Regional TB TEAM experience AFRO - WHO · 3 TBTEAM (TB TEchnical Assistance Mechanism) Definition:...
Transcript of Regional TB TEAM experience AFRO - WHO · 3 TBTEAM (TB TEchnical Assistance Mechanism) Definition:...
Regional TB TEAM experience AFRO
Dr Daniel Kibuga
WHO/AFRO
Outline of presentation
• What is TB TEAM? • How does it function? • Analysis of TA provision registered in the TBTEAM
website • Country TA provision as recorded in the website
– Type – Country – Provider
• Challenges • Recommendations • Way forward
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TBTEAM (TB TEchnical Assistance Mechanism)
Definition: • A mechanism for
– building country capacity,
– TA coordination, planning and resource mobilization,
– international platform for supplying and co-ordinating TA
History: • Concept presented at Coordinating Board in 2005 to address the perceived need at country,
regional and global level for more efficient and effective coordination of TB technical assistance
• Launched in 2007
Structure: • A Stop TB Partnership Initiative (under the umbrella of the DOTS Expansion Working Group)
• TB Technical Assistance providers (33 partners)
• Secretariat hosted in WHO Stop TB Department and a focal point in the STP secretariat
• Regional TBTEAM focal points
• National TBTEAM Coordinators
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WHY TBTEAM?
• To enable the most effective use of Global Fund and other
external resources and to coordinate support to new rounds
applications.
• To build up national capacity and ownership of countries' own
TA plans and implementation
• To help countries and international agencies coordinate TA
through a well-organized network of technical partners.
• To help countries and partners with ad-hoc requests for
assistance that could be provided by a consultant within a large
pool of qualified experts
• Supplying, coordinating and monitoring global and regional TA
• Resource Mobilization
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How does TBTEAM function?
International Partners
National TBTEAM
Coordinator: NTP
staff, bi/multi-lateral
(who has capacity)
Role: TA planning,
coordinating, &
monitoring, GF
bottleneck removal,
short & longer-term TA
Regional TBTEAM
Focal Point: Regional
level
Role: support to
country (NTP) in TA
development, provide
strategic support,
monitor on-going GF
TB grants, responding
to urgent and routine
TA requests
Global TBTEAM
Role: monitor and
analyze GF grant
progress, coordinate with
partners to respond to TA
requests, monitor,
evaluated and report on
all TBTEAM activities,
Support Regional and
National TBTEAM
Region Cancelled -
Annulé Completed - Complété % of missions
Confirmed - Confirmé
TA Request Grand Total
AFR 10 168 31% 21 2 201 AMR 2 34 6% 2 1 39 EMR 64 12% 3 67 EUR 9 98 18% 11 2 120 SEA 5 67 12% 5 77 WPR 4 106 20% 9 18 137
Grand Total 30 537 100% 51 23 641
TBTEAM Missions By WHO Region, Oct 2010 to Sept 2011
Source; TBTEAM Website
AFRICAN TB MISSIONS 1st Oct 2010 to 30 Sept
2011 According to TBTEAM website
Status of mission at time of analysis NUMBER
Cancelled - Annulé 10
Completed - Complété 168
Confirmed - Confirmé 21
TA Request 2
Grand Total 201
TB programme planning and review / regional
meetings, 29, 17%
Laboratory strengthening, 18, 11%
Human Resources Development, 17, 10%
Drug and commodities management, 15, 9% MDR-TB / XDR-TB, 15, 9%
TB/HIV, 12, 7%
Operational and basic science research, 11, 7%
Global Fund Processes, 9, 6%
ASCM & Partnering/Political commitment, 7, 4%
M&E/supervision/ impact measurement, 7, 4%
Global Fund grant implementation, 5, 3%
Childhood TB, 2, 1%
Global Fund proposal development, 2, 1%
Infection control, 2, 1%
Others, 17, 10%
