a brief about global health sector strategy developed by who with regards to hiv,viral hepatitis and sti

1. *

2. *
*Introduction
*Global health burden
*Consultation
*GHSS Structure and Frameworks
*GHSS on HIV
*GHSS on STI
*GHSS on viral Hepatitis

3. *
GHSS
H.I.V.
S.T.I.V.H.
-Developed by WHO for 69th
world health assembly to be
conducted in 23-28 may 2016
- Compromises of 3 interlinked
strategies
- to meet SDG Targets for 2030
- Focussed at ending these
epidemics.
GHSS- global health sector strategy
HIV- human immuno deficiency virus
STI- sexually transmitted infection
VH-viral hepatitis

4. *
GHSS
H.I.V.
S.T.I.V.H.
They share Common features like
-common modes of transmission,
-overlapping key populations,
-similar health interventions
-similar service delivery needs.
Developing 3 strategies together ensures that key
linkages and integration opportunities will be
maximized.

5. *
MDG 6
target 7
• have halted and begun to reverse the spread of HIV/AIDS by
2015----on track
SDG goal
3.3
• End the epidemics of HIV,TB, malaria and neglected tropical
diseases and combat hepatitis, water- borne and other
CDs
SDG goal
3.7
• Ensure universal access to sexual and reproductive health-
care services,including for family planning ,information and
education, and the integration of reproductive health into
national strategies and programmes
SDG goal
3.8
• Achieve universal health coverage, including financial risk
protection, access to quality essential health-care services
and access to safe, effective, quality and affordable
essential medicines and vaccines for all.

6. *
*In 2014, new HIV infections were estimated at 2.0 million,
which is 41% lower than the peak in 1997.
* Fewer people are dying of HIV-related causes, with an
estimated 1.2 million deaths in 2014, down 42% from the peak
in 2004, largely the result of increased access to antiretroviral
therapy.
*viral hepatitis being responsible for over 1.4 million deaths
annually
*annually there are almost 400 million new cases of four of the
most prevalent curable STIs among people aged 15-49 years:
*Chlamydia trachomatis (132 million),Neisseria gonorrhoea (85
million), syphilis (6 million), and Trichomoniasis vaginalis (141
million).

7. *

8. *

9. *

10. *
10
Source: Prepared by www.aidsdatahub.org based on National AIDS Control Organization India, Department of AIDS Control, & Ministry of Health &
Family Welfare. (2014). Annual Report 2013-14.
3733.6
9427.1
13160.7
0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
16,000
2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 *
INRmillion
Domestic Budget Support International funding Total AIDS spending
* NACP IV 2012 till March 2013

11. *
*A broad consultative process was held involving key
partners
*More than 90 Member States participated in
consultations held in all six WHO regions from April–July
2015
*A strong and consistent recommendation emerged from
stakeholders requesting a strengthening of the strategic
information and accountability elements of the three
strategies.

12. *
highlighting
prevention
addressing
common modes
of transmission
access in
relation to the
affordability
setting
deliberately
ambitious
targets
Targetting key
polpulations
ensuring a
people-centred
approach

13. *
*GHSS has a common structure, reflecting three
organizing frameworks:
*And 5 strategic directions Universal health
coverage
The continuum
of health
services
The public
health approach

14. Universal
health
coverage
full
spectrum of
good quality
health
services
Providing
financial-
risk
protection
Ensuring
equity of
access
Universal health
coverage is an
aspirational goal
that all people
access and use the
promotive,
preventive,
curative,
rehabilitative and
palliative health
services they need,
and which are of
sufficient quality to
be effective,
without suffering
financial hardship

16. *continuum of health sector
interventions and services
interventions
to reduce
vulnerability
and risk
prevent
transmission
early and
accurate
diagnosis,
link
individuals to
care
deliver
quality
treatment
provide for
chronic care

17. *
Decentralized service delivery
Standardized simplified protocols and guidance
Equity and community participation
Meaningful involvement of affected communities
Leveraging public and private sectors
Ensuring services are free or affordable
Moving from an individual clinical focus to population-based national
plans

19. Strategic information for focus
• - Focuses on the need to understand the epidemic and response
Essential interventions for impact
• describes the essential package of high-impact interventions that need to be
delivered along the continuum of health services to reach country and global
targets
Delivering for quality and equity
• by identifying the best methods and approaches for delivering the continuum
of high-impact health interventions
Financing for sustainability
• identifying sustainable and innovative models for financing of the response
and approaches for reducing costs so that so that people can access the
• necessary services without incurring financial hardship
Innovation for acceleration
• Identifies those areas where there are major gaps in knowledge and
technologies where innovation is required to shift the trajectory of the
response so that the 2020 and 2030 targets can be achieved.

20. *
*Intervention areas identified include:
*reduction of HIV vulnerability and risk;
reduction of HIV transmission;
*HIV testing;
* HIVtreatment;
* and chronic care of people living with HIV.

21. *
*HIV targets (2020):
*• 75% reduction in new HIV infections to
* < 500,000 (compared to 2010)
*• Zero new infections among infants
*• Reduce HIV-related deaths to < 500,00
*• 90% PLHIV to be tested; 90% of those positive
treated; 90% on treatment virally suppressed

24. Projection in decline in HIV related deaths

25. Projection of decline in new hiv cases

26. *Estimated global number of deaths due
to viral hepatitis, HIV, malaria and TB,
2000-2015

27. *
*The first-ever global hepatitis
targets are proposed.
*Interventions identified include:
*HBVvaccination – childhood vaccine coverage
*prevention of mother-to-child transmission of
HBV -including birth-dose vaccine coverage
* safe injection practices
*Safe blood and medical procedures

28. *
*Hepatitis targets (2020 and 2030):
*• Reduce new cases of chronic hepatitis by 30% (2020) and 90%
(2030) (baseline 2015)
*- Reduce from 6-10 million new cases in 2015 to < 1 million in
2030
*• Reduce HBV & HCV mortality by 10% (2020) and 90% (2030)
(baseline 2015)
*- Reduce from 1.4 million deaths in 2015 to < 500,000 deaths in
2030

32. *
*Interventions identified include:
*interventions to ensure an enabling environment that
supports equitable service access and use
*reduction of STI vulnerability and risk
*reduction of STI transmission
* STI diagnosis
*management of STIs and related sequelae (including
sexual partner management)
*monitoring of microbial resistant STI strains
* and monitoring and evaluating of interventions.

33. *
*STI targets (2030)
*• 90% reduction T. pallidum incidence
compared with 2018
*• 90% reduction in N. gonorrhoea incidence
*• ≤50 cases congenital syphilis per 100,000 live
births in 80% of countries
*• 80% HPV vaccine coverage in adolescents 9-
13 years in 80% of countries

36. *