bring these to an end. So we're very happy if we can partner with beverage providers, restaurant chains, banks, logistic supplies. I'm sure we can partner with you. And lastly, you are all citizens of various countries, including here in the U. S. You have influential voices when it comes to matters off health care. Over the next few months, all your governments, including this one here will be making big decisions about how much money they put into the global fund. Use your voice this way.