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
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. 2013 priorities Global Fund Grant monitoring, TA provision and Getting ready for the New Funding Model
Showing the website. Google TBTEAM and then go for 1.Choose: WHO TB TEchnical Assistance Mechanism (TBTEAM) www.who.int/tb/tbteam/
900 TBTEAM Website Completed mission, and uploaded mission report trend 800 700 600 793 780 680 706 500 400 300 200 100 0 2009 (6%) 2010 (11%) Missions with report uploaded 2011 (13%) 2012 (23%) mission without report
Where is the TA being provided?
Number of missions 900 TB Technical Partners missions by Region TBTEchnical Assistance Mechanism 800 700 600 500 400 300 200 100 0 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 REGIONS 2012 AMR 6% EMR 8% WPR 13% SEAR 14% EUR 18% AFR 41%
WHO is organising the TA?
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%
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 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
TBTEAM priorities 2013 Regional trainings and workshops for country stakeholders. Assistance with development of National Strategic Plans Assistance with the development of concept notes.
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
Don't loose sight of the bigger picture
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)
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
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 5/31/2015 18,737,928 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 6/30/2015 20,784,226 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 12/31/2013 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 6/30/2014 11,023,345 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 6/30/2015 95,124,879 60,741,827 48,165,620 NGA-T-IHVN 2,636,797 A1 6/30/2015 16,336,184 11,966,781 9,329,984 Total, SNG 15,213,005 111,461,063 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 1,173,733 978,897 581,710 Grand Total 50,788,740 270,568,223 191,229,061 140,440,321
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 8/31/2015 11,659,852 9,617,253 8,754,747 Cameroon CMR CMR-910-G09-T 2,312,241 B1 12/31/2015 14,188,125 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 3/31/2014 20,077,048 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
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 3/31/2016 20,012,223 16,790,676 16,374,295 ETH-T-FMOH 13,024,779 B1 6/30/2014 46,934,404 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 12/31/2015 18,988,861 6,732,075 6,732,075 KEN-S11-G12-T 1,109,214 N/A 12/31/2015 37,706,365 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 9/30/2015 13,433,713 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 12/31/2013 11,223,203 9,120,816 6,976,521 Mozambique MOZ MOZ-708-G07-T 161,773 N/A 6/30/2015 15,081,748 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 9/30/2013 43,396,817 41,271,866 40,301,181 South Sudan SSD SSD-506-G06-T 314,481 A1 11/30/2013 23,151,237 23,151,237 22,836,756 SSD-708-G11-T 528,093 B1 12/31/2013 14,042,815 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 3/31/2014 19,437,765 9,290,874 5,878,921 Tanzania (United TZA Republic) TNZ-607-G09-T 465,540 A1 10/31/2014 30,445,073 29,533,777 29,068,236 Uganda UGA UGD-T-MoFPED 6,318,075 B1 6/30/2014 17,516,711 16,173,630 9,855,555 Zambia ZMB ZAM-711-G26-T 829,706 B1 6/30/2015 13,215,674 9,017,596 8,187,890 Zanzibar QNB ZAN-T-MOHSW 1,910,359 N/A 6/30/2014 2,306,087 2,306,087 395,728 Zimbabwe ZWE ZIM-809-G12-T - A2 12/31/2014 53,051,202 49,509,267 49,509,267 Grand Total 40,165,023 420,023,775 333,240,034 293,075,011
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
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.
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, 17-27 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
(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