STRATEGIC FRAMEWORK FOR PUBLIC - -PRIVATE ......STRATEGIC FRAMEWORK FOR PUBLIC --PRIVATE...

STRATEGIC FRAMEWORK FOR PUBLIC -

-PRIVATE PARTNERSHIPS FOR TB AND HIV PREVENTION, TREATMENT,CARE

AND SUPPORT 2014 - 2016

EAH L TY HR CA AMI R

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Printed by Ronnwen Printers

Strategic Framework For Public-Private Partnerships For TB And HIV Prevention, Treatment,

Care And Support: 2014 - 2016

August 2014

Strategic Framework For Public-Private Partnerships For TB And HIV Prevention, Treatment, Care And Support: 2014 - 2016


FOREWORD

he Zimbabwe Ministry of Health and Child Care has made a commitment towards universal access to HIV prevention, treatment, care and support services by 2015.

This goal has not yet been achieved and is unlikely to be achieved without innovation. All of this demands intensification of the multi-sectoral national response to HIV and TB. It is with this realization that Government recognizes the critical role of private sector in the attainment of this goal as outlined in the National Health Strategy (2009-2015). A number of opportunities exist for enhanced partnerships to increase access to healthcare for the Zimbabwean population. Zimbabwe has a relatively robust, decentralized private

health infrastructure which can be utilized to increase access to HIV and AIDS as well as TB services. In addition, well established and emerging health insurance schemes provide an opportunity for possible financing of services which should be extended to include the informal sectors. Suboptimal referral systems and minimal participation of the private sector in the national health information system are areas which the PPP strategic framework seeks to address as information is critical in guiding decision making.

This strategic framework was developed in consultation with key stakeholders in a participatory process that brought together policy-makers and leadership in both the public and private sector including development partners. The framework seeks to facilitate partnerships that leverage resources from the public and private sectors to directly support the goal of reducing the impact of HIV, AIDS and Tuberculosis in Zimbabwe. It serves as a guide to actors from the public and private sectors in formulating policies, strategies and agreements for collaborating towards achieving universal access. It

also provides a broad monitoring and evaluation framework to assess progress towards this goal in the spirit of public- private partnerships.

We call upon all stakeholders to support these partnerships for universal access to

prevention, care and treatment for HIV and AIDS including TB within a holistic health system.

Brigadier General (Dr.) G Gwinji

Permanent Secretary, Ministry of Health and Child Care

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ACKNOWLEDGEMENTS

he development of the Public-Private Partnerships (PPP) Strategic Framework was the result of concerted effort and collaboration of the Ministry of Health and Child Care (MOHCC) - AIDS and TB Unit and its partners, the National AIDS Council

and key public and private sector institutions.

Special appreciation is extended to programme staff from the Ministry of Health and Child

Care, AIDS and TB programmes, The National AIDS Council, the World Health Organisation.

The Global Fund and the International Labour Organisation for providing oversight and

technical input and contributing immersely to the development and printing of this

document.

The team also acknowledges the many respondents from the public, private sectors, UN agencies, Non-governmental organizations, PLHIV and their families and representatives

of partner organizations who provided valuable information that shaped the development of this framework. The framework would not have been possible without their input in the consultative processes.

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Strategic Framework For Public-Private Partnerships For TB And HIV Prevention, Treatment, Care And Support: 2014 - 2016 ii

3.3 Coordination Structures: HIV /AIDS and TB Services PPP framework

FOREWORD i

ACKNOWLEDGEMENTS

ACRONYMS 3

GLOSSARY OF TERMS 6

1. Background 8

2. Situation analysis 9

3. Strategic Framework 10

Preamble 10

Scope of the Framework 10

Strategic Vision for Public-Private Partnerships (PPPs 10

Strategic Mission of Public-Private Sector Framework (PPPs) 10

3.1 Goal of the Public-Private Sector Framework 10

3.2. Strategic Objectives of Public-Private Sector Framework 12

3.2.1 Strategic Objectives 1 12




3.3.2 National Public-Private Partnership Advisory Group

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3.3.3 Terms of Reference for the NPPPAG

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3.3.4 Public-Private Partnership Technical Working Group 17

3.3.5 Terms of Reference for the NPPPTWG

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3.3.6 Public-Private Partnership

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3.3.1 Management and Coordination of the PPP Framework

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3.4 Roles and Responsibilities of the Key PPP Stakeholders

TABLE OF CONTENTS

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. 3.4.4 Roles of Development Partners 20

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21

4. Monitoring, Evaluation and Strategic Information Management 21

5. ANNEXES 23

ANNEXE 1: Public-Private Partnerships strategic framework and operational plan2014-2016

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ANNEXE 2: Public-Private Partnerships Strategic Results Framework 2014-2016 36

3.4.5 Roles of National AIDS Council (NAC)

3.4.6 Roles and Responsibilities of Civil Society Organizations (NGOs, FBOs, CBOs

and Professional Associations

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3.4.1 The Role of Government

3.4.2 Roles and Responsibilities of Private Sector 20

203.4.3 Responsibilities of the Zimbabwe Private Sector HIV/AIDS and Wellness Board

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ACRONYMS

AHFoZ Association of Healthcare Funders of Zimbabwe

AIDS Acquired Immune Deficiency Syndrome

ART Antiretroviral Therapy

ARV Antiretroviral

CPCPZ

CP

College of Primary Care Physicians of Zimbabwe

Concurrent Partnerships

DOT Directly Observed Therapy

EMCOZ Employers’ Confederation of Zimbabwe

GFATM Global Fund to Fight AIDS, Tuberculosis, and Malaria

HIV Human Immunodeficiency Virus

HTC HIV Testing and Counselling

IEC Information Education and Communication

ILO International Labour Organisation

IPC Interpersonal Communications

IQC Internal Quality Control

MARP Most-at-Risk Population

MIS Management Information System MOHCC Ministry of Health and Child Care

MOU

NAC

Memorandum of Understanding

National AIDS Council

NATF National AIDS Trust Fund

NGO Non-Government Organization

NMTPAC National Medicines and Therapeutics Policy Advisory Council

OI Opportunistic Infection

OVC Orphans and Vulnerable Children

PCZ Pharmacy Council of Zimbabwe


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PEPFAR President’s Emergency Programme for AIDS Relief

PHAZ Private Hospitals Association of Zimbabwe

PITC Provider Initiated Testing and Counselling

PLHIV People Living with HIV

PMCCC Provincial Male Circumcision Coordinating Committee

PMD Provincial Medical Director

PMTCT Prevention of Mother-to-Child Transmission

PPP Public-Private Partnership

PSI Population Services International

SCMS Supply Chain Management Services

SOP Standard Operating Procedure

STI Sexually Transmitted Infection

SWOT Strengths, Weaknesses, Opportunities and Threats

TB Tuberculosis

TWG Technical Working Group

UN United Nations

UNAIDS United Nations Joint Programme on HIV and AIDS

UNFPA United Nations Population Fund

UNICEF United Nations Children’s Education Fund

USAID United States Agency for International Development

VAT Value Added Tax

VCT

VMMC

Voluntary Counselling and Testing

Voluntary Medical Male Circumcision

WHO World Health Organization

ZACH Zimbabwe Association of Church Related Hospitals-

ZAPSO Zimbabwe AIDS Prevention and Support Organization

ZBCA Zimbabwe Business Coalition on AIDS

ZCTU Zimbabwe Congress of Trade Unions


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ZiMA Zimbabwe Medical Association

ZIMASCO Zimbabwe Mining and Smelting Company

ZIMPLATS Zimbabwe Platinum Mines Limited

ZINQAP Zimbabwe National Quality Assurance Programme

ZIPSHAW Zimbabwe Private Sector HIV/AIDS and Wellness Board

ZNASP Zimbabwe National HIV and AIDS Strategic Plan

ZNFPC Zimbabwe National Family Planning Council

ZNHTCSP Zimbabwe National HIV Testing and Counselling Strategic Plan


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GLOSSARY OF TERMS

The definitions below have been derived from existing publications by the ILO, WHO, UNAIDS and National Policy Documents on HIV and AIDS.

AIDS: Acquired Immune Deficiency Syndrome. A cluster of medical conditions often referred to as opportunistic infections and cancers. ARV: Anti-retroviral. Medicines used to treat HIV and AIDS. ART: Anti-retroviral Therapy. A term used to describe the treatment of HIV and AIDS. ART is what is called a 'holistic' treatment, which not only involves taking ARV drugs, but

understanding HIV, AIDS and ART, preparing for and adhering to ARV regimens, ensuring proper nutrition, psychosocial support, palliative care and caring for the carers of PLHIV. Employer: A person or organization employing workers under a written or verbal contract of employment, which establishes the rights and duties of both parties, in accordance with national law and practice. Governments, public authorities, private enterprises and individuals may be employers.

Gender: Refers to difference in social roles and relations between men and women. Gender roles are learned through socialization and vary widely within and between cultures. Gender roles are affected by age, class, race, ethnicity and religion, and by

geographical, economic, cultural and political environments. Opportunistic Infections or OIs: Infections that take the 'opportunity' of the weakened immune system caused by HIV to make a person sick. Private Sector: The part of a nation's economy which is not controlled by the government which may be for or not for profit.

Public-Private Partnerships(PPPs): collaborative endeavours that combine resources from the public sector with resources from the private sector to accomplish set goals.

Screening: Measures to assess the HIV status of individuals, whether direct (HIV testing) or indirect (such as assessment of risk-taking behaviour, asking questions about medication). Sexually Transmitted Infection (STI): Infections that are transmitted through sexual contact such as syphilis, cancroids, chlamydia and gonorrhoea. HIV is also classified as an STI.


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Wellness programmes: Workplace wellness programs are recognized by more and more

companies for their value in improving health and well-being of their employees. They are part of a company's health and safety program. Wellness programs are designed to improve employee morale, loyalty and productivity and can cover nutrition, weight or

stress management training, health risk assessments, health screenings and HIV and AIDS prevention. Workplace: All places where workers perform their activity


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1. BACKGROUND

imbabwe continues to face a severe HIV and TB burden that has strained the entire socio-economic fabric of the country. The 2012 HIV estimates showed that the prevalence had plateaued at about 14.67% among adults aged 15 – 49 years with

HIV incidence stabilizing at 0.96% in 2012. Currently the public sector provides for over 90% of treatment and care services, resulting in severe strain of public sector services and

failure to meet demand for quality services. According to the Revised National ART Targets (in line with the adapted new National Treatment guidelines 2013), the ultimate aim is to provide universal access to ART to those

who need it by 2015. An estimated 1,373,879 people will be in need of ART by 2015 with the adaptation of the earlier ART initiation at a higher CD4 threshold of 500. In order to meet demand for quality services and to achieve the Millennium Development Goals on health, there is need to identify opportunities for collaboration and sharing of the burden in a multi-sectoral approach. Public-Private partnerships (PPPs) provide one such opportunity. Establishing strategic

partnerships with the private sector can help to address the challenges of service provision and human resource crisis and contribute to health financing and information systems for universal access. It is within this context that a situation analysis was conducted in 2010 with the purpose of assessing the state of Public-Private partnerships with respect to HIV and TB and identifies existing strengths and opportunities for collaboration and weaknesses and threats that could hinder effective partnerships.

Consultative stakeholder workshops were also carried out to provide an additional platform for input and validation of the findings. Since the process of finalization of the framework and operational plan had taken considerable time due to logistical constraints, additional key informant interviews were conducted in 2014. The purpose of the additional consultations was to assess any changes in the policy and regulatory environment or other changes that may have occurred during the period 2010 to 2014 that

could have implications on the implementation of PPP strategic framework.

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2. SITUATION ANALYSIS

To meet demand for quality services and to achieve the Millennium Development Goals on health through engagement and identification of opportunities for collaboration with the private sector, the MOHCC commissioned a situational analysis of public private partnerships in 2010. Among the purposively selected institutions and key informants in the various economic sectors across the country involved in the consultation processes

were health funders, business, multilateral partners, civil society, PLHIV, service providers and general practitioners and retail pharmacies.

