TBTEAM overview: 2013 priorities
Dr Christian Gunneberg
TBTEAM secretariat
WHO Global TB Programme
EIGHTH NATIONAL TB PROGRAMME AND LABORATORY MANAGERS' MEETING IN THE WESTERN PACIFIC REGION
Manila, Philippines 20-23 August 2013
TBTEAM review TB TEchnical Assistance Mechanism
I will talk about: Progress since 2012: News from the Website Strategic planning and reviews Progress on Global Fund grants. Raise it: spend it: prove it. 2013 priorities Global Fund grant monitoring and support 42 priority countries of the USAID grant.
TBTEAM Website Completed mission, and uploaded mission report trend
0
100
200
300
400
500
600
700
800
900
2009(6%)
2010(11%)
2011(13%)
2012(23%)
Missions with report uploaded mission without report
793 780
680 706
Where is the TA being provided?
TB Technical Partners missions by Region TBTEchnical Assistance Mechanism
2009 2010 2011 2012
AMRO 82 58 49 40
EMRO 92 106 55 57
WPRO 112 140 139 92
SEARO 106 101 79 100
EURO 190 135 128 125
AFRO 211 240 230 292
0
100
200
300
400
500
600
700
800
900
Nu
mb
er
of
mis
sio
ns
REGIONS 2012
AMR 6%
EMR 8%
WPR 13%
SEAR 14%
EUR 18%
AFR 41%
WHO is organising
the TA?
Proportion of Missions organised by TBTEAM Partner Organisations 2012
From the TBTEAM website
WHO 40%
KNCV 20%
CDC 9%
The Union 8%
GDF 7%
TBREACH 3%
GLI 2% Damien
Foundation 2%
PATH 2%
National TBTEAM
2%
Supranational Reference Laboratory (Milan, Italy)
2%
NTP 1%
Management Sciences for Health
1%
Grant Management Solutions Project (GMS)
1%
TeAM 1% Project Hope
1%
Other 7%
WHO/ HQ 18%WHO/CO 6%WHO/SEARO 4%WHO/EMRO 4%WHO/EURO 3%WHO/WPRO 2%WHO/AMRO 2%WHO/AFRO 1%
WHAT
type of TA
Is being organised?
Top 10?
TA missions by Primary Purpose Top ten areas of TA
make up 80% of missions
RANK TA SUPPORT AREA 2012 % Cum
1 Laboratory strengthening 90 12.7% 12.7%
2 MDR-TB / XDR-TB 82 11.6% 24.4%
3 M&E/supervision/ impact measurement 80 11.3% 35.7%
4 Drug and commodities management 68 9.6% 45.3%
5 TB programme planning and review / regional meetings 66 9.3% 54.7%
6 Global Fund Processes/ proposal implementation/Grant negociation 64 9.1% 63.7%
7 Infection control 36 5.1% 68.8%
8 Operational and basic science research 34 4.8% 73.7%
9 TB/HIV 24 3.4% 77.1%
10 ACSM 21 3.0% 80.0%
11 Childhood TB 17 2.4%
12 Human Resources Development 13 1.8%
13 PPM, ISTC 11 1.6%
14 High risk groups: prisoners, refugees, TB contacts, special 10 1.4%
15 Drug Resistance Surveillance (DRS) 9 1.3%
16 Community-based activities for improved TB prevention, diagnosis 9 1.3%
17 PAL 8 1.1%
18 Partnering 5 0.7%
19 X-ray, other non-laboratory diagnostics 2 0.3%
20 Cross-cutting Health System Strengthening 2 0.3%
21 Other 55 7.8%
TOTAL 706 100% 100%
TBTEAM 2013 priorities
Objective 1
To coordinate the provision of quality TA and programme reviews that inform Global Fund periodic reviews (Phase 2 renewals) and grant implementation in 42 priority countries and countries with poorly performing grants.
