Malaria & Neglected Tropical Diseases

A PROMOTIONAL SUPPLEMENT DISTRIBUTED ON BEHALF OF MEDIAPLANET, WHICH TAKES SOLE RESPONSIBILITY FOR ITS CONTENTS Tackling malaria and NTDs contributes to more resilient health systems People living in fragile settings are the most at risk of contracting malaria and NTDs yet they are the least likely to have access to adequate health care. Building the capacity of local health facilities and community health workers to prevent, diagnose and treat malaria and NTDs in fragile settings can lead to more resilient health systems and greater global health security overall. According to Dr Lali Chania, Tanzania Country Director of IMA World Health: “Health systems in fragile settings, if they exist at all, are beset by external and internal challenges, including but not limited to violence, lack of infrastructure and resources, corruption, access inequities, weak governance and limited human capital. Yet fragile settings have a higher disease burden than other low-income countries.” Poor public health perpetuates the cycles of poverty and fragility and vice versa. As the number of fragile settings increases, so too does global insecurity and economic instability. That is why IMA World Health is committed to health systems strengthening in fragile settings. Building on malaria and NTD programming successes “The local partnerships, trust and capacities we have built through our malaria and NTD programming in fragile settings are key for any health systems strengthening efforts to be successful in these complex environments,” says Chania. In the Democratic Republic of the Congo and South Sudan, the organisation has collaborated with local health facilities to improve access to malaria prevention, diagnostic and treatment services for more than 11.4 million people. Across Tanzania and Haiti, 28.8 million people are no longer at risk for lymphatic filariasis since IMA has strengthened the capacity of local health systems to sustainably administer NTD control measures. IMA’s health partners in these fragile settings are leveraging these capacities to meet other critical health care needs. Dr Chania suggests: “The surveillance and case-based notification and response capacities required to eliminate malaria and NTDs are also what is required to stop epidemics from becoming pandemics, like COVID-19. Integrating those capacities into health systems will not only improve that system’s resilience to the shocks common in fragile settings, it will improve global health security.” Paid for by IMA World Health Find out more at imaworldhealth.org WRITTEN BY Dr Lali Chania Director, IMA Tanzania Country Investing in ending malaria and NTDs for a safer world A world free of malaria and NTDs is possible. Investing now to end these diseases will save millions of lives and protect against future pandemics. This year, the global community has two historic opportunities to recommit to ending malaria and neglected tropical diseases (NTDs)—by mobilising at least USD 18 billion to replenish the Global Fund to Fight AIDS, Tuberculosis and <strong>Malaria</strong> and by supporting the Kigali Declaration on NTDs to deliver the targets set in the World Health Organization’s NTD Roadmap (2021-2030). Supporting national malaria and NTD programs Enormous strides have been made against these diseases since 2000. Global Fund investments helped scale up lifesaving interventions, contributing to over 10 million deaths averted from malaria. The 2012 London Declaration on NTDs, signed by governments, pharmaceutical companies, endemic countries, global health organisations, and the Bill & Melinda Gates Foundation, nearly doubled medicine donations by the pharmaceutical industry—reaching over a billion people a year from 2017 to 2019. Yet these diseases continue to take lives and put billions of people at risk— and COVID-19 further hinders progress. We can end malaria and NTDs and keep us safer from future health threats. By supporting national malaria and NTD programs that drive progress against these diseases, boosting investments, and better integrating these programs into national health systems millions of lives can be improved and saved. Community-based disease monitoring and tracking With the goal of ending malaria and NTDs, the Gates Foundation co-invests and partners with national programs, pharmaceutical companies, product development partnerships, research institutes and global and local NGOs. A primary focus is on increasing the use of digitised data systems for realtime disease monitoring to better target delivery of interventions. For example, Initiatives like Visualize No More <strong>Malaria</strong> and the Lymphatic Filariasis Campaign Digitization in India are generating valuable insights at the community level that support decision-makers to transform healthcare delivery. Community health workers are at the heart of national malaria and NTD programs, providing essential services for millions of people—often in remote regions. The trust built with the communities they serve provides a foundation for digitised disease ©Speak Up Africa monitoring and adaptation of services to emerging health needs, like COVID-19, showcasing how investments in malaria and NTDs can help prevent future pandemics. Increased financial and political commitments We are already seeing examples of commitments and approaches that are helping malaria and NTD programs to drive lasting progress. Twenty five sub-Saharan African countries have launched local Zero <strong>Malaria</strong> Starts with Me campaigns and End <strong>Malaria</strong> Councils to mobilise country resources and action. The African Union and Uniting to Combat NTDs recently signed an agreement to end NTDs by 2030. We are also seeing critical accountability mechanisms emerge with the integration of NTDs into national health strategies and the African Leaders <strong>Malaria</strong> Alliance scorecard. To support this stepped-up leadership, global leaders must join in solidarity and increase funding to deliver a safer, more equitable world free of malaria and NTDs. WRITTEN BY Katey Einterz Owen Director, <strong>Neglected</strong> <strong>Tropical</strong> <strong>Diseases</strong>, Bill & Melinda Gates Foundation WRITTEN BY Philip Welkhoff Director, <strong>Malaria</strong>, Bill & Melinda Gates Foundation ©Speak Up Africa Community health workers are at the heart of national malaria and NTD programs, providing essential services for millions of people. 04 MEDIAPLANET READ MORE AT GLOBALCAUSE.CO.UK