Key findings from the analysis included; 1) that the private sector constitutes an important and diverse component of Zimbabwe’s health care system with the potential for

complementary solutions especially in human and material resources which PPPs can leverage on; 2) there is willingness by the private providers to engage with the government and other partners in a mutually beneficial way; 3) weak referral systems between public and private providers as well as negative perceptions between the two

provides a potential risk of compromise to provision of quality services to clients; 4) despite the existence of strong political commitment, roles and responsibilities of key stakeholders in PPPs were ill defined; 4) the existence of a business council on HIV and

AIDS presents an opportunity for creating a broad based coalition which will coordinate the entire private sector in the context of PPPs; 5) despite the existence of several governance and legislative structures to regulate the operations of the private sector, the policy environmental remained largely informal which poses a threat to sustainability and

commitment; 6) the country has a relatively well established and decentralized health insurance schemes with strong public sector membership which provides an opportunity for possible PPP fund administration in conjunction with the mooted National Health Insurance scheme in the long term.

Against this background the following recommendations were proposed: 1) there is need to develop a public-private partnership framework that will guide implementation of PPPs in strengthening TB/HIV programmes; 2) there is need by the MOHCC to take leadership in the reconstitution and revamping of the National PPP steering committee to

spearhead the establishment, coordination, management and monitoring of PPPs; 3) the PPP unit within MOHCW needs to be strengthened to lead dialogue with stakeholders in creating effective PPPs through adoption of standard MOUs; 4) trainings on

comprehensive HIV management including HIMS needed to be extended to the private sector; 5) and the scope of PPPs needs to be expanded to include components beyond HIV/TB (for more details refer to the published PPP Situation Analysis Report 2011)


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3. STRATEGIC FRAMEWORK

Preamble

Public-Private Partnerships (PPPs) play a critical role in strengthening and extending the principle of shared responsibility in the response to HIV, AIDS and TB and the achievement of universal access to prevention, treatment, care and support. Partnerships allow more people to benefit from additional resources mobilized through the active engagement of the sectors. Public-Private partnerships can help increase efficiency, effectiveness and harness the comparative advantage of partners involved.

The aim of this strategic framework is to provide guidance for the formulation of policies, design, implementation, monitoring and evaluation of HIV, AIDS and TB programmes in Public-Private partnerships.

The frame-work is a result of a comprehensive situational analysis and extensive consultations with the tripartite partners and other key stakeholders in both the public and private.

Scope of the Framework

This framework is intended for:

All non-state actors - private institutions, companies, NGOs, universities, faith

based institutions etc. in Zimbabwe

Employers and employee organizations

Public sector institutions

Individual service providers and other collaborating partners involved in HIV and AIDS and TB service delivery

Strategic Vision for Public-Private Partnership Framework (PPPs

A Zimbabwe where the public and private sectors and civil society work together with a common purpose towards ensuring an AIDS and TB free generation

Strategic Mission of Public-Private Partnership Framework (PPPs)

To facilitate partnerships that leverage resources from the public and private sectors to directly reduce the impact of HIV, AIDS and Tuberculosis in Zimbabwe.

3.1 Goal of the Public-Private Sector Framework

To contribute towards the reduction of mortality & morbidity among people infected with TB and PLHIV in line with Zimbabwe's commitment to improve quality of life

through provision of comprehensive HIV and TB services


Strategic Approaches

The following criteria should give guidance to the investment of resources towards the achievement of universal access to quality services.

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Areas of greatest need will be prioritized in accordance with the provisions of one agreed national plan

A whole market approach which recognizes the following players will be used: (i) public or government sector; (ii) not-for-profit sector comprised of NGOs, private

voluntary organizations and FBOs; and (iii) for-profit sector or commercial sector

Identifying opportunities for collaboration in Public-Private partnerships

Leveraging – maximizing on existing resources and leveraging additional resources

Coordination, information sharing and networking among stakeholders from the public and private sectors including civil society

Strategic information management and effective monitoring and evaluation of responses to HIV and AIDS including TB in all sectors according to an agreed

national M&E plan.

Guiding Principles of the Public-Private Sector Framework

This framework is guided by the following key principles:

Transparency- Openness and honesty are preconditions for building trust and are

important ingredients of successful partnerships. Only with transparency will Public-Private partnerships be truly accountable to stakeholders.

Mutual Benefit- As partners contribute to the partnership they are entitled to benefit from this collaboration. Healthy Public-Private partnerships will work towards achieving specific benefits for each partner over and above the common benefits for all partners. The partners will also agree to share risks associated with the partnership. This will ensure

continuing commitment of partners and therefore sustainable programmes.

Equity- Achieving health equity, eliminating disparities, and improving the health of all

people is an overarching goal in service provision. Successful Public and Private Partners require recognition of the individual and compatible roles in the partnership. The value of and validation of the relationship should not be simply measurable in terms of cash value or public profile.


3.2.3 To leverage resources (financial and non-financial expertise and technology)

from public and private sector internal and external) towards universal access to quality HIV/AIDS and TB services

3.2.4 To strengthen strategic information management, monitoring and evaluation (M&E) and research for Public-Private Partnerships (PPPs)

3.2 Strategic Objectives of Public-Private Sector Framework

3.2.1 To create an enabling legal, policy and regulatory environment for PPPs in the provision of HIV/AIDS and TB services

3.2.2 To expand access to comprehensive quality HIV/AIDS and TB services through (effective) public- private partnerships including strengthening their capacity to build, promote and sustain partnerships

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3.2.1 STRATEGIC OBJECTIVE 1 To create an enabling legal, policy and regulatory

environment for PPP in the provision of comprehensive quality HIV, AIDS and

TB services

:

Establish and implement accreditation and certification mechanisms for

providers engaged in PPP TB/HIV activities as incentives and /or a quality-

ensuring mechanism

Develop guidelines for an accreditation system for retail pharmacies to deliver quality pharmaceuticals services

Develop guidelines for an accreditation system for laboratories to provide quality diagnostics services for TB and HIV

Review policy on the restriction of use of anti-TB medicines within the public health system

Develop minimum standards for diagnostics, prevention, treatment and care for HIV and TB services

Adopt regulations that promote local manufacture of ARVs, TB medicines,

antibiotics and consumables

Advocate for a waiver on duty of raw materials for the local manufacture of

ARVs

Support local drug manufacturing companies to link with international partners under the DOHA agreement in the production of inexpensive ARVs and opportunistic medicines

Advocate for an increased preferential tender for local manufacturers of ARVs and anti-TB medicines to promote local industry and sustainability (from 10-15%)

Explore opportunities for pooling procurements of medicines and supplies

Establish private sector pricing models for medicines procured under the pooled mechanism worked out under the PPPs

Sensitize stakeholders on policy reforms on HIV/TB services (medicines, laboratory services) for PPP


Mobilise health funders (Medical AID insurance companies) to provide

comprehensive cover for HIV treatment care services

Advocate for health funders to provide medical aid cover for comprehensive TB and HIV services

Engage Health insurance companies in the administration of resources harnessed for PPPs

3.2.2 STRATEGIC OBJECTIVE 2: To expand access to comprehensive quality HIV and

TB services through effective public private partnerships including strengthening

their capacity to build, promote and sustain partnerships

-

Establish Public-Private partnerships on HIV and TB

Conduct a mapping exercise to identify potential partners for the PPP initiatives

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Provide training, clinical attachment and mentorship for both public and private sector health care workers on provision of HIV TB services through PPPs

Identify resources, skills and competency needs for sustaining Public-Private partnerships

Develop an accreditation and certification mechanism for providers engaged in PPP HIV/TB activities as a quality insurance mechanism

Develop a support mechanism to monitor the implementation of the PPP framework

Organize joint planning and reviews aligned to and integrated with other HIV and TB planning and review processes

Strengthen the capacity of the workplace to provide comprehensive HIV/TB services

Strengthen mainstreaming of gender, reproductive health and related workplace programmes

Develop guidelines for mainstreaming gender, reproductive health and related

workplace programmes

Strengthen referral mechanisms for key services for PPP TB/HIV activities

including diagnostic, prevention and treatment services

Establish protocols for referral of clients between service providers at different levels within the PPP context

Support referral centres with Information and Communication Technologies (ICT) for easier communication


Establish a computerised national database for patients receiving ART and TB

medicines for easier tracking and more accurate reporting

Increase awareness of PPPs to both private and public service providers

Strengthen management coordination and governance of public and private

service providers

Establish a PPP management and coordination structure / mechanism that is aligned to and harmonised with NAC and MOHCC structures

Develop and implement models of MOUs for PPPs

Define the roles and accountability lines as well as performance indicators for the key players of PPP management and coordination.

Convene regular coordination meetings on PPPs within the framework of

already existing HIV and TB partnership forums

Explore and put in place innovative marketing strategies: Contracting out; insurance schemes and voucher systems to expand private sector market share and increase access to private sector services among lower-income groups HIV, AIDS and TB and integrated RH services

Development and utilisation of guidelines (Clinical management, pricing and monitoring)

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Development of standard operating procedures (SOPs) for minimum quality

standards Monitoring quality standards

3.2.3 STRATEGIC OBJECTIVE 3: -To leverage resources (financial and non financial expertise and technology) from public and private sector (internal and external) towards universal access to comprehensive quality services for HIV, AIDS and TB services

-

Generate evidence necessary to establish the resource situation (availability,

utilisation) in both public and private sectors

Carry out mapping exercise to identify existing and potential resources (infrastructure,

human, financial, technological, commodities) in the public sector

Establish PPPs based on resource availability informed by the results of the mapping

exercise

Mobilise sustainable resources for PPP as per identified gaps and needs

Support increased revenue for national health insurance to meet identified gaps and

needs.


Advocate for legislation to promote revenue collection based on the various options

(VAT, SINTAX, AIDS Levy)

Explore methods to increase informal sector contributions

Promote decentralised planning and implementation of PPP to optimise resources for

greater impact and to achieve universal success

Sensitize stakeholders and motivate for establishment of PPP within their

constituency to increase coverage Formalise partnerships with businesses on PPPs including with Community

Ownership Trust

Track resource (financial and non-financial) utilization in PPP to enhance

accountability and transparency

Establish a system for tracking resource utilization with specific indicators

Harmonise the PPPs information with the national health information system

Establish regular feedback mechanism for resource tracking updates

3.2.4 STRATEGIC OBJECTIVE 4: To strengthen strategic information management,

monitoring and evaluation (M&E) and research

Establish/strengthen an M&E framework for monitoring HIV and TB PPPs

Review existing M&E frameworks within existing public and private sector

systems to facilitate standardization and harmonization

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Build capacity for M&E within HIV/TB PPPs

Identify M&E capacity gaps (resources, expertise) and training needs for Public and Private sector

Conduct combined training on M&E for HIV/AIDS and TB PPPs Conduct orientation sessions for managers and decision makers on

utilization of strategic information for advocacy and policy guidance

Establish/strengthen feedback mechanisms for HIV/TB PPPs

Incorporate feedback mechanisms with strict binding conditions on routine

reporting by private sector into PPP MOUs

Conduct joint planning and review meetings between public and private

sector to ensure synchronisation of efforts that ensures room for

complementarities in HIV/TB PPPs

Periodic information dissemination on lessons learnt and good practices in

PPPs across scopes of work through various media strategies


Promote joint operational research on viable PPPs in HIV and TB service provision

perational research on PPPs (cost effectiveness and cost

benefit) Engage external parties in evaluating effectiveness of pilot PPPs

Implementation Framework including priority actions

Three broad strategic directions will be used for engaging with the private sector

Conversion from public to private in areas where public sector has limited capacity

Growth of the size or scope of the private sector

Harnessing existing private sector services: Through policies and partnerships

with the private sector, the MOHCC in collaboration with other sector ministries

where applicable can realign existing private sector activities to address

goals, improve performance (quality and reporting), and address -long-standing challenges such as increasing access and coverage for underserved populations

Conduct joint o

public health

3.3 Coordination structures :HIV/AIDS and TB services PPP framework

3.3.1 Management and Coordination of the PPP Framework

Successful operationalization of the Public-Private Partnership framework will require effective coordination mechanisms and strengthened collaboration among all stakeholders

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in both the public and private sector. The key stakeholders for the Public-Private Partnership initiative include the MOHCC directorates including Policy and Planning, AIDS and TB Unit heads and programme managers, the private sector constituents (employers, workers and their organisations) represented by ZIPSHAW, regulatory

authorities, health funders, professional associations, private hospital associations and the National AIDS Council.

