Global Fund Financial Project Management
Transcript of Global Fund Financial Project Management
Outline
Background of the survey Steps toward NTPS GFATM principles Financial management Next step
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Background
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Prop
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Ten Years Trend of New Smear Posetive, Smear Negative and Extra Pulmonary Tuberculosis Proportion in Ethiopia
New Smear positive TB
New Smear Negative TB
New EPTB
Years in GC
National Status and MDG Target
S/NOutcome Indicators
Target 2015Achievement 2008/09
1 Case Detection Rate of Smear Positive (Infectious) TB >70% 34%
2Treatment Success Rate of identified Smear positive TB
>85% 84%
Impact Indicator
3 Prevalence of all forms of Tuberculosis per 100,000 Population
156 579
4 Mortality due to all forms of Tuberculosis per 100,000 Population
20 92
Far away to achieve the MDGs targets by 2015 specially impact indicators of Prevalence and Mortality Reduction due to Tuberculosis!!!
FRAMEWORK TO SHIFT THE CDR
CDR >70%
Pursue high quality DOTS expansion & enhancement
Lab networking & EQA-
TB/HIV collaboratio
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M&E
HEWs’ involvement/ community mobilization
Steps towards NTPS 7
Prevalence Survey come to Mind Concept note were prepared using the options from the red book CCM approved the request directly giving us the responsibility to modify, the requested amount, the budget line with out further approval, since the reprogramming was made from the same disease component and the same category. Partners reflect their commitment to cover the gap at GF budgeting and support the prevalence surveyWR write an Email to Stop TB Department WHO, an expert was assigned to evaluate – fast track
Budgeting8
Annex 2B: Detailed Component Budget
Funds requested from the Global Fund (in Euro/US$)
Year 1 Year 2 Year 3 Year 4 Year 5 TotalHuman resources 476,208 453,744 453,744 333,744 333,744 2,051,184Infrastructure and equipment 924,309 91,500 39,000 39,700 39,000 1,133,509Training 1,891,080 1,691,668 1,691,668 1,576,943 762,395 7,613,753Commodities and products 1,041,240 979,640 1,412,874 1,240,197 1,196,874 5,870,825
Drugs 150,700 450,7004,936,856 5,545,472 6,194,949 17,278,676
Planning and administration 1,834,880 1,806,905 1,946,905 1,898,116 2,018,378 9,505,184Total funds requested from the Global Fund 6,318,417 5,474,157 10,481,047 10,634,172 10,545,339 43,453,131
Understand GFATM Principles 9
Performance/Result orientedGap filling Country Ownership / utilization of the existing system
Working in Partnership/ Complimenting each other
GF Financial Management 10
Practical knowledge of the principles which gives
you Negotiation capacity.
Functional areas of GFATM GFATM HQ, LFA, PR, SR,SSR, CCM and OIG,
NTPS can be SR or SSR under any PR and MOU or agreement can be signed under the GFATM PR agreement framework.
GF Financial Mx11
The MoU/ agreement gives you freedom and the NTPS to be measured by it own performance and to report independently. The MoU shall gives you some flexibility to pass budget lines in some caseThe MoU shall consider:
HR, able to get from the local market, To use different procurement modalities,Identify level of decisions, Identify signatories andThe financial system that will be utilized
If amendments made, usually GFATM send you implementation letter for the acceptance.
Financial utilization
Almost all payments were fixed : In each cluster except in pastoralist and very remote clusters: 23,000 ETB for local assistants and 2000 ETB for any incidental costs. Decided in a participatory way, the management took risk to pass the public system regulation. Give responsibility for survey coordinators to order payments, sign any bill related to the NTPS Partners were always kept on loop to cover the unexpected expenditure.
Financial utilization continuedA/ code Description Budget Expenditure
6113 Salary to survey staff 10092700.00 2837681.26
6114 Daily laborers 101126.85
6116 Allowances 16395.00
6121 Per diem 4,681,600.00 3072758.80
6212 Stationeries 499548.00 483830.96
6213 Photocopy 807503.82
6214 Medical equipments and Supplies 4468667.00 3026206.21
6217 Fuel 1343832.00 503950.23
6218 Other expenditures 4663565.00 387500.59
6219 Books 450.00
Financial Utilization con.
A/ code Description Budget Expenditure 6223 Consumables 1965397.896232 Transport 213066 73049.86233 Events 279300 128480.366241 Maintenance 1,283,382.10252 Vehicle Rent 2434964 27206253 Announcements 21366.56254 Insurance 56672.196255 Loading and unloading 95568.786256 Service fee 13493.04
6258Communication Services (telephone, Postal, Fax..) 141930 34044.25
6271 Training 1475314 495967.67Total 30, 294,486.0 15,407,546.3
Summery finance in USD
S/r Description Budget Expenditure Balance
1International Procurement 837,400.0
2Total Local expenditure 1,185,195.9
3 Total 2,697,542.5 2,022,595.9 674,946.6
Reasons for the remaining Balance
Available Materials in the institute were used than went to procurement
Less deal is found in the Market than Expected
Partners cover significant proportion of the survey cost. Our partners WHO, TB-CARE-I, USAID Ethiopia and GLRA, keep on backing the survey at different time.
Next step
All Culture and confirmatory result will be available in late August. Central panel for final x-ray diagnosis will meet with international TA in September.Final analysis and rate fixing will be done to November. Final Result dissemination 2nd week of December The result will also presented in ARM, IUTLD
Next step
Some researchable issues are uncovered by this survey TB HIV co infection rate among smear positive and culture positive, smear negative and culture positive cases of this survey. Confirmatory study as follow up of cases of Extra Pulmonary TB (Survival Lymphadenitis ) suspects which are identified by the survey. TB prevalence survey a replica of this national survey in congregate settings (Refuge camps, Prison/Jail and Boarding schools)