Moving forward with regards to technical support needs and preparation for new funding model applications

Transcription

1 Moving forward with regards to technical support needs and preparation for new funding model applications Christian Gunneberg TBTEAM secretariat Technical Support Coordination WHO Global TB Programme

2 TBTEAM review 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 priorities Global Fund Grant monitoring, TA provision and Getting ready for the New Funding Model

3 Showing the website. Google TBTEAM and then go for 1.Choose: WHO TB TEchnical Assistance Mechanism (TBTEAM)

4 900 TBTEAM Website Completed mission, and uploaded mission report trend (6%) 2010 (11%) Missions with report uploaded 2011 (13%) 2012 (23%) mission without report

5 Where is the TA being provided?

6 Number of missions 900 TB Technical Partners missions by Region TBTEchnical Assistance Mechanism AMRO EMRO WPRO SEARO EURO AFRO REGIONS 2012 AMR 6% EMR 8% WPR 13% SEAR 14% EUR 18% AFR 41%

7 WHO is organising the TA?

8 Proportion of 706 Missions organised by TBTEAM Partner Organisations 2012 From the TBTEAM website CDC 9% The Union 8% GDF 7% TBREACH 3% GLI 2% Damien Foundation 2% Supranational Reference Laboratory (Milan, Italy) 2% KNCV 20% Other 7% PATH 2% National TBTEAM 2% NTP 1% Management Sciences for Health 1% Grant Management Solutions Project (GM 1% WHO 40% WHO/ HQ 18% WHO/CO 6% WHO/SEARO 4% WHO/EMRO 4% WHO/EURO 3% WHO/WPRO 2% WHO/AMRO 2% WHO/AFRO 1% Project Hope 1% TeAM 1%

9 WHAT type of TA Is being organised? Top 10?

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 % 12.7% 2 MDR-TB / XDR-TB % 24.4% 3 M&E/supervision/ impact measurement % 35.7% 4 Drug and commodities management % 45.3% 5 TB programme planning and review / regional meetings % 54.7% 6 Global Fund Processes/ proposal implementation/grant negociation % 63.7% 7 Infection control % 68.8% 8 Operational and basic science research % 73.7% 9 TB/HIV % 77.1% 10 ACSM % 80.0% 11 Childhood TB % 12 Human Resources Development % 13 PPM, ISTC % 14 High risk groups: prisoners, refugees, TB contacts, special % 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 % TOTAL % 100%

11 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 (9 th to 11 th 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

12 TBTEAM priorities 2013 Regional trainings and workshops for country stakeholders. Assistance with development of National Strategic Plans Assistance with the development of concept notes.

13 WHO GLOBAL TB PROGRAMME (GTB) TB Technical Assistance Mechanism At Global Level: TBTEAM Secretariat & Partners and Global Fund USAID (TB team) At Regional level: WHO Regional offices and Partners (UNION KNCV) At country level PR/SRs, NTP, WHO and Partners

14 Don't loose sight of the bigger picture

15 Monitoring GF grant performance: useful sources of information Principal recipient GF country team GF management letters Grant performance reports AIDSPAN presentation of the grants (web)

16 Grant performance: what needs to happen? Analysis of grant performance data and identify actions Meetings/teleconferences with GF country teams, NTPs and national partners when facing bottlenecks or when planning next steps in grant implementation Engage in open and ongoing dialogue to facilitate grant implementation and grant renewal

