Distinguished panel: Mick Matthews, Ntombekhaya Matsha-Carpentier, Alexandr Rurmyantsev, and other panelists, Thank you for the opportunity to share our ideas on Future Scenarios for the Global Fund. Our idea begins at the individual level of society. Through our hands on experience and what we have learned through collaborative partnerships on the field, long term change begins in the hearts and minds of the individuals most affected. The fight against HIV/AIDS, Tuberculosis and Malaria will improve as we enable affected people to be equally involved in social and economic change. This will strengthen individual participation in building strong communities, and providing wholistic care. Each and every member of society becomes a strong advocate for other people in their community. Along with your help our scenario will integrate a coalition of: 1. Health care providers (full wholistic care beginning at birth to end of life care), 2.Coalition of Global leaders (Global Fund, CDC, ect.) 3. Health education (STD, HIV/AIDS, TB, Malaria, Clean water, Sanitation, ect.) 4. Youth health centers (STD prevention, Vaccines, youth oriented health, and empowerment programs) 5. Preventative Healthcare education and supplies (mosquito nets, sanitation, micro enterprise) 6. Testing and counseling, (VCT centers, micro and Macro nutrient , TB, resistant organisms) orgasmic 7. Spiritual care (all religions working together along side the community) 8. Technical support and training (ongoing technical training for Medical personnel, and support staff) 9. Micro enterprise (building community and health) 10. Trained birthing assistants, and prenatal care (teaching limits in ability with complexity of condition) 11. Compassionate end of life care (hospice, community service involvement) 12. Well equipped medical facilities (supplying up to date equipment and training) All groups working together through a united structure. Managed through a district, National, and international office. We will empower and Enable indigenous people to initiate and participate as a coalition in social and economic change within their own communities. The plan fosters leadership development and promotes equality in civil society. Empowering the individual most affected, and strengthens long term change The efficiency of this program will be maintained through local investment and ownership. All members from the most educated, to the most affected, and most vulnerable work along side one another. The financial investment is affordable to all people. The program will be accepted by each community due to the fact that they helped build, and invested in the program. Collaborative partners come along side to multiply the results of their efforts. The sustainability of the program will be solid due to the fact that each member of society continues to invest. The individual financial investment is small, but when combined it creates a very strong base. Accountability is structured to provide transparency and solid platforms for reporting successes and new challenges. We have developed a skeleton model, working together through collaborative partnerships on the ground, and internationally. The name of our Future Scenario is called “Community Health and National Growth Empowerment” (CHANGE). This innovative idea would change the way communities’ and stakeholders view their status in society. All members of society will have the information necessary to make informed decisions and lead healthy lives. Any obstacles will be evaluated and addressed by the stakeholders, the very members of society affected, along side collaborative partners. The C.H.A.N.G.E. program begins with community ownership as a foundation; the medical and micro enterprise pieces are built upon that foundation. The healthcare facilities will be working together as collaborative partners with the community, providing both medical care and jobs. After the initial start-up costs, the program is self sustaining, making the C.H.A.N.G.E. program a long term solution to these major issues. Our strategy to show the success of this program will be to start with a model community. 1. Establish collaborative partners, and start-up funding mechanisms 2. Working together through established relationships within the community, beginning with individual members of society, including those who are stigmatized, ostracized, and most likely to transmit disease. a. Town hall meetings, meetings in churches, meetings within each sector of society. Discuss the CHANGE model and establish local ownership. i) Plan: share concept of community healthcare ownership. Learn how every person can be an advocate for the health of their community. Capacity building for all members of society. ii) Set up local District office 3. Medical Clinic: a. HIV/AIDS, TB, MALARIA management including MRTB and XMRTB, wound repair, medications, vaccines, lab tests, wellness care, health screening, maternal healthcare including trained birthing assistants, Youth & children’s preventive healthcare and treatment, specialized care for woman and children. i) Plan: Locate facilities that could function as a medical clinic site and develop it to serve this purpose. ii) Recruit international medical Doctor’s, Nurses, and medical staff to serve along side national staff. These teams will serve as technical assistance, providing continuing medical education to indigenous medical professional personnel. iii) Short term teams will work along side local medical teams within the indigenous community structure. 4. Preventative Healthcare/Education/Supplies: a. Assess and address community needs regarding clean water, sanitation, nutrition support, mosquito nets, and provide disease preventative education. (through community involvement and cultural acceptance) i) Plan: The client enrollment officers will continue long term contact as a patient advocate for the clients they enroll up to a manageable number. They will serve as a link to coordinate healthcare needs and educational supplies with the local coordinating office. ii) Micro enterprise will be established through training and marketing of healthy living resources. (i.e.). : Mosquito nets, sanitation, clean drinking water, educators and patient advocates. 5. Counseling/Testing/Support groups: a. Access to HIV, TB, Malaria testing, counseling, and support groups i) Plan: Partner directly with BARA, Hospice, and other CCM’s (Country Coordinating Mechanisms) to provide these services. 6. Spiritual Counseling: a. Access to spiritual counseling and religious support. i) Plan: hold community meetings with local FBO leaders. Incorporate ownership into the program by asking each group to offer a spiritual leader to be available during times of difficult situations in the lives of the clients. (By client’s choice) coordinated through the district office. 7. Specialty Care Center (Hospital): a. Access to Emergent Care, Basic life support, Birthing Center, Trained in Advanced life support obstetrics, Major Surgery (discounted) Medication Dispensing (free or reduced cost), Extended Lab Tests, X-Ray (to include TB screening), and Mammogram. i) Plan: Locate medical centers already in existence willing to participate in, and follow guidelines set forth by the C.H.A.N.G.E. program. If there are no medical centers in existence in the district, then a Specialty Care Center would be developed. 8. Palliative Care: a. End of life care and support with compassion and dignity. i) Plan: CCM’s will help provide these services b. Reduce the number of patients requiring premature end of life care c. Provide improved quality of life care Everyone is working together though the coordinating mechinisums, and communication through the district office.The process of making this innovative idea a reality will be to collaborate with many world leaders such as; The Global Fund, CDC, WHO, along with others. The greatest obstacle will be integrating all people into the process of equality. To make this innovative idea a reality we need colaborative and funding partners for the first model. We respectfully request the opportunity to participate in the Partnership Forum in Dakar. It is our desire to work together with The Global Fund, in transforming lives. Working alongside world leaders, Governments, and communities, realizing that everyone working together will create change. It will require all of us taking the stand to unite, and fight the stigma associated with these horrific issues of HIV/AIDS, TB, Malaria, poverty, and gender inequality. Liberty, dignity, and equality are something all people deserve regardless of race, color, creed, or religion. Thank you, Teri Crane, Charles Weckesser, MD, Nancy Xanders, (Project Kenya, Committee for C.H.A.N.G.E.)