Objective 2:
To strengthen the capacity of National TB Programs (NTPs) and TB stakeholders at country level to engage with Global Fund grant processes, including the development and improvement of National Strategic Plans and coordination of TA among technical partners.
42 Priority countries for Global Fund (USAID GRANT)
And any additional poorly performing grants
Now includes South Africa
Countries
Afghanistan DR Congo Kenya Pakistan Ukraine
Azerbaijan Ethiopia Kyrgyzstan Philippines Uzbekistan
Bangladesh Georgia Madagascar Rwanda Vietnam
Belarus Ghana Malawi Sierra Leone Zambia
Burkina Faso Guinea Moldova Somalia Zimbabwe
Burundi Haiti Mozambique South Sudan
Cambodia India Myanmar Tajikistan
Central African
Republic
Indonesia Nepal Tanzania
Chad Kazakhstan Nigeria Uganda
3 Countries in WPR
TBTEAM priorities 2013
• Regional trainings and workshops for country stakeholders.
• Assistance with development of National Strategic Plans
• Assistance with the development of concept notes.
• TBTEAM website development
• The need for Advocacy
TBTEAM 2013 priorities
• Tracking Grant Performance • Regular engagement with Global Fund country teams .
(And linking these to partners when necessary)
• TB technical knowledge sharing with Fund Portfolio Managers
• Support for the New Funding Model – Including consultant training (9th to 11th July)
• Support to Phase 2 /periodic reviews – Pre-CCM Performance Assessment – Stakeholder Coordination and Determining TA Needs – CCM Applications – Pre-renewal preparations and post-renewal follow up
Regional TBTEAM workshops on
Strategic planning
Organizing Regional workshops (68 countries) • review of key principles in order to establish an appropriate NSP.
• Peer critique of existing country NSPs
• simulation exercises TUBERCOLAND with SWOT analysis, M&E , Operational, TA Plans
• Roadmaps and follow up on development, revision or improvement of NSPs for TB control
Eastern Mediterranean (December 2011) 9 countries
South East Asia (May 2012), 11 countries
Europe (October, 2012) 16 countries
Africa (October 2012) 27 countries Western Pacific Region (January 2013) 5 countries
These 68 countries already sensitised hold over 70% of Global Burden of TB
KEY MESSAGE
• Partners need to play a crucial role in supporting implementation of Global Fund grants locally and linking the local TB stakeholders locally and to TBTEAM partners (esp. USAID/WHO) globally.
• A focal point helps this process locally. (Eg TBCARE)
" Thank goodness, since the Global Fund Grant is stuck, we've been able to implement our programme"
Discussion: grant stakeholders and engagement
• What topics should be covered with each stakeholder?
• What frequency of interactions is appropriate? Why?
CT
CCM
PR
Govern-ment
Other donor
s LFA
Donors
Tech-nical
CSOs
NGOs
MoF
MoH
MoJ
SSR
SR
Partners
THE TBTEAM hardware for inclusion in grant discussions
includes WHO Regional Offices: overall & reviews
WHO country staff (engagement) TBCARE in country/global USAID TB advisors/global
Other TBTEAM partners, (including consultants) TME If Prevalence Survey/ or IMPACT wk
GDF Drugs MDR – GLC issues
Laboratory- GLI / Expand TB Engage TB
Civil Society Activists TB/HIV
PPP Operational Research
TABLE 2
Latest Grant Performance Score
Global Fund Grants A1 / A2 B1 B2 C
HIV/AIDS (191 grants) 40% 38% 19% 3%
Malaria (117 grants) 28% 32% 25% 15%
Other (7 grants) 14% 57% 14% 14%
Tuberculosis (130 grants) 38% 49% 12% 0%
Tuberculosis GF grant performance by Region (data end of 2012)
The 46% of 125 TB grants with A1&A2 ratings masks regional variations. The 38 TB grants in Africa only have 26% with A1 A2 ratings, In WPRO only 3 of the 10 grants have A1& A2 ratings.
Top Related