TB Free

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TB Free

• Nelson Mandela Aventis Project for Combating TB

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To quote Mr. Mandela

• South Africa has a history of overcoming the
  worst ills imaginable. Each and every person has
  a responsibility to assist in the call that we
  are needed. We are very happy to have found a
  strong partner in Aventis, working together with
  us, towards eradicating TB in South Africa.
• Nelson Mandela
• Johannesburg, 22 April 2002

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One Demand In South Africa
TO BE TUBERCULOSIS FREE
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Contents

• Statement of need
• Commitment to TB
• TB Problem
• TB Partnership and project governance
• Progress to date
• Benefits
• Conclusion
• Further requirements

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Tuberculosis A Killer

• Single biggest killer along side HIV/ AIDS, and
  growing.
• Low cure rates of 65, despite a WHO and South
  African objective of 85

YET THIS IS A CURABLE DISEASE - UNLIKE AIDS
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TB in South Africa

• in 2001 424 per 100 000 people total 188 695
  cases
• in 2002 494 per 100 000 people total 224 000
  cases(Note Overall notification rate for
  Africa in 2002 was 147 per 100 000 people!)
• Expected to increase in 2003 2004, due to
  effects of HIV and other factors
• in 2006 TB would reach epidemic proportions in
  South Africa, unless action is taken

Then
Now
Future
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TB Challenge

• Go for a TB Free South Africa
• Increase TB cure rates to reach WHO target of 85
• To ensure accurate recording and reporting of TB
  case detection rates.

Directly Observed Short Course Therapy Will Be
The Means To Our Goal
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Vision

• A TB Free South Africa.
• This vision will be realized through
• increased TB awareness,
• dedicated trained treatment supporters,
• patient access to information about the disease
  and their own progress,
• patient compliance with treatment requirements

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Demonstrated Commitment

• Conceptualized TB Free
• Partnership with Nelson Mandela Foundation,
  Aventis, Aventis Foundation and Government of SA
  (Department of Health)
• Donation of 15 million euros over a five-year
  period from pharma company Aventis
• Established organization and infrastructure to
  realize TB Free Vision (Nelson Mandela Aventis
  Project for Combating TB Association incorporated
  under section 21)

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Why the Nelson Mandela Foundation?

• Mr. Mandela has requested this life-saving
  initiative
• The South African people and the world believe in
  him
• Demonstrated commitment to cause of the poor and
  oppressed
• The success of the Nelson Mandela children
  foundation

A unique opportunity to partner with this living
legend
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Why the Aventis Foundation ?

• German charitable trust established by Aventis, a
  world leader in pharmaceuticals
• Promotes civil society organizations and civic
  activities, with a focus on healthcare
• The Aventis Foundation Sustainable Healthcare
  Project supports exemplary and urgent
  initiatives that improve the provision of basic
  healthcare

A perfect fit with TB Free Vision
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Targeted Beneficiaries

• TB Patients
• DOT Supporters
• Professional Health Workers
• Communities through Advocacy

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Alignment with Government

• TB FREE supports the National Tuberculosis
  Control programme and the WHO targets of a
• 70 case detection rate (within target)
• 85 cure rate (currently 65)
• ?5 treatment interruption rate (currently 13)
  
• These targets have to be met by 2005 according to
  the Medium Term Development Plan (MTDP) of the
  South African government.

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Project Scope

• Increase TB awareness through advocacy and social
  mobilisation
• Establish fixed centres of excellence in all 9
  provinces
• Establish mobile units attached to each centres
  of excellence
• Build training capacity to train DOT supporters
• Implement systems and infrastructure for
  management and monitoring of the project

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Progress to date

• TB Free organization established to implement the
  project
• 4 locations for the fixed centres of excellence
  have been identified refurbishment is in progress
  (Gauteng Province, Kwazulu Natal, Northwest and
  Northern Cape Provinces)
• Training arrangements for DOT supporters are
  advanced
• Training materials are available and ready for
  use
• Advocacy programme is being finalized
• TB Free nominated to be an example of an ideal
  Public-Private Partnership for TB control

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Why this partnership is working

• TB is a top health priority of the South African
  government
• We have developed a bottom-up concept. The people
  have spoken!
• DOTS initiative is a proven working strategy.
• The concept is measurable and practical
• Aventis and Aventis Foundation are committed to
  this life-saving programme
• Nelson Mandela believes in it and supports the
  programme

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A Commitment to Life