These stakeholders will be constituted to form a national Public-Private Partnership Advisory Group (NPPPAG) for AIDS and TB services. The NPPPAG will be chaired by

the Director AIDS and TB Unit as the appointed representative of the Secretary for Health. NAC participation will also ensure linkages to the overall coordination of the national response.

3.3.2 National Public-Private Partnership Advisory Group


3.3.3 Terms of Reference for the NPPPAG:

Promoting the creation and implementation of Public-Private Partnerships towards universal access to quality HIV and AIDS services including TB

Policy guidance

Overseeing the implementation of partnerships within the overall provisions of the

PPP framework Advocating for resources and coordinating the input of major internal and external

partners

Advocating for strengthening partnerships between the public and private sectors

at all levels of the health system i.e. at service delivery points; district level, provincial and national level.

Establishing and maintaining contacts with global and national business coalitions, councils and other strategic partners that have committed resources and technical

support and have demonstrated impact of such collaborations

3.3.4 Public -Private Partnership Technical Working Group

A national Public-Private Partnership technical working group (NPPPTWG) will be

constituted. The members of this group will comprise designated persons from the

directorates of AIDS and TB programmes, Pharmacy services, Laboratory services,

MOHCC Policy and Planning, the National AIDS Council, representatives of Trade

Unions and employer organisations, civil society and technical and development partners

(WHO, ILO, UNAIDS), Zimbabwe Private Sector HIV/AIDS and Wellness Board

(ZIPSHAW), regulatory bodies (Pharmaceutical Council of Zimbabwe, (PCZ), CPCPZ,

ZIMA , Nurses Council, Private Hospitals Association of Zimbabwe (PHAoZ),

Association of Healthcare Funders of Zimbabwe (AHFoZ)

While the NPPPTWG may initially focus on HIV and TB, it should progressively build

capacity of a bigger NPPPTWG for all health programmes. The NPPPTWG may need to

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meet more frequently initially e.g. monthly; this frequency can be reduced once systems

are in place

3.3.5 Terms of Reference for the NPPP-TWG:

Coordinate planning, implementation, monitoring and evaluation of Public-Private

partnership programmes

Develop & disseminate technical & managerial guidelines on Public-Private partnerships

Function as a think tank for problem solving on Public-Private partnerships

Provide technical guidance to partners to monitor and evaluate implementation of Public-Private partnership programmes including research


3.3.6 Public -Private Partnership Unit

There is need to strengthen the Public-Private Partnership Unit (PPPU) within the AIDS and TB unit, MOHCC. This could be through ensuring additional staff and resources to facilitate coordination of the partnerships. The private will be motivated to support the unit as well. The PPPU will function as secretariat for the NPPPTWG and will play the following roles:

Overall implementation of the partnership strategy focusing on a stronger role for the private sector in enhancing universal access and making the AIDS and TB

response an integral component of achieving the Millennium Development Goals

Stimulate and foster new partnerships between government, civil society and

private sector entities as well as building alliances and further develop existing relationships with private sector partners

Manage a data base of profiles of business sector institutions and key individuals, promoting the exchange of information, ideas and best practices, as well as providing necessary reporting to the NPPPAG

Work in close collaboration with business hubs such as the employers' federations, national business coalitions and labour unions for a stronger response to AIDS and TB and participates in their consensus-building processes

Mobilize financial and technical resources from the public, private sector and other actors and also account for the resources

Conduct research, identifies and analyzes emerging issues related to the public private partnerships and prepares draft reports, briefings and summaries, as required by NPPPTWG

Other duties as required

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*The above organizational structure will be replicated at provincial level

3.4 Roles and Responsibilities of the Key PPP Stakeholders

3.4.1 The Role of Government

Government will provide overall stewardship of the Public-Private partnership strategy towards universal access to quality for HIV and AIDS and TB services in Zimbabwe. It will also be responsible for the overall technical leadership, guidance and advice on the implementation and monitoring of the strategy including:

Enacting and revising relevant legislation to promote active contribution of the

private sector and civil society while ensuring quality

Providing guidelines and technical support for HIV and AIDS and TB programming

Facilitating referral linkages especially referral services to improve access within

the context of PPPs

Procurement of Anti-retroviral, TB and other essential medicines, equipment and

consumables

Creating a conducive environment for businesses not to suffer production losses or any other negative impacts directly linked to the PPP initiative

Provision of relevant training to make PPPs more effective in service delivery

Monitoring and evaluation and strategic information management

Carrying our operational research for evidence based programing

Director AIDS & TB Programmes

NPPP-TWG

PPP Coordination Unit (Public & Private Representation)

Deputy Director TB

Programme

ART

Coordinator

Advisory Technical

Working Group

PMTCT

Coordinator

Deputy Director

HIV/STI Programmes

HIV Prevention

Coordinator

Figure 1: Proposed Organization of the Management and Coordination of Public-Private

Partnerships in Zimbabwe

Deputy Director

Pharmacy Logistics

& Research

Deputy Director

Laboratory

Services

ZIPSHAW


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3.4.2 Roles and Responsibilities of Private Sector

Under the overall mandate of the private sector coordination board the key roles and responsibilities of the private sector will include the following:

Complement Government efforts in the provision of universal, quality HIV and AIDS , TB services in line with agreed national guidelines

Mobilization and allocation of resources directly towards increasing capacity of workplace programmes to provide comprehensive HIV and AIDS and TB prevention, care treatment and support. Participate in national monitoring and evaluation of programmes in a coordinated manner

Ensuring greater involvement of PLHIV in the workplace and surrounding communities

Networking among private sector companies and developing mechanisms for interfacing with government and civil society

Community involvement through social responsibility programmes 3.4.2 Responsibilities of the (Zimbabwe Private Sector HIV/AIDS and Wellness

Board) ZIPSHAW was created on 11 March 2014 as the coordinating mechanism to bring together the private sector response under one umbrella and harness the efforts of the private

sector. This private sector governance structure will also be responsible for:

- Creating linkages with the public sector. - Chair the partnership forum, a mechanism aimed to facilitate dialogue on the AIDS

response and private sector contribution to the national agenda. - Represent the private sector in national policy and decision making platforms and

fora - Participating in related Technical Working Groups (TWG). - Fostering closer collaborative relationships with the public sector and other key

stakeholders at all levels

3.4.4 Roles of Development Partners

Provide technical and financial support for the coordination, planning,

implementation, capacity development and monitoring and evaluation of PPPs

Advocate for increased global and national commitment to creation and

implementation of PPPs

Support joint surveys and operational research in HIV and AIDS including TB in public and private sectors

3.4.5 Roles of National AIDS Council (NAC)

Participate in the MOHCC Public-Private Sector Partnership Framework governance structures, technical working groups and partnership fora.

Create linkages with ZIPSHAW to strengthen advocacy for private sector participation in PPPs


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Facilitate linkages of the PPP M and E system with the NAC monitoring and

evaluation system to ensure consolidated data management

Collaborate with the MOHCC on the resource leveraging efforts to harmonize linkages with the private sector and development partners in the partnership

building efforts

Collaborate with MOHCC on PPP related operational research and evidence based

planning

3.4.6 Roles and Responsibilities of Civil Society Organizations (NGOs, FBOs

, CBOs and Professional Associations

Advocate for the rights of PLHIV with particular reference to workers in both

public and private sectors and the marginalized populations within communities they operate

Forge partnership with different stakeholders including political leaders to promote the concept of Public-Private collaboration

Implement community based strategies to promote healthy behaviours that prevent

the spread of HIV and TB

Complement government efforts in the provision of quality prevention, care and

support services

Disseminate as widely as possible the policy framework in which Public-Private-civil society collaborate

Mobilize resources to contribute towards the implementation of the Public-Private

programmes

4. MONITORING, EVALUATION AND STRATEGIC INFORMATION

MANAGEMENT

Monitoring refers to the routine, daily assessment of on-going activities and progress, focusing on what has been done. Evaluation is the episodic or periodic assessment of overall achievements in terms of the impact that has been made. Monitoring and

evaluation will play a critical management function in assessing the implementation, monitoring and evaluation of public –private partnerships. M and E will be done to track and study the impact of these interventions in the response to HIV and AIDS. The M and E plan will include the monitoring and evaluation of responses to TB. Private-public partnership programmes will be evaluated based on an agreed set of output and outcome indicators.

The objectives of the M and E plan will be to:

Strengthen the capacity of partnering organizations to collect and utilize data for

public health action

Identify bottlenecks to scaling up of universal access to services

Contribute meaningfully to one M and E system for accurate and timely reporting on national, regional and international commitments such as UNGASS


Promote equitable distribution of resources where practical oinformation gathered and facilitate better access to services

Harmonize data collection tools between the public and private sectors

n the basis of

21

Mechanisms of Monitoring will include:

Programme activity reports from partnering organizations

Tracking corporate investments opportunities and resources for HIV/AIDS and TB

The following will be monitored at operational level:

Number and functionality of the PPPs

Availability of services and proportion of the target population accessing

the services

Access to services for key population groups including vulnerable, marginalized

or under-served in the communities where partnerships operate

Initial and continued utilization of services

Quality of services being provided in the public and private sector

Mechanisms of evaluation will include:

Routine data from Health Management Information System (HMIS)

Surveys e.g. KAP studies, community surveys

Joint Review Missions by the technical working groups Joint Public-Private operational research on HIV/AIDS and TB

Biennial implementation report tracking progress on indicators

Annual review meetings The PPP Technical Working group will ride on the already existing M and E task force to incorporate the M and E for PPPs into the national M and E strategy. This will ensure that organizations are capacitated to collect data on a regular basis using harmonized tools which can effectively feed into the national M and E plan. The M and E plan will address the following areas:

Partnerships and coordination of stakeholders

Advocacy and communication

Development of organizational structures

Strengthening human resources for M and E

Supervision and data auditing

Evaluation and research

Strengthening surveys and surveillance

Strengthening the M and E database

Improving dissemination and use of information


22

5. A

XE

NN

ES

S

trat

egic

Fra

mew

ork

Fo

r P

ubli

c-P

riva

te P

artn

ersh

ips

Fo

r T

B A

nd H

IV P

reve

ntio

n, T

reat

men

t, C

are

An

d S

up

port

: 2

014

- 2

016

23

1

.1 E

sta

bli

sh a

nd

imp

lem

ent

accr

edit

atio

n

and

cer

tifi

cati

on

mec

han

ism

s fo

r p

rov

ider

s en

gag

ed in

P

PP

TB

/H

IV a

ctiv

itie

s as

in

cen

tiv

es a

nd

/or

a

qu

alit

y-e

nsu

rin

g

mec

han

ism

1.1

.1 D

evel

op

gu

idel

ines

fo

r an

a

ccre

dit

ati

on

sy

stem

fo

r re

tail

ph

arm

aci

es t

o d

eliv

er q

ual

ity

p

ha

rma

ceu

tica

ls s

erv

ices

Acc

red

itat

ion

gu

idel

ines

fo

r re

tail

ph

arm

acy

dev

elo

ped

G

uid

elin

es f

or

accr

edit

ati

on

in

p

lace

X

P

ha

rmac

ists

Co

un

cil

of

Zim

bab

we/

PM

Ds/

DM

Os/

D

PS

ST

RA

TE

GY

P

LA

NN

ED

AC

TIV

ITIE

S

EX

PE

CT

ED

OU

TP

UT

S

OU

TP

UT

IN

DIC

AT

OR

S

TIM

EL

INE

RE

SP

ON

SIB

LE

P

EO

PL

E/U

NIT

Y

1 Y

2 Y

3

Nu

mb

er o

f r

eta

il p

har

ma

cies

acc

red

ited

to

acc

ess

sub

sid

ed

med

icin

es t

hro

ug

h P

PP

s in

itia

tiv

es

X

X

X

Ph

arm

acis

ts

Co

un

cil

of

Zim

ba

bw

e/ P

MD

s/

DM

Os/

DP

S

1.1.

