Brazil: Advocacy and resource mobilisation

Draurio Barreira, MD Head of NTP Brazil

42nd Union World Conference on Lung Health, 28 October, Lille, France

• Founded in November 2004 with Ministry of Health support

• It constitutes a advisory body of permanent mobilization to discuss problems relevant to TB control

• Seeking to expand the role of NTP in line with the Stop TB Partnership and the global mobilization to fight against TB

• Initially formed by 32 institutions, including government representatives, private sector, NGOs, FBOs, professional organizations, cooperation agencies and foundations

(continue)

Brief history of Brazilian Partnership

At the Assembly held in 2008 was carried out a review of the Partnership. The new regiment was established and the division of members of the Partnership in 08 segments distributed as follows: Government; Professional Organizations; Academy; Private Sector; Cooperation Organizations; NGO activism; NGO assistance and/or technical assistance; and FBOs.

Scale up integration among partners

Brief history of Brazilian Partnership (2)

Major advances

Major advances

Social mobilization

Increased visibility of TB in the country

Advocacy at the political level

Major advances

Social mobilization

Expansion of the Partnership members contemplating the participation of institutions from all regions of Brazil. Currently the Partnership has over 100 members

The strengthening of visibility of Brazilian Partnership is in the set of activities developed by its partners

Strengthening of forums and networks that militate in combating tuberculosis Establishment of 11 Metropolitan Committees 22 funded projects to NGOs on TB/HIV (training of

community leaders, educational materials, etc.)

Tuberculosis Symposium on

World Social Forum - Brazil 2009

Organized by the “Rede Paulista” of Social Control of Tuberculosis with the participation of NGO partners, supported by NTP and State of Para TB Program

Major advances

Increased visibility of TB in the country

Visibility of tuberculosis in media and important forums of social control due the activities of its members

Stronger debate and visibility of tuberculosis by social movements

Mobilization for GFATM application Global Fund TB Project´s site:

www.fundoglobaltb.org.br Exhibition: “TB is curable: SUS pra valer”

Exhibition “TB is curable: SUS pra valer”

.

More than 30,000 people were reached in 11 metropolitan areas with the highest burden of TB (Porto Alegre, Sao Paulo, Rio de Janeiro, Baixada Santista, Minas Gerais, Salvador, Pernambuco, Ceara, Maranhao, Manaus and Belem).

Participation of NGO partners

Major advances

• Advocacy at the political level

Creation of State Parliamentary League - Rio de Janeiro and Rio Grande do Sul Realization of public audiences on tuberculosis and

involvement of Health Councils Public acts Nationwide seminars of social control on TB: 32

proposals to the MoH, 11 of those were related to social issues (cash transfer, complementary food, etc.)

Contribute to “Brasil sem Miséria” Articulation for the creation of the national Parliamentary League to Fight TB

Event held on March 24th, 2010 by NGO TB Forum - RJ

The MOST important advances: Participation at National Health Council

(the highest health forum in country)

Recommendation # 003 of March 17th 2011 National Health Council

"It is recommended that the Ministry of Health: joined with other areas of the Federal Government, with the participation and support of social movements, the National Congress and institutions from other sectors, the creation and maintenance of social benefits for people with tuberculosis, so as to increase treatment adherence and reduce default rates. "

The MOST important advances: Resolution # 444 of the National Health

Council, July 6th, 2011

(...) Decide: (...) 11. Develop actions and strategies that consider the needs of impoverished communities, the afrodescendent population, the homeless people, prisoners and indigenous population and people living with HIV/AIDS in order to improve TB control among these populations.

(continue)

The MOST important advances: Resolution # 444 of the National Health

Council, July 6th, 2011

(…) 12. To establish an intersectoral committee with the participation of civil society, to develop joint actions in order to address social determinants related to TB, especially those who have direct relationship with poverty and poor access.

(...)

I ratify the National Health Council resolution # 444 of July 6th, 2011.

Alexandre Padilha Minister of Health

OBJECTIVE: Rise up incomes and conditions of welfare of the population. The plan is addressed to the extremely poor families and include them in an integrated menu of various programs according to their needs.

AXES: cash transfer access to public services inclusive production

The MOST important advances:

Challenges Need to work in the technical qualification of the partner institutions, especially non-governmental community-based organizations

Improving communication strategies among members of the partnership - improvement of networking among the partners

Broaden the debate on the rights of people with TB, mainly aimed at ensuring access to treatment for the populations most vulnerable to TB (prisoners, homeless people, PLHA, and indigenous people)

Establishment of the Parliamentary National League to fight TB

Financial sustainability - need to find new ways of financing projects for the maintenance of social mobilization

Other informations • Global Fund (Brazilian project) http://www.fundoglobaltb.org.br • National Health Council http://conselho.saude.gov.br

• Brasil Sem Miséria (Brazil without misery) www.brasilsemmiseria.gov.br • IBGE (Poverty map) http://www.ibge.gov.br/home/presidencia/noticias/censo10052011.shtm • Social Development Ministery www.mds.gov.br • Ministery of Health www.saude.gov.br

draurio.barreira@saude.gov.br Visite o site do Ministério da Saúde:

www.saude.gov.br

Draurio Barreira draurio.barreira@saude.gov.br

+ 55 61 3213 8234