{"disclaimer":"Transcripts available through this tool are created by using automatic speech recognition and are not official records nor official documents of the United Nations. Official records and official documents are available on the Official Document System of the United Nations.","url":"https://transcripts.un.org/es/asset/k1y/k1ytpnvqmv?lang=en","llms":{"note":"Plain-text sibling of this page, compact for LLM context. For the full API guide (search, listing, URL grammar) see /llms.txt.","textUrl":"/es/asset/k1y/k1ytpnvqmv.txt","guide":"/llms.txt"},"video":{"id":"k1y/k1ytpnvqmv","kaltura_id":"1_ytpnvqmv","title":"One Person, Multiple Diseases — Reimagining Integration and Sustaining Progress to the End of AIDS, TB and Malaria","clean_title":"One Person, Multiple Diseases — Reimagining Integration and Sustaining Progress to the End of AIDS, TB and Malaria","url":"https://webtv.un.org/en/asset/k1y/k1ytpnvqmv","date":"2026-06-23T00:00:00.000Z","scheduled_time":"2026-06-23T17:15:00.000Z","status":"finished","duration":"01:28:16","category":"Side Events","body":null,"event_code":null,"event_type":null,"session_number":null,"pv_symbol":null,"pv_part":null,"slug":"asset/k1y/k1ytpnvqmv"},"metadata":{"summary":"This event highlights integration as a pathway to sustainable HIV, TB, and malaria responses, showcasing country-led experiences in financing and transition while renewing political commitment, protecting gains, communities' leadership, equity, and health system resilience.","description":null,"categories":["Meetings & Events","Side Events"],"geographic_subject":[],"subject_topical":["DISEASES","HIV","AIDS","TUBERCULOSIS","MALARIA","HEALTH","HEALTH SERVICES","HEALTH CARE","SUSTAINABLE DEVELOPMENT"],"corporate_name":["JOINT UNITED NATIONS PROGRAMME ON HIV-AIDS - UNAIDS"],"speaker_affiliation":[],"related_documents":[]},"transcript":{"transcript_id":"assemblyai-universal-3-pro-45c7f4a4-6ff6-4131-a306-632c10f1d84f","language":"en","data":[{"statement_number":1,"start":0.273,"pageUrl":"/es/asset/k1y/k1ytpnvqmv?lang=en&t=1","paragraphs":[{"sentences":[{"text":"Good afternoon, everybody.","start":0.273,"end":1.236,"topics":[],"words":[{"text":"Good","start":0.273,"end":0.417},{"text":"afternoon,","start":0.417,"end":0.787},{"text":"everybody.","start":0.819,"end":1.236}]},{"text":"Thank you very much for choosing to be with us during your lunch hour.","start":1.381,"end":5.155,"topics":[],"words":[{"text":"Thank","start":1.381,"end":1.557},{"text":"you","start":1.557,"end":1.638},{"text":"very","start":1.638,"end":1.814},{"text":"much","start":1.814,"end":2.088},{"text":"for","start":2.2,"end":2.601},{"text":"choosing","start":2.601,"end":3.051},{"text":"to","start":3.083,"end":3.164},{"text":"be","start":3.164,"end":3.324},{"text":"with","start":3.324,"end":3.485},{"text":"us","start":3.485,"end":3.726},{"text":"during","start":3.726,"end":3.999},{"text":"your","start":4.127,"end":4.465},{"text":"lunch","start":4.593,"end":4.85},{"text":"hour.","start":4.995,"end":5.155}]},{"text":"We're about 10 minutes behind, so we've got quite a lot of catching up to do.","start":5.252,"end":9.106,"topics":[],"words":[{"text":"We're","start":5.252,"end":5.621},{"text":"about","start":5.878,"end":6.135},{"text":"10","start":6.135,"end":6.247},{"text":"minutes","start":6.247,"end":6.504},{"text":"behind,","start":6.537,"end":6.922},{"text":"so","start":6.938,"end":7.002},{"text":"we've","start":7.002,"end":7.163},{"text":"got","start":7.163,"end":7.34},{"text":"quite","start":7.484,"end":7.677},{"text":"a","start":7.677,"end":7.725},{"text":"lot","start":7.725,"end":7.854},{"text":"of","start":7.982,"end":8.046},{"text":"catching","start":8.062,"end":8.512},{"text":"up","start":8.528,"end":8.576},{"text":"to","start":8.769,"end":8.833},{"text":"do.","start":8.865,"end":9.106}]},{"text":"I want to welcome everybody here to this One Person, Multi Diseases: Reimagining Integration and Sustaining Progress to the End of AIDS, TB, and Malaria, and to acknowledge our 4 co-conveners: the governments of the Philippines and Georgia, UNAIDS, Stop TB 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we're going to be looking at one-person multiple diseases, and it's a really novel way of reimagining the challenges that we have, which are 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Global AIDS Strategy sends a really powerful message at this time.","start":60.289,"end":63.468,"topics":[],"words":[{"text":"The","start":60.289,"end":60.369},{"text":"Global","start":60.369,"end":60.674},{"text":"AIDS","start":60.771,"end":60.899},{"text":"Strategy","start":60.931,"end":61.381},{"text":"sends","start":61.477,"end":61.734},{"text":"a","start":61.734,"end":61.75},{"text":"really","start":61.798,"end":61.975},{"text":"powerful","start":62.055,"end":62.521},{"text":"message","start":62.521,"end":62.922},{"text":"at","start":62.922,"end":63.019},{"text":"this","start":63.019,"end":63.244},{"text":"time.","start":63.244,"end":63.468}]},{"text":"The future of the HIV response is obviously going to be reshaped by bold reforms, stronger partnerships, and decisive action to strengthen systems that are truly multisectoral, self-reliant, and sustainable within countries, but also we take that broader picture right around the world as 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at the same time, in parallel, there is the financing landscape, which of course is fast, rapidly 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predictability, by abundant donor funding for HIV, is obviously shifting, creating an an urgent need for countries to all step up to domestic investment and diversify financing 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substantial international resources for HIV, TB, and malaria remain available, ending these epidemics by 2030, which as I said yesterday is only 4 years away— we keep on talking about this magic number, but it's right around the corner— is less and less likely and is going to depend on how countries mobilize new funding to tax reforms, health taxes, insurance schemes, dedicated health funds, and other innovative financing 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at the same time, we're going to go back to integration, how it's redefining health services so they can deliver for better, more integrated, person-centered 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providing a strong underpinning foundation of experience and guidance.","start":167.62,"end":172.436,"topics":[],"words":[{"text":"Sponsors,","start":167.62,"end":167.941},{"text":"providing","start":168.294,"end":168.743},{"text":"a","start":168.92,"end":169.016},{"text":"strong","start":169.016,"end":169.386},{"text":"underpinning","start":169.643,"end":170.108},{"text":"foundation","start":170.14,"end":170.718},{"text":"of","start":170.718,"end":170.847},{"text":"experience","start":170.847,"end":171.505},{"text":"and","start":171.891,"end":172.051},{"text":"guidance.","start":172.051,"end":172.436}]},{"text":"The challenge is obviously there.","start":172.549,"end":173.914,"topics":[],"words":[{"text":"The","start":172.549,"end":172.693},{"text":"challenge","start":172.693,"end":173.095},{"text":"is","start":173.095,"end":173.143},{"text":"obviously","start":173.255,"end":173.528},{"text":"there.","start":173.673,"end":173.914}]},{"text":"It's even bigger building resilient primary healthcare systems that can develop prevention, treatment, and care for HIV, TB, malaria, and other 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is the idea of the multiple diseases through people-centered services that meet communities wherever and whenever they 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the Ambassador Enrique Manolo, Permanent Representative of the Philippines, to welcome us here 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Philippines, of course, is playing multiple important roles at chair and vice chair level, and that will be followed by a video message from the Honorable Dr. Teodoro Ebosa, the Secretary of Health of the 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Chan","affiliation":"China-United States Exchange Foundation","affiliation_full":"China-United States Exchange Foundation","group":null,"function":"Moderator"}},{"statement_number":2,"start":217.132,"pageUrl":"/es/asset/k1y/k1ytpnvqmv?lang=en&t=218","paragraphs":[{"sentences":[{"text":"Thank you very much, James.","start":217.132,"end":218.149,"topics":[],"words":[{"text":"Thank","start":217.132,"end":217.309},{"text":"you","start":217.309,"end":217.439},{"text":"very","start":217.439,"end":217.6},{"text":"much,","start":217.6,"end":217.842},{"text":"James.","start":217.923,"end":218.149}]},{"text":"Good afternoon, colleagues, partners.","start":219.093,"end":220.425,"topics":[],"words":[{"text":"Good","start":219.093,"end":219.157},{"text":"afternoon,","start":219.157,"end":219.381},{"text":"colleagues,","start":219.398,"end":219.863},{"text":"partners.","start":219.975,"end":220.425}]},{"text":"On behalf of the Philippines and our partners in UNAIDS, the Stop TB Partnership, and the RBM Partnership to End Malaria, it is my pleasure to welcome all the distinguished panelists, delegates, and participants this 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gather at a pivotal moment.","start":237.79,"end":239.154,"topics":[],"words":[{"text":"We","start":237.79,"end":237.87},{"text":"gather","start":237.87,"end":238.207},{"text":"at","start":238.207,"end":238.351},{"text":"a","start":238.351,"end":238.368},{"text":"pivotal","start":238.432,"end":238.833},{"text":"moment.","start":238.833,"end":239.154}]},{"text":"While remarkable gains have been achieved against HIV, TB, and malaria, Shifting financing realities, persistent inequalities, and growing demands on health systems require us to rethink how we deliver health services and sustain progress.","start":240.261,"end":256.46,"topics":[{"key":"domestic-health-financing","label":"Domestic Health Financing","description":"A major theme was the need for countries to increase domestic funding as external assistance declines. 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from one another's experiences and identifying concrete actions that will help sustain gains and accelerate progress towards ending AIDS, TB, and 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in closing, let me once again thank all the participants and the sponsors and wish you a fruitful exchange this 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you very much.","start":361.93,"end":362.557,"topics":[],"words":[{"text":"Thank","start":361.93,"end":362.107},{"text":"you","start":362.107,"end":362.187},{"text":"very","start":362.187,"end":362.364},{"text":"much.","start":362.364,"end":362.557}]}]}],"speaker":{"name":"Enrique Manolo","affiliation":"PHL","affiliation_full":"Philippines","group":null,"function":"Permanent Representative"}},{"statement_number":3,"start":365.967,"pageUrl":"/es/asset/k1y/k1ytpnvqmv?lang=en&t=366","paragraphs":[{"sentences":[{"text":"Thank you very much to the Permanent Representative from the Philippines, Ambassador Enrique Manolo, and we will now listen to a video message from the Honourable Dr. Theodore Eboso, the Secretary of Health of the 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Chan","affiliation":"China-United States Exchange Foundation","affiliation_full":"China-United States Exchange Foundation","group":null,"function":"Moderator"}},{"statement_number":4,"start":382.891,"pageUrl":"/es/asset/k1y/k1ytpnvqmv?lang=en&t=383","paragraphs":[{"sentences":[{"text":"Excellencies, distinguished colleagues, and partners, warm greetings from the Philippines.","start":382.891,"end":389.035,"topics":[],"words":[{"text":"Excellencies,","start":382.891,"end":383.5},{"text":"distinguished","start":384.094,"end":384.816},{"text":"colleagues,","start":384.816,"end":385.233},{"text":"and","start":385.923,"end":385.987},{"text":"partners,","start":386.164,"end":386.468},{"text":"warm","start":387.287,"end":387.511},{"text":"greetings","start":387.543,"end":387.96},{"text":"from","start":388.169,"end":388.297},{"text":"the","start":388.346,"end":388.49},{"text":"Philippines.","start":388.49,"end":389.035}]},{"text":"I thank UNAIDS, the Stop TB Global Partnership, the Rollback 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I speak not only as the Secretary of Health of the Philippines, but also as the chair of the Stop TB Partnership board and vice chair of the UNAIDS Program Coordinating Board.","start":410.642,"end":424.188,"topics":[],"words":[{"text":"Today,","start":410.642,"end":410.963},{"text":"I","start":411.668,"end":411.764},{"text":"speak","start":411.764,"end":412.165},{"text":"not","start":412.165,"end":412.405},{"text":"only","start":412.469,"end":412.694},{"text":"as","start":412.806,"end":412.886},{"text":"the","start":412.886,"end":412.966},{"text":"Secretary","start":412.966,"end":413.608},{"text":"of","start":413.608,"end":413.736},{"text":"Health","start":413.752,"end":413.976},{"text":"of","start":414.393,"end":414.505},{"text":"the","start":414.505,"end":414.65},{"text":"Philippines,","start":414.65,"end":415.018},{"text":"but","start":415.772,"end":415.948},{"text":"also","start":416.076,"end":416.429},{"text":"as","start":416.878,"end":416.942},{"text":"the","start":416.974,"end":417.134},{"text":"chair","start":417.134,"end":417.327},{"text":"of","start":417.712,"end":417.856},{"text":"the","start":417.856,"end":417.936},{"text":"Stop","start":417.936,"end":418.353},{"text":"TB","start":418.401,"end":418.802},{"text":"Partnership","start":419.042,"end":419.539},{"text":"board","start":419.603,"end":419.908},{"text":"and","start":420.405,"end":420.533},{"text":"vice","start":420.645,"end":420.902},{"text":"chair","start":420.902,"end":421.238},{"text":"of","start":421.607,"end":421.703},{"text":"the","start":421.703,"end":421.944},{"text":"UNAIDS","start":422.088,"end":422.473},{"text":"Program","start":422.729,"end":423.194},{"text":"Coordinating","start":423.21,"end":423.835},{"text":"Board.","start":423.867,"end":424.188}]},{"text":"These roles have been given to me as a unique perspective on a simple but profound reality.","start":425.374,"end":431.129,"topics":[],"words":[{"text":"These","start":425.374,"end":425.518},{"text":"roles","start":425.615,"end":425.759},{"text":"have","start":426.031,"end":426.192},{"text":"been","start":426.192,"end":426.32},{"text":"given","start":426.352,"end":426.641},{"text":"to","start":426.689,"end":426.769},{"text":"me","start":426.769,"end":426.929},{"text":"as","start":427.474,"end":427.618},{"text":"a","start":427.618,"end":427.699},{"text":"unique","start":427.715,"end":428.115},{"text":"perspective","start":428.115,"end":428.805},{"text":"on","start":429.318,"end":429.398},{"text":"a","start":429.398,"end":429.462},{"text":"simple","start":429.462,"end":429.847},{"text":"but","start":429.959,"end":430.071},{"text":"profound","start":430.119,"end":430.76},{"text":"reality.","start":430.76,"end":431.129}]},{"text":"People do not experience diseases in silos, and therefore our health systems should not respond in silos.","start":432.189,"end":440.442,"topics":[{"key":"integrated-service-delivery","label":"Integrated Service Delivery","description":"Speakers repeatedly called for HIV, tuberculosis, malaria, and related services to be delivered together rather than through isolated vertical programs. The goal is a people-centered system that screens, prevents, and treats multiple conditions through coordinated care pathways."}],"words":[{"text":"People","start":432.189,"end":432.654},{"text":"do","start":433.072,"end":433.168},{"text":"not","start":433.168,"end":433.489},{"text":"experience","start":433.489,"end":433.987},{"text":"diseases","start":434.035,"end":434.501},{"text":"in","start":434.694,"end":434.838},{"text":"silos,","start":434.838,"end":435.384},{"text":"and","start":435.978,"end":436.042},{"text":"therefore","start":436.203,"end":436.717},{"text":"our","start":437.327,"end":437.552},{"text":"health","start":437.568,"end":437.825},{"text":"systems","start":437.825,"end":438.322},{"text":"should","start":438.531,"end":438.708},{"text":"not","start":438.852,"end":439.045},{"text":"respond","start":439.173,"end":439.639},{"text":"in","start":439.832,"end":439.88},{"text":"silos.","start":439.992,"end":440.442}]},{"text":"A person living with HIV may also be at risk for tuberculosis.","start":441.437,"end":446.575,"topics":[{"key":"integrated-service-delivery","label":"Integrated Service Delivery","description":"Speakers repeatedly called for HIV, tuberculosis, malaria, and related services to be delivered together rather than through isolated vertical programs. The goal is a people-centered system that screens, prevents, and treats multiple conditions through coordinated care pathways."}],"words":[{"text":"A","start":441.437,"end":441.453},{"text":"person","start":441.518,"end":441.935},{"text":"living","start":442.465,"end":442.69},{"text":"with","start":442.802,"end":442.914},{"text":"HIV","start":443.107,"end":443.669},{"text":"may","start":444.231,"end":444.44},{"text":"also","start":444.552,"end":444.761},{"text":"be","start":444.873,"end":444.954},{"text":"at","start":444.97,"end":445.13},{"text":"risk","start":445.13,"end":445.403},{"text":"for","start":445.516,"end":445.596},{"text":"tuberculosis.","start":445.692,"end":446.575}]},{"text":"A pregnant woman seeking maternal care may need HIV testing.","start":447.218,"end":452.035,"topics":[{"key":"integrated-service-delivery","label":"Integrated Service Delivery","description":"Speakers repeatedly called for HIV, tuberculosis, malaria, and related services to be delivered together rather than through isolated vertical programs. 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Speakers emphasized using existing HIV, TB, and malaria platforms as building blocks for more comprehensive and equitable health services."}],"words":[{"text":"A","start":452.693,"end":452.821},{"text":"child","start":452.821,"end":453.207},{"text":"screened","start":453.544,"end":454.042},{"text":"for","start":454.042,"end":454.17},{"text":"malnutrition","start":454.267,"end":455.053},{"text":"may","start":455.551,"end":455.728},{"text":"require","start":455.728,"end":456.081},{"text":"TB","start":456.37,"end":456.852},{"text":"evaluation.","start":456.868,"end":457.462}]},{"text":"A traveler returning from an endemic area may present with malaria.","start":458.281,"end":463.355,"topics":[{"key":"integrated-service-delivery","label":"Integrated Service Delivery","description":"Speakers repeatedly called for HIV, tuberculosis, malaria, and related services to be delivered together rather than through isolated vertical programs. The goal is a people-centered system that screens, prevents, and treats multiple conditions through coordinated care pathways."}],"words":[{"text":"A","start":458.281,"end":458.377},{"text":"traveler","start":458.377,"end":458.907},{"text":"returning","start":459.421,"end":459.886},{"text":"from","start":459.983,"end":460.111},{"text":"an","start":460.143,"end":460.191},{"text":"endemic","start":460.384,"end":460.882},{"text":"area","start":461.026,"end":461.283},{"text":"may","start":461.813,"end":461.99},{"text":"present","start":461.99,"end":462.504},{"text":"with","start":462.616,"end":462.712},{"text":"malaria.","start":462.712,"end":463.355}]},{"text":"Health systems must be designed around people, not programs.","start":464.157,"end":468.862,"topics":[{"key":"integrated-service-delivery","label":"Integrated Service Delivery","description":"Speakers repeatedly called for HIV, tuberculosis, malaria, and related services to be delivered together rather than through isolated vertical programs. 