2 D

evel

op

gu

idel

ines

fo

r a

n

acc

red

ita

tio

n s

yst

em f

or

lab

ora

tori

es t

o p

rov

ide

qu

alit

y d

iag

no

stic

s se

rvic

es

for

TB

an

d H

IV

Acc

red

itat

ion

gu

idel

ines

fo

r la

bo

rato

ries

d

evel

op

ed

Gu

idel

ines

in

pla

ce

Nu

mb

er o

f P

riv

ate

La

bo

rato

ries

a

ccre

dit

ed t

o o

ffer

ser

vic

es a

t su

bsi

diz

ed c

ost

s

X

La

bo

rato

ry C

ou

nci

l o

f Z

imb

abw

e/ D

LS

Str

ateg

ic F

ram

ewo

rk F

or

Pub

lic-

Pri

vate

Par

tner

ship

s F

or

TB

And

HIV

Pre

vent

ion,

Tre

atm

ent,

Ca

re A

nd

Su

ppo

rt:

20

14 -

201

6

Nu

mb

er o

f p

riv

ate

clie

nts

b

enef

itin

g f

rom

su

bsi

diz

ed H

IV

&T

B d

iag

no

stic

ser

vic

es

X

DL

S/

La

bo

rato

ry

Co

un

cil

of

Zim

ba

bw

e/ A

IDS

an

d T

B U

nit

, PH

AZ

1.1.

3 R

evie

w p

oli

cy o

n t

he

rest

rict

ion

of

use

of

anti

-TB

m

edic

ines

wit

hin

th

e p

ub

lic

hea

lth

sy

stem

Sta

tuto

ry r

estr

icti

on

s o

n

man

agem

ent

of

TB

m

edic

ines

rev

iew

ed

Rep

ort

wit

h r

eco

mm

end

atio

ns

on

th

e p

rop

ose

d r

evis

ion

of

the

reg

ula

tory

res

tric

tio

ns

on

TB

med

icin

es

X

AID

S a

nd

TB

Un

it /

M

CA

Z /

Ph

arm

acis

ts C

ou

nci

l

of

Zim

bab

we/

DP

S

AN

NE

XE

1: P

UB

LIC

-PR

IVA

TE

PA

RT

NE

RS

HIP

S S

TR

AT

EG

IC F

RA

ME

WO

RK

AN

D O

PE

RA

TIO

NA

L P

LA

N 2

014

– 20

16

:A

Zim

bab

we

wh

ere

the

pu

bli

c, p

riv

ate

and

civ

il s

oci

ety

sec

tors

wo

rk t

og

eth

er w

ith

a c

om

mo

n p

urp

ose

to

war

ds

ensu

rin

g a

n A

IDS

fre

e S

TR

AT

EG

IC V

ISIO

N

g

ener

atio

n

:To

co

ntr

ibu

te t

ow

ard

s th

e re

du

ctio

n o

f m

ort

alit

y &

mo

rbid

ity

am

on

g p

eop

le i

nfe

cted

wit

h T

B a

nd

PL

HIV

in

lin

e w

ith

Zim

bab

we'

s G

OA

L

c

om

mit

men

t to

im

pro

ve

qu

alit

y o

f li

fe t

hro

ug

h p

rov

isio

n o

f co

mp

reh

ensi

ve

HIV

an

d T

B s

erv

ices

:To

cre

ate

an e

nab

lin

g l

egal

, po

licy

an

d r

egu

lato

ry e

nv

iro

nm

ent

for

PP

P i

n t

he

pro

vis

ion

of

com

pre

hen

siv

e q

ual

ity

HIV

, AID

S a

nd

TB

ser

vic

esS

TR

AT

EG

IC O

BJE

CT

IVE

1

24

C

om

pre

hen

siv

e T

B

trea

tmen

t an

d C

are

to

incl

ud

e p

riv

ate

sect

or

clin

ics

an

d h

osp

ita

ls

Nu

mb

er o

f p

riv

ate

sect

or

clin

ics,

ho

spit

als

an

d p

riv

ate

do

cto

rs p

rov

idin

g

com

pre

hen

siv

e T

B t

rea

tmen

t a

nd

car

e

X

X

X

AID

S a

nd

TB

Un

it/

DP

S/

Na

tPh

arm

1.1.

4 D

evel

op

min

imu

m

sta

nd

ard

s fo

r d

iag

no

stic

s,

pre

ven

tio

n,

trea

tmen

t an

d

care

fo

r H

IV a

nd

TB

ser

vic

es

Min

imu

m s

tan

dar

ds

for

dia

gn

ost

ics,

pre

ven

tio

n

trea

tmen

t an

d c

are

for

HIV

T

B s

erv

ices

dev

elo

ped

Sta

nd

ard

gu

idel

ines

in

pla

ce

X

AID

S a

nd

TB

Un

it

1.2

.Ad

op

t re

gu

lati

on

s th

at

pro

mo

te l

oca

l

man

ufa

ctu

re o

f A

RV

s,

TB

med

icin

es, a

nti

bio

tics

a

nd

co

nsu

ma

ble

s

1.2

.1 A

dv

oca

te f

or

a w

aiv

er o

n

du

ty o

f ra

w m

ate

rial

s fo

r th

e

loca

l m

anu

fact

ure

of

AR

Vs

Du

ty o

n r

aw m

ate

rial

s w

aiv

ered

Nu

mb

er a

nd

ty

pe

of

raw

m

ater

ials

ex

emp

ted

fro

m

imp

ort

du

ty

X

X

X

Ph

arm

acis

ts C

ou

nci

l o

f

Zim

ba

bw

e/M

an

ufa

ctu

rer’

s A

sso

ciat

ion

/ D

PS

1.2

.2 S

up

po

rt l

oca

l d

rug

ma

nu

fact

uri

ng

co

mp

anie

s to

li

nk

wit

h i

nte

rnat

ion

al

pa

rtn

ers

un

der

th

e D

OH

A

ag

reem

ent

in t

he

pro

du

ctio

n

of

inex

pen

siv

e A

RV

s an

d

op

po

rtu

nis

tic

med

icin

es

Lo

cal

dru

g m

an

ufa

ctu

rin

g

com

pa

nie

s p

rod

uci

ng

a

ffo

rda

ble

med

icin

es i

n

coll

ab

ora

tio

n w

ith

in

tern

ati

on

al

pa

rtn

ers

un

der

th

e D

OH

A a

gre

emen

t

Nu

mb

er o

f co

mp

anie

s

pa

rtic

ipa

tin

g i

n t

he

DO

HA

a

gre

emen

t

X

MO

HC

C/

AID

S a

nd

TB

Un

it, P

har

mac

y

Dep

art

men

t

A

ffo

rda

ble

med

icin

es

av

ail

ab

le f

or

PP

Ps

A

va

ila

bil

ity

of

aff

ord

able

m

edic

ines

on

th

e m

ark

et

X

X

P

ha

rmac

ists

Co

un

cil

of

Zim

bab

we/

DP

S/

Na

tPh

arm

Nu

mb

er o

f m

an

ufa

ctu

rers

pro

du

cin

g c

hea

per

AR

Vs

, TB

X

X

A

IDS

an

d T

B U

nit

,

Ph

arm

acy

ST

RA

TE

GY

P

LA

NN

ED

AC

TIV

ITIE

S

EX

PE

CT

ED

OU

TP

UT

S

OU

TP

UT

IN

DIC

AT

OR

S

TIM

EL

INE

RE

SP

ON

SIB

LE

P

EO

PL

E/U

NIT

Y

1

Y2

Y

3

med

icin

es a

nd

co

nsu

ma

ble

sd

epa

rtm

ent

1.2

.3 A

dv

oca

te f

or

an i

ncr

ease

d

pre

fere

nti

al t

end

er f

or

loca

l m

anu

fact

ure

rs o

f A

RV

s an

d

an

ti-T

B m

edic

ines

to

pro

mo

te

loca

l in

du

stry

an

d

sust

ain

ab

ilit

y

Pre

fere

nti

al t

end

ers

a

gre

emen

t a

pp

rov

ed

Incr

ease

d n

um

ber

of

loca

l m

anu

fact

ure

rs o

f A

RV

s an

d

an

ti-

TB

med

icin

es

X

X

Ph

arm

acis

ts C

ou

nci

l o

f Z

imb

abw

e/A

IDS

a

nd

TB

Un

it/

Ph

arm

acy

d

epa

rtm

ent

Str

ateg

ic F

ram

ewo

rk F

or

Pub

lic-

Pri

vate

Par

tner

ship

s F

or

TB

And

HIV

Pre

vent

ion,

Tre

atm

ent,

Ca

re A

nd

Su

ppo

rt:

20

14 -

201

6

25

1.2

.4 E

xp

lore

op

po

rtu

nit

ies

for

po

oli

ng

pro

cure

men

ts o

f

med

icin

es a

nd

su

pp

lies

Po

ten

tia

l su

pp

lier

s id

enti

fied

N

um

ber

of

com

pan

ies

esta

bli

shin

g c

on

sort

ium

fo

r p

rocu

rem

ent

X X

N

atP

har

m,

Ph

arm

acy

D

epa

rtm

ent

1.2

.5 E

sta

bli

sh p

riv

ate

sect

or

pri

cin

g m

od

els

for

med

icin

es

pro

cured

un

der

th

e p

oo

led

m

ech

anis

m w

ork

ed o

ut

un

der

th

e P

PP

s

Po

ole

d m

edic

ines

p

rocu

rem

ent

thro

ug

h

Nat

Ph

arm

Nu

mb

er o

f p

riv

ate

hea

lth

sec

tor

inst

itu

tio

ns

uti

lizi

ng

th

e

Nat

Ph

arm

po

ole

d m

edic

ines

p

rocu

rem

ent

syst

em

X X

M

OH

CC

Nat

Ph

arm

AID

S a

nd

TB

Un

it

Ph

arm

acy

D

epa

rtm

ent

Pri

vat

e se

cto

r p

rici

ng

m

od

els

dev

elo

ped

an

d

fun

ctio

nal

Pri

cin

g m

od

els

X

N

atP

har

m

1.2.

6 S

ensi

tiz

e st

ak

eho

lder

s o

n

po

licy

ref

orm

s o

n H

IV/

TB

serv

ices

(m

edic

ines

, la

bo

rato

ry s

erv

ices

) fo

r P

PP

.

