Cancun, 4 December 2009Cancun, 4 December 2009

Pierre-Yves Norval,

Stop TB DepartmentWorld Health OrganizationGeneva

National TBTEAM, a response to National TBTEAM, a response to country needscountry needs

Outline

Rationale

TBTEAM

PEPFAR/TBTEAM

Achievements and next steps

Rationale for TBTEAM

DOTS Stop TB Strategy

demand for technical assistance

financial resources in countries

number of partners

numbers of missions to countries,

need for coordination

TBTEAM – What it is

A mechanism for coordination of technical assistance to countries (TB TEchnical Assistance Mechanism)

National TBTEAM: 32 in 2009; 50 planned in 2010

Regional TBTEAM: 6 WHO regional offices

Central TBTEAM: 2.5 staff

TBTEAM partners: 35*

Financial support: USAID PEPFAR, WHO core funds, French Cooperation, national funds

*ATS, Gates Foundation, CDC, DAHW/GLRA, DF, FHI, GDF, GMS, GLI, ESTHER, GLC, GF, Health Strategies International, International Council of Nurses, John Snow, KNCV, MSH, PIH, PATH, PEPFAR, PSI, Project Hope, RIT/JATA, Samm Health International, TBCAP, The Union, UNDP, USAID, WB, World Vision

National TBTEAM – What it does One or two TBTEAM focal person(s) within existing body (NTP, ICC, TWG, STB

Partnership, CCM) as secretariat for development of National TA Plan incorporated into annual TB work plan, National Stop TB Plan, Global Fund proposal preparation and grant negotiation (PSM, M&E, budget), grant

Ensure that meetings of existing N-TBTEAM take place quarterly, with participation of all stakeholders (NTP, civil society, private sector, etc.)

Use TBTEAM web tool to meet TA needs in addition to discussing and requesting support from usual partners

Enter mission and events into the TBTEAM web tool (user name and password)

Provide feedback on TA

National TBTEAM (continued)

•Armenia*•Bangladesh*•Benin•Bhutan•Burkina*•China•Cote d’Ivoire•DPR Korea•Gambia

•Guinea•Guinea B.•India*•Lao PDR•Macedonia*•Maldives*•Mongolia•Myanmar•Nepal*

•Niger•Papua NG*•Russia•Senegal •Sri Lanka*•Thailand*•Timor Leste*•Togo•Viet Nam

N-TBTEAM focal points established in:

* N-TBTEAM with data entry at country level

Regional TBTEAM – What it does

Identify the National TBTEAM focal point(s); supervises National TBTEAM

Encourages National TBTEAM to: 1.upload yearly national TA plan into the TBTEAM webpage; 2. generate regional TA plan; 3. contribute to a regional Stop TB Plan based on regional gap analysis

Checking validity and accuracy of data provided in the TBTEAM webpage

Entering upcoming Missions & Events (confirmed and tentative) and open requests for technical assistance

Provide feed back on conducted TA

Central TBTEAM – What it does

Develop TBTEAM strategy - align and harmonize TA at country level across all Stop TB components

Develop TBTEAM web tool, checking validity and accuracy of data provided

Prepare global TA Plan based on the Global Stop TB Plan and TB needs

Focus on Global Fund proposal and National Strategy Application preparation and grant implementation

Develop TA feedback strategy

Develop TB roster

Identify capacity building needs through the TA plan

Entering upcoming Missions & Events, open requests for technical assistance

TBTEAM web site

missions and events / training

opportunities

requests for assistance,

call for expertspartner

profiles and mapping

experts roster

calendar of events

217

150

94 90 8154 46 46 43 39 39 37

18 14 12 11 9 8 7 5 7 4

GF impl.

propo

sal

MDR

Drug m

anag

mtM&E

Other

Progra

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ACSM

Diagno

sis/la

b

Progra

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TB/HIV

Infec

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PPMPAL

Politic

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Cross

-cuttin

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Diag./d

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rese

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Patien

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port

Operat

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Resea

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Commun

ity TB

Care

High ris

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ups

Childh

ood T

B

GLC

GDF

GLI

GF

2009 (nov)

Missions in TBTEAM web1152Open request met48/55 (87%)

TBTEAM partners35

Experts roster 209

N-TBTEAM32

TA plan>25TA feed back20 (<2%)

activities in 2009

TA feedback strategy

Currently used– TA feedback by beneficiary since few months

under development– Anonymous beneficiary satisfaction questionnaire– Measurement of performance against TOR– Defining standards – good TA practice– Technical committee (major Partners) to reach consensus on

how to use feedback information– Link with TB roster

PEPFAR/TBTEAM grant $3M/year

Aim: Improve Global Fund TB grant performance and relieve bottlenecks to grant implementation

 Year 1: Oct 2007 - Sept 2008Year 2: Oct 2008 - Sept 20091. TA to

countries

Deliverables

& outcome

116 missions to 65 countries by 10 partners (WHO, Union, KNCV, GLRA)

108 missions to 58 countries by 15 partners (WHO, CDC, GIP ESTHER, Project Hope, RIT/JATA, KNCV, GLRA, Union)

PSM plan, M&E plan, work plan revision, plans and guidelines for implementation of Stop TB Components, RCCGrant signature (phase 1 and 2), Grant rating (A, A1, A2, B1, etc)

2. Capacity building

4 workshops on grant negotiation and implementation of R7 grants

3 workshops on grant negotiation and implementation of R8 grants

2 GDF workshop on management/PSM

3.coordination of support

Global and regional TBTEAMGlobal and regional TBTEAM

Achievements in 2009

Increased buy in of TBTEAM as the TA coordination mechanism by countries, TBTEAM partners and regional TBTEAM. Increased number of N-TBTEAM and TA plan (but below targets)

Increased completeness and accuracy on data mission entry

New Web site launched and used extensively

Open request efficient and reactive

Post-Mission Feed back started (many obstacles)

Call for experts for inclusion in Roster

Suggested approaches in 2010

To expand national TBTEAM with technical support being provided by several partners (needs additional funds);

To promote National TBTEAM's role in planning including the Global Fund proposal preparation and implementation, with involvement of civil society;

To expand TBTEAM's coordination function to include GLC, GLI, GDF and other TB areas; long-term as well as short-term TA; and harmonize with GF TB technical support

To hold regular TBTEAM coordination meetings at global/regional/country level, including by video/audio conference, that include all stakeholders, and that will review progress in coordinating external inputs to countries on a regular basis, and identify bottlenecks and solutions.

To develop a TA feed back strategy with core partner groups and link with roster.