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Speakers emphasized using existing HIV, TB, and malaria platforms as building blocks for more comprehensive and equitable health services."}],"words":[{"text":"Health","start":464.157,"end":464.398},{"text":"systems","start":464.398,"end":464.928},{"text":"must","start":465.538,"end":465.763},{"text":"be","start":465.763,"end":465.924},{"text":"designed","start":465.924,"end":466.373},{"text":"around","start":466.807,"end":467.256},{"text":"people,","start":467.288,"end":467.577},{"text":"not","start":468.236,"end":468.444},{"text":"programs.","start":468.493,"end":468.862}]},{"text":"The Philippines continues to face significant challenges across all three diseases.","start":469.857,"end":475.814,"topics":[],"words":[{"text":"The","start":469.857,"end":469.938},{"text":"Philippines","start":469.938,"end":470.468},{"text":"continues","start":470.5,"end":471.03},{"text":"to","start":471.062,"end":471.158},{"text":"face","start":471.206,"end":471.527},{"text":"significant","start":471.704,"end":472.651},{"text":"challenges","start":472.651,"end":473.165},{"text":"across","start":473.775,"end":474.209},{"text":"all","start":474.337,"end":474.482},{"text":"three","start":474.739,"end":475.092},{"text":"diseases.","start":475.301,"end":475.814}]},{"text":"We are confronting one of the fastest growing HIV epidemics in the world.— with approximately 50 new HIV reported every day.","start":476.505,"end":488.02,"topics":[],"words":[{"text":"We","start":476.505,"end":476.585},{"text":"are","start":476.665,"end":476.714},{"text":"confronting","start":476.826,"end":477.452},{"text":"one","start":477.629,"end":477.854},{"text":"of","start":477.982,"end":478.095},{"text":"the","start":478.127,"end":478.271},{"text":"fastest","start":478.351,"end":478.833},{"text":"growing","start":478.849,"end":479.218},{"text":"HIV","start":479.797,"end":480.471},{"text":"epidemics","start":480.599,"end":481.258},{"text":"in","start":481.258,"end":481.402},{"text":"the","start":481.402,"end":481.531},{"text":"world.—","start":481.563,"end":482.35},{"text":"with","start":482.35,"end":482.55},{"text":"approximately","start":482.55,"end":483.29},{"text":"50","start":483.29,"end":483.87},{"text":"new","start":483.87,"end":484.35},{"text":"HIV","start":484.35,"end":485.11},{"text":"reported","start":485.11,"end":486.13},{"text":"every","start":486.13,"end":486.57},{"text":"day.","start":486.57,"end":488.02}]},{"text":"Tuberculosis remains one of our leading public health concerns, and we continue to rank among the world's highest TB burden countries.","start":488.33,"end":497.51,"topics":[],"words":[{"text":"Tuberculosis","start":488.33,"end":488.87},{"text":"remains","start":488.87,"end":489.35},{"text":"one","start":489.35,"end":489.79},{"text":"of","start":489.79,"end":489.95},{"text":"our","start":489.95,"end":490.19},{"text":"leading","start":490.19,"end":490.57},{"text":"public","start":490.57,"end":491.07},{"text":"health","start":491.07,"end":491.35},{"text":"concerns,","start":491.35,"end":492.45},{"text":"and","start":492.89,"end":492.99},{"text":"we","start":492.99,"end":493.13},{"text":"continue","start":493.13,"end":493.69},{"text":"to","start":493.69,"end":494.07},{"text":"rank","start":494.07,"end":494.19},{"text":"among","start":494.19,"end":494.51},{"text":"the","start":494.51,"end":494.71},{"text":"world's","start":494.71,"end":495.47},{"text":"highest","start":495.47,"end":495.47},{"text":"TB","start":495.47,"end":495.95},{"text":"burden","start":495.95,"end":496.31},{"text":"countries.","start":496.31,"end":497.51}]},{"text":"At the same time, while malaria cases have fallen dramatically over the past two decades, we remain vigilant as active Transmission persists in limited areas, particularly in the island of 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these challenges have also taught us valuable lessons.","start":513.355,"end":517.433,"topics":[],"words":[{"text":"Yet,","start":513.355,"end":513.692},{"text":"these","start":514.238,"end":514.35},{"text":"challenges","start":514.415,"end":514.944},{"text":"have","start":515.378,"end":515.587},{"text":"also","start":515.683,"end":515.876},{"text":"taught","start":516.02,"end":516.325},{"text":"us","start":516.325,"end":516.582},{"text":"valuable","start":516.582,"end":517.128},{"text":"lessons.","start":517.128,"end":517.433}]},{"text":"First, integration works.","start":518.252,"end":520.966,"topics":[{"key":"integrated-service-delivery","label":"Integrated Service Delivery","description":"Speakers repeatedly called for HIV, tuberculosis, malaria, and related services to be delivered together rather than through isolated vertical programs. 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This included expanding budget allocations, social health insurance, and other national financing mechanisms to sustain HIV, TB, and malaria responses."},{"key":"procurement-local-production","label":"Procurement, Supply Chains, and Local Production","description":"Multiple statements focused on improving procurement systems, strengthening supply chains, and expanding local or pooled production of health commodities. These reforms were seen as necessary to lower costs, improve access to medicines and tests, and support sustainable country-led responses."},{"key":"data-accountability","label":"Data, Surveillance, and Accountability","description":"The debate also stressed better data systems, surveillance, and accountability mechanisms to guide integration. 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Speakers emphasized using existing HIV, TB, and malaria platforms as building blocks for more comprehensive and equitable health services."}],"words":[{"text":"These","start":634.153,"end":634.33},{"text":"investments","start":634.41,"end":635.133},{"text":"benefit","start":635.839,"end":637.012},{"text":"not","start":636.466,"end":636.594},{"text":"only","start":636.786,"end":637.091},{"text":"HIV,","start":637.203,"end":637.78},{"text":"TB,","start":638.149,"end":638.55},{"text":"and","start":638.63,"end":638.726},{"text":"malaria","start":638.726,"end":639.367},{"text":"responses,","start":639.672,"end":640.297},{"text":"but","start":640.89,"end":641.066},{"text":"the","start":641.131,"end":641.291},{"text":"health","start":641.291,"end":641.627},{"text":"system","start":641.627,"end":642.173},{"text":"as","start":642.637,"end":642.702},{"text":"a","start":642.894,"end":642.958},{"text":"whole.","start":642.958,"end":643.086}]},{"text":"Finally, political leadership remains the most important ingredient.","start":643.92,"end":649.306,"topics":[],"words":[{"text":"Finally,","start":643.92,"end":644.305},{"text":"political","start":645.122,"end":645.635},{"text":"leadership","start":645.699,"end":646.196},{"text":"remains","start":646.421,"end":646.757},{"text":"the","start":646.821,"end":647.046},{"text":"most","start":647.062,"end":647.479},{"text":"important","start":647.479,"end":648.168},{"text":"ingredient.","start":648.168,"end":649.306}]},{"text":"Progress does not happen by accident.","start":649.771,"end":652.368,"topics":[],"words":[{"text":"Progress","start":649.771,"end":650.364},{"text":"does","start":650.588,"end":650.717},{"text":"not","start":650.829,"end":650.989},{"text":"happen","start":650.989,"end":651.438},{"text":"by","start":651.47,"end":651.695},{"text":"accident.","start":651.855,"end":652.368}]},{"text":"It requires leaders willing to invest, reform, innovate, and make difficult decisions.","start":653.314,"end":660.014,"topics":[],"words":[{"text":"It","start":653.314,"end":653.474},{"text":"requires","start":653.474,"end":653.923},{"text":"leaders","start":654.019,"end":654.452},{"text":"willing","start":654.74,"end":654.965},{"text":"to","start":654.997,"end":655.157},{"text":"invest,","start":655.157,"end":655.878},{"text":"reform,","start":656.343,"end":656.872},{"text":"innovate,","start":657.642,"end":658.107},{"text":"and","start":658.427,"end":658.507},{"text":"make","start":658.604,"end":659.004},{"text":"difficult","start":659.085,"end":659.646},{"text":"decisions.","start":659.646,"end":660.014}]},{"text":"It requires sustained commitment.","start":661.024,"end":662.627,"topics":[],"words":[{"text":"It","start":661.024,"end":661.169},{"text":"requires","start":661.169,"end":661.537},{"text":"sustained","start":661.569,"end":662.259},{"text":"commitment.","start":662.355,"end":662.627}]},{"text":"Even when resources are constrained and priorities compete for attention.","start":663.398,"end":669.82,"topics":[],"words":[{"text":"Even","start":663.398,"end":663.719},{"text":"when","start":663.719,"end":663.879},{"text":"resources","start":663.879,"end":664.425},{"text":"are","start":664.618,"end":664.698},{"text":"constrained","start":664.779,"end":665.421},{"text":"and","start":666.063,"end":666.192},{"text":"priorities","start":666.288,"end":666.994},{"text":"compete","start":667.348,"end":667.797},{"text":"for","start":668.054,"end":668.166},{"text":"attention.","start":668.295,"end":669.82}]},{"text":"The Philippines stands ready to work with all partners in advancing this shared vision, a future where integrated, people-centered, and sustainable health systems enable us not only to control HIV, tuberculosis, and malaria, but ultimately definitely to end this epidemic as public health threats.","start":669.901,"end":692.899,"topics":[{"key":"integrated-service-delivery","label":"Integrated Service Delivery","description":"Speakers repeatedly called for HIV, tuberculosis, malaria, and related services to be delivered together rather than through isolated vertical programs. 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wish you a productive and meaningful discussion ahead.","start":694.013,"end":697.225,"topics":[],"words":[{"text":"I","start":694.013,"end":694.078},{"text":"wish","start":694.19,"end":694.336},{"text":"you","start":694.416,"end":694.529},{"text":"a","start":694.675,"end":694.691},{"text":"productive","start":694.755,"end":695.369},{"text":"and","start":695.562,"end":695.691},{"text":"meaningful","start":695.804,"end":696.256},{"text":"discussion","start":696.289,"end":696.902},{"text":"ahead.","start":696.934,"end":697.225}]},{"text":"Maraming salamat.","start":698.11,"end":698.788,"topics":[],"words":[{"text":"Maraming","start":698.11,"end":698.255},{"text":"salamat.","start":698.303,"end":698.788}]}]}],"speaker":{"name":"Theodore Eboso","affiliation":"PHL","affiliation_full":"Philippines","group":null,"function":"Secretary of Health"}},{"statement_number":5,"start":700.467,"pageUrl":"/es/asset/k1y/k1ytpnvqmv?lang=en&t=701","paragraphs":[{"sentences":[{"text":"Thank you very much to the Secretary and the Ambassador, more so to the Philippines for its action that the Philippines' own people-centered integration and universal health coverage journey, and also how it's using these to bridge upwards to the global 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I very much noted what you said, that integration is not just a technical point, but it's a commitment to individual and collective human 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gives me great pleasure now to invite the Ambassador David Baratseidze from Georgia, the Permanent Representative of Georgia, to say a few words to 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course, this is a very important couple of hours ahead for everybody, and You as one of the co-facilitators, the other co-facilitator, thank you very much for joining this session 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Chan","affiliation":"China-United States Exchange Foundation","affiliation_full":"China-United States Exchange Foundation","group":null,"function":"Moderator"}},{"statement_number":6,"start":752.687,"pageUrl":"/es/asset/k1y/k1ytpnvqmv?lang=en&t=753","paragraphs":[{"sentences":[{"text":"Thank you very much.","start":752.687,"end":753.362,"topics":[],"words":[{"text":"Thank","start":752.687,"end":752.864},{"text":"you","start":752.864,"end":753.008},{"text":"very","start":753.008,"end":753.121},{"text":"much.","start":753.121,"end":753.362}]},{"text":"It's a pleasure to be here.","start":753.426,"end":754.695,"topics":[],"words":[{"text":"It's","start":753.426,"end":753.603},{"text":"a","start":753.603,"end":753.667},{"text":"pleasure","start":753.667,"end":753.988},{"text":"to","start":754.053,"end":754.213},{"text":"be","start":754.213,"end":754.422},{"text":"here.","start":754.454,"end":754.695}]},{"text":"Apologies for being a little 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many important things that we have learned is the effort to end the global AIDS epidemic, the efforts to end TB and malaria are at a critical 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Speakers warned that integration would fail if it ignored marginalized populations, gender issues, discrimination, and the social barriers that keep people from care."}],"words":[{"text":"However,","start":854.971,"end":855.42},{"text":"inequality","start":855.436,"end":856.062},{"text":"within","start":856.094,"end":856.382},{"text":"countries","start":856.655,"end":857.104},{"text":"is","start":857.457,"end":857.586},{"text":"rising.","start":857.682,"end":858.099}]},{"text":"Our progress on global health was severely disrupted by COVID-19, and the resources available through traditional development cooperation mechanisms and assistance are declining as countries grapple with the climate change conflicts.","start":858.243,"end":875.039,"topics":[{"key":"domestic-health-financing","label":"Domestic Health Financing","description":"A major theme was the need for countries to increase domestic funding as external assistance declines. This included expanding budget allocations, social health insurance, and other national financing mechanisms to sustain HIV, TB, and malaria responses."}],"words":[{"text":"Our","start":858.243,"end":858.484},{"text":"progress","start":858.484,"end":858.901},{"text":"on","start":858.901,"end":858.949},{"text":"global","start":858.981,"end":859.27},{"text":"health","start":859.366,"end":859.703},{"text":"was","start":860.329,"end":860.473},{"text":"severely","start":860.505,"end":860.97},{"text":"disrupted","start":861.051,"end":861.676},{"text":"by","start":861.708,"end":861.901},{"text":"COVID-19,","start":862.013,"end":862.879},{"text":"and","start":863.537,"end":863.617},{"text":"the","start":863.617,"end":863.649},{"text":"resources","start":863.649,"end":864.259},{"text":"available","start":864.259,"end":864.821},{"text":"through","start":864.821,"end":865.061},{"text":"traditional","start":865.061,"end":865.623},{"text":"development","start":865.623,"end":866.361},{"text":"cooperation","start":866.361,"end":867.034},{"text":"mechanisms","start":867.147,"end":867.788},{"text":"and","start":867.788,"end":867.949},{"text":"assistance","start":867.949,"end":868.526},{"text":"are","start":868.59,"end":868.783},{"text":"declining","start":868.831,"end":869.376},{"text":"as","start":869.425,"end":869.537},{"text":"countries","start":869.633,"end":870.018},{"text":"grapple","start":870.692,"end":871.093},{"text":"with","start":871.093,"end":871.318},{"text":"the","start":871.318,"end":871.574},{"text":"climate","start":872.055,"end":872.521},{"text":"change","start":872.521,"end":872.986},{"text":"conflicts.","start":873.002,"end":875.039}]},{"text":"So some suggestions that I wanted to to make some points that I wanted to make about moving forward.","start":876.146,"end":883.955,"topics":[],"words":[{"text":"So","start":876.146,"end":876.307},{"text":"some","start":876.403,"end":876.579},{"text":"suggestions","start":876.692,"end":877.285},{"text":"that","start":877.413,"end":877.654},{"text":"I","start":877.654,"end":877.67},{"text":"wanted","start":877.814,"end":878.119},{"text":"to","start":878.151,"end":878.248},{"text":"to","start":878.395,"end":878.542},{"text":"make","start":878.64,"end":878.95},{"text":"some","start":878.95,"end":879.129},{"text":"points","start":879.129,"end":879.618},{"text":"that","start":879.618,"end":879.781},{"text":"I","start":879.781,"end":879.814},{"text":"wanted","start":879.83,"end":880.107},{"text":"to","start":880.107,"end":880.254},{"text":"make","start":880.254,"end":880.645},{"text":"about","start":881.167,"end":881.673},{"text":"moving","start":881.901,"end":883.417},{"text":"forward.","start":883.515,"end":883.955}]},{"text":"First, leveraging the HIV infrastructure as a blueprint for universal health coverage.","start":884.808,"end":890.435,"topics":[{"key":"primary-care-uhc","label":"Primary Health Care and Universal Health Coverage","description":"Many interventions linked disease programs to stronger primary health care and to the broader objective of universal health coverage. 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Speakers called for real-time information, disaggregated results, and stronger monitoring so countries can adapt programs and measure whether integrated approaches are actually improving outcomes."}],"words":[{"text":"The","start":890.549,"end":890.695},{"text":"response","start":890.695,"end":891.197},{"text":"to","start":891.197,"end":891.376},{"text":"HIV","start":891.376,"end":891.959},{"text":"has","start":891.992,"end":892.138},{"text":"built","start":892.251,"end":892.576},{"text":"robust,","start":892.576,"end":893.062},{"text":"resilient","start":893.224,"end":893.792},{"text":"primary","start":893.792,"end":894.244},{"text":"healthcare","start":894.26,"end":894.713},{"text":"infrastructure","start":894.761,"end":895.553},{"text":"spanning","start":896.199,"end":896.554},{"text":"laboratory","start":896.619,"end":897.12},{"text":"networks,","start":897.12,"end":897.75},{"text":"community-led","start":897.814,"end":898.525},{"text":"delivery","start":898.557,"end":898.961},{"text":"channels,","start":898.961,"end":899.413},{"text":"data","start":899.753,"end":900.156},{"text":"tracking,","start":900.156,"end":900.593},{"text":"and","start":900.803,"end":900.996},{"text":"supply","start":900.996,"end":901.336},{"text":"chains.","start":901.465,"end":901.836}]},{"text":"Transitioning from siloed disease-specific Specific funding to integrated care models allows countries to use the proven HIV foundation to tackle broader health priorities, effectively turning HIV investment into a bridge for universal health coverage.","start":903.24,"end":920.157,"topics":[{"key":"integrated-service-delivery","label":"Integrated Service Delivery","description":"Speakers repeatedly called for HIV, tuberculosis, malaria, and related services to be delivered together rather than through isolated vertical programs. 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Speakers warned that integration would fail if it ignored marginalized populations, gender issues, discrimination, and the social barriers that keep people from care."