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Remarks by Erica Lessem on TB research at the WHO Global Ministerial Conference on Ending TB

Remarks by Erica Lessem, Deputy Executive Director – TB Project

Global Ministerial Conference on Ending TB in the Sustainable Development Era

Moscow, Russian Federation
November 17, 2017

Using lessons learnt from HIV, how do you see civil society and advocacy communities’ role in helping increase financial commitment by the global community to close the gap of TB R&D funding?

“The HIV movement has taught us that with funding for innovation and political will for implementation, devastating epidemics can be tamed.

If you have questions or are looking to get into EtE work, please reach out.

Click here for a list of contacts and websites listed by EtE jurisdiction.

For questions about this website or more information on EtE initiatives – including ways in which TAG can potentially assist with convenings, technical assistance, capacity building, or community mobilization efforts – please e-mail us.

For more information about TAG, click here



Is there a national EtE plan?

Not yet, although ACT NOW, a national, community-led coalition dedicated to promoting and supporting EtE plans across the United States, will continue to push for a national EtE plan even in the current oppressive political climate. Although the National HIV/AIDS Strategy, first announced in 2010, marked important progress towards uniting the federal agencies around a coordinated plan, we believe we need to be even bolder with targets and strategies to truly achieve an end to the epidemic as we know it.

A lot has changed politically since 2016. Is now still the

While the Affordable Care Act (ACA) and Medicaid expansion are vulnerable in America’s volatile political climate, for now the potential for increased healthcare coverage provided under “Obamacare” remains an important component of any EtE strategy. However, the ACA and the many Republican efforts at repealing the law can be confusing and complex. Below you’ll find some links to resources breaking down the ACA, the many challenges it faces, and the potential impact on people living with or vulnerable to HIV.

Knowing how to communicate with elected officials across the political spectrum is essential when trying to gain political support for an EtE initiative. Here we have provided some examples of key talking points from other EtE work as well as resources highlighting general communications strategies for engaging with elected officials.

Slide Deck on Communication and Advocacy

Increased healthcare access for marginalized communities through Medicaid expansion greatly improves the effectiveness of EtE efforts.[i][ii] With TasP, PrEP, and PEP—our most effective evidence-based tools for preventing new infections—comprehensive healthcare coverage is required; pills cannot be accessed without healthcare provider visits, labs, and medication coverage. Taking full advantage of federal funding for state Medicaid programs is likely essential for all communities to see drastic declines in new infections.

For EtE plans to succeed, they must centrally address social and structural barriers to care, treatment, and prevention. Here are some basics on social and structural determinants of health (SSDHs) from the Centers for Disease Control and Prevention (CDC):

 “The complex, integrated, and overlapping social structures and economic systems that are responsible for most health inequities. These social structures and economic systems include the social environment, physical environment, health services, and structural and societal factors.

The right timeline for an EtE planning process will change depending on location. Here are two examples from existing EtE plans: New York State (left) and Houston, Texas (right).







































While each EtE process may be different, there are many commonalities. Here are some examples and templates for agenda planning, invitation lists, event planning timelines, EtE action plans, etc. that may facilitate the formation of new community led EtE initiatives. Click below for resources for planning an initial meeting, community listening forums, online surveys, and drafting/launching EtE plans.

Planning a “kick off” meeting
Community listening forums
Online surveys
Drafting/Launching EtE Plans