the union's new treat tb initiative (dr. i.d. rusen)
TRANSCRIPT
The International Union Against Tuberculosis and Lung Disease
(The Union)
Promoting Lung Health Since 1920
I.D. Rusen MD, MScDirector, Department of Tuberculosis, The UnionDecember 4, 2009, Cancun
Outline• Union mission
• Pillars of work
• Tuberculosis burden
• FIDELIS
• Questions and answers
Union Background• World’s oldest humanitarian organization dealing with
health founded in Paris in 1920
• Mission: to bring innovation, expertise, solutions and support to address health challenges in low- and middle-income populations
• Headquarters in Paris with several regional and country offices including Mexico, New York, Delhi, Kinshasa and Kampala
Union Pillars
• Technical Assistance
• Research
• Training
Union Technical Departments• Tuberculosis
• Lung Health
• HIV
• Tobacco Control
Tuberculosis• 9.27 million cases globally in 2007
• 1.77 million deaths due to TB
• 511,000 cases MDR-TB
• 1.4 million HIV co-infected cases
• Poverty spiral – economically productive most affected
Special Tuberculosis Initiatives
• FIDELIS
• TREAT TB
FIDELIS• Fund for innovative DOTS expansion through local
initiatives to Stop TB
• CIDA multi-lateral grant managed by The Union
• Launched in April, 2003
• Aim to increase global case detection of new smear positive tuberculosis while maintaining high cure rates
FIDELIS (main principles)
• Small projects of one-year duration (USD 150K-250K)
• Local solutions to local problems
• Encourage innovative ideas within existing programs
• Focus on populations with limited access
• Systematic monitoring and evaluation
FIDELIS (activities)• 6 application rounds completed
• 53 phase I projects implemented/approved in 18 countries (166 proposals)
• 13 projects approved for phase II activities
• Final ‘best practice’ project completing activities
FIDELIS (phase I countries)• China (15)
• Pakistan (9)
• Kenya (5)
• Indonesia (4)
• Tanzania (4)
• Bangladesh, Nigeria, Uganda (2 each)
• Afghanistan, Ethiopia, Eritrea, Madagascar, Myanmar, Sierra Leone, Somalia, Sri Lanka, Sudan, Tajikistan (1 each)
FIDELIS (results)• 51 phase I projects completed one year of activities
• A total of 273,239 new smear positive cases were detected in these 51 projects
• Represented an additional 85,267 NSP cases over the previous year in project sites
FIDELIS (project highlights)
• In rural Bangladesh, project utilized community leaders to mobilize the community to seek care for symptoms
FIDELIS (project highlights)
• In Indonesia, project to engage private practitioners to strengthen tuberculosis control services
FIDELIS (project highlights)
• In Anhui, China, project mobilized primary school students to identify tuberculosis suspects in their families with follow up assured by village doctors
Future Directions• Need to address (emphasize again) basic approaches
to tuberculosis control
• Need to support research into new tools and approaches to diagnosis and care (TREAT TB)
• Need to strengthen systems – health systems, laboratory systems – that serve beyond tuberculosis
International Union Against Tuberculosis International Union Against Tuberculosis and Lung Disease (The Union)and Lung Disease (The Union)68 boulevard Saint-Michel68 boulevard Saint-MichelParis 75006 Paris 75006 FranceFranceTel (+33) 1 44 32 03 60 Tel (+33) 1 44 32 03 60 Fax : (+33) 1 43 29 90 87 Fax : (+33) 1 43 29 90 87 e-mail: e-mail: [email protected] www.theunion.org