Incr

ease

d a

wa

ren

ess

of

the

po

lici

es a

nd

reg

ula

tio

ns

ap

pli

cab

le t

o t

he

imp

lem

enta

tio

n o

f P

PP

in

itia

tiv

es o

n H

IV/

TB

Nu

mb

er o

f P

PP

sta

keh

old

ers

sen

siti

zed

on

po

lici

es a

nd

reg

ula

tory

ref

orm

s

X

X A

IDS

an

d T

B U

nit

Nu

mb

er a

nd

ca

teg

ori

es o

f p

riv

ate

sec

tor

org

an

isa

tio

ns

pa

rtic

ipa

tin

g i

n t

he

mee

tin

gs

X

X

AID

S a

nd

TB

Un

it

ZIP

SH

AW

Reg

ula

tory

bar

rier

s

hin

der

ing

im

ple

men

tati

on

o

f P

PP

s

Lis

t o

f re

cog

niz

ed r

egu

lato

ry

ba

rrie

rs t

o P

PP

X X

X A

IDS

an

d T

B U

nit

ZIP

SH

AW

1.3

.Mo

bil

ise

hea

lth

fun

der

s (M

edic

al

AID

in

sura

nce

co

mp

an

ies)

to

1.3

.1 A

dv

oca

te

for

hea

lth

fun

der

s to

pro

vid

e m

edic

al

aid

co

ver

fo

r co

mp

reh

ensi

ve

Ince

nti

ves

su

bsi

die

s f

or

med

icin

es a

nd

co

mm

od

itie

s p

ut

in p

lace

Nu

mb

er o

f h

ealt

h f

un

der

s

pro

vid

ing

med

ica

l co

ver

fo

r co

mp

reh

ensi

ve

TB

tre

atm

ent

X X

X M

OH

CC

/A

HF

OZ

ST

RA

TE

GY

P

LA

NN

ED

AC

TIV

ITIE

S E

XP

EC

TE

D O

UT

PU

TS

OU

TP

UT

IN

DIC

AT

OR

S

TIM

EL

INE

RE

SP

ON

SIB

LE

P

EO

PL

E/U

NIT

Y

1 Y

2 Y

3

pro

vid

e co

mp

reh

ensi

ve

cov

er f

or

HIV

trea

tmen

t ca

re s

erv

ices

TB

an

d H

IV s

erv

ices

se

rvic

es

Nu

mb

er o

f h

ealt

h f

un

der

s

pro

vid

ing

med

ica

l co

ver

fo

r co

mp

reh

ensi

ve

TB

ser

vic

es i

n

retu

rn f

or

sub

sid

ized

m

edic

ines

an

d c

om

mo

dit

ies

X X

X M

OH

CC

/ A

HF

OZ

1.3

.2 E

ng

age

Hea

lth

in

sura

nce

co

mp

an

ies

in t

he

ad

min

istr

ati

on

of

reso

urc

es

ha

rnes

sed

fo

r P

PP

s

Hea

lth

in

sura

nce

co

mp

anie

s fo

rma

lly

en

ga

ged

in

th

e a

dm

inis

tra

tio

n o

f P

PP

h

arn

esse

d r

eso

urc

es

Nu

mb

er o

f co

mp

anie

s in

vo

lved

in

th

e ad

min

istr

atio

n o

f re

sou

rces

X X

X M

OH

CC

/A

HF

OZ

Str

ateg

ic F

ram

ewo

rk F

or

Pub

lic-

Pri

vate

Par

tner

ship

s F

or

TB

And

HIV

Pre

vent

ion,

Tre

atm

ent,

Ca

re A

nd

Su

ppo

rt:

20

14 -

201

6

ST

RA

TE

GIC

OB

JEC

TIV

E 2

: T

o e

xpan

d a

cces

s to

co

mp

reh

en

siv

e q

ual

ity

HIV

an

d T

B s

erv

ices

th

rou

gh

eff

ecti

ve

pu

bli

c-p

riv

ate

par

tner

ship

s in

clu

din

g s

tre

ng

then

ing

th

eir

cap

aci

ty t

o b

uil

d, p

rom

ote

an

d s

ust

ain

par

tner

ship

s

2.1

.

Est

abli

sh P

ub

lic

-P

riv

ate

pa

rtn

ersh

ips

on

H

IV

an

d

TB

2.

1.1

Co

nd

uct

a m

app

ing

ex

erci

se t

o i

den

tify

po

ten

tia

l p

art

ner

s fo

r th

e P

PP

init

iati

ves

K

ey n

eed

s a

nd

o

pp

ort

un

itie

s

iden

tifi

ed

Da

tab

ase

on

po

ten

tia

l p

art

ner

s

X

AID

S a

nd

TB

Un

it

NA

C

2.1

.2 P

rov

ide

trai

nin

g, c

lin

ica

l at

tach

men

t a

nd

men

tors

hip

fo

r b

oth

pu

bli

c an

d p

riv

ate

sect

or

hea

lth

car

e w

ork

ers

on

pro

vis

ion

of

HIV

TB

ser

vic

es

thro

ug

h P

PP

s

Cap

aci

ty d

evel

op

men

t

of

hea

lth

ca

re w

ork

ers

Nu

mb

ers

of

hea

lth

car

e

wo

rker

s tr

ain

ed a

nd

m

ento

red

on

HIV

ser

vic

es

ba

sed

on

th

e n

eed

s a

sses

smen

t

X

X

X

AID

S a

nd

TB

Un

it

ZIP

SH

AW

2.1.

3 I

den

tify

res

ou

rces

, sk

ills

an

d c

om

pet

ency

nee

ds

for

sust

ain

ing

Pu

bli

c-P

riv

ate

pa

rtn

ersh

ips

S

kil

ls a

na

lysi

s a

nd

com

pet

ency

ass

essm

ent

rep

ort

T

rain

ing

gu

ide

on

sk

ills

dev

elo

pm

ent

and

ca

pa

city

b

uil

din

g f

or

PP

Ps

X

AID

S a

nd

TB

Un

it

NA

C

Neg

oti

ati

on

an

d h

ealt

h

dip

lom

acy

sk

ills

tr

ain

ing

pro

gra

mm

e

N

um

ber

of

PP

P t

ha

t p

art

icip

ate

d i

n t

he

hea

lth

d

iplo

ma

cy s

kil

ls t

rain

ing

p

rog

ram

me

X

AID

S a

nd

TB

Un

it

ZIP

SH

AW

NA

C

Res

ou

rce

av

ail

ab

ilit

y

an

d g

ap a

nal

ysi

s

Rep

ort

on

res

ou

rce

nee

ds

an

d g

ap

X

MO

HC

C T

B U

nit

NA

C

ZIP

SH

AW

ST

RA

TE

GY

PL

AN

NE

D A

CT

IVIT

IES

EX

PE

CT

ED

OU

TP

UT

S

OU

TP

UT

IN

DIC

AT

OR

S

TIM

EL

INE

RE

SP

ON

SIB

LE

P

EO

PL

E/U

NIT

Y1

Y2

Y3

2.1.

4 D

evel

op

an

acc

red

ita

tio

n

an

d c

erti

fica

tio

n m

ech

anis

m

for

pro

vid

ers

eng

ag

ed i

n

PP

P H

IV/

TB

act

ivit

ies

as

a

qu

alit

y i

nsu

ran

ce

mec

han

ism

An

acc

red

ita

tio

n

crit

eria

fo

r th

e p

riv

ate

sect

or

pro

vid

ers

dev

elo

ped

N

um

ber

s o

f P

PP

s a

ccre

dit

ed

X

X

X

MO

HC

C/

AID

S T

B

Un

it

NA

C

2.1.

5 D

evel

op

a s

up

po

rt

mec

han

ism

to

m

on

ito

r th

e im

ple

men

tati

on

of

the

PP

P f

ram

ewo

rk

Su

pp

ort

mec

han

ism

fo

r

trac

kin

g p

rog

ress

in

th

e

imp

lem

enta

tio

n

of

the

par

tner

ship

fr

amew

ork

in

pla

ce

Nu

mb

er o

f

con

sult

atio

n a

nd

sup

po

rt v

isit

s

con

du

cted

X

X

MO

HC

C/

AID

S

TB

Un

it

ZIP

SH

AW

NA

C

26

Str

ateg

ic F

ram

ewo

rk F

or

Pub

lic-

Pri

vate

Par

tner

ship

s F

or

TB

And

HIV

Pre

vent

ion,

Tre

atm

ent,

Ca

re A

nd

Su

ppo

rt:

20

14 -

201

6

2.1.

6 O

rgan

ize

join

t p

lan

nin

g

an

d r

evie

ws

ali

gn

ed t

o a

nd

in

teg

rate

d w

ith

oth

er H

IV

an

d T

B p

lan

nin

g a

nd

rev

iew

p

roce

sses

.

Join

t P

PP

im

ple

men

tati

on

pla

n

dev

elo

ped

Join

t im

ple

men

tati

on

p

lan

in

pla

ce

X X

X

M

OH

CC

/

AID

S a

nd

T

B U

nit

NA

C

2.

1.7

Str

eng

then

th

e ca

pac

ity

of

the

wo

rkp

lace

to

pro

vid

e co

mp

reh

ensi

ve

HIV

/T

B

serv

ices

Org

anis

ati

on

s im

ple

men

tin

g

com

pre

hen

siv

e

wo

rkp

lace

pro

gra

ms

Nu

mb

er o

f o

rgan

isa

tio

ns

wit

h

wo

rkp

lace

pro

gra

ms

per

tain

ing

to

HIV

an

d A

IDS

se

rvic

es

X X

X

A

IDS

an

d T

B

Un

it

ZIP

SH

AW

2.2

Str

eng

then

m

ain

stre

am

ing

of

gen

der

, re

pro

du

ctiv

e h

ealt

h

and

rel

ate

d

wo

rkp

lace

pro

gra

mm

es

2.2.

1 D

evel

op

g

uid

elin

es f

or

mai

nst

rea

min

g g

end

er,

re

pro

du

ctiv

e h

ealt

h a

nd

re

late

d w

ork

pla

ce

pro

gra

mm

es

Gu

idel

ines

on

m

ain

stre

am

ing

gen

der

,

rep

rod

uct

ive

hea

lth

a

nd

rel

ated

wo

rkp

lace

p

rog

ram

mes

dev

elo

ped

an

d

op

erat

ion

alis

ed

Nu

mb

er o

f p

art

ner

s th

at

ha

ve

ado

pte

d a

nd

are

u

tili

zin

g p

oli

cies

an

d

gu

idel

ines

on

m

ain

stre

am

ing

X X

MO

HC

C/

AID

S

an

d T

B U

nit

2.3

.

S

tren

gth

en r

efer

ral

2.3.

1 E

stab

lish

pro

toco

ls f

or

Ref

erra

l sy

stem

an

d

Nu

mb

er o

f fa

cili

ties

X

X

X

MO

HC

C/

AID

S

an

d T

B

ST

RA

TE

GY

P

LA

NN

ED

AC

TIV

ITIE

S

EX

PE

CT

ED

OU

TP

UT

SO

UT

PU

T I

ND

ICA

TO

RS

TIM

EL

INE

RE

SP

ON

SIB

LE

P

EO

PL

E/U

NIT

Y

1 Y

2

Y3

mec

han

ism

s fo

r k

ey

serv

ices

fo

r P

PP

TB

/H

IV

acti

vit

ies

incl

ud

ing

d

iag

no

stic

, p

rev

enti

on

and

tre

atm

ent

serv

ices

refe

rral

of

clie

nts

bet

wee

n

serv

ice

pro

vid

ers

at d

iffe

ren

t le

vel

s w

ith

in t

he

PP

P c

on

tex

t

pro

toco

ls d

evel

op

ed

refe

rrin

g c

lien

ts f

or

HIV

/T

B

serv

ices

Un

it

2.3.

2 S

up

po

rt r

efer

ral

cen

tres

w

ith

In

form

atio

n a

nd

C

om

mu

nic

atio

n

Tec

hn

olo

gie

s (I

CT

) fo

r ea

sier

com

mu

nic

atio

n

ICT

s p

ut

in p

lace

at

all

re

ferr

al

cen

tres

N

um

ber

of

refe

rral

cen

tres

w

ith

op

era

tio

nal

an

d

fun

ctio

nal

IC

Ts

X

X

X

MO

HC

C/

AID

S T

B

Un

it

2.3.

3 E

stab

lish

a c

om

pu

t eri

sed

n

ati

on

al d

atab

ase

for

pa

tien

ts r

ecei

vin

g A

RT

an

d

TB

med

icin

es f

or

easi

er

trac

kin

g a

nd

mo

re a

ccu

rate

rep

ort

ing

A c

om

pu

teri

sed

n

ati

on

al d

atab

ase

for

pa

tien

ts o

n A

RT

an

d T

B

in p

lace

Nu

mb

er o

f p

ub

lic/

pri

va

te

sect

or

org

aniz

ati

on

s fe

edin

g

hea

lth

in

form

ati

on

in

to t

he

na

tio

nal

dat

abas

e fo

r p

ati

ents

on

AR

T a

nd

TB

X

X

X

AID

S a

nd

TB

Un

it

27

Str

ateg

ic F

ram

ewo

rk F

or

Pub

lic-

Pri

vate

Par

tner

ship

s F

or

TB

And

HIV

Pre

vent

ion,

Tre

atm

ent,

Ca

re A

nd

Su

ppo

rt:

20

14 -

201

6

2.4.

