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Report on Investment for Impact in the Control of NTDs

Report on Investment for Impact in the Control of NTDs. Presentation to Seventh Strategic Technical Advisory Group on Neglected Tropical Diseases (STAG-NTD) April 8, 2014 Deborah A McFarland, PhD, MPH Rollins School of Public Health, Emory University Christopher Fitzpatrick.

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Report on Investment for Impact in the Control of NTDs

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  1. Report on Investment for Impact in the Control of NTDs Presentation to Seventh Strategic Technical Advisory Group on Neglected Tropical Diseases (STAG-NTD) April 8, 2014 Deborah A McFarland, PhD, MPH Rollins School of Public Health, Emory University Christopher Fitzpatrick

  2. Informal meeting December 16-17, 2013 • Representatives of MOH (NTD Programmes), Ministries of Finance, international experts on the economics and impact of NTD interventions (22 participants) • Objectives • To inform the forthcoming 3rd WHO NTD report on “Investing to overcome the global impact of neglected tropical diseases” • To develop a proposal for the establishment of a WHO working group on “investment for impact”

  3. Endemic country participation • Brazil – Ministry of Health • Nepal – Ministry of Health and Ministry of Finance • Bangladesh – Ministry of Health and Family Welfare • Uganda – Ministry of Health • Philippines – Ministry of Finance • Yemen – Ministry of Public Health & Population

  4. Endemic country wisdom and common themes • Must look at NTDs in context of UHC • Get NTDs on the development agenda in each country • Multisectoral approach is key but evidence for NTD impact is poor • Equity front and center • Need country specific, robust evidence conveying health and economic impact of integrated NTD control • Tell the human story as well as making the investment case • Use country case studies in WHO NTD report • Want to integrate/embed NTDs in overall frameworks while disentangling NTDs to assess impact

  5. WHO resources • UHC group • WHO-CHOICE • One-Health tool – software tool for medium term strategic health planning – facilitate strategic planning and costing at country level • National Health Accounts • WHO/WSH • WHO/ETH – Ethics, equity, trade and human rights

  6. Decisions and action points for the WG • Developing content for the NTD report • Country case studies • Academic research • Rolling out the EMPaCT platform • Linking to the UHC policy discussion • Getting NTDs on health-sector-wide priority-setting, budgeting and expenditure-tracking tools • Connecting with WASH • Exploring "innovative" models of financing

  7. NTD control Investment for Impact Working Group • Mission • Generating evidence for investment and impact in the prevention, control, elimination and eradication of Neglected Tropical Diseases • Objectives • to optimize the level of investment in NTD control by endemic countries or regions and their partners in development, better leveraging the resources already available and diversifying or increasing them as necessary • to demonstrate the impact of those investments beyond epidemiological impact and across development sectors

  8. Activities of the WG • identify gaps in the evidence • provide support to countries • improve collaboration among partners • flag emerging issues of strategic importance • assess and synthesize evidence

  9. Structure and membership • Broad but time-bound membership • STAG will biennially nominate a WG Chairperson to act for a two-year term • Nominations submitted to WHO for presentation to the STAG • Formal but flexible structure • Participants, invited experts, observers, networks

  10. Financing • Secretariat support in accordance with the terms of reference of existing WHO staff members • Participants, in principle, responsible for meeting own expenses in relation to the WG • Several participants (informal group) offered to advocate among donors for activity funds to support the WG

  11. 3rd NTD Report • Focus of the Investment for Impact WG in 2014 • "Investing to overcome the global impact…" • Chapter on investment: • Prepare for the post-2015 development agenda • Develop investment benchmarks for universal coverage, including investment in health systems • Explore innovative financing opportunities

  12. 3rd NTD Report: investment • NTD control in the era of the Millenium Development Goals • The burden has shifted to the bottom 40% within middle income countries? • NTD control on the broader post-2015 development agenda • NTD control will be a “litmus test” for universal health coverage … and ending extreme poverty and promoting shared prosperity • NTD control will help mitigate the consequences of climate change and urban development • NTD targets for the post-2015 world: towards a composite indicator? • Investment benchmarks for universal health coverage to 2030 • Investment to achieve and sustain global targets beyond 2020 • Public/pooled investment to avoid catastrophic out-of-pocket spending • Return on investment (towards "extended" cost-effectiveness analysis) • Innovative financing for NTD control post-2015 • Increased space for domestic ownership of NTD programmes • Innovative financing for more, and better, investment

  13. Action Points for STAG • Endorsement of the TORs for the Investment for Impact Working Group • "Go ahead" for development of Chapter 5 of the 3rd NTD Report

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