}],"words":[{"text":"Championing","start":968.48,"end":969.026},{"text":"this","start":969.138,"end":969.266},{"text":"integration","start":969.379,"end":969.973},{"text":"means","start":970.021,"end":970.23},{"text":"bringing","start":970.663,"end":970.952},{"text":"vulnerable","start":971.048,"end":971.642},{"text":"marginalized","start":971.642,"end":972.477},{"text":"populations","start":972.509,"end":973.199},{"text":"into","start":973.456,"end":973.665},{"text":"the","start":973.713,"end":973.793},{"text":"formal","start":973.793,"end":974.259},{"text":"healthcare","start":974.259,"end":974.708},{"text":"ecosystem,","start":974.756,"end":975.398},{"text":"establishing","start":975.88,"end":976.41},{"text":"a","start":976.586,"end":976.602},{"text":"trust-based","start":976.602,"end":977.389},{"text":"model","start":977.389,"end":977.806},{"text":"essential","start":977.806,"end":978.304},{"text":"for","start":978.368,"end":978.561},{"text":"controlling","start":978.689,"end":979.219},{"text":"any","start":979.877,"end":980.118},{"text":"future","start":980.118,"end":980.519},{"text":"epidemic.","start":980.519,"end":981.113}]},{"text":"For driving sustainable health financing and economic resilience, Shifting from parallel disease-specific programs to integrated healthcare models eliminates costly duplications, optimizes workforce distribution, and offers a higher return on donor and domestic investments.","start":981.884,"end":998.344,"topics":[{"key":"primary-care-uhc","label":"Primary Health Care and Universal Health Coverage","description":"Many interventions linked disease programs to stronger primary health care and to the broader objective of universal health coverage. 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I want to thank you all for active contribution to this discussion and with the best of the hopes for the outcome of today's high-level 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are talking about integration.","start":1133.01,"end":1134.668,"topics":[],"words":[{"text":"We","start":1133.01,"end":1133.074},{"text":"are","start":1133.122,"end":1133.203},{"text":"talking","start":1133.203,"end":1133.541},{"text":"about","start":1133.605,"end":1133.927},{"text":"integration.","start":1133.927,"end":1134.668}]},{"text":"This session is about integration.","start":1134.733,"end":1136.601,"topics":[],"words":[{"text":"This","start":1134.733,"end":1134.926},{"text":"session","start":1134.974,"end":1135.345},{"text":"is","start":1135.377,"end":1135.506},{"text":"about","start":1135.538,"end":1135.876},{"text":"integration.","start":1135.876,"end":1136.601}]},{"text":"Why integration and why 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are unraveling them.","start":1164.388,"end":1165.617,"topics":[],"words":[{"text":"They","start":1164.388,"end":1164.469},{"text":"are","start":1164.469,"end":1164.631},{"text":"unraveling","start":1164.631,"end":1165.326},{"text":"them.","start":1165.504,"end":1165.617}]},{"text":"It's a difficult political context we are in.","start":1166.732,"end":1169.529,"topics":[],"words":[{"text":"It's","start":1166.732,"end":1166.845},{"text":"a","start":1166.959,"end":1167.039},{"text":"difficult","start":1167.136,"end":1167.864},{"text":"political","start":1167.864,"end":1168.414},{"text":"context","start":1168.43,"end":1168.995},{"text":"we","start":1168.995,"end":1169.076},{"text":"are","start":1169.076,"end":1169.303},{"text":"in.","start":1169.303,"end":1169.529}]},{"text":"Development financing has disappeared suddenly, and that has created a very special situation for those countries that were still dependent on external assistance for their HIV programs.","start":1170.289,"end":1187.691,"topics":[{"key":"domestic-health-financing","label":"Domestic Health Financing","description":"A major theme was the need for countries to increase domestic funding as external assistance declines. This included expanding budget allocations, social health insurance, and other national financing mechanisms to sustain HIV, TB, and malaria responses."}],"words":[{"text":"Development","start":1170.289,"end":1170.919},{"text":"financing","start":1170.919,"end":1171.55},{"text":"has","start":1172.307,"end":1172.533},{"text":"disappeared","start":1172.791,"end":1173.499},{"text":"suddenly,","start":1173.532,"end":1174.144},{"text":"and","start":1176.254,"end":1176.351},{"text":"that","start":1176.351,"end":1176.592},{"text":"has","start":1176.592,"end":1176.721},{"text":"created","start":1176.834,"end":1177.398},{"text":"a","start":1177.398,"end":1177.414},{"text":"very","start":1177.462,"end":1177.704},{"text":"special","start":1177.704,"end":1178.235},{"text":"situation","start":1178.235,"end":1179.073},{"text":"for","start":1179.556,"end":1179.766},{"text":"those","start":1179.895,"end":1180.185},{"text":"countries","start":1180.281,"end":1180.829},{"text":"that","start":1181.492,"end":1181.816},{"text":"were","start":1181.816,"end":1181.913},{"text":"still","start":1182.01,"end":1182.512},{"text":"dependent","start":1182.965,"end":1183.694},{"text":"on","start":1183.694,"end":1183.791},{"text":"external","start":1183.839,"end":1184.341},{"text":"assistance","start":1184.341,"end":1185.053},{"text":"for","start":1185.539,"end":1185.668},{"text":"their","start":1185.717,"end":1186.024},{"text":"HIV","start":1186.024,"end":1186.688},{"text":"programs.","start":1186.995,"end":1187.691}]},{"text":"My colleagues from Roll Back Malaria and Stop TB will be experiencing the same.","start":1189.143,"end":1195.855,"topics":[],"words":[{"text":"My","start":1189.143,"end":1189.337},{"text":"colleagues","start":1189.369,"end":1189.757},{"text":"from","start":1189.854,"end":1190.162},{"text":"Roll","start":1190.744,"end":1190.889},{"text":"Back","start":1190.922,"end":1191.181},{"text":"Malaria","start":1191.181,"end":1191.973},{"text":"and","start":1192.297,"end":1192.361},{"text":"Stop","start":1192.458,"end":1192.863},{"text":"TB","start":1192.863,"end":1193.364},{"text":"will","start":1194.238,"end":1194.367},{"text":"be","start":1194.399,"end":1194.561},{"text":"experiencing","start":1194.561,"end":1195.256},{"text":"the","start":1195.354,"end":1195.402},{"text":"same.","start":1195.451,"end":1195.855}]},{"text":"So this has created a new situation where developing countries must step in and quickly find resources to fill gaps where external assistance was helping.","start":1196.599,"end":1209.785,"topics":[{"key":"domestic-health-financing","label":"Domestic Health Financing","description":"A major theme was the need for countries to increase domestic funding as external assistance declines. 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thought I should put that context there.","start":1250.36,"end":1253.448,"topics":[],"words":[{"text":"I","start":1250.36,"end":1250.409},{"text":"thought","start":1250.441,"end":1250.762},{"text":"I","start":1250.762,"end":1250.778},{"text":"should","start":1250.778,"end":1251.083},{"text":"put","start":1251.083,"end":1251.227},{"text":"that","start":1251.259,"end":1251.468},{"text":"context","start":1251.5,"end":1252.03},{"text":"there.","start":1253.238,"end":1253.448}]},{"text":"Now, I would like to talk about our disease, HIV.","start":1253.868,"end":1257.601,"topics":[],"words":[{"text":"Now,","start":1253.868,"end":1253.933},{"text":"I","start":1253.949,"end":1253.982},{"text":"would","start":1254.192,"end":1254.353},{"text":"like","start":1254.353,"end":1254.596},{"text":"to","start":1254.596,"end":1254.854},{"text":"talk","start":1255.5,"end":1255.824},{"text":"about","start":1255.824,"end":1256.212},{"text":"our","start":1256.212,"end":1256.389},{"text":"disease,","start":1256.389,"end":1256.842},{"text":"HIV.","start":1256.955,"end":1257.601}]},{"text":"We've come 25 years of a global HIV response, making progress steadily and putting now 32 million— 32.1 million people living with HIV on treatment, able to live long lives, healthy lives, out of 40 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a job to do, but great success coming out of the world coming together.","start":1280.897,"end":1286.213,"topics":[],"words":[{"text":"Still","start":1280.897,"end":1281.27},{"text":"a","start":1281.27,"end":1281.286},{"text":"job","start":1281.367,"end":1281.691},{"text":"to","start":1281.691,"end":1281.821},{"text":"do,","start":1281.918,"end":1282.032},{"text":"but","start":1282.404,"end":1282.583},{"text":"great","start":1282.583,"end":1282.842},{"text":"success","start":1282.842,"end":1283.441},{"text":"coming","start":1283.62,"end":1283.976},{"text":"out","start":1284.106,"end":1284.349},{"text":"of","start":1284.349,"end":1284.576},{"text":"the","start":1284.673,"end":1284.77},{"text":"world","start":1284.835,"end":1285.143},{"text":"coming","start":1285.175,"end":1285.516},{"text":"together.","start":1285.581,"end":1286.213}]},{"text":"It came together to do what?","start":1288.218,"end":1289.889,"topics":[],"words":[{"text":"It","start":1288.218,"end":1288.362},{"text":"came","start":1288.362,"end":1288.571},{"text":"together","start":1288.668,"end":1289.069},{"text":"to","start":1289.069,"end":1289.246},{"text":"do","start":1289.246,"end":1289.358},{"text":"what?","start":1289.567,"end":1289.889}]},{"text":"It came together to close the gaps for every country so that every country can give its people what they need to stop this disease, new infections and deaths.","start":1290.531,"end":1302.669,"topics":[{"key":"human-rights-equity","label":"Human Rights and Equity","description":"The discussion repeatedly tied successful disease responses to human rights, reduced stigma, and attention to inequality. 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Speakers stressed that integration should strengthen, finance, and formalize community-led delivery rather than displace 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today.","start":2203.68,"end":2211.024,"topics":[],"words":[{"text":"Thank","start":2203.68,"end":2203.986},{"text":"you","start":2203.986,"end":2204.164},{"text":"very","start":2204.164,"end":2204.358},{"text":"much","start":2204.358,"end":2204.535},{"text":"to—","start":2204.632,"end":2204.971},{"text":"such","start":2209.184,"end":2209.41},{"text":"an","start":2209.41,"end":2209.523},{"text":"enthusiastic","start":2209.555,"end":2210.314},{"text":"audience","start":2210.314,"end":2210.766},{"text":"today.","start":2210.766,"end":2211.024}]},{"text":"Thank you very much to Dr. Lucica Ditiu.","start":2211.331,"end":2213.222,"topics":[],"words":[{"text":"Thank","start":2211.331,"end":2211.508},{"text":"you","start":2211.508,"end":2211.589},{"text":"very","start":2211.589,"end":2211.734},{"text":"much","start":2211.734,"end":2211.88},{"text":"to","start":2211.88,"end":2211.928},{"text":"Dr.","start":2211.977,"end":2212.251},{"text":"Lucica","start":2212.3,"end":2212.736},{"text":"Ditiu.","start":2212.736,"end":2213.222}]},{"text":"And on this note, because you mentioned the political declaration, we would excuse the Ambassador of Georgia to get back to the last-minute preparations for the adoption of that declaration, as said by Winnie Byanyima.","start":2213.674,"end":2224.587,"topics":[],"words":[{"text":"And","start":2213.674,"end":2213.82},{"text":"on","start":2213.998,"end":2214.062},{"text":"this","start":2214.095,"end":2214.208},{"text":"note,","start":2214.337,"end":2214.515},{"text":"because","start":2214.531,"end":2214.79},{"text":"you","start":2214.806,"end":2214.855},{"text":"mentioned","start":2214.887,"end":2215.307},{"text":"the","start":2215.307,"end":2215.501},{"text":"political","start":2215.534,"end":2216.181},{"text":"declaration,","start":2216.181,"end":2216.811},{"text":"we","start":2217.409,"end":2217.539},{"text":"would","start":2217.571,"end":2217.733},{"text":"excuse","start":2217.733,"end":2218.218},{"text":"the","start":2218.218,"end":2218.299},{"text":"Ambassador","start":2218.299,"end":2218.719},{"text":"of","start":2218.719,"end":2218.832},{"text":"Georgia","start":2218.849,"end":2219.188},{"text":"to","start":2219.188,"end":2219.269},{"text":"get","start":2219.269,"end":2219.447},{"text":"back","start":2219.447,"end":2219.657},{"text":"to","start":2219.657,"end":2219.738},{"text":"the","start":2219.738,"end":2219.819},{"text":"last-minute","start":2219.9,"end":2220.385},{"text":"preparations","start":2220.385,"end":2221.015},{"text":"for","start":2221.29,"end":2221.371},{"text":"the","start":2221.371,"end":2221.42},{"text":"adoption","start":2221.42,"end":2221.902},{"text":"of","start":2221.918,"end":2222.095},{"text":"that","start":2222.095,"end":2222.32},{"text":"declaration,","start":2222.32,"end":2222.882},{"text":"as","start":2222.899,"end":2222.947},{"text":"said","start":2222.979,"end":2223.284},{"text":"by","start":2223.284,"end":2223.413},{"text":"Winnie","start":2223.783,"end":2224.024},{"text":"Byanyima.","start":2224.024,"end":2224.587}]},{"text":"We really thank you for your personal and country's leadership, as well as that of your co-facilitator, Ambassador Mosole of Botswana.","start":2224.667,"end":2232.637,"topics":[],"words":[{"text":"We","start":2224.667,"end":2224.86},{"text":"really","start":2225.053,"end":2225.23},{"text":"thank","start":2225.294,"end":2225.567},{"text":"you","start":2225.616,"end":2225.728},{"text":"for","start":2226.178,"end":2226.275},{"text":"your","start":2226.275,"end":2226.387},{"text":"personal","start":2226.5,"end":2227.046},{"text":"and","start":2227.4,"end":2227.464},{"text":"country's","start":2227.545,"end":2228.027},{"text":"leadership,","start":2228.043,"end":2228.59},{"text":"as","start":2228.606,"end":2228.734},{"text":"well","start":2228.767,"end":2228.911},{"text":"as","start":2228.911,"end":2228.96},{"text":"that","start":2229.008,"end":2229.185},{"text":"of","start":2229.185,"end":2229.313},{"text":"your","start":2229.313,"end":2229.474},{"text":"co-facilitator,","start":2229.474,"end":2229.747},{"text":"Ambassador","start":2230.675,"end":2231.113},{"text":"Mosole","start":2231.113,"end":2231.697},{"text":"of","start":2231.81,"end":2231.956},{"text":"Botswana.","start":2231.989,"end":2232.637}]},{"text":"Let's go now to our final speech from the co-convener, Dr. Michael Adekunle-Charles from RBM Partnership to End 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are his pre-recorded comments that he sends to us.","start":2241.12,"end":2244.546,"topics":[],"words":[{"text":"These","start":2241.12,"end":2241.329},{"text":"are","start":2241.587,"end":2241.731},{"text":"his","start":2241.747,"end":2241.892},{"text":"pre-recorded","start":2242.005,"end":2242.777},{"text":"comments","start":2242.809,"end":2243.275},{"text":"that","start":2243.517,"end":2243.629},{"text":"he","start":2243.629,"end":2243.71},{"text":"sends","start":2243.71,"end":2244.095},{"text":"to","start":2244.176,"end":2244.401},{"text":"us.","start":2244.401,"end":2244.546}]}]}],"speaker":{"name":"James Chan","affiliation":"China-United States Exchange Foundation","affiliation_full":"China-United States Exchange Foundation","group":null,"function":"Moderator"}},{"statement_number":12,"start":2250.552,"pageUrl":"/es/asset/k1y/k1ytpnvqmv?lang=en&t=2251","paragraphs":[{"sentences":[{"text":"Good day, ladies and gentlemen.","start":2250.552,"end":2252.095,"topics":[],"words":[{"text":"Good","start":2250.552,"end":2250.698},{"text":"day,","start":2250.73,"end":2250.844},{"text":"ladies","start":2251.201,"end":2251.526},{"text":"and","start":2251.526,"end":2251.624},{"text":"gentlemen.","start":2251.624,"end":2252.095}]},{"text":"My name is Michael Adekunle-Charles and I'm the RBM Partnership First and foremost, I would really like to thank the government of Philippines that is convening this important discussion together with us as RBM, UNAIDS, and STOP TB, and to really thank the other partners that are in the 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conversation around integration is important now more than ever.","start":2274.66,"end":2279.758,"topics":[{"key":"integrated-service-delivery","label":"Integrated Service Delivery","description":"Speakers repeatedly called for HIV, tuberculosis, malaria, and related services to be delivered together rather than through isolated vertical programs. 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The goal is a people-centered system that screens, prevents, and treats multiple conditions through coordinated care pathways."}],"words":[{"text":"A","start":2422.766,"end":2422.927},{"text":"person","start":2422.927,"end":2423.394},{"text":"that","start":2424.07,"end":2424.264},{"text":"is","start":2424.312,"end":2424.36},{"text":"sick","start":2424.392,"end":2424.859},{"text":"is","start":2425.375,"end":2425.503},{"text":"not","start":2425.503,"end":2425.681},{"text":"only","start":2425.681,"end":2425.858},{"text":"sick","start":2425.858,"end":2426.147},{"text":"from","start":2426.147,"end":2426.276},{"text":"one","start":2426.308,"end":2426.534},{"text":"disease,","start":2426.55,"end":2426.856},{"text":"so","start":2427.13,"end":2427.355},{"text":"we","start":2427.355,"end":2427.42},{"text":"shouldn't","start":2427.42,"end":2427.757},{"text":"verticalize","start":2427.773,"end":2428.576},{"text":"it","start":2428.576,"end":2428.721},{"text":"and","start":2428.721,"end":2428.801},{"text":"we","start":2428.801,"end":2428.898},{"text":"shouldn't","start":2428.898,"end":2429.219},{"text":"look","start":2429.219,"end":2429.396},{"text":"at","start":2429.444,"end":2429.476},{"text":"diseases","start":2429.476,"end":2430.151},{"text":"in","start":2430.569,"end":2430.633},{"text":"silos.","start":2430.665,"end":2431.035}]},{"text":"One thing is clear for me: collaboration is now and not in the future.","start":2433.3,"end":2438.204,"topics":[{"key":"integrated-service-delivery","label":"Integrated Service Delivery","description":"Speakers repeatedly called for HIV, tuberculosis, malaria, and related services to be delivered together rather than through isolated vertical programs. The goal is a people-centered system that screens, prevents, and treats multiple conditions through coordinated care pathways."}],"words":[{"text":"One","start":2433.3,"end":2433.445},{"text":"thing","start":2433.477,"end":2433.605},{"text":"is","start":2433.654,"end":2433.766},{"text":"clear","start":2433.862,"end":2434.071},{"text":"for","start":2434.103,"end":2434.264},{"text":"me:","start":2434.264,"end":2434.602},{"text":"collaboration","start":2434.746,"end":2435.774},{"text":"is","start":2436.289,"end":2436.417},{"text":"now","start":2436.594,"end":2436.722},{"text":"and","start":2437.318,"end":2437.479},{"text":"not","start":2437.479,"end":2437.721},{"text":"in","start":2437.721,"end":2437.801},{"text":"the","start":2437.801,"end":2437.85},{"text":"future.","start":2437.882,"end":2438.204}]},{"text":"Within the malaria ecosystem, we are ready to collaborate, we are ready to work together with all of you, and to ensure that we are supporting the country's agenda and the community's agenda.","start":2439.268,"end":2450.561,"topics":[{"key":"country-ownership","label":"Country Ownership and Health Sovereignty","description":"Several speakers argued that integration must be country-led, not donor-imposed, and aligned with national priorities. Health sovereignty was framed as the long-term destination, with governments leading decisions on transition, coordination, and system design."},{"key":"community-led-services","label":"Community-Led Services","description":"Community organizations, civil society, faith groups, and people with lived experience were described as essential partners in reaching populations left behind. Speakers stressed that integration should strengthen, finance, and formalize community-led delivery rather than displace it."