4 C

on

ven

e re

gu

lar

coo

rdin

ati

on

mee

tin

gs

on

P

PP

s w

ith

in t

he

fra

mew

ork

o

f a

lrea

dy

ex

isti

ng

HIV

an

d

TB

par

tner

ship

fo

rum

s

Reg

ula

r m

eeti

ng

s es

tab

lish

ed

Rec

ord

of

min

ute

s

X

X

X

MO

HC

C /

AID

S

and

TB

Un

it

NA

C

2.

4.5

Exp

lore

an

d p

ut

in p

lace

inn

ovat

ive

mar

ket

ing

str

ate

gie

s:

C

ontr

acti

ng

ou

t;

insu

ran

ce s

chem

es a

nd

vo

uch

er

syst

ems

to e

xp

and

pri

va

te s

ecto

r m

ark

et s

ha

re a

nd

in

crea

se a

cces

s to

p

riv

ate

sect

or

serv

ices

am

on

g l

ow

er-i

nco

me

gro

up

s H

IV,

AID

S a

nd

TB

an

d i

nte

gra

ted

RH

ser

vic

es

Ma

rket

ing

str

ateg

y i

n

pla

ce a

nd

fu

nct

ion

al

Ma

rket

ing

str

ateg

y

X

X

X

MO

HC

C/

AID

S

an

d T

B U

nit

ZIP

SH

AW

2.3.

4 I

ncr

ease

aw

aren

ess

of

PP

Ps

to b

oth

pri

vat

e a

nd

p

ub

lic

serv

ice

pro

vid

ers

Ma

rket

ing

str

ateg

y i

n

pla

ce

Nu

mb

ers

of

in

stit

uti

on

s

refe

rrin

g c

lien

ts

X X

X

M

OH

CC

/A

IDS

an

d T

B

Str

eng

then

m

anag

emen

t

coo

rdin

ati

on

an

d

go

ver

nan

ce

of

p

ub

lic

an

d p

riv

ate

serv

ice

pro

vid

ers

2.4.

1 E

stab

lish

a P

PP

man

agem

ent

an

d

coo

rdin

ati

on

str

uct

ure

/

mec

han

ism

th

at i

s al

ign

ed t

o

an

d h

arm

on

ised

wit

h N

AC

a

nd

MO

HC

C s

tru

ctu

res

PP

P c

oo

rdin

ati

on

stru

ctu

re e

sta

bli

shed

F

un

ctio

na

l P

PP

str

uct

ure

in

pla

ce

X

N

AC

MO

HC

C

ZIP

SH

AW

2.4

.2 D

evel

op

an

d i

mp

lem

ent

mo

del

s o

f M

OU

s fo

r P

PP

s

MO

Us

mo

del

s d

evel

op

ed

Nu

mb

er

of

PP

Ps

wit

h

esta

bli

shed

MO

Us

X X

X

M

OH

CC

/A

IDS

a

nd

TB

NA

C

2.4.

3 D

efin

e th

e ro

les

and

a

cco

un

tab

ilit

y l

ines

as

wel

l a

s p

erfo

rma

nce

in

dic

ato

rs

for

the

key

pla

yer

s o

f P

PP

m

anag

emen

t a

nd

coo

rdin

ati

on

.

Ter

ms

of

refe

ren

ce

for

key

p

lay

ers

of

PP

P

man

agem

ent

and

co

ord

ina

tio

n

Ro

les

and

res

po

nsi

bil

itie

s d

efin

ed

X

M

OH

CC

/A

IDS

and

NA

C

ZIP

SH

AW

ST

RA

TE

GY

P

LA

NN

ED

AC

TIV

ITIE

S

EX

PE

CT

ED

OU

TP

UT

S

OU

TP

UT

IN

DIC

AT

OR

S

TIM

EL

INE

RE

SP

ON

SIB

LE

P

EO

PL

E/U

NIT

Y1

Y2

Y3

Un

it

2.4

.

Un

it

TB

Un

it

28

Str

ateg

ic F

ram

ewo

rk F

or

Pub

lic-

Pri

vate

Par

tner

ship

s F

or

TB

And

HIV

Pre

vent

ion,

Tre

atm

ent,

Ca

re A

nd

Su

ppo

rt:

20

14 -

201

6

2.4.

6 D

evel

op

men

t a

nd

uti

lisa

tio

n

of

gu

idel

ines

(C

lin

ical

man

agem

ent,

p

rici

ng

an

d m

on

ito

rin

g)

Cli

nic

al ,

pri

cin

g a

nd

m

on

ito

rin

g g

uid

elin

es

dev

elo

ped

Cli

nic

al, p

rici

ng

an

d

mo

nit

ori

ng

gu

idel

ines

in

p

lace

an

d f

un

ctio

nal

X

X

X

MO

HC

C /

AID

S a

nd

T

B U

nit

2.4.

7 D

evel

op

men

t o

f st

and

ard

op

erat

ing

pro

ced

ure

s (S

OP

s)

for

min

imu

m q

ual

ity

stan

dar

ds

SO

Ps

for

min

imu

m

qu

alit

y s

tan

da

rds

dev

elo

ped

SO

Ps

in p

lace

X

MO

HC

C/

AID

S a

nd

TB

Un

it

2.4.

8 M

on

ito

rin

g q

ual

ity

stan

dar

ds

Mo

nit

ori

ng

sta

nd

ard

s

on

qu

alit

y d

evel

op

ed

Mo

nit

ori

ng

sta

nd

ard

s in

pla

ce a

nd

fu

nct

ion

al

X

X

X

MO

HC

C/

AID

S a

nd

TB

Un

it

Nu

mb

er o

f P

PP

pro

vid

ers

com

pli

ant

wit

h s

et s

tan

da

rds

X

X

X

M

OH

CC

AID

S a

nd

TB

Un

it

ST

RA

TE

GY

P

LA

NN

ED

AC

TIV

ITIE

S E

XP

EC

TE

D O

UT

PU

TS

O

UT

PU

T I

ND

ICA

TO

RS

TIM

EL

INE

RE

SP

ON

SIB

LE

P

EO

PL

E/U

NIT

Y

1 Y

2

Y3

29

Str

ateg

ic F

ram

ewo

rk F

or

Pub

lic-

Pri

vate

Par

tner

ship

s F

or

TB

And

HIV

Pre

vent

ion,

Tre

atm

ent,

Ca

re A

nd

Su

ppo

rt:

20

14 -

201

6

ST

RA

TE

GIC

OB

JEC

TIV

E 3

: T

o l

eve

rag

e re

sou

rces

(fi

nan

cial

an

d n

on

-fin

anci

al e

xper

tise

an

d t

ech

no

log

y)

fro

m p

ub

lic

an

d p

riv

ate

sec

tor

(in

tern

al a

nd

ext

ern

al)

tow

ard

s u

niv

ersa

l a

cces

s to

co

mp

reh

ensi

ve

qu

alit

y s

erv

ices

fo

r H

IV, A

IDS

an

d T

B s

erv

ices

3.1

.

Gen

erat

e ev

iden

ce

nec

essa

ry t

o e

stab

lish

th

e

reso

urc

e si

tuat

ion

(

avai

lab

ilit

y, u

tili

sati

on

)

in b

oth

pu

bli

c an

d

pri

vat

e se

cto

rs

3.1.

1)

Car

ry o

ut

ma

pp

ing

exer

cise

to

id

enti

fy

exis

tin

g a

nd

po

ten

tia

l

reso

urc

es

(in

fras

tru

ctu

re,

hu

man

,

fin

anci

al,

tec

hn

olo

gic

al,

com

mo

dit

ies)

in

th

e

pu

bli

c se

cto

r

Res

ou

rce

gap

an

d n

eed

s

iden

tifi

ed

Rep

ort

on

th

e m

ap

pin

g

exer

cise

X

AID

S a

nd

TB

Un

it

NA

C

ZIP

SH

AW

3.1.

2) E

stab

lish

PP

Ps

bas

ed

on

res

ou

rce

av

ail

ab

ilit

y

info

rmed

by

th

e re

sult

s

of

the

map

pin

g e

xer

cise

PP

Ps

esta

bli

shed

an

d

fun

ctio

nal

ba

sed

on

reso

urc

es a

va

ilab

ilit

y

Nu

mb

er o

f P

PP

s es

tab

lish

ed

X

X

X

AID

S a

nd

TB

Un

it

NA

C

ZIP

SH

AW

3.2

.

Mo

bil

ise

sust

ain

able

re

sou

rces

fo

r P

PP

as

per

iden

tifi

ed g

ap

s a

nd

nee

ds

3.2.

1 S

up

po

rt i

ncr

ease

d

rev

enu

e fo

r n

atio

nal

hea

lth

in

sura

nce

to

mee

t id

enti

fied

gap

s

and

nee

ds

.

Incr

ease

in

rev

enu

e fo

r

Hea

lth

In

sura

nce

sch

emes

Incr

ease

in

nu

mb

er o

f

inst

itu

tio

ns

enro

llin

g f

or

hea

lth

in

sura

nce

sch

emes

Leg

isla

tio

n p

ut

in p

lace

to

com

pel

org

anis

ati

on

s to

con

trib

ute

to

th

e N

ati

on

al

hea

lth

in

sura

nce

sch

emes

X

X

X

AID

S a

nd

TB

Un

it

ST

RA

TE

GY

PL

AN

NE

D A

CT

IVIT

IES

EX

PE

CT

ED

OU

TP

UT

S

OU

TP

UT

IN

DIC

AT

OR

S

TIM

EL

INE

RE

SP

ON

SIB

LE

P

EO

PL

E/U

NIT

Y1

Y2

Y3

30

Str

ateg

ic F

ram

ewo

rk F

or

Pub

lic-

Pri

vate

Par

tner

ship

s F

or

TB

And

HIV

Pre

vent

ion,

Tre

atm

ent,

Ca

re A

nd

Su

ppo

rt:

20

14 -

201

6

3.2.

2)

Ad

vo

cate

fo

r

leg

isla

tion

to

pro

mot

e

rev

enu

e co

llec

tion

bas

ed

on t

he

var

iou

s op

tion

s

(VA

T, S

INT

AX

,, A

IDS

Lev

y)

Incr

ease

in

rev

enu

e/b

ud

get

to f

un

d p

rog

ram

me

resp

on

ses

Nu

mb

er o

f in

stit

uti

on

s

pa

rtic

ipa

tin

g i

n N

atio

nal

hea

lth

in

sura

nce

sch

eme

X

X

N

AC

,

AID

S a

nd

TB

Un

it

Med

ica

l In

sura

nce

3.

2.3)

Ex

plo

re m

eth

od

s to

incr

ease

in

form

al

sect

or

con

trib

uti

on

s

Info

rma

l se

cto

r co

ntr

ibu

tio

n

mec

han

ism

in

pla

ce

Incr

ease

in

rev

enu

e

con

trib

uti

on

fro

m i

nfo

rma

l

sect

or

X

X

X

NA

C,

AID

S a

nd

,

TB

Un

it

P

rom

ote

dec

entr

ali

sed

pla

nn

ing

an

d i

mp

lem

enta

tio

n o

f

PP

P t

o o

pti

mis

e

reso

urc

es f

or

gre

ate

r

imp

act

an

d t

o a

chie

ve

un

iver

sal

succ

ess

3.3.

1) S

ensi

tize

sta

keh

old

ers

an

d m

oti

vat

e fo

r

esta

bli

shm

ent

of

PP

P

wit

hin

th

eir

con

stit

uen

cy t

o

incr

ease

co

ver

age

Ma

rket

ing

an

d

com

mu

nic

ati

on

str

ate

gie

s

an

d c

om

mu

nit

y p

latf

orm

s

esta

bli

shed

to

op

tim

ise

reso

urc

e le

ver

ag

ing

Ma

rket

ing

an

d c

om

mu

nic

ati

on

stra

teg

ies

in p

lace

X

X

X

AID

S a

nd

3.3.