17 IST WEST AFRICA Country ISO3 Grant Number Funds still to be disbursed (Committed- Disbursedd) Rating October EndDate Signed Amount Committed Amount Disbursed Amount Benin BEN BEN-T-PNTUB 582,904 A2 6/30/2015 9,994,035 7,372,288 6,789,384 Burkina Faso BFA BUR-810-G10-T 2,055,833 B1 5/31/ ,737,928 12,009,370 9,953,537 BUR-810-G11-T 444,875 C 5/31/2015 6,127,277 4,522,918 4,078,043 Total, BFA 2,500,708 24,865,205 16,532,288 14,031,580 Côte d'ivoire CIV CIV-S10-G10-T 5,173,472 B1 6/30/ ,784,226 12,762,097 7,588,625 CIV-S10-G11-T 758,710 N/A 6/30/2015 5,201,164 3,040,178 2,281,468 Total, CIV 5,932,182 25,985,390 15,802,275 9,870,093 Gambia GMB GMB-T-MOH 679,860 B1 12/31/2015 6,730,863 5,113,912 4,434,052 GMB-T-MRC 134,959 A2 6/30/2015 4,051,736 3,960,218 3,825,259 Total, GMB 814,819 10,782,599 9,074,130 8,259,311 Ghana GHA GHN-T-MOH 12,177,107 B1 12/31/ ,738,598 31,704,344 19,527,237 Guinea GIN GIN-T-MSHP 2,571,145 B2 6/30/2013 5,848,079 5,046,874 2,475,729 Guinea-Bissau GNB GNB-913-G13-T 1,493,186 N/A 10/31/2015 8,434,462 3,005,879 1,512,693 Liberia LBR LBR-T-MOH 1,140,187 B2 6/30/ ,023,345 6,876,208 5,736,022 Mali MLI MAL-013-G10-T 3,035,043 N/A 3/31/2015 9,663,395 4,282,789 1,247,746 Nigeria NGA NGA-T-ARFH 12,576,208 N/A 6/30/ ,124,879 60,741,827 48,165,620 NGA-T-IHVN 2,636,797 A1 6/30/ ,336,184 11,966,781 9,329,984 Total, SNG 15,213, ,461,063 72,708,608 57,495,604 Senegal SEN SNG-T-PLAN 1,727,952 B1 12/31/2013 4,474,088 4,474,088 2,746,135 SNG-T-PNT 1,399,377 B1 12/31/2013 6,215,820 6,215,820 4,816,443 Total, SNG 3,127,329 10,689,907 10,689,907 7,562,578 Sierra Leone SLE SLE-708-G06-T 1,803,938 B2 10/31/2013 8,908,412 7,154,572 5,350,634 Togo TGO TGO-T12-G12-T 397,187 N/A 12/31/2014 1,173, , ,710 Grand Total 50,788, ,568, ,229, ,440,321

18 IST CENTRAL AFRICA Country ISO3 Grant Number Funds still to be disbursed (Committed- Disbursedd) Rating October EndDate Signed Amount Committed Amount Disbursed Amount Angola AGO AGO-911-G05-T 4,373,392 B1 11/30/2013 7,063,963 6,357,567 1,984,175 Burundi BDI BRN-708-G06-T 862,506 B1 8/31/ ,659,852 9,617,253 8,754,747 Cameroon CMR CMR-910-G09-T 2,312,241 B1 12/31/ ,188,125 7,416,124 5,103,883 Central African Republic CAF CAF-911-G09-T 4,991,331 N/A 11/30/2013 8,694,701 7,814,159 2,822,828 Chad TCD TCD-810-G07-T 11,667 B1 4/30/2015 5,361,331 3,154,222 3,142,556 Congo COG COG-810-G02-T 1,424,499 B2 6/30/2013 2,744,050 2,744,050 1,319,551 Congo (Democratic Republic) COD ZAR-911-G13-T 4,754,884 B2 7/31/2013 9,324,986 8,392,487 3,637,603 ZAR-911-G14-T 3,018,437 B1 3/31/ ,077,048 18,070,063 15,051,626 Total, ZAR 7,773,321 29,402,034 26,462,550 18,689,229 Sao Tome and Principe STP STP-809-G04-T 135,166 B1 11/30/2014 1,717,439 1,238,595 1,103,429 Grand Total 21,884,123 80,831,496 64,804,521 42,920,398