}],"words":[{"text":"Within","start":2439.268,"end":2439.542},{"text":"the","start":2439.59,"end":2439.671},{"text":"malaria","start":2439.671,"end":2440.219},{"text":"ecosystem,","start":2440.235,"end":2440.976},{"text":"we","start":2441.186,"end":2441.347},{"text":"are","start":2441.427,"end":2441.621},{"text":"ready","start":2441.669,"end":2441.895},{"text":"to","start":2442.169,"end":2442.33},{"text":"collaborate,","start":2442.33,"end":2443.055},{"text":"we","start":2443.2,"end":2443.281},{"text":"are","start":2443.361,"end":2443.522},{"text":"ready","start":2443.522,"end":2443.748},{"text":"to","start":2443.78,"end":2443.99},{"text":"work","start":2444.006,"end":2444.183},{"text":"together","start":2444.183,"end":2444.554},{"text":"with","start":2444.586,"end":2444.747},{"text":"all","start":2444.892,"end":2445.005},{"text":"of","start":2445.053,"end":2445.166},{"text":"you,","start":2445.214,"end":2445.295},{"text":"and","start":2445.776,"end":2445.873},{"text":"to","start":2445.873,"end":2446.033},{"text":"ensure","start":2446.033,"end":2446.595},{"text":"that","start":2446.595,"end":2446.9},{"text":"we","start":2446.9,"end":2446.997},{"text":"are","start":2446.997,"end":2447.077},{"text":"supporting","start":2447.077,"end":2447.848},{"text":"the","start":2447.96,"end":2448.105},{"text":"country's","start":2448.105,"end":2448.522},{"text":"agenda","start":2448.522,"end":2449.148},{"text":"and","start":2449.469,"end":2449.534},{"text":"the","start":2449.566,"end":2449.646},{"text":"community's","start":2449.646,"end":2450.272},{"text":"agenda.","start":2450.272,"end":2450.561}]},{"text":"Once again, I really like to thank you for being part of this conversation.","start":2451.477,"end":2455.844,"topics":[],"words":[{"text":"Once","start":2451.477,"end":2451.733},{"text":"again,","start":2451.733,"end":2452.022},{"text":"I","start":2452.215,"end":2452.392},{"text":"really","start":2452.44,"end":2452.617},{"text":"like","start":2452.681,"end":2452.857},{"text":"to","start":2452.857,"end":2453.002},{"text":"thank","start":2453.162,"end":2453.5},{"text":"you","start":2453.5,"end":2453.596},{"text":"for","start":2454.142,"end":2454.302},{"text":"being","start":2454.302,"end":2454.431},{"text":"part","start":2454.543,"end":2454.784},{"text":"of","start":2454.784,"end":2454.929},{"text":"this","start":2454.929,"end":2454.993},{"text":"conversation.","start":2455.089,"end":2455.844}]},{"text":"Thank you for your ongoing guidance, support, as we continue to work together to bring our collective support to countries and to communities.","start":2456.374,"end":2467.726,"topics":[{"key":"community-led-services","label":"Community-Led Services","description":"Community organizations, civil society, faith groups, and people with lived experience were described as essential partners in reaching populations left behind. Speakers stressed that integration should strengthen, finance, and formalize community-led delivery rather than displace it."}],"words":[{"text":"Thank","start":2456.374,"end":2456.775},{"text":"you","start":2456.775,"end":2456.888},{"text":"for","start":2457.193,"end":2457.353},{"text":"your","start":2457.353,"end":2457.69},{"text":"ongoing","start":2457.979,"end":2458.445},{"text":"guidance,","start":2458.622,"end":2459.216},{"text":"support,","start":2459.28,"end":2459.922},{"text":"as","start":2460.324,"end":2460.484},{"text":"we","start":2460.484,"end":2460.629},{"text":"continue","start":2460.629,"end":2461.191},{"text":"to","start":2461.191,"end":2461.303},{"text":"work","start":2461.448,"end":2461.769},{"text":"together","start":2462.25,"end":2462.829},{"text":"to","start":2462.909,"end":2463.423},{"text":"bring","start":2463.535,"end":2463.744},{"text":"our","start":2464.242,"end":2464.418},{"text":"collective","start":2464.418,"end":2464.996},{"text":"support","start":2464.996,"end":2465.638},{"text":"to","start":2465.944,"end":2466.184},{"text":"countries","start":2466.184,"end":2466.714},{"text":"and","start":2466.827,"end":2466.987},{"text":"to","start":2466.987,"end":2467.196},{"text":"communities.","start":2467.212,"end":2467.726}]},{"text":"Together we can, together we must.","start":2468.513,"end":2470.809,"topics":[],"words":[{"text":"Together","start":2468.513,"end":2469.042},{"text":"we","start":2469.058,"end":2469.155},{"text":"can,","start":2469.155,"end":2469.524},{"text":"together","start":2470.038,"end":2470.504},{"text":"we","start":2470.504,"end":2470.6},{"text":"must.","start":2470.664,"end":2470.809}]},{"text":"Thank you.","start":2471.913,"end":2472.14,"topics":[{"key":"primary-care-uhc","label":"Primary Health Care and Universal Health Coverage","description":"Many interventions linked disease programs to stronger primary health care and to the broader objective of universal health coverage. Speakers emphasized using existing HIV, TB, and malaria platforms as building blocks for more comprehensive and equitable health services."},{"key":"human-rights-equity","label":"Human Rights and Equity","description":"The discussion repeatedly tied successful disease responses to human rights, reduced stigma, and attention to inequality. Speakers warned that integration would fail if it ignored marginalized populations, gender issues, discrimination, and the social barriers that keep people from care."},{"key":"domestic-health-financing","label":"Domestic Health Financing","description":"A major theme was the need for countries to increase domestic funding as external assistance declines. This included expanding budget allocations, social health insurance, and other national financing mechanisms to sustain HIV, TB, and malaria responses."}],"words":[{"text":"Thank","start":2471.913,"end":2472.091},{"text":"you.","start":2472.091,"end":2472.14}]}]}],"speaker":{"name":"Michael Adekunle-Charles","affiliation":"RBM","affiliation_full":"RBM","group":null,"function":null}},{"statement_number":13,"start":2476.127,"pageUrl":"/es/asset/k1y/k1ytpnvqmv?lang=en&t=2477","paragraphs":[{"sentences":[{"text":"Thanks very much to Dr. Michael Adekunle-Charles from the RBM Partnership to End Malaria.","start":2476.127,"end":2481.391,"topics":[],"words":[{"text":"Thanks","start":2476.127,"end":2476.305},{"text":"very","start":2476.305,"end":2476.387},{"text":"much","start":2476.387,"end":2476.597},{"text":"to","start":2476.727,"end":2476.938},{"text":"Dr.","start":2476.938,"end":2477.148},{"text":"Michael","start":2477.213,"end":2477.667},{"text":"Adekunle-Charles","start":2477.667,"end":2478.785},{"text":"from","start":2478.802,"end":2478.98},{"text":"the","start":2478.98,"end":2479.11},{"text":"RBM","start":2479.11,"end":2479.466},{"text":"Partnership","start":2479.466,"end":2480.097},{"text":"to","start":2480.097,"end":2480.339},{"text":"End","start":2480.437,"end":2480.728},{"text":"Malaria.","start":2480.76,"end":2481.391}]},{"text":"We are now going to transition into our first debate, which is looking at the external funding declines and the drive for self-reliance.","start":2481.65,"end":2489.301,"topics":[],"words":[{"text":"We","start":2481.65,"end":2481.699},{"text":"are","start":2481.699,"end":2481.731},{"text":"now","start":2481.731,"end":2481.845},{"text":"going","start":2481.893,"end":2481.99},{"text":"to","start":2481.99,"end":2482.055},{"text":"transition","start":2482.055,"end":2482.67},{"text":"into","start":2482.929,"end":2483.22},{"text":"our","start":2483.414,"end":2483.511},{"text":"first","start":2483.511,"end":2483.932},{"text":"debate,","start":2484.078,"end":2484.563},{"text":"which","start":2484.709,"end":2484.968},{"text":"is","start":2484.968,"end":2485.097},{"text":"looking","start":2485.939,"end":2486.263},{"text":"at","start":2486.263,"end":2486.424},{"text":"the","start":2486.424,"end":2486.554},{"text":"external","start":2486.57,"end":2487.072},{"text":"funding","start":2487.072,"end":2487.444},{"text":"declines","start":2487.476,"end":2487.849},{"text":"and","start":2487.978,"end":2488.107},{"text":"the","start":2488.107,"end":2488.204},{"text":"drive","start":2488.204,"end":2488.511},{"text":"for","start":2488.511,"end":2488.591},{"text":"self-reliance.","start":2488.591,"end":2489.301}]},{"text":"As these conditions grow and as the challenges grow with them, we are going to ask about national leadership, how it has never mattered more This panel is the journey from that vision to action on the 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going to introduce you now to Dr. Kelechi Ohiri, who is the Director-General and CEO of the National Health Insurance Authority of Nigeria, and Dr. Nonumiso Ncube, who is the Executive Director of NESHA, the National Emergency Response Council on HIV and AIDS in Eswatini.","start":2501.941,"end":2518.992,"topics":[],"words":[{"text":"We're","start":2501.941,"end":2502.037},{"text":"going","start":2502.037,"end":2502.246},{"text":"to","start":2502.342,"end":2502.615},{"text":"introduce","start":2502.663,"end":2503.145},{"text":"you","start":2503.145,"end":2503.225},{"text":"now","start":2503.225,"end":2503.354},{"text":"to","start":2503.386,"end":2503.546},{"text":"Dr.","start":2503.546,"end":2503.803},{"text":"Kelechi","start":2503.884,"end":2504.333},{"text":"Ohiri,","start":2504.365,"end":2504.895},{"text":"who","start":2505.248,"end":2505.329},{"text":"is","start":2505.329,"end":2505.377},{"text":"the","start":2505.409,"end":2505.553},{"text":"Director-General","start":2505.569,"end":2506.356},{"text":"and","start":2506.356,"end":2506.42},{"text":"CEO","start":2506.469,"end":2507.095},{"text":"of","start":2507.576,"end":2507.657},{"text":"the","start":2507.657,"end":2507.737},{"text":"National","start":2507.737,"end":2508.203},{"text":"Health","start":2508.203,"end":2508.395},{"text":"Insurance","start":2508.395,"end":2508.861},{"text":"Authority","start":2508.861,"end":2509.359},{"text":"of","start":2509.359,"end":2509.519},{"text":"Nigeria,","start":2509.567,"end":2510.226},{"text":"and","start":2510.627,"end":2510.691},{"text":"Dr.","start":2510.771,"end":2511.06},{"text":"Nonumiso","start":2511.109,"end":2511.847},{"text":"Ncube,","start":2511.879,"end":2512.281},{"text":"who","start":2512.361,"end":2512.473},{"text":"is","start":2512.473,"end":2512.521},{"text":"the","start":2512.554,"end":2512.698},{"text":"Executive","start":2512.698,"end":2513.116},{"text":"Director","start":2513.116,"end":2513.677},{"text":"of","start":2514.063,"end":2514.127},{"text":"NESHA,","start":2514.223,"end":2514.625},{"text":"the","start":2514.641,"end":2514.785},{"text":"National","start":2514.785,"end":2515.187},{"text":"Emergency","start":2515.187,"end":2515.7},{"text":"Response","start":2515.7,"end":2516.23},{"text":"Council","start":2516.23,"end":2516.728},{"text":"on","start":2517.033,"end":2517.194},{"text":"HIV","start":2517.194,"end":2517.611},{"text":"and","start":2517.611,"end":2517.772},{"text":"AIDS","start":2517.836,"end":2518.029},{"text":"in","start":2518.077,"end":2518.221},{"text":"Eswatini.","start":2518.253,"end":2518.992}]},{"text":"Welcome to you both.","start":2519.056,"end":2519.746,"topics":[],"words":[{"text":"Welcome","start":2519.056,"end":2519.377},{"text":"to","start":2519.377,"end":2519.457},{"text":"you","start":2519.457,"end":2519.618},{"text":"both.","start":2519.618,"end":2519.746}]},{"text":"Dr. Ohiri, I'll just go to you first.","start":2520.1,"end":2522.01,"topics":[],"words":[{"text":"Dr.","start":2520.1,"end":2520.341},{"text":"Ohiri,","start":2520.389,"end":2520.63},{"text":"I'll","start":2520.983,"end":2521.111},{"text":"just","start":2521.111,"end":2521.224},{"text":"go","start":2521.224,"end":2521.384},{"text":"to","start":2521.384,"end":2521.529},{"text":"you","start":2521.529,"end":2521.625},{"text":"first.","start":2521.625,"end":2522.01}]},{"text":"I mean, my question here is, How is the Health Insurance Authority helping to deliver an integrated response, and what will it take to make that reform sustainable, embedding HIV, TB, and malaria in primary healthcare, and giving real financial protection to the poorest of the poor and the most marginalized in our 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Chan","affiliation":"China-United States Exchange Foundation","affiliation_full":"China-United States Exchange Foundation","group":null,"function":"Moderator"}},{"statement_number":14,"start":2542.96,"pageUrl":"/es/asset/k1y/k1ytpnvqmv?lang=en&t=2543","paragraphs":[{"sentences":[{"text":"Very easy question there.","start":2542.96,"end":2544.092,"topics":[],"words":[{"text":"Very","start":2542.96,"end":2543.129},{"text":"easy","start":2543.247,"end":2543.416},{"text":"question","start":2543.416,"end":2543.906},{"text":"there.","start":2543.906,"end":2544.092}]},{"text":"Excellencies, good afternoon.","start":2546.653,"end":2549.17,"topics":[],"words":[{"text":"Excellencies,","start":2546.653,"end":2547.27},{"text":"good","start":2548.26,"end":2548.569},{"text":"afternoon.","start":2548.683,"end":2549.17}]},{"text":"I thank you for the opportunity.","start":2550.204,"end":2552.047,"topics":[],"words":[{"text":"I","start":2550.204,"end":2550.253},{"text":"thank","start":2550.932,"end":2551.126},{"text":"you","start":2551.174,"end":2551.239},{"text":"for","start":2551.255,"end":2551.352},{"text":"the","start":2551.352,"end":2551.482},{"text":"opportunity.","start":2551.482,"end":2552.047}]},{"text":"I believe the fact that, you know, the Chief Executive of the National Health Insurance Authority is here today really underscores some of the challenges, the financing challenges that face us.","start":2552.225,"end":2563.811,"topics":[{"key":"domestic-health-financing","label":"Domestic Health Financing","description":"A major theme was the need for countries to increase domestic funding as external assistance declines. This included expanding budget allocations, social health insurance, and other national financing mechanisms to sustain HIV, TB, and malaria responses."}],"words":[{"text":"I","start":2552.225,"end":2552.306},{"text":"believe","start":2552.306,"end":2552.5},{"text":"the","start":2552.549,"end":2552.63},{"text":"fact","start":2552.63,"end":2553.066},{"text":"that,","start":2553.115,"end":2553.293},{"text":"you","start":2554.166,"end":2554.198},{"text":"know,","start":2554.198,"end":2554.473},{"text":"the","start":2554.812,"end":2555.023},{"text":"Chief","start":2555.233,"end":2555.459},{"text":"Executive","start":2555.459,"end":2556.122},{"text":"of","start":2556.122,"end":2556.203},{"text":"the","start":2556.203,"end":2556.3},{"text":"National","start":2556.3,"end":2556.753},{"text":"Health","start":2556.753,"end":2556.979},{"text":"Insurance","start":2557.011,"end":2557.497},{"text":"Authority","start":2557.497,"end":2558.03},{"text":"is","start":2558.305,"end":2558.354},{"text":"here","start":2558.451,"end":2558.628},{"text":"today","start":2558.628,"end":2558.936},{"text":"really","start":2558.936,"end":2559.083},{"text":"underscores","start":2559.115,"end":2559.735},{"text":"some","start":2560.566,"end":2560.713},{"text":"of","start":2560.811,"end":2560.876},{"text":"the","start":2560.909,"end":2561.056},{"text":"challenges,","start":2561.056,"end":2561.691},{"text":"the","start":2562.034,"end":2562.115},{"text":"financing","start":2562.115,"end":2562.67},{"text":"challenges","start":2562.702,"end":2563.208},{"text":"that","start":2563.257,"end":2563.436},{"text":"face","start":2563.436,"end":2563.632},{"text":"us.","start":2563.746,"end":2563.811}]},{"text":"I'll respond to that by, first of all, giving a contextual background as to where we were as a country, what we've done so far, and then some reflections in terms of the way forward and the challenges that we have faced in dealing with this.","start":2565.4,"end":2581.536,"topics":[],"words":[{"text":"I'll","start":2565.4,"end":2565.628},{"text":"respond","start":2565.743,"end":2566.086},{"text":"to","start":2566.086,"end":2566.184},{"text":"that","start":2566.184,"end":2566.494},{"text":"by,","start":2566.494,"end":2566.609},{"text":"first","start":2566.903,"end":2567.099},{"text":"of","start":2567.099,"end":2567.164},{"text":"all,","start":2567.164,"end":2567.229},{"text":"giving","start":2567.295,"end":2567.524},{"text":"a","start":2567.54,"end":2567.622},{"text":"contextual","start":2567.622,"end":2568.177},{"text":"background","start":2568.21,"end":2568.929},{"text":"as","start":2568.929,"end":2568.994},{"text":"to","start":2569.027,"end":2569.239},{"text":"where","start":2569.272,"end":2569.451},{"text":"we","start":2569.517,"end":2569.664},{"text":"were","start":2569.68,"end":2569.844},{"text":"as","start":2569.844,"end":2570.023},{"text":"a","start":2570.023,"end":2570.154},{"text":"country,","start":2570.154,"end":2570.464},{"text":"what","start":2572.35,"end":2572.515},{"text":"we've","start":2572.515,"end":2572.763},{"text":"done","start":2572.763,"end":2572.912},{"text":"so","start":2573.011,"end":2573.276},{"text":"far,","start":2573.342,"end":2573.706},{"text":"and","start":2574.516,"end":2574.748},{"text":"then","start":2574.748,"end":2574.831},{"text":"some","start":2575.196,"end":2575.34},{"text":"reflections","start":2575.437,"end":2576.145},{"text":"in","start":2576.966,"end":2577.03},{"text":"terms","start":2577.062,"end":2577.352},{"text":"of","start":2577.384,"end":2577.529},{"text":"the","start":2577.529,"end":2577.593},{"text":"way","start":2577.626,"end":2577.787},{"text":"forward","start":2577.787,"end":2578.35},{"text":"and","start":2578.414,"end":2578.495},{"text":"the","start":2578.495,"end":2578.591},{"text":"challenges","start":2578.591,"end":2579.042},{"text":"that","start":2579.138,"end":2579.267},{"text":"we","start":2579.315,"end":2579.396},{"text":"have","start":2579.46,"end":2579.637},{"text":"faced","start":2579.637,"end":2580.651},{"text":"in","start":2580.844,"end":2581.005},{"text":"dealing","start":2581.005,"end":2581.214},{"text":"with","start":2581.247,"end":2581.472},{"text":"this.","start":2581.472,"end":2581.536}]},{"text":"In Nigeria, I mean, we know that conversations have been going on about country ownership, around the need to reform a lot of our programs, and this preceded, you know, some of the recent changes in the global health landscape.","start":2583.64,"end":2599.366,"topics":[{"key":"country-ownership","label":"Country Ownership and Health Sovereignty","description":"Several speakers argued that integration must be country-led, not donor-imposed, and aligned with national priorities. 