2) F

orm

ali

se

pa

rtn

ersh

ips

wit

h

bu

sin

esse

s o

n P

PP

s

incl

ud

ing

wit

h

Co

mm

un

ity

Ow

ner

ship

Tru

st

MO

Us

for

imp

lem

enta

tio

n

of

PP

Ps

in w

ork

pla

ce

Nu

mb

er o

f M

OU

s si

gn

ed w

ith

bu

sin

esse

s a

nd

wit

h

com

mu

nit

y o

wn

ersh

ip t

rust

s

X

X

X

AID

S a

nd

TB

Un

it

reso

urc

e

(fin

anci

al

an

d n

on

-

fin

anci

al)

uti

liza

tio

n

PP

P t

o e

nh

an

ce

3.4.

1)

Est

abli

sh a

sy

stem

for

trac

kin

g r

eso

urc

e

uti

liz

ati

on

wit

h

spec

ific

in

dic

ato

rs

Fin

anci

al

an

d n

on

-fin

an

cia

l

reso

urc

es t

rack

ing

mec

han

ism

s in

pla

ce

Nu

mb

er o

f P

PP

s

trac

kin

g

reso

urc

es a

nd

hav

e es

tab

lish

ed

reso

urc

e g

ap

X

X

X

AID

S a

nd

NA

C

ST

RA

TE

GY

P

LA

NN

ED

AC

TIV

ITIE

S E

XP

EC

TE

D O

UT

PU

TS

O

UT

PU

T I

ND

ICA

TO

RS

TIM

EL

INE

RE

SP

ON

SIB

LE

P

EO

PL

E/U

NIT

Y1

Y

2

Y3

acc

ou

nta

bil

ity

an

d

tran

spar

ency

3.

4.2

) Ha

rmo

nis

e th

e P

PP

s

info

rmat

ion

w

ith

th

e

na

tio

nal

hea

lth

info

rmat

ion

syst

em

PP

Ps

info

rmat

ion

sy

stem

ali

gn

ed t

o N

HS

Un

ifie

d i

nfo

rma

tio

n s

yst

em

X

X

X

AID

S a

nd

3.4.

3)

Est

abli

sh r

egu

lar

feed

bac

k m

ech

anis

m

for

reso

urc

e tr

ack

ing

up

dat

es

Dev

elo

p a

fee

db

ack

mec

han

ism

fo

r re

sou

rces

trac

kin

g u

pd

ate

s

Up

da

te r

epo

rt

X

X

X

AID

S a

nd

ZIP

SH

AW

3.3

.

TB

un

it

3.4

.

Tra

ckT

B U

nit

TB

Un

it

TB

Un

it

31

Str

ateg

ic F

ram

ewo

rk F

or

Pub

lic-

Pri

vate

Par

tner

ship

s F

or

TB

And

HIV

Pre

vent

ion,

Tre

atm

ent,

Ca

re A

nd

Su

ppo

rt:

20

14 -

201

6

ST

RA

TE

GIC

OB

JEC

TIV

E 4

: To

str

en

gth

en s

tra

teg

ic i

nfo

rma

tio

n m

an

ag

emen

t, m

on

ito

rin

g a

nd

ev

alu

atio

n (

M&

E)

and

re

sea

rch

4

.1

Est

abli

sh/

stre

ng

then

an

M&

E f

ram

ewo

rk f

or

mo

nit

ori

ng

HIV

an

d T

B

PP

Ps

4.1.

1) R

evie

w e

xis

tin

g M

&E

fram

ewo

rks

wit

hin

exis

tin

g p

ub

lic

and

pri

vat

e se

cto

r sy

stem

s

to f

acil

itat

e

stan

dar

diz

atio

n a

nd

har

mo

niz

atio

n

Sta

nd

ard

ised

an

d

ha

rmo

nis

ed d

ata

co

llec

tio

n

too

ls f

or

all

PP

Ps

Nu

mb

er o

f p

riv

ate/

pu

bli

c se

cto

r

org

aniz

ati

on

s u

tili

zin

g th

e

stan

dar

diz

ed d

ata

coll

ecti

on

to

ols

X

X

X

AID

S a

nd

TB

Un

it

NA

C

ZIP

SH

AW

4.2

B

uil

d c

ap

acit

y f

or

M&

E w

ith

in H

IV/

TB

PP

Ps

4.2.

1)

Iden

tify

M&

E

cap

aci

ty g

aps

(res

ou

rces

, ex

per

tise

)

an

d t

rain

ing

nee

ds

for

Pu

bli

c an

d P

riv

ate

sect

or

Cap

aci

ty g

aps

iden

tifi

ed

Rep

ort

on

ca

pac

ity

nee

ds

and

ga

ps

X

M

OH

CC

/A

IDS

an

d T

B U

nit

HIM

S

ZIP

SH

AW

4.2.

2)

Co

nd

uct

co

mb

ined

trai

nin

g o

n M

&E

fo

r

HIV

/A

IDS

an

d

TB

PP

Ps

Tra

in a

nd

ca

pac

ity

bu

ild

per

son

nel

on

da

ta c

oll

ecti

on

,

info

rma

tio

n m

ana

gem

ent

an

d

uti

liz

ati

on

Nu

mb

er o

f p

ub

lic/

pri

va

te

per

son

nel

tra

ined

in

PP

Ps

M an

d

E

X

X

A

IDS

an

d T

B U

nit

NA

C

ZIP

SH

AW

ST

RA

TE

GY

PL

AN

NE

D A

CT

IVIT

IES

E

XP

EC

TE

D O

UT

PU

TS

O

UT

PU

T I

ND

ICA

TO

RS

TIM

EL

INE

RE

SP

ON

SIB

LE

P

EO

PL

E/U

NIT

Y

1

Y2

Y

3

32

D

evel

op

an

in

teg

rate

d

resu

lts-

ba

sed

M&

E

fra

mew

ork

th

at

def

ines

ou

tco

mes

, in

dic

ato

rs a

nd

mea

ns

of

ver

ific

ati

on

M&

E F

ram

ewo

rk

X

AID

S a

nd

TB

Un

it,

NA

C

4.2.

3)

Co

nd

uct

ori

enta

tio

n

sess

ion

s fo

r m

anag

ers

and

dec

isio

n m

aker

s o

n

uti

liza

tio

n o

f st

rate

gic

info

rmat

ion

fo

r

adv

oca

cy a

nd

po

licy

gu

ida

nce

Ma

nag

ers

an

d d

ecis

ion

mak

ers

ma

kin

g i

nfo

rmed

dec

isio

ns

on

PP

P p

oli

cies

an

d

stra

teg

ies

bas

ed o

n s

tra

teg

ic

info

rmat

ion

Nu

mb

er o

f in

stit

uti

on

s u

tili

zin

g

the

nat

ion

al i

nfo

rma

tio

n s

yst

em

X

AID

S a

nd

TB

Un

it

NA

C

ZIP

SH

AW

H

IMS

Str

ateg

ic F

ram

ewo

rk F

or

Pub

lic-

Pri

vate

Par

tner

ship

s F

or

TB

And

HIV

Pre

vent

ion,

Tre

atm

ent,

Ca

re A

nd

Su

ppo

rt:

20

14 -

201

6

4.3

.

Est

abli

sh/

stre

ng

then

fe

edb

ack

mec

ha

nis

ms

for

HIV

/T

B P

PP

s

4.3.

1) I

nco

rpo

rate

fee

db

ack

mec

han

ism

s w

ith

str

ict

bin

din

g c

on

dit

ion

s o

n

rou

tin

e re

po

rtin

g b

y

pri

va

te s

ecto

r in

to P

PP

MO

Us

Fee

db

ack

mo

nit

ori

ng

sy

stem

for

PP

P i

n p

lace

an

d

fun

ctio

nal

Fee

db

ack

rep

ort

s

X

MO

HC

C/

AID

S

an

d T

B U

nit

ZIP

SH

AW

4.3.

2)

Co

nd

uct

join

t

pla

nn

ing

an

d r

evie

w

mee

tin

gs

bet

wee

n

pu

bli

c a

nd

pri

vat

e

sect

or

to e

nsu

re

syn

chro

nis

atio

n o

f

effo

rts

tha

t en

sure

s

roo

m f

or

com

ple

men

tari

ties

in

HIV

TB

,PP

Ps

Join

t a

ctio

n p

lan

s fo

r P

PP

s

Nu

mb

er o

f P

PP

s w

ith

pla

ns

join

tly

dev

elo

ped

( S

yn

chro

niz

ed

pla

ns)

X

X

X

MO

HC

C/

AID

S

an

d T

B U

nit

NA

C

ZIP

SH

AW

Nu

mb

er o

f p

riv

ate

sect

or

inst

itu

tio

ns

pa

rtic

ipa

tin

g i

n t

he

join

t p

lan

nin

g f

or

stra

teg

ic

info

rmat

ion

ma

nag

emen

t a

nd

M&

E a

nd

res

earc

h

X

X

X

AID

S a

nd

TB

Un

it

ZIP

SH

AW

HIM

S

ST

RA

TE

GY

PL

AN

NE

D A

CT

IVIT

IES

E

XP

EC

TE

D O

UT

PU

TS

OU

TP

UT

IN

DIC

AT

OR

S

TIM

EL

INE

RE

SP

ON

SIB

LE

P

EO

PL

E/U

NIT

Y

1

Y2

Y

3

33

4.4.

3)

Per

iod

ic i

nfo

rmat

ion

dis

sem

inat

ion

on

less

on

s le

arn

t an

d g

ood

pra

ctic

es i

n P

PP

s ac

ross

sco

pes

of

wo

rk t

hro

ug

h

var

iou

s m

edia

str

ateg

ies

Go

od

pra

ctic

es s

ha

red

N

o o

f P

PP

dis

sem

ina

tin

g l

esso

ns

lea

rnt

an

d g

oo

d p

ract

ices

X

X

A

IDS

an

d T

B U

nit

NA

C

ZIP

SH

AW

PP

P i

nfo

rmat

ion

dis

sem

ina

tio

n t

hro

ug

h

va

rio

us

med

ia s

tra

teg

ies

iden

tifi

ed

Nu

mb

er o

f m

edia

re

po

rts

on

PP

Ps

pu

bli

shed

an

d c

ha

nn

els

use

d

X

X

X

AID

S a

nd

TB

Un

it

NA

C

ZIP

SH

AW

A

nn

ua

l re

vie

w m

eeti

ng

s X

X

X

M

OH

CC

/A

IDS

a

nd

TB

Un

it,

NA

C,

ZIP

SH

AW

Str

ateg

ic F

ram

ewo

rk F

or

Pub

lic-

Pri

vate

Par

tner

ship

s F

or

TB

And

HIV

Pre

vent

ion,

Tre

atm

ent,

Ca

re A

nd

Su

ppo

rt:

20

14 -

201

6

4

.4

Pro

mo

te jo

int

op

erat

ion

al

rese

arc

h o

n

via

ble

PP

Ps

in H

IV a

nd

TB

ser

vic

e p

rov

isio

n 4.

