Workshop for PEPFAR’s Sustainability Index and Dashboard

 

Good morning and thank you for joining the US Government’s PEPFAR team in Côte d’Ivoire today for the Sustainability Index and Dashboard workshop.

The Ivoirian government and PEPFAR have been partners in the fight against HIV and AIDS for over 10 years.  During the course of this partnership, our two governments have worked side by side at the national and regional level.  We have engaged other partners to extend our each down to the district and service-delivery level.  We have worked hard together to improve access and the quality of essential disease prevention and lifesaving care and treatment services.  Together we reached over 130,000 patients in Côte d’Ivoire with antiretroviral treatment.  Over 16,000 HIV-infected pregnant women have received services to reduce the risk of transmitting HIV to their children.

We all know this remarkable achievement is not enough.  There is more work to be done.  We need to reach more patients and our efforts need to be sustainable to conquer this disease.  This means that countries must have affordable, quality, locally owned HIV/AIDS services and programs.”  It will ultimately be up to each country to manage, implement and fund its own program.

Globally there will be 36 million people living with HIV in 2020.  According to UNAIDS, Côte d’Ivoire will be home to approximately 370,000 of these people.

In our partnership we have committed to achieving the UNAIDS goal of 90:90:90 by 2020.  This means that by 2020, 90 percent of people living with HIV will know their status; 90 percent of all people with diagnosed HIV infection will receive sustained antiretroviral therapy; and 90 percent of all people receiving antiretroviral therapy will have viral suppression.

The resources required to reach the 90-90-90 targets is roughly two times current financing.  PEPFAR funding has increased significantly over the last 10 years, but it is unlikely to increase that way in the future.  PEPFAR and other external donors cannot alone meet the needs of the expected 370,000 people living with HIV in Côte d’Ivoire in 2020.  Other than finding more domestic resources to support this vital work, we must find ways to use available resources more efficiently and effectively.

We will need to work together to identify creative means of attaining these goals.  To that end, the PEPFAR program is introducing a tool to help us.  It will help us measure and track national progress toward a sustainable national HIV response.  This tool is called the Sustainability Index and Dashboard.  Our colleagues in Washington developed it in consultation with technical experts and tested it in three countries.  Now, all countries with a PEPFAR program are going to start using this tool.

We believe the Sustainability Index and Dashboard will help us collectively focus our future investments to reach our goals.  It will help us track the progress and make the program sustainable.  This year we will establish a baseline.  In subsequent years we will take annual snapshots and identify trends over time.  Our objective is to make the national HIV/AIDS response effective and sustainable.

Revisiting this annually will also allow us to come together to share and benefit from our collective knowledge and the best data available.  This collaboration will take us on the path toward sustainability.

I wish you a fruitful discussion throughout the day.  Thank you for working together to develop the inaugural version of the Sustainability Index and Dashboard in Côte d’Ivoire.