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decline in multilateralism and global solidarity didn't come as a transition.","start":2601.465,"end":2607.184,"topics":[],"words":[{"text":"The","start":2601.465,"end":2601.625},{"text":"decline","start":2601.625,"end":2602.043},{"text":"in","start":2602.043,"end":2602.091},{"text":"multilateralism","start":2602.091,"end":2603.119},{"text":"and","start":2603.939,"end":2604.115},{"text":"global","start":2604.115,"end":2604.372},{"text":"solidarity","start":2604.372,"end":2605.127},{"text":"didn't","start":2605.866,"end":2606.156},{"text":"come","start":2606.188,"end":2606.316},{"text":"as","start":2606.364,"end":2606.493},{"text":"a","start":2606.525,"end":2606.589},{"text":"transition.","start":2606.589,"end":2607.184}]},{"text":"It came quite as a shock, and it was sudden and it was 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reality.","start":2611.81,"end":2617.658,"topics":[],"words":[{"text":"And","start":2611.81,"end":2612.051},{"text":"so","start":2612.051,"end":2612.244},{"text":"many","start":2612.244,"end":2612.517},{"text":"countries","start":2612.533,"end":2612.871},{"text":"like","start":2612.871,"end":2613.047},{"text":"ours","start":2613.176,"end":2613.562},{"text":"had","start":2613.899,"end":2614.204},{"text":"to","start":2614.236,"end":2614.413},{"text":"really","start":2614.783,"end":2615.088},{"text":"confront","start":2616.148,"end":2616.646},{"text":"this","start":2616.646,"end":2616.871},{"text":"new","start":2616.951,"end":2617.016},{"text":"reality.","start":2617.112,"end":2617.658}]},{"text":"And this reality started, you know, during the era of COVID um, et cetera, that many countries began to learn 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was clear to us was that Things had changed.","start":2626.189,"end":2629.549,"topics":[],"words":[{"text":"What","start":2626.189,"end":2626.317},{"text":"was","start":2626.349,"end":2626.462},{"text":"clear","start":2626.606,"end":2626.912},{"text":"to","start":2626.912,"end":2627.104},{"text":"us","start":2627.153,"end":2627.345},{"text":"was","start":2627.394,"end":2627.538},{"text":"that","start":2627.635,"end":2628.149},{"text":"Things","start":2628.71,"end":2628.936},{"text":"had","start":2628.952,"end":2629.114},{"text":"changed.","start":2629.114,"end":2629.549}]},{"text":"Nostalgia and hoping to go back to the status quo ex ante was not really a responsible strategy for us as a 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so we had started some reforms.","start":2639.18,"end":2640.958,"topics":[{"key":"country-ownership","label":"Country Ownership and Health Sovereignty","description":"Several speakers argued that integration must be country-led, not donor-imposed, and aligned with national priorities. 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health systems that we had before may not necessarily be the health systems that will serve us in this 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so that means that on the table, all the critical stakeholders have to come together to ensure that indeed the health system that we're building and the way we finance it must be designed around the person and not programs that were vertical the way we were doing it before.","start":3055.93,"end":3071.682,"topics":[{"key":"primary-care-uhc","label":"Primary Health Care and Universal Health Coverage","description":"Many interventions linked disease programs to stronger primary health care and to the broader objective of universal health coverage. Speakers emphasized using existing HIV, TB, and malaria platforms as building blocks for more comprehensive and equitable health services."},{"key":"country-ownership","label":"Country Ownership and Health Sovereignty","description":"Several speakers argued that integration must be country-led, not donor-imposed, and aligned with national priorities. 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reminded, is from Eswatini's National Emergency Response Council on HIV and 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Eswatini reached 95-95-95 and has developed a roadmap to sustaining impact, to maintaining life-saving services during a period of funding 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you shift to reduce dependence and affirm greater ownership of all of this, how are you pursuing integration not as a way to absorb cuts, but as a pathway to sustain gains with people remaining at the center?","start":3102.056,"end":3114.853,"topics":[],"words":[{"text":"As","start":3102.056,"end":3102.136},{"text":"you","start":3102.152,"end":3102.233},{"text":"shift","start":3102.233,"end":3102.698},{"text":"to","start":3102.698,"end":3102.859},{"text":"reduce","start":3102.955,"end":3103.437},{"text":"dependence","start":3103.437,"end":3104.015},{"text":"and","start":3104.015,"end":3104.143},{"text":"affirm","start":3104.143,"end":3104.448},{"text":"greater","start":3104.561,"end":3105.027},{"text":"ownership","start":3105.043,"end":3105.605},{"text":"of","start":3105.926,"end":3106.022},{"text":"all","start":3106.07,"end":3106.118},{"text":"of","start":3106.311,"end":3106.375},{"text":"this,","start":3106.407,"end":3106.616},{"text":"how","start":3106.729,"end":3106.905},{"text":"are","start":3106.969,"end":3107.034},{"text":"you","start":3107.034,"end":3107.13},{"text":"pursuing","start":3107.13,"end":3107.563},{"text":"integration","start":3107.612,"end":3108.254},{"text":"not","start":3108.575,"end":3108.752},{"text":"as","start":3108.752,"end":3108.896},{"text":"a","start":3108.896,"end":3108.96},{"text":"way","start":3108.976,"end":3109.217},{"text":"to","start":3109.217,"end":3109.362},{"text":"absorb","start":3109.362,"end":3109.843},{"text":"cuts,","start":3109.86,"end":3110.245},{"text":"but","start":3110.325,"end":3110.486},{"text":"as","start":3110.486,"end":3110.55},{"text":"a","start":3110.646,"end":3110.807},{"text":"pathway","start":3110.807,"end":3111.385},{"text":"to","start":3111.77,"end":3111.883},{"text":"sustain","start":3111.883,"end":3112.396},{"text":"gains","start":3112.509,"end":3112.846},{"text":"with","start":3112.894,"end":3113.055},{"text":"people","start":3113.071,"end":3113.456},{"text":"remaining","start":3113.537,"end":3114.002},{"text":"at","start":3114.339,"end":3114.436},{"text":"the","start":3114.436,"end":3114.516},{"text":"center?","start":3114.516,"end":3114.853}]},{"text":"We keep on hearing about this, about what it means to have people at the center, at the core of everything that you 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Chan","affiliation":"China-United States Exchange Foundation","affiliation_full":"China-United States Exchange Foundation","group":null,"function":"Moderator"}},{"statement_number":16,"start":3126.38,"pageUrl":"/es/asset/k1y/k1ytpnvqmv?lang=en&t=3127","paragraphs":[{"sentences":[{"text":"Thank you, Chairperson.","start":3126.38,"end":3127.247,"topics":[],"words":[{"text":"Thank","start":3126.38,"end":3126.557},{"text":"you,","start":3126.557,"end":3126.621},{"text":"Chairperson.","start":3126.637,"end":3127.247}]},{"text":"Excellencies, distinguished guests, and colleagues.","start":3128.466,"end":3131.177,"topics":[],"words":[{"text":"Excellencies,","start":3128.466,"end":3129.172},{"text":"distinguished","start":3129.284,"end":3129.942},{"text":"guests,","start":3130.006,"end":3130.423},{"text":"and","start":3130.551,"end":3130.696},{"text":"colleagues.","start":3130.728,"end":3131.177}]},{"text":"The Kingdom of Eswatini's experience shows that real progress is possible when leadership, partnerships, community engagement, coordination, and integration come together.","start":3132.156,"end":3143.482,"topics":[{"key":"community-led-services","label":"Community-Led Services","description":"Community organizations, civil society, faith groups, and people with lived experience were described as essential partners in reaching populations left behind. 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panel.","start":3357.417,"end":3362.928,"topics":[],"words":[{"text":"Thank","start":3357.417,"end":3357.545},{"text":"you","start":3357.657,"end":3357.834},{"text":"very","start":3357.834,"end":3358.01},{"text":"much,","start":3358.01,"end":3358.556},{"text":"and","start":3358.78,"end":3358.989},{"text":"thank","start":3359.037,"end":3359.438},{"text":"you","start":3359.438,"end":3359.678},{"text":"also","start":3359.743,"end":3360.24},{"text":"to","start":3360.24,"end":3360.641},{"text":"all","start":3361.268,"end":3361.317},{"text":"of","start":3361.365,"end":3361.446},{"text":"our","start":3361.446,"end":3361.526},{"text":"speakers","start":3361.526,"end":3362.09},{"text":"in","start":3362.09,"end":3362.155},{"text":"this","start":3362.155,"end":3362.332},{"text":"first","start":3362.332,"end":3362.573},{"text":"panel.","start":3362.573,"end":3362.928}]},{"text":"As they leave the stage, we ask all the Panel B speakers to come up as we listen to Ambassador Mark Dybul of Georgetown University, where he serves as a professor of medicine.","start":3363.202,"end":3375.173,"topics":[],"words":[{"text":"As","start":3363.202,"end":3363.266},{"text":"they","start":3363.379,"end":3363.572},{"text":"leave","start":3364.346,"end":3364.652},{"text":"the","start":3364.652,"end":3364.732},{"text":"stage,","start":3364.732,"end":3365.119},{"text":"we","start":3365.296,"end":3365.457},{"text":"ask","start":3365.618,"end":3365.892},{"text":"all","start":3366.102,"end":3366.215},{"text":"the","start":3366.215,"end":3366.36},{"text":"Panel","start":3366.36,"end":3366.65},{"text":"B","start":3366.762,"end":3366.923},{"text":"speakers","start":3366.923,"end":3367.455},{"text":"to","start":3367.874,"end":3368.019},{"text":"come","start":3368.035,"end":3368.18},{"text":"up","start":3368.277,"end":3368.518},{"text":"as","start":3368.599,"end":3368.76},{"text":"we","start":3368.776,"end":3368.857},{"text":"listen","start":3368.857,"end":3369.227},{"text":"to","start":3369.243,"end":3369.55},{"text":"Ambassador","start":3369.566,"end":3370.001},{"text":"Mark","start":3370.049,"end":3370.307},{"text":"Dybul","start":3370.307,"end":3370.774},{"text":"of","start":3371.113,"end":3371.242},{"text":"Georgetown","start":3371.258,"end":3371.725},{"text":"University,","start":3371.773,"end":3372.337},{"text":"where","start":3372.402,"end":3372.45},{"text":"he","start":3372.45,"end":3372.482},{"text":"serves","start":3372.563,"end":3372.934},{"text":"as","start":3373.111,"end":3373.175},{"text":"a","start":3373.288,"end":3373.433},{"text":"professor","start":3373.433,"end":3374.062},{"text":"of","start":3374.4,"end":3374.545},{"text":"medicine.","start":3374.722,"end":3375.173}]},{"text":"Let's listen to his comments now.","start":3375.383,"end":3377.172,"topics":[],"words":[{"text":"Let's","start":3375.383,"end":3375.77},{"text":"listen","start":3375.85,"end":3376.076},{"text":"to","start":3376.172,"end":3376.237},{"text":"his","start":3376.334,"end":3376.479},{"text":"comments","start":3376.575,"end":3376.93},{"text":"now.","start":3376.994,"end":3377.172}]}]}],"speaker":{"name":"James Chan","affiliation":"China-United States Exchange Foundation","affiliation_full":"China-United States Exchange Foundation","group":null,"function":"Moderator"}},{"statement_number":18,"start":3380.24,"pageUrl":"/es/asset/k1y/k1ytpnvqmv?lang=en&t=3381","paragraphs":[{"sentences":[{"text":"Hi. Sorry I can't be with you in person.","start":3380.24,"end":3381.779,"topics":[],"words":[{"text":"Hi.","start":3380.24,"end":3380.385},{"text":"Sorry","start":3380.531,"end":3380.758},{"text":"I","start":3380.758,"end":3380.839},{"text":"can't","start":3380.839,"end":3381.001},{"text":"be","start":3381.001,"end":3381.147},{"text":"with","start":3381.147,"end":3381.276},{"text":"you","start":3381.309,"end":3381.341},{"text":"in","start":3381.341,"end":3381.487},{"text":"person.","start":3381.487,"end":3381.779}]},{"text":"Thanks for including me.","start":3381.876,"end":3382.929,"topics":[],"words":[{"text":"Thanks","start":3381.876,"end":3382.2},{"text":"for","start":3382.2,"end":3382.281},{"text":"including","start":3382.281,"end":3382.669},{"text":"me.","start":3382.702,"end":3382.929}]},{"text":"When we talk about transition, I think it's important to always begin with what are we trying to transition to, and that is country sovereignty, but in a new international system with solidarity of equality of partners and partnerships.","start":3383.577,"end":3398.036,"topics":[{"key":"country-ownership","label":"Country Ownership and Health Sovereignty","description":"Several speakers argued that integration must be country-led, not donor-imposed, and aligned with national priorities. 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as we look to transition, many people are saying, \"Oh, that's impossible, can't be done.\"","start":3600.358,"end":3604.156,"topics":[],"words":[{"text":"So","start":3600.358,"end":3600.519},{"text":"as","start":3600.519,"end":3600.631},{"text":"we","start":3600.647,"end":3600.807},{"text":"look","start":3600.823,"end":3600.983},{"text":"to","start":3600.983,"end":3601.079},{"text":"transition,","start":3601.079,"end":3601.752},{"text":"many","start":3601.945,"end":3602.153},{"text":"people","start":3602.185,"end":3602.409},{"text":"are","start":3602.409,"end":3602.49},{"text":"saying,","start":3602.49,"end":3602.714},{"text":"\"Oh,","start":3602.746,"end":3602.762},{"text":"that's","start":3602.826,"end":3603.05},{"text":"impossible,","start":3603.05,"end":3603.563},{"text":"can't","start":3603.627,"end":3603.868},{"text":"be","start":3603.868,"end":3604.012},{"text":"done.\"","start":3604.012,"end":3604.156}]},{"text":"It absolutely can be 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you very much for allowing me to be with you and have a great meeting.","start":3616.911,"end":3619.507,"topics":[],"words":[{"text":"Thank","start":3616.911,"end":3617.088},{"text":"you","start":3617.088,"end":3617.168},{"text":"very","start":3617.168,"end":3617.344},{"text":"much","start":3617.344,"end":3617.568},{"text":"for","start":3617.568,"end":3617.793},{"text":"allowing","start":3617.793,"end":3618.097},{"text":"me","start":3618.129,"end":3618.209},{"text":"to","start":3618.209,"end":3618.289},{"text":"be","start":3618.289,"end":3618.45},{"text":"with","start":3618.45,"end":3618.674},{"text":"you","start":3618.674,"end":3618.77},{"text":"and","start":3618.77,"end":3618.85},{"text":"have","start":3618.85,"end":3619.026},{"text":"a","start":3619.026,"end":3619.155},{"text":"great","start":3619.155,"end":3619.331},{"text":"meeting.","start":3619.331,"end":3619.507}]}]}],"speaker":{"name":"Mark Dybul","affiliation":"Georgetown University","affiliation_full":"Georgetown University","group":null,"function":"Professor of Medicine"}},{"statement_number":19,"start":3620.933,"pageUrl":"/es/asset/k1y/k1ytpnvqmv?lang=en&t=3621","paragraphs":[{"sentences":[{"text":"Thank you to Ambassador Mark Dybul.","start":3620.933,"end":3622.488,"topics":[],"words":[{"text":"Thank","start":3620.933,"end":3621.158},{"text":"you","start":3621.158,"end":3621.238},{"text":"to","start":3621.238,"end":3621.382},{"text":"Ambassador","start":3621.398,"end":3621.831},{"text":"Mark","start":3621.847,"end":3622.135},{"text":"Dybul.","start":3622.135,"end":3622.488}]},{"text":"We're going to jump straight into our next panel and because of the shortage in time, I'm going to skip the overall introductions and go straight to them one by 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going to start with Dr. Bill Steiger, who is the CEO of Malaria No More, whose experience spans diplomacy, partnership building, finance, and program integration, both across infectious diseases but also health 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Steiger, a disease that rebounds fast if attention slips is malaria, of course.","start":3644.589,"end":3650.781,"topics":[],"words":[{"text":"Dr.","start":3644.589,"end":3644.829},{"text":"Steiger,","start":3644.942,"end":3645.375},{"text":"a","start":3645.712,"end":3645.728},{"text":"disease","start":3645.792,"end":3646.161},{"text":"that","start":3646.177,"end":3646.241},{"text":"rebounds","start":3646.353,"end":3646.802},{"text":"fast","start":3646.899,"end":3647.332},{"text":"if","start":3647.332,"end":3647.412},{"text":"attention","start":3647.412,"end":3647.845},{"text":"slips","start":3647.957,"end":3648.695},{"text":"is","start":3649.642,"end":3649.77},{"text":"malaria,","start":3649.802,"end":3650.187},{"text":"of","start":3650.219,"end":3650.332},{"text":"course.","start":3650.428,"end":3650.781}]},{"text":"As the programs integrate international systems, How can partners bridge the financing and innovation gaps to protect the most vulnerable and hold the line on progress?","start":3650.989,"end":3660.224,"topics":[],"words":[{"text":"As","start":3650.989,"end":3651.134},{"text":"the","start":3651.31,"end":3651.406},{"text":"programs","start":3651.406,"end":3651.936},{"text":"integrate","start":3651.968,"end":3652.385},{"text":"international","start":3652.449,"end":3653.091},{"text":"systems,","start":3653.091,"end":3653.347},{"text":"How","start":3654.05,"end":3654.147},{"text":"can","start":3654.147,"end":3654.292},{"text":"partners","start":3654.372,"end":3654.84},{"text":"bridge","start":3654.872,"end":3655.082},{"text":"the","start":3655.194,"end":3655.275},{"text":"financing","start":3655.275,"end":3655.968},{"text":"and","start":3655.984,"end":3656.162},{"text":"innovation","start":3656.162,"end":3656.694},{"text":"gaps","start":3656.871,"end":3657.193},{"text":"to","start":3657.532,"end":3657.629},{"text":"protect","start":3657.629,"end":3658.016},{"text":"the","start":3658.016,"end":3658.112},{"text":"most","start":3658.112,"end":3658.402},{"text":"vulnerable","start":3658.402,"end":3658.854},{"text":"and","start":3658.87,"end":3658.967},{"text":"hold","start":3658.967,"end":3659.305},{"text":"the","start":3659.305,"end":3659.45},{"text":"line","start":3659.45,"end":3659.595},{"text":"on","start":3659.644,"end":3659.789},{"text":"progress?","start":3659.789,"end":3660.224}]},{"text":"And we're going to ask everyone to keep their comments only to 2 minutes, please.","start":3660.289,"end":3664.11,"topics":[],"words":[{"text":"And","start":3660.289,"end":3660.353},{"text":"we're","start":3660.353,"end":3660.434},{"text":"going","start":3660.45,"end":3660.546},{"text":"to","start":3660.546,"end":3660.611},{"text":"ask","start":3660.74,"end":3661.03},{"text":"everyone","start":3661.078,"end":3661.61},{"text":"to","start":3661.949,"end":3662.046},{"text":"keep","start":3662.046,"end":3662.271},{"text":"their","start":3662.271,"end":3662.449},{"text":"comments","start":3662.449,"end":3662.852},{"text":"only","start":3662.997,"end":3663.175},{"text":"to","start":3663.175,"end":3663.336},{"text":"2","start":3663.336,"end":3663.497},{"text":"minutes,","start":3663.497,"end":3663.804},{"text":"please.","start":3663.82,"end":3664.11}]}]}],"speaker":{"name":"James Chan","affiliation":"China-United States Exchange Foundation","affiliation_full":"China-United States Exchange Foundation","group":null,"function":"Moderator"}},{"statement_number":20,"start":3667.047,"pageUrl":"/es/asset/k1y/k1ytpnvqmv?lang=en&t=3668","paragraphs":[{"sentences":[{"text":"Great, thank you so much, Chair.","start":3667.047,"end":3668.048,"topics":[],"words":[{"text":"Great,","start":3667.047,"end":3667.225},{"text":"thank","start":3667.273,"end":3667.435},{"text":"you","start":3667.435,"end":3667.515},{"text":"so","start":3667.515,"end":3667.612},{"text":"much,","start":3667.612,"end":3667.822},{"text":"Chair.","start":3667.919,"end":3668.048}]},{"text":"I will give you 5 quick big ideas in 2 minutes.","start":3669.353,"end":3672.306,"topics":[],"words":[{"text":"I","start":3669.353,"end":3669.385},{"text":"will","start":3669.418,"end":3669.515},{"text":"give","start":3669.515,"end":3669.66},{"text":"you","start":3669.66,"end":3669.757},{"text":"5","start":3669.757,"end":3670.289},{"text":"quick","start":3670.725,"end":3671.048},{"text":"big","start":3671.048,"end":3671.209},{"text":"ideas","start":3671.209,"end":3671.58},{"text":"in","start":3671.693,"end":3671.742},{"text":"2","start":3671.919,"end":3672.016},{"text":"minutes.","start":3672.016,"end":3672.306}]},{"text":"The first is that if you only remember one thing that I have to say, it should be that we will know whether integration is working or not because of malaria.","start":3673.129,"end":3680.737,"topics":[{"key":"integrated-service-delivery","label":"Integrated Service Delivery","description":"Speakers repeatedly called for HIV, tuberculosis, malaria, and related services to be delivered together rather than 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The goal is a people-centered system that screens, prevents, and treats multiple conditions through coordinated care pathways."