4.1

) C

on

du

ct jo

int

oper

atio

nal

res

earc

h o

n

PP

Ps

(cos

t ef

fect

iven

ess

and

cos

t be

nef

it)

Op

erat

ion

al r

esea

rch

(O

P)

pro

toco

ls d

evel

op

ed

Nu

mb

er o

f O

P p

roto

cols

on

PP

pu

t in

pla

ce

X

X

X

AID

S a

nd

TB

Un

it

Join

tly

co

nd

uct

ed K

AP

an

d

com

mu

nit

y s

urv

eys

No

of

surv

eys

join

tly

co

nd

uct

ed

by

PP

Ps

X

X

A

IDS

an

d T

B U

nit

4.4

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En

gag

e ex

tern

al

pa

rtie

s in

ev

alu

ati

ng

effe

ctiv

enes

s o

f p

ilo

t

PP

Ps

Ind

epen

den

t re

vie

ws

of

PP

Ps

N

um

ber

of

ind

epen

den

t re

vie

ws

X

X

AID

S a

nd

TB

Un

it

NA

C

ZIP

SH

AW

AN

NE

XE

2

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BL

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RIV

AT

E P

AR

TN

ER

SH

IP S

TR

AT

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IC P

LA

N: R

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UL

TS

FR

AM

EW

OR

K 2

014

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GO

AL

:To

co

ntr

ibu

te t

ow

ard

s th

e re

du

ctio

n o

f m

ort

alit

y &

mo

rbid

ity

am

on

g p

eop

le i

nfe

cted

wit

h T

B a

nd

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in

lin

e w

ith

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en

t

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pro

ve

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alit

y o

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fe t

hro

ug

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rov

isio

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mp

reh

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HIV

an

d T

B s

erv

ices

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n e

nab

lin

g l

egal

, po

licy

an

d r

egu

lato

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nv

iro

nm

ent

for

PP

P i

n t

he

pro

vis

ion

of

com

pre

hen

siv

e q

uali

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OM

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:

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Acc

red

itat

ion

gu

idel

ines

fo

r re

tail

p

ha

rma

cy d

evel

op

ed

1.1

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uid

elin

es f

or

accr

edit

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Str

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20

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Str

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ppo

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nie

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lace

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5 O

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37

Str

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2

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gen

eric

mo

del

s in

pla

ce

Lis

t o

f g

ener

ic m

od

els

A

nn

ua

lly

2

.12

.2 P

rop

ort

ion

o

f P

PP

s w

ith

est

abli

shed

an

d

fun

ctio

nal

M

OU

s

wit

h c

lea

r ro

les

and

re

spo

nsi

bil

itie

s

10

0%

1

00

%

10

0%

R

eco

rd o

f p

arti

cip

atin

g

com

pa

nie

s

Rev

iew

ed

an

nu

ally

2.1

3 U

ser

fees

an

d p

rici

ng

gu

idel

ines

d

evel

op

ed

2

.13

.1 p

rici

ng

sch

edu

les

and

gu

idel

ines

in

p

lace

and

fu

nct

ion

al

Rec

ord

of

sch

edu

les

R

evie

wed

a

nn

ual

ly

2.1

4

SO

Ps

for

min

imu

m q

ual

ity

stan

dar

ds

for

PP

Ps

dev

elo

ped

2

.14

.1

SO

Ps

for

the

PP

Ps

in p

lace

R

eco

rds

R

evie

wed

an

nu

ally

2

.14

.2

Nu

mb

er o

f P

PP

pro

vid

ers

com

pli

an

t

wit

h s

et s

tan

da

rds

10

0%

1

00

%

10

0%

R

eco

rds

and

dat

a ba

se

Rev

iew

ed

an

nu

ally

E

XP

EC

TE

D O

UT

PU

TS

IN

DIC

AT

OR

S

TA

RG

ET

M

EA

NS

OF

V

ER

IFIC

AT

ION

F

RE

QU

EN

CY

2

014

2

015

2

016

2.1

2.1

38

Str

ateg

ic F

ram

ewo

rk F

or

Pub

lic-

Pri

vate

Par

tner

ship

s F

or

TB

And

HIV

Pre

vent

ion,

Tre

atm

ent,

Ca

re A

nd

Su

ppo

rt:

20

14 -

201

6

3.3

In

form

al s

ecto

r co

ntr

ibu

tio

n

mec

han

ism

in

pla

ce

3.3

.1In

crea

se i

n r

even

ue

con

trib

uti

on

fro

m

info

rmal

sec

tor

Nati

on

al

Hea

lth

A

cco

un

ts/

Mo

HC

C

rev

enu

e ex

pen

dit

ure

tr

ack

ing

Rev

iew

ed

an

nu

ally

3

.3.2

En

ga

gem

ent

wit

h i

nfo

rma

l se

cto

r

incl

ud

ing

pa

rtn

ersh

ips

wit

h c

om

mu

nit

y

ow

ner

ship

tru

st

Rep

ort

s

on

co

mm

un

ity

o

wn

ersh

ip s

chem

es,

Rec

ord

of

dia

log

ue

mec

han

ism

s

Rev

iew

ed

an

nu

ally

3.4

Fin

an

cial

an

d n

on

-fin

an

cial

re

sou

rces

au

dit

ing

mec

han

ism

s in

p

lace

3.4

.1 P

rop

ort

ion

of

PP

Ps

uti

liz

ing

au

dit

ing

mec

han

ism

s

1

00

%

10

0%

10

0%

Mo

nit

ori

ng

rep

ort

s,

Au

dit

rec

ord

s

Rev

iew

ed

an

nu

ally

3.5

Ali

gn

all

PP

P i

nfo

rma

tio

n s

yst

em

to N

ati

on

al H

ealt

h I

nfo

rma

tio

n

syst

em (

NH

IS)

3.5

.1 A

ll P

PP

in

form

ati

on

sy

stem

ali

gn

ed t

o

the

NH

IS 5

0%

70

%

10

0%

Rec

ord

s

Rev

iew

ed

an

nu

ally

3.6

Dev

elo

p a

fee

db

ack

mec

han

ism

fo

r re

sou

rce tr

ack

ing

up

da

tes

36.

1 U

pd

ate

rep

ort

s o

n r

eso

urc

e tr

ack

ing

R

eco

rds

Q

uart

erly

rev

iew

s

3.1

Res

ou

rce

gap

an

d n

eed

s id

enti

fied

3.1

.1R

epo

rt o

n t

he

ma

pp

ing

ex

erci

se fo

r b

oth

fi

nan

cia

l a

nd

no

n-f

inan

cial

res

ou

rces

Rep

ort

on

gap

an

aly

sis

Rev

iew

ed

an

nu

ally

3.2

Incr

ease

in

rev

enu

e fo

r

Hea

lth

in

sura

nce

sch

emes

3.2

.1 L

egis

lati

on

in

pla

ce t

o c

om

pel

o

rgan

isa

tio

ns

to c

on

trib

ute

to

th

e N

atio

nal

h

ealt

h i

nsu

ran

ce s

chem

es

Rec

ord

of

dia

log

ue

on

le

gis

lati

on

An

nu

al

rev

iew

of

pro

gre

ss

OU

TC

OM

E

3:

Incr

ease

d r

eso

urc

es

(fin

anci

al

and

no

n-f

inan

cia

l ex

per

tise

an

d t

ech

no

log

y)

fro

m p

ub

lic

and

pri

vate

se

cto

r in

tern

al

an

d e

xte

rnal)

to

ward

s u

niv

ersa

l a

cce

ss t

o c

om

pre

hen

siv

e q

ua

lity

HIV

, A

IDS

an

d T

B s

erv

ice

s

EX

PE

CT

ED

O

UT

PU

TS

IND

ICA

TO

RS

TA

RG

ET

M

EA

NS

OF

V

ER

IFIC

AT

ION

F

RE

QU

EN

CY

201

4

201

5

2016

39

Str

ateg

ic F

ram

ewo

rk F

or

Pub

lic-

Pri

vate

Par

tner

ship

s F

or

TB

And

HIV

Pre

vent

ion,

Tre

atm

ent,

Ca

re A

nd

Su

ppo

rt:

20

14 -

201

6

OU

TC

OM

E 4

: S

tren

gth

ene

d s

trat

eg

ic i

nfo

rma

tio

n m

an

agem

en

t, m

on

ito

rin

g a

nd

ev

alu

ati

on

(M

&E

) a

nd

re

sea

rch

EX

PE

CT

ED

OU

TP

UT

S IN

DIC

AT

OR

S

TA

RG

ET

M

EA

NS

OF

V

ER

IFIC

AT

ION

F

RE

QU

EN

CY

201

4

201

5

201

6

4.1

Sta

nd

ard

ized

an

d h

arm

on

ized

d

ata

co

llec

tio

n t

oo

ls f

or

all

PP

Ps

4

.1.1

Nu

mb

er o

f p

riv

ate

/p

ub

lic

sect

or

org

aniz

ati

on

s u

tili

zin

g t

he

stan

dar

diz

ed

da

ta c

oll

ecti

on

to

ols

50

%

70

%

10

0%

Da

tab

ase

of

inst

itu

tio

ns

Qu

art

erly

rev

iew

s

4.2

Ca

pac

ity

ga

ps

iden

tifi

ed

4.2

.1 R

epo

rt o

n c

ap

aci

ty n

eed

s a

nd

ga

ps

N

eed

s a

sses

smen

t re

po

rt

R

evie

wed

an

nu

ally

4.3

Sk

ills

bu

ild

ing

an

d k

no

wle

dg

e o

n

da

ta c

oll

ecti

on

,

ma

na

gem

ent

and

use

4.3

.1 N

um

ber

of

hea

lth

wo

rker

s tr

ain

ed in

d

ata

co

llec

tio

n m

anag

emen

t an

d

u

se

50

0

50

0

50

0

Wo

rksh

op

rep

ort

s a

nd

da

ta b

ase

on

nu

mb

ers

trai

ned

An

nu

al

rev

iew

s

4.4

Dev

elo

p a

n i

nte

gra

ted

res

ult

s-b

ase

d M

an

d E

fra

mew

ork

th

at

def

ines

ou

tco

mes

, in

dic

ato

rs a

nd

m

ean

s o

f v

erif

ica

tio

n

4.4

.1 M

an

d E

Fra

mew

ork

I p

lace

Rec

ord

s an

d r

epo

rts

Rev

iew

ed

an

nu

ally

4.5

Ma

na

ger

s a

nd

dec

isio

n m

aker

s

mak

ing

in

form

ed d

ecis

ion

s o

n P

PP

p

oli

cies

an

d s

trat

egie

s b

ase

d o

n

stra

teg

ic i

nfo

rma

tio

n

4.5

.1 N

um

ber

of

PP

Ps

po

lici

es a

nd

str

ateg

ies

ba

sed

on

ev

iden

ce f

rom

res

earc

h a

nd

M

an

dE

an

aly

sis

rep

ort

s dis

ag

gre

gat

ed

by

sec

tor

(pu

bli

c a

nd

pri

vat

e)

10

0%

10

0%

10

0%

Rec

ord

s

Rev

iew

ed

an

nu

ally

4.6

. Jo

int

acti

on

pla

ns

for

PP

Ps

4.6

.1 P

riv

ate

sec

tor

inst

itu

tio

ns

rep

rese

nta

tio

n

an

d p

art

icip

atio

n i

n jo

int

pla

nn

ing

fo

r st

rate

gic

in

form

ati

on

ma

nag

emen

t a

nd

M a

nd

E a

nd

res

earc

h

Rec

ord

of

join

t a

ctio

n

pla

ns

Rev

iew

ed

an

nu

ally

4.7

.Fee

db

ack

sy

stem

fo

r P

PP

s

in

pla

ce a

nd

fu

nct

ion

al

4

.7.1

Fee

db

ack

mec

ha

nis

m e

sta

bli

shed

R

eco

rds

R

evie

wed

a

nn

ual

ly

4.8

Join

tly

co

nd

uct

ed K

AP

an

d

com

mu

nit

y s

urv

eys

4

.8.

1

No

of

Su

rvey

s jo

intl

y c

on

du

cted

by

P

PP

s

2

2

2

R

eco

rds

of

re

po

rts

R

evie

wed

a

nn

ual

ly

4.9

Ind

epen

den

t re

vie

w o

f P

PP

s

4.9

.1 N

um

ber

of

ind

epen

den

t re

vie

ws

1

1

1

Rec

ord

s o

f re

vie

ws

B

ian

nu

al

Rev

iew

s

40

Str

ateg

ic F

ram

ewo

rk F

or

Pub

lic-

Pri

vate

Par

tner

ship

s F

or

TB

And

HIV

Pre

vent

ion,

Tre

atm

ent,

Ca

re A

nd

Su

ppo

rt:

20

14 -

201

6

STRATEGIC FRAMEWORK FOR PUBLIC -

-PRIVATE PARTNERSHIPS FOR TB AND HIV PREVENTION, TREATMENT,CARE

AND SUPPORT 2014 - 2016

EAH L TY HR CA AMI R

R E

P

A H NE OA IL TT AH N Y

MIN E

I RS AT CR Y D LO IF H CH E DA NLT AH ZIM EB WAB

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