ZERO TB CITIES PROJECT



AN INITIAL FOCUS ON TUBERCULOSIS IN CITIES
WORKING TO CREATE "ISLANDS OF ELIMINATION" WITH STRONG LOCAL PARTNERS IN HIGH-BURDEN AREAS, UTILIZING A PROVEN, COMPREHENSIVE, COMMUNITY-BASED CARE PLATFORM.
By focusing on municipal areas in high-burden countries, including the so-called BRICS group of countries (Brazil-Russia-India-China-South Africa), where 60% of the world's TB is found, AA&D is facilitating the creation of sustainable new coalitions of care providers among local associations, NGOs, research institutions and governments who are ready to deliver world-class care to the populations they represent on a long terms basis. Initially, the focus is on cities, where most of the world's population now lives. 
THE TIME IS NOW: A GLOBAL HEALTH PARADIGM SHIFT IS IMMINENT
Disease control frameworks in the Global North provide AA&D an evidence-based foundation for standards of care against infectious diseases, divorced from questions of resource availability. The job is to find the "how" for tackling these diseases with local tools in local contexts, not how to lower the standards. This can include taking advantage of the flexibility of the private sector in some settings, but only when it does not entail the false condition of reducing public investment in proven disease control programs.
PROGRAMS THAT APPLY THE HIGHEST STANDARDS SEE EXCELLENT RESULTS, ACROSS THE ECONOMIC DIVIDE
There is rigorous evidence base showing that complex disease interventions and health promotion activities work in both wealthy health systems and more challenging environments, given appropriate programmatic supports. Partners In Health (PIH) is a leader in global health delivery and research in these challenging settings, and an institutional and fiscal partnership between the Zero TB Cities Project and PIH strengthens the clinical and programmatic components of our work. Research teams also hold appointments at Harvard Medical School's (HMS) Department of Global Health and Social Medicine and Duke University's Sanford School of Public Policy.  See more about the partnership with HMS and Janssen Global that allowed for the development of this platform, and our colleagues at Duke Universityworking to broaden this partnership (external link). 

Zero Tuberculosis project is a new initiative formed in 2014 that will commit to comprehensive tuberculosis elimination strategy  .

FIRST CITIES SELECTED :

The first  two Zero TB Cities Project sites are in Chennai, India, and Lima, Peru. Both are among the largest cities on their respective continents and are tackling significant TB threats. 
Key focus points include:
·         active case finding centered on the community and households
·         improved diagnosis techniques in line with national reforms
·         moving toward treatment of all forms of the disease
·         innovative fundraising and partnerships, from local to international levels
·         supporting the TB strategy 




What we need to fight tuberculosis 

http://www.advanceaccessanddelivery.org/tb-activist-toolkit/

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