}],"words":[{"text":"The","start":3673.129,"end":3673.226},{"text":"first","start":3673.226,"end":3673.646},{"text":"is","start":3673.646,"end":3673.759},{"text":"that","start":3673.856,"end":3674.082},{"text":"if","start":3674.776,"end":3674.905},{"text":"you","start":3674.905,"end":3675.05},{"text":"only","start":3675.066,"end":3675.211},{"text":"remember","start":3675.227,"end":3675.631},{"text":"one","start":3675.631,"end":3675.695},{"text":"thing","start":3675.808,"end":3675.937},{"text":"that","start":3675.97,"end":3676.115},{"text":"I","start":3676.115,"end":3676.196},{"text":"have","start":3676.196,"end":3676.292},{"text":"to","start":3676.309,"end":3676.438},{"text":"say,","start":3676.438,"end":3676.777},{"text":"it","start":3676.954,"end":3677.099},{"text":"should","start":3677.099,"end":3677.261},{"text":"be","start":3677.261,"end":3677.422},{"text":"that","start":3677.422,"end":3677.632},{"text":"we","start":3677.826,"end":3677.955},{"text":"will","start":3677.987,"end":3678.148},{"text":"know","start":3678.148,"end":3678.229},{"text":"whether","start":3678.374,"end":3678.552},{"text":"integration","start":3678.552,"end":3679.095},{"text":"is","start":3679.144,"end":3679.226},{"text":"working","start":3679.275,"end":3679.62},{"text":"or","start":3679.62,"end":3679.702},{"text":"not","start":3679.702,"end":3680.014},{"text":"because","start":3680.014,"end":3680.327},{"text":"of","start":3680.359,"end":3680.442},{"text":"malaria.","start":3680.442,"end":3680.737}]},{"text":"Malaria is the barometer.","start":3681.002,"end":3682.543,"topics":[{"key":"integrated-service-delivery","label":"Integrated Service Delivery","description":"Speakers repeatedly called for HIV, tuberculosis, malaria, and related services to be delivered together rather than through isolated vertical programs. The goal is a people-centered system that screens, prevents, and treats multiple conditions through coordinated care pathways."}],"words":[{"text":"Malaria","start":3681.002,"end":3681.548},{"text":"is","start":3681.628,"end":3681.773},{"text":"the","start":3682.046,"end":3682.126},{"text":"barometer.","start":3682.126,"end":3682.543}]},{"text":"As the chair alluded, it is the disease that bounces back first, that responds the best and the fastest to both action and interaction.","start":3683.41,"end":3690.604,"topics":[{"key":"integrated-service-delivery","label":"Integrated Service Delivery","description":"Speakers repeatedly called for HIV, tuberculosis, malaria, and related services to be delivered together rather than through isolated vertical programs. The goal is a people-centered system that screens, prevents, and treats multiple conditions through coordinated care pathways."}],"words":[{"text":"As","start":3683.41,"end":3683.555},{"text":"the","start":3683.555,"end":3683.635},{"text":"chair","start":3683.635,"end":3683.828},{"text":"alluded,","start":3684.037,"end":3684.422},{"text":"it","start":3685.273,"end":3685.353},{"text":"is","start":3685.353,"end":3685.466},{"text":"the","start":3685.498,"end":3685.562},{"text":"disease","start":3685.578,"end":3685.867},{"text":"that","start":3685.899,"end":3686.06},{"text":"bounces","start":3686.06,"end":3686.429},{"text":"back","start":3686.445,"end":3686.606},{"text":"first,","start":3686.622,"end":3686.943},{"text":"that","start":3687.007,"end":3687.103},{"text":"responds","start":3687.103,"end":3687.665},{"text":"the","start":3687.826,"end":3687.987},{"text":"best","start":3687.987,"end":3688.372},{"text":"and","start":3688.372,"end":3688.468},{"text":"the","start":3688.468,"end":3688.549},{"text":"fastest","start":3688.549,"end":3689.094},{"text":"to","start":3689.094,"end":3689.191},{"text":"both","start":3689.255,"end":3689.496},{"text":"action","start":3689.496,"end":3689.785},{"text":"and","start":3689.897,"end":3690.042},{"text":"interaction.","start":3690.138,"end":3690.604}]},{"text":"Idea 2: Integration will not work without the deliberate application of innovation.","start":3691.342,"end":3696.545,"topics":[{"key":"diagnostics-innovation","label":"Diagnostics and Innovation","description":"New technologies were presented as important enablers of integrated care, including screening tools, AI-supported diagnostics, multi-disease testing platforms, and new prevention products. 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Speakers emphasized that innovation must be planned, financed, and deployed in ways that match frontline needs."}],"words":[{"text":"We've","start":3697.299,"end":3697.46},{"text":"seen","start":3697.46,"end":3697.669},{"text":"greater","start":3697.765,"end":3698.166},{"text":"innovation","start":3698.182,"end":3698.632},{"text":"in","start":3698.825,"end":3698.905},{"text":"HIV,","start":3698.905,"end":3699.29},{"text":"TB,","start":3699.371,"end":3699.612},{"text":"and","start":3699.628,"end":3699.708},{"text":"malaria","start":3699.708,"end":3700.013},{"text":"in","start":3700.013,"end":3700.077},{"text":"the","start":3700.093,"end":3700.125},{"text":"last","start":3700.125,"end":3700.414},{"text":"18","start":3700.414,"end":3700.735},{"text":"months","start":3700.752,"end":3701.057},{"text":"than","start":3701.057,"end":3701.137},{"text":"we","start":3701.153,"end":3701.233},{"text":"have","start":3701.233,"end":3701.474},{"text":"in","start":3701.474,"end":3701.554},{"text":"the","start":3701.554,"end":3701.635},{"text":"previous","start":3701.635,"end":3702.004},{"text":"30","start":3702.357,"end":3702.598},{"text":"years,","start":3702.662,"end":3703.048},{"text":"but","start":3703.786,"end":3703.883},{"text":"we","start":3703.883,"end":3703.979},{"text":"are","start":3704.043,"end":3704.075},{"text":"not","start":3704.075,"end":3704.364},{"text":"planning","start":3704.364,"end":3704.734},{"text":"or","start":3704.926,"end":3705.071},{"text":"budgeting","start":3705.071,"end":3705.456},{"text":"properly","start":3705.569,"end":3706.098},{"text":"to","start":3706.612,"end":3706.773},{"text":"deploy","start":3706.773,"end":3707.046},{"text":"these","start":3707.158,"end":3707.303},{"text":"breakthroughs","start":3707.399,"end":3707.832},{"text":"efficiently","start":3707.832,"end":3708.378},{"text":"and","start":3708.378,"end":3708.523},{"text":"at","start":3708.523,"end":3708.571},{"text":"scale.","start":3708.619,"end":3708.973}]},{"text":"Idea number 3: community health workers are the integrators who will bring innovation—these innovations—to families.","start":3710.305,"end":3717.82,"topics":[{"key":"health-workforce","label":"Health Workforce Strengthening","description":"Speakers highlighted the central role of healthcare workers and community health workers in making integration work. Priorities included workforce financing, training for integrated care, safe working conditions, and better planning to address shortages and uneven distribution."},{"key":"community-led-services","label":"Community-Led Services","description":"Community organizations, civil society, faith groups, and people with lived experience were described as essential partners in reaching populations left behind. Speakers stressed that integration should strengthen, finance, and formalize community-led delivery rather than displace it."}],"words":[{"text":"Idea","start":3710.305,"end":3710.562},{"text":"number","start":3710.562,"end":3710.787},{"text":"3:","start":3710.787,"end":3711.124},{"text":"community","start":3711.911,"end":3712.328},{"text":"health","start":3712.377,"end":3712.521},{"text":"workers","start":3712.617,"end":3712.922},{"text":"are","start":3713.179,"end":3713.228},{"text":"the","start":3713.517,"end":3713.677},{"text":"integrators","start":3713.677,"end":3714.127},{"text":"who","start":3714.544,"end":3714.608},{"text":"will","start":3714.624,"end":3714.769},{"text":"bring","start":3714.785,"end":3714.93},{"text":"innovation—these","start":3714.978,"end":3716.053},{"text":"innovations—to","start":3716.086,"end":3717.274},{"text":"families.","start":3717.274,"end":3717.82}]},{"text":"They are the delivery platform for primary health care, as we've heard again and again this afternoon, as part of a broader package of care.","start":3718.398,"end":3725.703,"topics":[{"key":"primary-care-uhc","label":"Primary Health Care and Universal Health Coverage","description":"Many interventions linked disease programs to stronger primary health care and to the broader objective of universal health coverage. Speakers emphasized using existing HIV, TB, and malaria platforms as building blocks for more comprehensive and equitable health services."}],"words":[{"text":"They","start":3718.398,"end":3718.494},{"text":"are","start":3718.558,"end":3718.655},{"text":"the","start":3718.655,"end":3718.912},{"text":"delivery","start":3719.361,"end":3719.666},{"text":"platform","start":3719.698,"end":3720.581},{"text":"for","start":3720.581,"end":3720.726},{"text":"primary","start":3720.742,"end":3721.111},{"text":"health","start":3721.127,"end":3721.272},{"text":"care,","start":3721.32,"end":3721.432},{"text":"as","start":3721.465,"end":3721.513},{"text":"we've","start":3721.609,"end":3721.85},{"text":"heard","start":3721.85,"end":3721.994},{"text":"again","start":3722.107,"end":3722.38},{"text":"and","start":3722.412,"end":3722.492},{"text":"again","start":3722.492,"end":3722.797},{"text":"this","start":3722.829,"end":3722.99},{"text":"afternoon,","start":3722.99,"end":3723.504},{"text":"as","start":3723.953,"end":3724.018},{"text":"part","start":3724.114,"end":3724.339},{"text":"of","start":3724.339,"end":3724.371},{"text":"a","start":3724.371,"end":3724.499},{"text":"broader","start":3724.499,"end":3724.82},{"text":"package","start":3724.82,"end":3725.222},{"text":"of","start":3725.222,"end":3725.334},{"text":"care.","start":3725.382,"end":3725.703}]},{"text":"There are excellent models across the African continent, and they have the linkages, the ties and increasingly the knowledge to be not only the line of defense for individual families, but the line of defense for all of us in health security, because the common denominator that they see and understand, and when properly equipped can differentiate, is fever.","start":3726.041,"end":3746.972,"topics":[{"key":"health-workforce","label":"Health Workforce Strengthening","description":"Speakers highlighted the central role of healthcare workers and community health workers in making integration work. Priorities included workforce financing, training for integrated care, safe working conditions, and better planning to address shortages and uneven distribution."}],"words":[{"text":"There","start":3726.041,"end":3726.105},{"text":"are","start":3726.105,"end":3726.265},{"text":"excellent","start":3726.265,"end":3726.554},{"text":"models","start":3726.587,"end":3726.94},{"text":"across","start":3726.94,"end":3727.389},{"text":"the","start":3727.389,"end":3727.47},{"text":"African","start":3727.55,"end":3727.855},{"text":"continent,","start":3728.353,"end":3728.931},{"text":"and","start":3729.573,"end":3729.637},{"text":"they","start":3729.718,"end":3729.975},{"text":"have","start":3730.135,"end":3730.52},{"text":"the","start":3730.52,"end":3730.617},{"text":"linkages,","start":3730.617,"end":3731.066},{"text":"the","start":3731.179,"end":3731.323},{"text":"ties","start":3731.323,"end":3731.789},{"text":"and","start":3732.062,"end":3732.126},{"text":"increasingly","start":3732.142,"end":3732.672},{"text":"the","start":3732.704,"end":3732.784},{"text":"knowledge","start":3732.784,"end":3733.33},{"text":"to","start":3733.731,"end":3733.795},{"text":"be","start":3733.891,"end":3734.1},{"text":"not","start":3734.485,"end":3734.71},{"text":"only","start":3734.71,"end":3734.919},{"text":"the","start":3735.496,"end":3735.673},{"text":"line","start":3735.753,"end":3735.93},{"text":"of","start":3735.93,"end":3736.01},{"text":"defense","start":3736.058,"end":3736.443},{"text":"for","start":3736.443,"end":3736.508},{"text":"individual","start":3736.54,"end":3736.973},{"text":"families,","start":3736.973,"end":3737.567},{"text":"but","start":3737.984,"end":3738.08},{"text":"the","start":3738.08,"end":3738.225},{"text":"line","start":3738.225,"end":3738.369},{"text":"of","start":3738.417,"end":3738.498},{"text":"defense","start":3738.498,"end":3738.819},{"text":"for","start":3738.867,"end":3738.947},{"text":"all","start":3739.108,"end":3739.156},{"text":"of","start":3739.204,"end":3739.3},{"text":"us","start":3739.3,"end":3739.557},{"text":"in","start":3739.605,"end":3739.685},{"text":"health","start":3739.685,"end":3739.894},{"text":"security,","start":3739.926,"end":3740.472},{"text":"because","start":3740.552,"end":3740.777},{"text":"the","start":3740.809,"end":3740.889},{"text":"common","start":3740.889,"end":3741.194},{"text":"denominator","start":3741.194,"end":3741.852},{"text":"that","start":3741.852,"end":3742.013},{"text":"they","start":3742.013,"end":3742.125},{"text":"see","start":3742.173,"end":3742.43},{"text":"and","start":3742.43,"end":3742.558},{"text":"understand,","start":3742.558,"end":3743.377},{"text":"and","start":3743.778,"end":3743.842},{"text":"when","start":3743.922,"end":3744.067},{"text":"properly","start":3744.083,"end":3744.5},{"text":"equipped","start":3744.5,"end":3744.885},{"text":"can","start":3744.885,"end":3745.046},{"text":"differentiate,","start":3745.046,"end":3745.864},{"text":"is","start":3746.33,"end":3746.474},{"text":"fever.","start":3746.587,"end":3746.972}]},{"text":"They know and see and deal with fever faster than anyone.","start":3747.389,"end":3750.471,"topics":[{"key":"health-workforce","label":"Health Workforce Strengthening","description":"Speakers highlighted the central role of healthcare workers and community health workers in making integration work. Priorities included workforce financing, training for integrated care, safe working conditions, and better planning to address shortages and uneven distribution."}],"words":[{"text":"They","start":3747.389,"end":3747.63},{"text":"know","start":3747.79,"end":3748.111},{"text":"and","start":3748.192,"end":3748.336},{"text":"see","start":3748.336,"end":3748.689},{"text":"and","start":3748.834,"end":3748.898},{"text":"deal","start":3748.978,"end":3749.155},{"text":"with","start":3749.155,"end":3749.315},{"text":"fever","start":3749.315,"end":3749.636},{"text":"faster","start":3749.636,"end":3750.021},{"text":"than","start":3750.037,"end":3750.118},{"text":"anyone.","start":3750.182,"end":3750.471}]},{"text":"Idea number 4: The public sector is not enough.","start":3751.064,"end":3754.29,"topics":[],"words":[{"text":"Idea","start":3751.064,"end":3751.257},{"text":"number","start":3751.257,"end":3751.546},{"text":"4:","start":3751.546,"end":3751.963},{"text":"The","start":3752.83,"end":3752.926},{"text":"public","start":3752.926,"end":3753.311},{"text":"sector","start":3753.311,"end":3753.584},{"text":"is","start":3753.584,"end":3753.697},{"text":"not","start":3753.713,"end":3753.841},{"text":"enough.","start":3753.889,"end":3754.29}]},{"text":"We need to include and activate private sector channels, community pharmacies and drug shops, among others, because they're the greatest access points, the first access points for the people who need these interventions most quickly.","start":3755.013,"end":3767.885,"topics":[{"key":"community-led-services","label":"Community-Led Services","description":"Community organizations, civil society, faith groups, and people with lived experience were described as essential partners in reaching populations left behind. Speakers stressed that integration should strengthen, finance, and formalize community-led delivery rather than displace it."},{"key":"primary-care-uhc","label":"Primary Health Care and Universal Health Coverage","description":"Many interventions linked disease programs to stronger primary health care and to the broader objective of universal health coverage. Speakers emphasized using existing HIV, TB, and malaria platforms as building blocks for more comprehensive and equitable health services."}],"words":[{"text":"We","start":3755.013,"end":3755.093},{"text":"need","start":3755.093,"end":3755.253},{"text":"to","start":3755.253,"end":3755.398},{"text":"include","start":3755.398,"end":3755.895},{"text":"and","start":3755.895,"end":3755.992},{"text":"activate","start":3756.12,"end":3756.682},{"text":"private","start":3756.682,"end":3757.035},{"text":"sector","start":3757.035,"end":3757.404},{"text":"channels,","start":3757.404,"end":3757.837},{"text":"community","start":3757.87,"end":3758.27},{"text":"pharmacies","start":3758.302,"end":3758.831},{"text":"and","start":3758.863,"end":3759.007},{"text":"drug","start":3759.007,"end":3759.184},{"text":"shops,","start":3759.184,"end":3759.6},{"text":"among","start":3760.85,"end":3761.555},{"text":"others,","start":3761.651,"end":3761.956},{"text":"because","start":3762.372,"end":3762.597},{"text":"they're","start":3762.629,"end":3762.709},{"text":"the","start":3762.709,"end":3762.853},{"text":"greatest","start":3762.853,"end":3763.238},{"text":"access","start":3763.254,"end":3763.654},{"text":"points,","start":3763.654,"end":3763.911},{"text":"the","start":3763.927,"end":3763.991},{"text":"first","start":3763.991,"end":3764.375},{"text":"access","start":3764.375,"end":3764.6},{"text":"points","start":3764.712,"end":3765.016},{"text":"for","start":3765.016,"end":3765.097},{"text":"the","start":3765.097,"end":3765.193},{"text":"people","start":3765.193,"end":3765.417},{"text":"who","start":3765.433,"end":3765.529},{"text":"need","start":3765.529,"end":3765.802},{"text":"these","start":3766.154,"end":3766.282},{"text":"interventions","start":3766.314,"end":3766.923},{"text":"most","start":3767.276,"end":3767.516},{"text":"quickly.","start":3767.516,"end":3767.885}]},{"text":"But also, as we heard the Executive Director of UNAIDS say, community-based and faith-based organizations are essential.","start":3768.382,"end":3774.599,"topics":[{"key":"community-led-services","label":"Community-Led Services","description":"Community organizations, civil society, faith groups, and people with lived experience were described as essential partners in reaching populations left behind. 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Idea 5: Integration will only work if it saves time, and eventually money.","start":3775.112,"end":3785.112,"topics":[{"key":"community-led-services","label":"Community-Led Services","description":"Community organizations, civil society, faith groups, and people with lived experience were described as essential partners in reaching populations left behind. 