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Closing the MGD Gap Through Health Literacy Working With Civil Society and Communities Dr Bernhard Schwartländer ECOSOC Annual Ministerial Review Regional.

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Presentation on theme: "Closing the MGD Gap Through Health Literacy Working With Civil Society and Communities Dr Bernhard Schwartländer ECOSOC Annual Ministerial Review Regional."— Presentation transcript:

1 Closing the MGD Gap Through Health Literacy Working With Civil Society and Communities Dr Bernhard Schwartländer ECOSOC Annual Ministerial Review Regional Ministerial Meeting for Asia and the Pacific 29 & 30 April 2009, Beijing, China

2 MDG Goal 6: Combat HIV/AIDS, Malaria and other diseases Target 6a: Have halted by 2015 and begun to reverse the spread of HIV/AIDS Target 6b: Achieve by 2010,universal access to treatment for HIV/AIDS for all those who need it. Target 6c: Have halted by 2015and begun to reverse the spread of malaria and other major diseases.

3 AIDS: Anti Retroviral Treatment in Asia-Pacific Coverage of those in need UNAIDS/S.NOORANI

4 AIDS Treatment Literacy in China Community based approach 4 provinces, 35 project sites Over 10,000 people on ART (about one quarter of all PLHIV on ART in China) Peer motivators, SMS platform, womens network Positive prevention Treatment literacy manual for PLHIV ART management software, doctors forum Source: Thomas Cai, AIDS Care China, Data for 10 Yunnan sites in 2008

5 China: AIDS Treatment Literacy More Than Doubling in Enrollment Source: Thomas Cai, AIDS Care China, Data for 10 Yunnan sites in 2008

6 China: AIDS Treatment Literacy More Than Two Third Reduction in Drop-Out Source: Thomas Cai, AIDS Care China, Data for 10 Yunnan sites in 2008

7 TB prevalence and mortality Global Targets Prevalence (cases/100,000) Mortality (deaths/100,000) Target = 148Target = 14 Source: Global Tuberculosis Control 2009, WHO 2009

8 Angan Wari: rural community health workers to improve nutrition of children and mothers Access to communities Can be efficiently utilized to increase health literacy TB DOTS in India Reaching Patients Through Angan Wari Source: Singh et al, Indian J Tuberc 2005;15-20

9 TB DOTS in India Best Outcome Through Community Approach Source: Singh et al, Indian J Tuberc 2005;15-20

10 TB DOTS in Bangla Desh DOTS more cost effective when CHWs are involved Community Health Worker model could diagnose, treat and cure 50% more TB patients than the regular national programme Source: Islam et al, WHO Bulletin 2002, 80(6);

11 Malaria Cases per 1000 population Towards MDG Targets Target: > 75% Reduction in cases and deaths by 2015 compared to 2005 Source: World Malaria Report 2008, WHO 2008

12 Teaching Mothers to provide Malaria Treatment More than 40% Reduction in Overall Child Mortality Two Third Reduction in Malaria Mortality Source: Kidane G, Morrow RH. The Lancet, 2000, 356:550-4

13 Malaria in Zambia Increased Malaria Literacy results in More Than 50% Reduction in Malaria Mortality Source: National Malaria Program Zambia, 2009

14 Conclusions MDG 6: challenges ahead, but possible Acceleration is needed Health Literacy is key Community approaches are –Working –Cost effective –Equitable (reaching the poorest) –Sustainable –Scalable


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