A PROMOTIONAL SUPPLEMENT DISTRIBUTED ON BEHALF OF MEDIAPLANET, WHICH TAKES SOLE RESPONSIBILITY FOR ITS CONTENTS Institute will shine its light on disease elimination at summit The forthcoming Kigali Summit provides an opportunity for knowledge to be shared to help combat malaria and neglected tropical diseases (NTDs). INTERVIEW WITH Simon Bland CEO, Global Institute for Disease Elimination (GLIDE) WRITTEN BY Sheree Hanna Paid for by Global Institute for Disease Elimination Launched at the end of 2019, the Global Institute for Disease Elimination (GLIDE), a non-profit organisation based in Abu Dhabi, is committed to helping its partners go further and faster towards the elimination and ultimate eradication of infectious diseases, with a current focus on malaria, polio, lymphatic filariasis and onchocerciasis. The Institute was jointly founded by His Highness Sheikh Mohamed bin Zayed Al Nahyan, the Crown Prince of Abu Dhabi, and the Bill and Melinda Gates Foundation, and builds upon a longstanding history of investment in global health. GLIDE’s CEO, Simon Bland, says: “The Kigali Summit comes at a time where some of the world is seemingly emerging from COVID-19, so understanding its impacts and lessons will be vitally important as we look ahead. “We need more money for health, but also more health for the money. We need efficiencies, synergies, effective coordination and cooperation and synchronicity of services provision across diseases. We want to help break down barriers and silos.” Finding the best outcome Bland says a successful Summit for GLIDE would result in high-level political commitment from across the Commonwealth for disease elimination, with increased commitments to tackling neglected tropical diseases (NTDs), We need efficiencies, synergies, effective coordination and cooperation and synchronicity of services provision across diseases. and momentum for a successful Global Fund replenishment in September. The Summit will be held alongside the 26th Commonwealth Heads of Government (CHOGM) meeting in Rwanda in June. The rationale behind eliminating or eradicating infectious diseases means no longer having to invest or survey them, thereby freeing up money and resources for other priorities. Bland says: “Calling to end disease is a bold statement of ambition which can excite, motivate and attract strong political will for such an audacious goal. However, there is a caveat: it is easier to call for elimination than to deliver it, and the last mile of elimination is the hardest.” Innovation is main objective Innovation is a key objective for the Institute, which looks to foster and scale innovation not only for new tools and technologies, but also for new strategies for health systems strengthening. GLIDE is working with partners to convene community, country and global experts to explore the rationale for programme integration, keeping in mind that efforts should result in improved outcomes for all health programmes involved. The Kigali Summit is an opportunity not only for galvanising political commitment, but also for stakeholders from the malaria and NTD communities to identify potential opportunities for joint advocacy, programming and finance. Find out more at glideae.org Taking a multisectoral approach in the fight against malaria <strong>Malaria</strong> does not exist in isolation and will require a cross-sector response through coordination, policy and funding at global and national level to ensure a malaria-free future for all. INTERVIEW WITH Joseph Lewinski Multisectoral <strong>Malaria</strong> Project Lead, Catholic Relief Services WRITTEN BY Meredith Jones Russell This cross-sector response to malaria is called multisectoral programming. It uses different sectors to help bridge funding gaps in malaria programming, increasing access and use of malaria services in communities that are often missed. Joseph Lewinski, Multisectoral <strong>Malaria</strong> Project Lead at Catholic Relief Services (CRS), explains: “I don’t think we have seen a country that has eliminated malaria without a multisectoral approach.” Sectors driving the biggest impact include agriculture, education, humanitarian response, urban development, extractive industries, population movement and defence. CRS is investing in multisectoral programming to help ensure these critical connections are made, especially in countries with the highest number of malaria cases. Image provided by Catholic Relief Services “This concept, which has existed since the first malaria elimination efforts, proports that by including other sectors in programming, we can address common causes that help spread malaria in endemic countries and develop malaria ‘smart’ policy to mitigate their effect,” Lewinski says. Dual impact approach Multisectoral approaches have a positive impact on both malaria prevalence and on the other sectors involved. “By working with the education sector, you get more consistent access to children, who are more likely to be impacted by malaria,” Lewinski explains. “You can train teachers to identify signs and symptoms and strengthen referral system so kids can get diagnosed and treated quicker.” “In rice farming agriculture, increased production can impact mosquito breeding and, thus, malaria transmission. A multisectoral approach can provide dual impact, in this case, ensuring productive agriculture production and also in reducing malaria prevalence. Globally, malaria stakeholders need to adopt proactive policy. National malaria control programmes are needed. On a community level, farmers and communities must be considered in the decision-making process.” Working towards elimination In some circumstances, multisectoral programming can help countries eliminate malaria completely. “Multisectoral programs have historically been used to help reach the last few cases within countries close to elimination,” Lewinski explains. “In the Mekong sub-region, we see that by working with extractive industries we can ensure we know where forest working populations are and find those last cases.” But Lewinski emphasises multisectoral approaches can benefit all countries with malaria cases. “This isn’t just an approach for countries eliminating malaria. By setting up these systems in high burden countries, we can ensure this holistic, integrated response, which is vital for meeting malaria control and elimination goal. It just requires upfront investment, and bringing together stakeholders who wouldn’t normally work together, to create practical and novel solutions.” Paid for by Catholic Relief Services Scan the QR code to find out more READ MORE AT GLOBALCAUSE.CO.UK MEDIAPLANET 05