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very much, Dr. Steiger.","start":3888.812,"end":3890.181,"topics":[],"words":[{"text":"Thanks","start":3888.812,"end":3889.005},{"text":"very","start":3889.005,"end":3889.102},{"text":"much,","start":3889.134,"end":3889.376},{"text":"Dr.","start":3889.392,"end":3889.666},{"text":"Steiger.","start":3889.73,"end":3890.181}]},{"text":"Let's give 2 minutes now to Janet Guinard.","start":3890.261,"end":3892.338,"topics":[],"words":[{"text":"Let's","start":3890.261,"end":3890.583},{"text":"give","start":3890.583,"end":3890.793},{"text":"2","start":3890.825,"end":3890.954},{"text":"minutes","start":3890.986,"end":3891.308},{"text":"now","start":3891.308,"end":3891.421},{"text":"to","start":3891.469,"end":3891.598},{"text":"Janet","start":3891.63,"end":3892.016},{"text":"Guinard.","start":3892.033,"end":3892.338}]},{"text":"Janet, you're the Director of Strategy at UNITAID.","start":3892.822,"end":3895.462,"topics":[],"words":[{"text":"Janet,","start":3892.822,"end":3893.079},{"text":"you're","start":3893.095,"end":3893.224},{"text":"the","start":3893.24,"end":3893.321},{"text":"Director","start":3893.321,"end":3893.691},{"text":"of","start":3893.707,"end":3893.788},{"text":"Strategy","start":3893.804,"end":3894.303},{"text":"at","start":3894.593,"end":3894.818},{"text":"UNITAID.","start":3894.834,"end":3895.462}]},{"text":"How can multidisease testing platforms break the silos between HIV, TB, and malaria at community level?","start":3895.591,"end":3902.323,"topics":[],"words":[{"text":"How","start":3895.591,"end":3895.736},{"text":"can","start":3895.736,"end":3895.849},{"text":"multidisease","start":3895.849,"end":3896.67},{"text":"testing","start":3896.766,"end":3897.153},{"text":"platforms","start":3897.185,"end":3897.716},{"text":"break","start":3898.055,"end":3898.2},{"text":"the","start":3898.2,"end":3898.296},{"text":"silos","start":3898.296,"end":3898.763},{"text":"between","start":3898.86,"end":3899.134},{"text":"HIV,","start":3899.343,"end":3899.987},{"text":"TB,","start":3900.068,"end":3900.471},{"text":"and","start":3900.487,"end":3900.535},{"text":"malaria","start":3900.535,"end":3901.067},{"text":"at","start":3901.373,"end":3901.518},{"text":"community","start":3901.518,"end":3902.065},{"text":"level?","start":3902.097,"end":3902.323}]},{"text":"And when you really think about it, what are the main regulatory or supply chain bottlenecks towards scaling them up?","start":3902.661,"end":3908.623,"topics":[],"words":[{"text":"And","start":3902.661,"end":3902.726},{"text":"when","start":3902.726,"end":3902.806},{"text":"you","start":3902.822,"end":3902.951},{"text":"really","start":3903.048,"end":3903.225},{"text":"think","start":3903.225,"end":3903.547},{"text":"about","start":3903.547,"end":3903.95},{"text":"it,","start":3903.95,"end":3904.014},{"text":"what","start":3904.095,"end":3904.207},{"text":"are","start":3904.256,"end":3904.288},{"text":"the","start":3904.288,"end":3904.401},{"text":"main","start":3904.401,"end":3904.61},{"text":"regulatory","start":3904.675,"end":3905.287},{"text":"or","start":3905.319,"end":3905.416},{"text":"supply","start":3905.416,"end":3905.979},{"text":"chain","start":3906.028,"end":3906.237},{"text":"bottlenecks","start":3906.446,"end":3907.075},{"text":"towards","start":3907.349,"end":3907.72},{"text":"scaling","start":3907.72,"end":3908.3},{"text":"them","start":3908.365,"end":3908.526},{"text":"up?","start":3908.526,"end":3908.623}]}]}],"speaker":{"name":"James Chan","affiliation":"China-United States Exchange Foundation","affiliation_full":"China-United States Exchange Foundation","group":null,"function":"Moderator"}},{"statement_number":22,"start":3910.398,"pageUrl":"/es/asset/k1y/k1ytpnvqmv?lang=en&t=3911","paragraphs":[{"sentences":[{"text":"Thank you, James, and thank you to the conveners of this event.","start":3910.398,"end":3913.044,"topics":[],"words":[{"text":"Thank","start":3910.398,"end":3910.624},{"text":"you,","start":3910.624,"end":3910.656},{"text":"James,","start":3910.704,"end":3910.962},{"text":"and","start":3910.979,"end":3911.108},{"text":"thank","start":3911.108,"end":3911.269},{"text":"you","start":3911.269,"end":3911.35},{"text":"to","start":3911.35,"end":3911.463},{"text":"the","start":3911.463,"end":3911.608},{"text":"conveners","start":3911.608,"end":3912.06},{"text":"of","start":3912.318,"end":3912.463},{"text":"this","start":3912.64,"end":3912.705},{"text":"event.","start":3912.834,"end":3913.044}]},{"text":"I'll start by slightly reframing the question, and it's in response to some of the points we'd heard from previous 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Health sovereignty was framed as the long-term destination, with governments leading decisions on transition, coordination, and system design."}],"words":[{"text":"Those","start":3960.766,"end":3960.83},{"text":"silos","start":3960.862,"end":3961.248},{"text":"are","start":3961.248,"end":3961.296},{"text":"largely","start":3961.328,"end":3961.665},{"text":"an","start":3961.665,"end":3961.713},{"text":"artifact,","start":3961.826,"end":3962.276},{"text":"a","start":3962.292,"end":3962.372},{"text":"reflection","start":3962.372,"end":3962.998},{"text":"of","start":3963.496,"end":3963.544},{"text":"how","start":3963.577,"end":3963.673},{"text":"programs","start":3963.673,"end":3964.171},{"text":"and","start":3964.219,"end":3964.315},{"text":"financing","start":3964.315,"end":3964.765},{"text":"has","start":3965.183,"end":3965.263},{"text":"been","start":3965.279,"end":3965.376},{"text":"organized.","start":3965.44,"end":3965.825}]},{"text":"So the opportunity is not simply to introduce a new diagnostic technology, it's to redesign services around people's needs.","start":3966.804,"end":3973.828,"topics":[{"key":"integrated-service-delivery","label":"Integrated Service Delivery","description":"Speakers repeatedly called for HIV, tuberculosis, malaria, and related services to be delivered together rather than through isolated vertical programs. 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This included expanding budget allocations, social health insurance, and other national financing mechanisms to sustain HIV, TB, and malaria responses."}],"words":[{"text":"So,","start":4074.872,"end":4074.969},{"text":"that","start":4075.018,"end":4075.131},{"text":"use","start":4075.26,"end":4075.453},{"text":"case","start":4075.566,"end":4075.938},{"text":"definition","start":4075.986,"end":4076.616},{"text":"is","start":4077.262,"end":4077.358},{"text":"what","start":4077.423,"end":4077.52},{"text":"allows","start":4077.52,"end":4077.81},{"text":"regulators","start":4077.907,"end":4078.376},{"text":"to","start":4078.408,"end":4078.505},{"text":"assess","start":4078.505,"end":4078.811},{"text":"products,","start":4078.811,"end":4079.36},{"text":"manufacturers","start":4079.457,"end":4080.151},{"text":"to","start":4080.184,"end":4080.297},{"text":"invest","start":4080.345,"end":4080.959},{"text":"and","start":4080.991,"end":4081.055},{"text":"remain","start":4081.152,"end":4081.524},{"text":"engaged,","start":4081.717,"end":4082.379},{"text":"countries","start":4082.767,"end":4083.138},{"text":"to","start":4083.17,"end":4083.251},{"text":"plan","start":4083.3,"end":4083.412},{"text":"procurement,","start":4083.412,"end":4084.041},{"text":"and","start":4084.057,"end":4084.121},{"text":"government","start":4084.202,"end":4084.572},{"text":"and","start":4084.621,"end":4084.685},{"text":"financing","start":4084.766,"end":4085.152},{"text":"partners","start":4085.249,"end":4085.716},{"text":"to","start":4085.748,"end":4085.893},{"text":"support","start":4085.893,"end":4086.377},{"text":"sustainable","start":4086.86,"end":4087.375},{"text":"scale-up.","start":4087.375,"end":4088.004}]},{"text":"So, that does bring me to the barriers, James.","start":4088.793,"end":4090.436,"topics":[],"words":[{"text":"So,","start":4088.793,"end":4088.874},{"text":"that","start":4088.89,"end":4089.035},{"text":"does","start":4089.035,"end":4089.18},{"text":"bring","start":4089.212,"end":4089.341},{"text":"me","start":4089.373,"end":4089.518},{"text":"to","start":4089.518,"end":4089.599},{"text":"the","start":4089.599,"end":4089.695},{"text":"barriers,","start":4089.695,"end":4090.066},{"text":"James.","start":4090.162,"end":4090.436}]},{"text":"The biggest bottlenecks are often not technical.","start":4090.501,"end":4093.225,"topics":[],"words":[{"text":"The","start":4090.501,"end":4090.662},{"text":"biggest","start":4090.662,"end":4090.968},{"text":"bottlenecks","start":4090.968,"end":4091.548},{"text":"are","start":4091.548,"end":4091.693},{"text":"often","start":4091.693,"end":4091.999},{"text":"not","start":4092.434,"end":4092.676},{"text":"technical.","start":4092.676,"end":4093.225}]},{"text":"Systems for generating evidence, developing guidance, planning procurement, financing scale-up, but they're still often organized around individual disease programs, and integrated products require a much more coordinated approach.","start":4093.967,"end":4107.741,"topics":[{"key":"integrated-service-delivery","label":"Integrated Service Delivery","description":"Speakers repeatedly called for HIV, tuberculosis, malaria, and related services to be delivered together rather than through isolated vertical programs. 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what will it take to equip, support, and retain the frontline workforce that makes this transition work, and how can medical associations help safeguard quality of care for the most 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Chan","affiliation":"China-United States Exchange Foundation","affiliation_full":"China-United States Exchange Foundation","group":null,"function":"Moderator"}},{"statement_number":24,"start":4179.862,"pageUrl":"/es/asset/k1y/k1ytpnvqmv?lang=en&t=4180","paragraphs":[{"sentences":[{"text":"All right, thank you, James, and Your Excellencies and distinguished guests, all protocols observed, thank you.","start":4179.862,"end":4187.351,"topics":[],"words":[{"text":"All","start":4179.862,"end":4180.103},{"text":"right,","start":4180.103,"end":4180.666},{"text":"thank","start":4180.73,"end":4180.907},{"text":"you,","start":4180.907,"end":4180.939},{"text":"James,","start":4180.987,"end":4181.276},{"text":"and","start":4181.614,"end":4181.855},{"text":"Your","start":4182.514,"end":4182.883},{"text":"Excellencies","start":4183.944,"end":4184.506},{"text":"and","start":4184.667,"end":4184.764},{"text":"distinguished","start":4184.764,"end":4185.39},{"text":"guests,","start":4185.39,"end":4185.728},{"text":"all","start":4185.808,"end":4185.953},{"text":"protocols","start":4185.969,"end":4186.371},{"text":"observed,","start":4186.371,"end":4186.853},{"text":"thank","start":4186.997,"end":4187.255},{"text":"you.","start":4187.255,"end":4187.351}]},{"text":"From a healthcare perspective, allow me to speak today from the perspective of the Commonwealth Medical Association and also 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similarly as well, a lot of our countries still struggle with shortages, maldistribution, and migration of healthcare workers.","start":4220.39,"end":4229.569,"topics":[{"key":"health-workforce","label":"Health Workforce Strengthening","description":"Speakers highlighted the central role of healthcare workers and community health workers in making integration work. 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thank you, and I will end there.","start":4480.5,"end":4482.525,"topics":[],"words":[{"text":"So","start":4480.5,"end":4480.613},{"text":"thank","start":4480.741,"end":4481.063},{"text":"you,","start":4481.063,"end":4481.159},{"text":"and","start":4481.4,"end":4481.464},{"text":"I","start":4481.641,"end":4481.705},{"text":"will","start":4481.866,"end":4481.962},{"text":"end","start":4482.123,"end":4482.284},{"text":"there.","start":4482.364,"end":4482.525}]},{"text":"Thank you very much.","start":4482.991,"end":4483.826,"topics":[],"words":[{"text":"Thank","start":4482.991,"end":4483.248},{"text":"you","start":4483.248,"end":4483.409},{"text":"very","start":4483.409,"end":4483.617},{"text":"much.","start":4483.634,"end":4483.826}]}]}],"speaker":{"name":"Judith Nkisa Baraso","affiliation":"Commonwealth Medical Association","affiliation_full":"Commonwealth Medical 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Weinrocks","affiliation":"Global Fund","affiliation_full":"Global Fund","group":null,"function":"Head of Strategic Investment and Impact Division"}},{"statement_number":27,"start":4754.842,"pageUrl":"/es/asset/k1y/k1ytpnvqmv?lang=en&t=4755","paragraphs":[{"sentences":[{"text":"Thank you.","start":4754.842,"end":4755.163,"topics":[],"words":[{"text":"Thank","start":4754.842,"end":4755.019},{"text":"you.","start":4755.019,"end":4755.163}]},{"text":"Thanks.","start":4755.886,"end":4756.223,"topics":[],"words":[{"text":"Thanks.","start":4755.886,"end":4756.223}]},{"text":"Let's go now, because we need to leave this room very shortly and everyone needs to get back to the General Assembly Hall.","start":4756.849,"end":4761.875,"topics":[],"words":[{"text":"Let's","start":4756.849,"end":4757.203},{"text":"go","start":4757.652,"end":4757.765},{"text":"now,","start":4757.765,"end":4757.909},{"text":"because","start":4757.973,"end":4758.166},{"text":"we","start":4758.214,"end":4758.294},{"text":"need","start":4758.294,"end":4758.439},{"text":"to","start":4758.471,"end":4758.551},{"text":"leave","start":4758.551,"end":4758.712},{"text":"this","start":4758.712,"end":4758.937},{"text":"room","start":4758.937,"end":4759.097},{"text":"very","start":4759.097,"end":4759.194},{"text":"shortly","start":4759.194,"end":4759.675},{"text":"and","start":4759.675,"end":4759.836},{"text":"everyone","start":4759.836,"end":4760.045},{"text":"needs","start":4760.077,"end":4760.189},{"text":"to","start":4760.189,"end":4760.318},{"text":"get","start":4760.318,"end":4760.478},{"text":"back","start":4760.478,"end":4760.655},{"text":"to","start":4760.735,"end":4760.863},{"text":"the","start":4760.863,"end":4760.944},{"text":"General","start":4760.944,"end":4761.185},{"text":"Assembly","start":4761.185,"end":4761.65},{"text":"Hall.","start":4761.763,"end":4761.875}]},{"text":"Philip Nyakwanes from the Movement of Men Against AIDS— Philip, you know, can help us to ground sustainability in the realities of 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we're going to give you some time for the closing reflection,, and I know that Winnie Byanyima would like to say a word at the end as 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Chan","affiliation":"China-United States Exchange Foundation","affiliation_full":"China-United States Exchange Foundation","group":null,"function":"Moderator"}},{"statement_number":28,"start":4780.6,"pageUrl":"/es/asset/k1y/k1ytpnvqmv?lang=en&t=4781","paragraphs":[{"sentences":[{"text":"Thank you.","start":4780.6,"end":4781.22,"topics":[],"words":[{"text":"Thank","start":4780.6,"end":4780.62},{"text":"you.","start":4780.62,"end":4781.22}]},{"text":"Thank you very much, Chair of the session, colleagues, those who have spoken before me.","start":4781.22,"end":4788.62,"topics":[],"words":[{"text":"Thank","start":4781.22,"end":4781.22},{"text":"you","start":4781.22,"end":4781.22},{"text":"very","start":4781.22,"end":4781.38},{"text":"much,","start":4781.38,"end":4781.78},{"text":"Chair","start":4783.3,"end":4783.659},{"text":"of","start":4783.659,"end":4783.9},{"text":"the","start":4783.9,"end":4784},{"text":"session,","start":4784,"end":4784.9},{"text":"colleagues,","start":4784.92,"end":4785.54},{"text":"those","start":4785.54,"end":4785.72},{"text":"who","start":4785.72,"end":4785.86},{"text":"have","start":4785.86,"end":4786.08},{"text":"spoken","start":4786.08,"end":4786.44},{"text":"before","start":4786.44,"end":4787.72},{"text":"me.","start":4787.72,"end":4788.62}]},{"text":"I'm Philip Nyakuana, and I want to take this opportunity to speak as someone who has felt the impact of the three diseases and someone who also has been at the center of the response in terms of community engagement and involvement across the TB, HIV, and malaria in Kenya.","start":4788.72,"end":4810.434,"topics":[{"key":"community-led-services","label":"Community-Led Services","description":"Community organizations, civil society, faith groups, and people with lived experience were described as essential partners in reaching populations left behind. 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Health sovereignty was framed as the long-term destination, with governments leading decisions on transition, coordination, and system design."}],"words":[{"text":"Then","start":4845.199,"end":4845.328},{"text":"the","start":4845.376,"end":4845.585},{"text":"question","start":4845.601,"end":4846.051},{"text":"is,","start":4846.243,"end":4846.388},{"text":"whose","start":4846.741,"end":4846.95},{"text":"agenda","start":4847.062,"end":4847.608},{"text":"are","start":4847.688,"end":4847.865},{"text":"we","start":4847.865,"end":4848.058},{"text":"implementing?","start":4848.572,"end":4849.198}]},{"text":"Integration is whose agenda?","start":4849.375,"end":4850.997,"topics":[{"key":"country-ownership","label":"Country Ownership and Health Sovereignty","description":"Several speakers argued that integration must be country-led, not donor-imposed, and aligned with national priorities. Health sovereignty was framed as the long-term destination, with governments leading decisions on transition, coordination, and system design."}],"words":[{"text":"Integration","start":4849.375,"end":4850.081},{"text":"is","start":4850.113,"end":4850.162},{"text":"whose","start":4850.338,"end":4850.483},{"text":"agenda?","start":4850.515,"end":4850.997}]},{"text":"Is it a donor agenda?","start":4851.639,"end":4852.763,"topics":[{"key":"country-ownership","label":"Country Ownership and Health Sovereignty","description":"Several speakers argued that integration must be country-led, not donor-imposed, and aligned with national priorities. Health sovereignty was framed as the long-term destination, with governments leading decisions on transition, coordination, and system design."}],"words":[{"text":"Is","start":4851.639,"end":4851.735},{"text":"it","start":4851.735,"end":4851.88},{"text":"a","start":4851.88,"end":4851.896},{"text":"donor","start":4852.024,"end":4852.249},{"text":"agenda?","start":4852.265,"end":4852.763}]},{"text":"Is it country agenda?","start":4853.711,"end":4855.172,"topics":[{"key":"country-ownership","label":"Country Ownership and Health Sovereignty","description":"Several speakers argued that integration must be country-led, not donor-imposed, and aligned with national priorities. Health sovereignty was framed as the long-term destination, with governments leading decisions on transition, coordination, and system design."}],"words":[{"text":"Is","start":4853.711,"end":4853.775},{"text":"it","start":4853.807,"end":4854.048},{"text":"country","start":4854.353,"end":4854.69},{"text":"agenda?","start":4854.69,"end":4855.172}]},{"text":"Or is it a global agenda?","start":4855.959,"end":4857.661,"topics":[],"words":[{"text":"Or","start":4855.959,"end":4856.071},{"text":"is","start":4856.071,"end":4856.264},{"text":"it","start":4856.296,"end":4856.457},{"text":"a","start":4856.457,"end":4856.473},{"text":"global","start":4856.617,"end":4857.003},{"text":"agenda?","start":4857.179,"end":4857.661}]},{"text":"So these are issues that we may need answers around them as we go on with our integration agenda, and that comes with a definition.","start":4858.126,"end":4866.362,"topics":[{"key":"country-ownership","label":"Country Ownership and Health Sovereignty","description":"Several speakers argued that integration must be country-led, not donor-imposed, and aligned with national priorities. Health sovereignty was framed as the long-term destination, with governments leading decisions on transition, coordination, and system design."