TA Missions in African Region By technical area Oct 10 to Sept 11 Source: TBTEAM website
Kenya, 17
Rwanda, 12
United Republic of Tanzania, 9
Ethiopia, 8
Nigeria, 8
Zimbabwe, 8
Ghana, 7
Mozambique, 6
Senegal, 6
South Africa, 6
Uganda, 6
Benin, 5
Democratic Republic of the Congo, 5
Malawi, 5
Namibia, 5
Burkina Faso, 4
Gambia, 4
Lesotho, 4
Togo, 4
Botswana, 3 Burundi, 3
Cote d'Ivoire, 3
Madagascar, 3
Mali, 3
Niger, 3
Sierra Leone, 3
Zambia, 3
Central African Republic, 2
Guinea, 2
Guinea-Bissau, 2
Liberia, 2 Swaziland, 2
Angola, 1
Comoros, 1
Congo, 1
Eritrea, 1
Mauritania, 1
Other, 24
Missions By Country AFRICAN REGION OCT 10 to SEP 11 TBTEAM website
37 countries received missions recorded on TBTEAM website
WHO Regions 34%
WHO other 7%
The Union 16%
KNCV 12%
GDF 5%
Center for Disease Control and Prevention (CDC)
5%
GLC 4%
Grant Management Solutions Project (GMS)
3%
International Council of Nurses (ICN)
3%
GLI 2%
Damien Foundation 2%
National TBTEAM 2%
RIT/JATA 1%
Project Hope 1%
The Global Fund 1%
Agence de Médecine Préventive (AMP)
0%
Globally Completed Missions By Partner
October 2010 to September 2011
WHO Regions
WHO other
The Union
KNCV
GDF
Center for Disease Control and Prevention (CDC)
GLC
Grant Management Solutions Project (GMS)
International Council of Nurses (ICN)
GLI
Damien Foundation
National TBTEAM
RIT/JATA
Project Hope
NTP
The Global Fund
PATH
DAHW/GLRA
TBREACH
Other
The Union 27%
KNCV 21%
Center for Disease Control and Prevention
(CDC) 8%
GDF 6%
GLC 6%
International Council of Nurses (ICN)
6%
Grant Management Solutions Project (GMS)
5% WHO/HQ
5% Damien Foundation 4%
NTP 4%
GLI 3%
WHO 2%
DAHW/GLRA 1%
GIP Esther 1%
Management Sciences for Health
1%
PATH 1%
Other 9%
Techncial Assistance By Technical Partner
African Region Oct 10 to Sept 11 Souce: TBTEAM website
TOTAL: 168 missions completed
Technical Partner Grand Total
The Union 45
KNCV 36
Center for Disease Control and Prevention (CDC) 14
GDF 10
GLC 10
International Council of Nurses (ICN) 10
Grant Management Solutions Project (GMS) 8
WHO/HQ 8
Damien Foundation 7
NTP 6
GLI 5
WHO 4
DAHW/GLRA 2
GIP Esther 1
Management Sciences for Health 1
PATH 1
Grand Total 168
TBTEAM Missions By Technical Partner Africa Region,
Oct 2010 to Sept 2011 Source; TBTEAM Website
Challenges relating to TB TEAM mechanism website
• Some countries have no TB TEAM focal point
• Some focal persons do not access the TB TEAM website regularly
• Missions undertaken but not updated on website (This is especially so for WHO missions taken as regular routine)
• Missions entered on behalf of others
• Funding for consultancies may inhibit posting
Challenges relating to consultants
• Many consultants do not access the website regularly enough to respond to requests on time
• Available consultants may be affiliated to organization without funding for the requesting countries
• Consultant rates are very variable
• Lack of appropriate national ownership of projects/programmes for which consultancy is sought
Recommendations
• All countries should develop annual TA plans in collaboration with partners
• Countries should take a lead in the use of the TB TEAM mechanism to improve the quality of technical support available to them. This can be achieved by posting TA needs on the website for buy in by partners.
• The TB TEAM mechanism should be embraced by all partners to avoid duplication as well as improve visibility and collaboration between partners
Way forward
• Countries to complete the draft TA plans for 2012 – 2013
• Countries without focal points to designate as soon as possible
• All TA need for the next year to be posted on the Website and be regularly updated
Acknowledgements
• Christian Gunneberg, Malgosia Grzemrskar, Angelica Salomao and Andrea Delucia
• For information used in this presentation