19 Country ISO3 Grant Number Funds still to be disbursed (Committed- Disbursedd) ISTESA Rating October EndDate Signed Amount Committed Amount Disbursed Amount Botswana BWA BOT-506-G02-T 709,110 N/A 12/31/2013 8,952,178 8,062,656 7,353,546 Eritrea ERI ERT-T-MOH 535,954 B2 12/31/2013 7,576,151 6,563,945 6,027,991 Ethiopia ETH ETH-911-G11-S 416,381 B1 3/31/ ,012,223 16,790,676 16,374,295 ETH-T-FMOH 13,024,779 B1 6/30/ ,934,404 41,864,370 28,839,591 Total, ETH 13,441,160 66,946,627 58,655,046 45,213,886 Kenya KEN KEN-S11-G11-T - A1 12/31/ ,988,861 6,732,075 6,732,075 KEN-S11-G12-T 1,109,214 N/A 12/31/ ,706,365 15,410,141 14,300,927 Total, KEN 1,109,214 56,695,226 22,142,216 21,033,002 Lesotho LSO LSO-810-G08-T 1,305,544 B1 9/30/ ,433,713 7,736,869 6,431,325 Madagascar MDG MDG-810-G13-T 389,209 B2 5/31/2015 9,203,379 5,949,951 5,560,742 MDG-810-G14-T 300,000 B2 6/30/2015 4,707,324 3,268,154 2,968,154 Total, MDG 689,209 13,910,703 9,218,105 8,528,896 Malawi MWI MLW-708-G06-T 2,144,295 B2 12/31/ ,223,203 9,120,816 6,976,521 Mozambique MOZ MOZ-708-G07-T 161,773 N/A 6/30/ ,081,748 7,802,387 7,640,614 Namibia NAM NMB-T-MoHSS 5,319,870 A2 9/30/2013 9,640,845 9,640,845 4,320,975 Rwanda RWA RWN-T-MoH 970,685 B1 9/30/ ,396,817 41,271,866 40,301,181 South Sudan SSD SSD-506-G06-T 314,481 A1 11/30/ ,151,237 23,151,237 22,836,756 SSD-708-G11-T 528,093 B1 12/31/ ,042,815 14,042,815 13,514,722 Total, SSD 842,574 37,194,052 37,194,052 36,351,478 Swaziland SWZ SWZ-T-NERCHA 3,411,953 A2 3/31/ ,437,765 9,290,874 5,878,921 Tanzania (United TZA Republic) TNZ-607-G09-T 465,540 A1 10/31/ ,445,073 29,533,777 29,068,236 Uganda UGA UGD-T-MoFPED 6,318,075 B1 6/30/ ,516,711 16,173,630 9,855,555 Zambia ZMB ZAM-711-G26-T 829,706 B1 6/30/ ,215,674 9,017,596 8,187,890 Zanzibar QNB ZAN-T-MOHSW 1,910,359 N/A 6/30/2014 2,306,087 2,306, ,728 Zimbabwe ZWE ZIM-809-G12-T - A2 12/31/ ,051,202 49,509,267 49,509,267 Grand Total 40,165, ,023, ,240, ,075,011

20 Possible drug disbursements before the end of 2013 Should have been an order outstanding undisbursed order Could expedite an order. Nigeria?? X X DRC X X Uganda X Zimbabwe X X Lesotho X Tanzania X X Guinea BIssau X Malawi X Rwanda X X Burundi X Cameroon X Guinea Bissau X

21 Getting ready for the New Funding Model Countries should ensure that: robust updated national strategic plans are in place based on programmatic and financial gap analyses (informed by National TB Programme reviews and analysis of epidemiological data) The NSP includes a budget with funding gaps: "full expression of demand" The concept note is being developed based on the above and including prioritization of interventions They keep up to date on new funding model requirements Start preparations well in advance.

22 Getting ready for the new funding model: TBTEAM response to date Consultant orientation on national strategic plans and the new funding model (Geneva, 9-11 July), workshop at the Union conference (31 October), workshop on NSPs for selected countries (Cepina, Italy, November) to improve their NSPs: (Zambia, Zimbabwe, South-Sudan, Swaziland, Ghana, Uganda, Romania, Afghanistan, Thailand, Pakistan). Regional workshops with NTPs and Partners to plan for the NFM Support to countries in planning and conducting reviews and developing/updating national strategic plans Addressing TA requests

23 (Country name) Technical Assistance plan Nov 2013 Dec 2014 TASK COST Available funding Who is organising eg Partner Time frame Comments Support needed African Regional TB Managers meeting, 14th to 16th Oct 2013, Panari Hotel, Nairobi