}],"words":[{"text":"So","start":4858.126,"end":4858.27},{"text":"these","start":4858.302,"end":4858.511},{"text":"are","start":4858.543,"end":4858.719},{"text":"issues","start":4858.719,"end":4859.071},{"text":"that","start":4859.184,"end":4859.408},{"text":"we","start":4859.408,"end":4859.488},{"text":"may","start":4859.488,"end":4859.664},{"text":"need","start":4859.664,"end":4860.113},{"text":"answers","start":4860.69,"end":4861.074},{"text":"around","start":4861.106,"end":4861.427},{"text":"them","start":4861.427,"end":4861.667},{"text":"as","start":4862.068,"end":4862.196},{"text":"we","start":4862.292,"end":4862.388},{"text":"go","start":4862.388,"end":4862.613},{"text":"on","start":4862.693,"end":4862.821},{"text":"with","start":4863.27,"end":4863.43},{"text":"our","start":4863.43,"end":4863.526},{"text":"integration","start":4863.526,"end":4864.231},{"text":"agenda,","start":4864.311,"end":4864.712},{"text":"and","start":4864.856,"end":4864.92},{"text":"that","start":4864.952,"end":4865.193},{"text":"comes","start":4865.193,"end":4865.401},{"text":"with","start":4865.577,"end":4865.737},{"text":"a","start":4865.737,"end":4865.818},{"text":"definition.","start":4865.818,"end":4866.362}]},{"text":"Again, if you ask people, \"What is your definition?\" If we close our eyes in this room and ask each one of us their definition of integration, we may end up having different answers for integration.","start":4867.019,"end":4878.348,"topics":[],"words":[{"text":"Again,","start":4867.019,"end":4867.164},{"text":"if","start":4867.212,"end":4867.34},{"text":"you","start":4867.34,"end":4867.436},{"text":"ask","start":4867.58,"end":4867.837},{"text":"people,","start":4867.837,"end":4868.141},{"text":"\"What","start":4868.782,"end":4868.958},{"text":"is","start":4868.958,"end":4869.102},{"text":"your","start":4869.102,"end":4869.199},{"text":"definition?\"","start":4869.199,"end":4869.775},{"text":"If","start":4869.92,"end":4870.064},{"text":"we","start":4870.064,"end":4870.096},{"text":"close","start":4870.24,"end":4870.561},{"text":"our","start":4870.625,"end":4870.769},{"text":"eyes","start":4870.801,"end":4871.009},{"text":"in","start":4871.041,"end":4871.105},{"text":"this","start":4871.121,"end":4871.362},{"text":"room","start":4871.362,"end":4871.586},{"text":"and","start":4871.586,"end":4871.73},{"text":"ask","start":4871.826,"end":4872.163},{"text":"each","start":4872.163,"end":4872.323},{"text":"one","start":4872.323,"end":4872.548},{"text":"of","start":4872.548,"end":4872.708},{"text":"us","start":4872.708,"end":4872.9},{"text":"their","start":4873.205,"end":4873.349},{"text":"definition","start":4873.365,"end":4874.054},{"text":"of","start":4874.166,"end":4874.262},{"text":"integration,","start":4874.262,"end":4874.935},{"text":"we","start":4875.208,"end":4875.336},{"text":"may","start":4875.352,"end":4875.56},{"text":"end","start":4875.592,"end":4875.752},{"text":"up","start":4875.752,"end":4875.945},{"text":"having","start":4875.977,"end":4876.153},{"text":"different","start":4876.329,"end":4876.682},{"text":"answers","start":4876.81,"end":4877.178},{"text":"for","start":4877.595,"end":4877.691},{"text":"integration.","start":4877.691,"end":4878.348}]},{"text":"Then why?","start":4878.893,"end":4880.768,"topics":[],"words":[{"text":"Then","start":4878.893,"end":4879.085},{"text":"why?","start":4880.576,"end":4880.768}]},{"text":"There's something which is missing in our integration conversation.","start":4880.976,"end":4884.373,"topics":[{"key":"country-ownership","label":"Country Ownership and Health Sovereignty","description":"Several speakers argued that integration must be country-led, not donor-imposed, and aligned with national priorities. Health sovereignty was framed as the long-term destination, with governments leading decisions on transition, coordination, and system design."}],"words":[{"text":"There's","start":4880.976,"end":4881.2},{"text":"something","start":4881.2,"end":4881.505},{"text":"which","start":4881.601,"end":4881.713},{"text":"is","start":4881.777,"end":4881.906},{"text":"missing","start":4881.938,"end":4882.306},{"text":"in","start":4882.739,"end":4882.787},{"text":"our","start":4882.883,"end":4883.139},{"text":"integration","start":4883.139,"end":4883.748},{"text":"conversation.","start":4883.764,"end":4884.373}]},{"text":"And the missing point is the framework.","start":4884.807,"end":4887.056,"topics":[{"key":"country-ownership","label":"Country Ownership and Health Sovereignty","description":"Several speakers argued that integration must be country-led, not donor-imposed, and aligned with national priorities. Health sovereignty was framed as the long-term destination, with governments leading decisions on transition, coordination, and system design."}],"words":[{"text":"And","start":4884.807,"end":4884.903},{"text":"the","start":4884.903,"end":4885.064},{"text":"missing","start":4885.064,"end":4885.401},{"text":"point","start":4885.465,"end":4885.915},{"text":"is","start":4886.349,"end":4886.397},{"text":"the","start":4886.51,"end":4886.59},{"text":"framework.","start":4886.59,"end":4887.056}]},{"text":"Do we have an integration framework at the global level that can be cascaded to respond to the country needs?","start":4888.116,"end":4896.776,"topics":[{"key":"country-ownership","label":"Country Ownership and Health Sovereignty","description":"Several speakers argued that integration must be country-led, not donor-imposed, and aligned with national priorities. Health sovereignty was framed as the long-term destination, with governments leading decisions on transition, coordination, and system design."}],"words":[{"text":"Do","start":4888.116,"end":4888.213},{"text":"we","start":4888.213,"end":4888.293},{"text":"have","start":4888.422,"end":4888.727},{"text":"an","start":4889.305,"end":4889.418},{"text":"integration","start":4889.466,"end":4890.189},{"text":"framework","start":4890.591,"end":4891.073},{"text":"at","start":4891.651,"end":4891.747},{"text":"the","start":4891.812,"end":4891.892},{"text":"global","start":4891.956,"end":4892.278},{"text":"level","start":4892.278,"end":4892.728},{"text":"that","start":4893.097,"end":4893.338},{"text":"can","start":4893.338,"end":4893.467},{"text":"be","start":4893.579,"end":4893.74},{"text":"cascaded","start":4893.74,"end":4894.431},{"text":"to","start":4894.704,"end":4894.864},{"text":"respond","start":4894.864,"end":4895.395},{"text":"to","start":4895.491,"end":4895.539},{"text":"the","start":4895.571,"end":4895.748},{"text":"country","start":4895.748,"end":4896.118},{"text":"needs?","start":4896.455,"end":4896.776}]},{"text":"I think we need to have a conversation by looking at the framework that we have at the global level.","start":4897.58,"end":4903.251,"topics":[{"key":"country-ownership","label":"Country Ownership and Health Sovereignty","description":"Several speakers argued that integration must be country-led, not donor-imposed, and aligned with national priorities. 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Speakers warned that integration would fail if it ignored marginalized populations, gender issues, discrimination, and the social barriers that keep people from care."}],"words":[{"text":"So","start":5078.19,"end":5078.302},{"text":"how","start":5078.334,"end":5078.446},{"text":"do","start":5078.559,"end":5078.591},{"text":"we","start":5078.591,"end":5078.671},{"text":"integrate","start":5078.671,"end":5079.216},{"text":"human","start":5079.216,"end":5079.793},{"text":"rights?","start":5079.793,"end":5080.002}]},{"text":"And as we— if you rightly put, Kipo, we need to have communities, we need to have civil societies at different levels of this conversation, at the global, at the country level, and at the community level, where we draw their experiences, we draw There are lessons learnt, we listen to them.","start":5080.098,"end":5096.551,"topics":[{"key":"community-led-services","label":"Community-Led Services","description":"Community organizations, civil society, faith groups, and people with lived experience were described as essential partners in reaching populations left behind. 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you so much.","start":5112.228,"end":5112.677,"topics":[],"words":[{"text":"Thank","start":5112.228,"end":5112.404},{"text":"you","start":5112.404,"end":5112.5},{"text":"so","start":5112.5,"end":5112.597},{"text":"much.","start":5112.597,"end":5112.677}]}]}],"speaker":{"name":"Philip Nyakuana","affiliation":"Movement of Men Against AIDS in Kenya","affiliation_full":"Movement of Men Against AIDS in Kenya","group":null,"function":null}},{"statement_number":29,"start":5112.725,"pageUrl":"/es/asset/k1y/k1ytpnvqmv?lang=en&t=5113","paragraphs":[{"sentences":[{"text":"Thank you so much, Philip.","start":5112.725,"end":5113.751,"topics":[],"words":[{"text":"Thank","start":5112.725,"end":5112.901},{"text":"you","start":5112.949,"end":5112.981},{"text":"so","start":5112.981,"end":5113.19},{"text":"much,","start":5113.19,"end":5113.43},{"text":"Philip.","start":5113.446,"end":5113.751}]},{"text":"As everyone is moving in for the 3 PM session, and to be fair to them, I'm going to wrap up over 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ask Winnie Byanyima to close.","start":5121.783,"end":5123.554,"topics":[],"words":[{"text":"And","start":5121.783,"end":5121.848},{"text":"ask","start":5122.011,"end":5122.141},{"text":"Winnie","start":5122.173,"end":5122.4},{"text":"Byanyima","start":5122.433,"end":5122.985},{"text":"to","start":5122.985,"end":5123.164},{"text":"close.","start":5123.164,"end":5123.554}]},{"text":"So thank you to everybody as we make our way out and thank you to Winnie.","start":5123.602,"end":5127.03,"topics":[],"words":[{"text":"So","start":5123.602,"end":5123.667},{"text":"thank","start":5123.732,"end":5124.041},{"text":"you","start":5124.041,"end":5124.122},{"text":"to","start":5124.122,"end":5124.203},{"text":"everybody","start":5124.203,"end":5124.642},{"text":"as","start":5124.642,"end":5124.723},{"text":"we","start":5124.772,"end":5124.886},{"text":"make","start":5124.886,"end":5125.129},{"text":"our","start":5125.519,"end":5125.6},{"text":"way","start":5125.6,"end":5125.73},{"text":"out","start":5125.828,"end":5126.153},{"text":"and","start":5126.153,"end":5126.38},{"text":"thank","start":5126.478,"end":5126.656},{"text":"you","start":5126.656,"end":5126.737},{"text":"to","start":5126.737,"end":5126.884},{"text":"Winnie.","start":5126.884,"end":5127.03}]}]}],"speaker":{"name":"James Chan","affiliation":"China-United States Exchange Foundation","affiliation_full":"China-United States Exchange 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Thank you very much for excellent moderation and for our panelists for your insights.","start":5133.187,"end":5138.395,"topics":[],"words":[{"text":"Good.","start":5133.187,"end":5133.366},{"text":"Thank","start":5133.901,"end":5134.08},{"text":"you","start":5134.08,"end":5134.226},{"text":"very","start":5134.226,"end":5134.42},{"text":"much","start":5134.42,"end":5134.696},{"text":"for","start":5134.729,"end":5134.956},{"text":"excellent","start":5134.956,"end":5135.426},{"text":"moderation","start":5135.459,"end":5136.14},{"text":"and","start":5136.189,"end":5136.302},{"text":"for","start":5136.351,"end":5136.513},{"text":"our","start":5136.578,"end":5136.789},{"text":"panelists","start":5136.821,"end":5137.454},{"text":"for","start":5137.47,"end":5137.632},{"text":"your","start":5137.632,"end":5137.762},{"text":"insights.","start":5137.811,"end":5138.395}]},{"text":"It's very clear the question was put by the Kenyan delegate that what is integration For me, it's clear from what I've heard, it's really the pathway that a country chooses towards achieving its health sovereignty.","start":5140.179,"end":5157.279,"topics":[{"key":"country-ownership","label":"Country Ownership and Health Sovereignty","description":"Several speakers argued that integration must be country-led, not donor-imposed, and aligned with national priorities. 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Health sovereignty was framed as the long-term destination, with governments leading decisions on transition, coordination, and system design."}],"words":[{"text":"As","start":5271.908,"end":5272.053},{"text":"Lucica","start":5272.96,"end":5273.397},{"text":"said,","start":5273.397,"end":5273.995},{"text":"we're","start":5274.578,"end":5274.74},{"text":"spending","start":5274.74,"end":5275.274},{"text":"so","start":5275.387,"end":5275.792},{"text":"much","start":5275.792,"end":5276.018},{"text":"time","start":5276.116,"end":5276.342},{"text":"discussing","start":5276.374,"end":5277.07},{"text":"global","start":5277.167,"end":5277.588},{"text":"health","start":5277.588,"end":5277.88},{"text":"architecture","start":5277.914,"end":5278.677},{"text":"reform.","start":5278.677,"end":5279.11}]},{"text":"Which is just about ourselves and how we organize ourselves.","start":5279.623,"end":5283.291,"topics":[],"words":[{"text":"Which","start":5279.623,"end":5279.784},{"text":"is","start":5279.784,"end":5279.864},{"text":"just","start":5279.864,"end":5280.17},{"text":"about","start":5280.17,"end":5280.572},{"text":"ourselves","start":5280.572,"end":5281.119},{"text":"and","start":5281.216,"end":5281.28},{"text":"how","start":5281.312,"end":5281.489},{"text":"we","start":5281.634,"end":5281.827},{"text":"organize","start":5282.1,"end":5282.567},{"text":"ourselves.","start":5282.663,"end":5283.291}]},{"text":"We could spend more time reflecting on how best to support countries to achieve their health sovereignty through integration.","start":5283.725,"end":5291.736,"topics":[{"key":"country-ownership","label":"Country Ownership and Health Sovereignty","description":"Several speakers argued that integration must be country-led, not donor-imposed, and aligned with national priorities. Health sovereignty was framed as the long-term destination, with governments leading decisions on transition, coordination, and system design."},{"key":"integrated-service-delivery","label":"Integrated Service Delivery","description":"Speakers repeatedly called for HIV, tuberculosis, malaria, and related services to be delivered together rather than through isolated vertical programs. The goal is a people-centered system that screens, prevents, and treats multiple conditions through coordinated care pathways."}],"words":[{"text":"We","start":5283.725,"end":5283.886},{"text":"could","start":5283.886,"end":5284.015},{"text":"spend","start":5284.047,"end":5284.336},{"text":"more","start":5284.433,"end":5284.626},{"text":"time","start":5284.706,"end":5285.141},{"text":"reflecting","start":5285.575,"end":5286.267},{"text":"on","start":5286.379,"end":5286.508},{"text":"how","start":5286.524,"end":5286.653},{"text":"best","start":5286.926,"end":5287.248},{"text":"to","start":5287.248,"end":5287.345},{"text":"support","start":5287.345,"end":5287.892},{"text":"countries","start":5287.892,"end":5288.599},{"text":"to","start":5289.114,"end":5289.227},{"text":"achieve","start":5289.259,"end":5289.645},{"text":"their","start":5289.677,"end":5289.79},{"text":"health","start":5289.838,"end":5290.095},{"text":"sovereignty","start":5290.095,"end":5290.739},{"text":"through","start":5290.739,"end":5290.932},{"text":"integration.","start":5290.948,"end":5291.736}]},{"text":"Thank you so much.","start":5292.01,"end":5292.862,"topics":[],"words":[{"text":"Thank","start":5292.01,"end":5292.235},{"text":"you","start":5292.235,"end":5292.315},{"text":"so","start":5292.315,"end":5292.573},{"text":"much.","start":5292.573,"end":5292.862}]}]}],"speaker":{"name":"Winnie Byanyima","affiliation":"UNAIDS","affiliation_full":"UNAIDS","group":null,"function":"Executive Director"}}],"topics":[{"key":"health-workforce","label":"Health Workforce Strengthening","description":"Speakers highlighted the central role of healthcare workers and community health workers in making integration work. Priorities included workforce financing, training for integrated care, safe working conditions, and better planning to address shortages and uneven distribution."},{"key":"primary-care-uhc","label":"Primary Health Care and Universal Health Coverage","description":"Many interventions linked disease programs to stronger primary health care and to the broader objective of universal health coverage. Speakers emphasized using existing HIV, TB, and malaria platforms as building blocks for more comprehensive and equitable health services."},{"key":"country-ownership","label":"Country Ownership and Health Sovereignty","description":"Several speakers argued that integration must be country-led, not donor-imposed, and aligned with national priorities. Health sovereignty was framed as the long-term destination, with governments leading decisions on transition, coordination, and system design."},{"key":"data-accountability","label":"Data, Surveillance, and Accountability","description":"The debate also stressed better data systems, surveillance, and accountability mechanisms to guide integration. Speakers called for real-time information, disaggregated results, and stronger monitoring so countries can adapt programs and measure whether integrated approaches are actually improving outcomes."},{"key":"human-rights-equity","label":"Human Rights and Equity","description":"The discussion repeatedly tied successful disease responses to human rights, reduced stigma, and attention to inequality. Speakers warned that integration would fail if it ignored marginalized populations, gender issues, discrimination, and the social barriers that keep people from care."},{"key":"community-led-services","label":"Community-Led Services","description":"Community organizations, civil society, faith groups, and people with lived experience were described as essential partners in reaching populations left behind. Speakers stressed that integration should strengthen, finance, and formalize community-led delivery rather than displace it."},{"key":"diagnostics-innovation","label":"Diagnostics and Innovation","description":"New technologies were presented as important enablers of integrated care, including screening tools, AI-supported diagnostics, multi-disease testing platforms, and new prevention products. Speakers emphasized that innovation must be planned, financed, and deployed in ways that match frontline needs."},{"key":"domestic-health-financing","label":"Domestic Health Financing","description":"A major theme was the need for countries to increase domestic funding as external assistance declines. This included expanding budget allocations, social health insurance, and other national financing mechanisms to sustain HIV, TB, and malaria responses."},{"key":"integrated-service-delivery","label":"Integrated Service Delivery","description":"Speakers repeatedly called for HIV, tuberculosis, malaria, and related services to be delivered together rather than through isolated vertical programs. The goal is a people-centered system that screens, prevents, and treats multiple conditions through coordinated care pathways."},{"key":"procurement-local-production","label":"Procurement, Supply Chains, and Local Production","description":"Multiple statements focused on improving procurement systems, strengthening supply chains, and expanding local or pooled production of health commodities. These reforms were seen as necessary to lower costs, improve access to medicines and tests, and support sustainable country-led responses."}]}}