Ending TB in the Western Pacific Region: a journey

Transcript:Ending TB in the Western Pacific Region: a journey:
Ending TB in the Western Pacific Region: a journey toward 2030 Regional Framework to implement End TB Strategy beyond 2020 Future scenario: TB in 2030 Approaching pre-elimination level New tools introduced (vaccine, drugs, test) Social determinants of TB largely addressed Universal coverage for TB is mostly ensured New tools are effectively introduced Incidence and mortality reduced dramatically Majority are intermediate and low burden countries Concentrated in high-risk groups Big proportions are due to reactivation of old infection Outbreak response as a norm End TB Strategy assumption Current trend The 2030 vision requires a combination of tools Results of modelling; A slow decline in incidence (9%) is expected Optimal coverage of the current tools is needed to accelerate the progress Systematic screening (ACF) Xpert expansion TB preventive therapy New tool(s) are necessary to reach the 2030 target Extremely profitable investment, providing at least a four-fold return on investments Baseline Xpert ACF ACF + TPT Combined Modeled estimates of TB incidence with different interventions, 2019-2030 Overview of the Framework document Response Framework Premise for the Framework Future vision in 2030 BACK-CASTING What is the ideal scenario for TB in WPR in 2030? What does the system look like when TB is eliminated? What steps are required to achieve the ideal scenario? ANALYSIS OF CURRENT AND FUTURE CHALLENGE Where are we now? Impediments to achieve the future scenario Drivers for future TB epidemic in WPR Demographic transition Economic transition Epidemiological transition PROPOSED ACTIONS Priorities and approaches Linking with other priorities What can we do today? Essentials: Prevention, Diagnosis, Treatment Foundations: System, Research, community engagement Environment: Multi-sectoral collaboration Overarching: Coordination and accountability Priorities and Approaches Social Justice | Ethics | Human Rights Principles Strengthen Essential TB Functions (within TB) Build Health system foundations (within Health) Promote Health beyond Health (beyond Health) Coordination and accountability (Overarching) Action Domain Country Focus | Multi-sectoral approach Approach System approach to strengthen service delivery Information for action Strategic communication and change management Innovations and rapid uptake Operational modalities Multi-sectoral approach Direct NCD Nutrition MNCH HIV Substance abuse Mental health Occupational health Medical education Private health sector Indirect Private philanthropy Within Health Direct Labor Prison Justice Defense Mining Pharmaceutical sector Indirect Finance Social Energy Education Housing Media Sports Health Insurance Employment insurance (reimbursements/cash transfer) Beyond Health Proposed steps; Identify specific role of each sector Agree monitoring framework in line with SDG Develop narrative ensuring win-win for all sectors Providing tools