Global Fund TB Grants in Asia and the Pacific

1
Global Fund TB Grants in Asia and the Pacific
Swarup Sarkar Director, Asia Pacific CCM
Unit ICAPP, 2009, Bali
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Outline

• GF Financing on TB
• Progress case detection rate, cure rate
• March towards MDG Incidence Prevalence Death
• Which factors are triggering progress Income,
  health service, Physicians. Health financing , GF
  grant
• For well performing countries vs poor performing
  countries
• Where are GF items spent ?
• What can be done better ?

3
Outline

• GF Financing on TB
• Progress case detection rate, cure rate
• March towards MDG Incidence Prevalence Death
• Which factors are triggering progress Income,
  health service, Physicians. Health financing , GF
  grant
• For well performing countries vs poor performing
  countries
• Where are GF items spent ?
• What can be done better ?

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TB Financing of GF in Asia the Pacific

• Board approved grant amount US 1.3 B
• Signed amount US 0.8 B
• Disbursed amount US 0.5 B
• 191 M USD signed in 2009

Source TGF web page 27July 09
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TB Financing of GF in Asia the Pacific Rounds
1 8, (July 09)
1300
South Asia
800
500
Approved
Signed
Disbursed
East Asia
South Asia
Source TGF web page
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Global Fund Share of International Financing for
TB
Loans 18
Global Fund 57
Grants Excluding GF 25
Source WHO Stop TB Data, 2008
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TB Commitments Relative to Burden of Disease in
Asia
9
16
32
35
TB
36
HIV/AIDS
Malaria
47
56
48
21
21
Committed SEAR
WPR
DALYS
DALYS
Source TGF web page 27 July
2009 DALYS from WHO, 2008
Committed
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Global TB Commitments
Rounds 1 8, (June 09)
2002 2003 2004 2005 2006 2007
2008 2009
Source Key Financial Figures Finance Dept.
22 June 2009
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TB Commitments in East Asia and the Pacific
Rounds 1 8, (July 09)
2009 191 million USD committed
0
0
2002 2003 2004 2005 2006
2007 2008 2009
Source Key Financial Figures Finance Dept.
16 July 2009
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Outline

• GF Financing on TB
• Progress case detection rate, cure rate
• March towards MDG Incidence Prevalence Death
• Which factors are triggering progress Income,
  health service, Physicians. Health financing , GF
  grant
• For well performing countries vs poor performing
  countries
• Where are GF items spent ?
• What can be done better ?

11
Case Detection Rate
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Case Detection Rate
13
GF Resources
14
Successful Treatment Completion
15
TB Mortality rate 2000-2007
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Outline

• GF Financing on TB
• Progress case detection rate, cure rate
• March towards MDG Incidence Prevalence Death
• Which factors are triggering progress Income,
  health service, Physicians. Health financing , GF
  grant
• For well performing countries vs poor performing
  countries
• Where are GF items spent ?
• What can be done better ?

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Incidence
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MDG for incidence
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Mortality MDG
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Prevalence MDG
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Outline

• GF Financing on TB
• Progress case detection rate, cure rate
• March towards MDG Incidence Prevalence Death
• Which factors are triggering progress Income,
  health service, Physicians. Health financing , GF
  grant
• For well performing countries vs poor performing
  countries
• Where are GF items spent ?
• What can be done better ?

22
Role of Health Worker ?
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Per Capita Expenditure
24
GDP spent on health
25
External / Total Health Expenditure
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Outline

• GF Financing on TB
• Progress case detection rate, cure rate
• March towards MDG Incidence Prevalence Death
• Which factors are triggering progress Income,
  health service, Physicians. Health financing , GF
  grant
• For well performing countries vs poor performing
  countries
• Where are GF items spent ?
• What can be done better ?

27
From an old Survey .

• ? of patients having sputum positive TB could
  refer to their illness in chest
• ? of patients having X ray positive TB could
  refer to illness to their chest
• ? visited some health care services
• ? received treatment for TB

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Results

• ? of patients having sputum positive TB could
  refer to their illness in chest
• ? of patients having X ray positive TB could
  refer to illness to their chest
• ? visited some health care services
• ? received treatment for TB

95
72
gt80
lt40
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Cost Breakdown
Source EFR 27 July 2009
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Cost Breakdown
Source EFR 27 July 2009
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In search of ideas for Health System
Strengthening.
2015
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Role of WHO
Implementation
Design
Evaluation
Global Fund Grant Life Cycle