28-29 november 200713 th rbm partnership board meeting
TRANSCRIPT
28-29 November 2007 13th RBM Partnership Board Meeting
GLOBAL MALARIA BUSINESS PLAN
Dr. Awa Coll-Seck
28-29 November 2007 13th RBM Partnership Board Meeting
Agenda
Background
Achievements to date & points of discussion
Requested board actions
Next steps & challenges ahead
28-29 November 2007 13th RBM Partnership Board Meeting
2010 2015 ? ?
Short-term Medium-term Long-term
Sta
ted
go
als
Why not have a more ambitious aim?
RBM 2010 Goals• 80% coverage• 50% reduction of
burden (vs 2000)
MDGs• Halted & begun to reverse
malaria incidence• U5 mortality reduced by
2/3 (vs 1990)
RBM 2015 Goals• 75% reduction of burden
(vs 2005)• MDGs achieved
African Union• Campaign on
elimination
Leadership Summit• Eradication
Leadership Summit• Elimination of
malaria as public health and economic burden
28-29 November 2007 13th RBM Partnership Board Meeting
Twofold approach against malaria – both integrated in global plan
Design of medium / long-term activities • To go beyond control and reach elimination
or eradication requires– new tools through intensified R&D
efforts– definition of medium/long-term strategy
and "E"-framework1 – potentially new implementation
mechanisms
1 2Immediate actions and structure enhancements
• Existing interventions should be scaled-up dramatically to reach maximum impact and achieve 2010 targets
• Adequate implementation mechanisms and structures should be created to sustain efforts in the next 36 months
Global Malaria Business Plan will integrate short, medium and long-term activities under one plan with one vision
28-29 November 2007 13th RBM Partnership Board Meeting
Agenda
Background
Achievements to date & points of discussion• Short-term actions• Medium/long-term activities• Developing GMBP
Requested board actions
Next steps & challenges ahead
28-29 November 2007 13th RBM Partnership Board Meeting
Control stabilization
phase
Short term focus of the GMBP
Elimination / eradication phase
2010 2015 ? ?
Short-term Medium-term Long-term
Development of new tools
Control phase with
existing tools
28-29 November 2007 13th RBM Partnership Board Meeting
Scale-up efforts outlined in Harmonized Workplan 08 should be extended
Intensified efforts in 45 Sub-Saharan countries
• Comprehensive needs assessments completed
• Technically sound & feasible business plans
• Adequate funds for implementation of their High quality technical and implementation support
• Implementation Assistance Hotline and Early Warning System (EWS) by January 2008
Intensified efforts in 45 Sub-Saharan countries
• Comprehensive needs assessments completed
• Technically sound & feasible business plans
• Adequate funds for implementation of their High quality technical and implementation support
• Implementation Assistance Hotline and Early Warning System (EWS) by January 2008
Planning and implementation support should be extended to 2009 and 2010 and to non-Sub-Saharan countries in order to
reach RBM 2010 goal
Planning and implementation support should be extended to 2009 and 2010 and to non-Sub-Saharan countries in order to
reach RBM 2010 goal
20082008 2009-20102009-2010
28-29 November 2007 13th RBM Partnership Board Meeting
Agenda
Background
Achievements to date & points of discussion• Short-term actions• Medium/long-term activities• Developing GMBP
Requested board actions
Next steps & challenges ahead
28-29 November 2007 13th RBM Partnership Board Meeting
What should be medium-long term focus?
Potential goalsPotential goals
Control
Elimination
Eradication
DefinitionDefinition
Reduction of disease incidence, prevalence, morbidity or mortality to a locally defined level as a result of deliberate efforts. Control requires continued efforts to maintain this state
Reduction to zero of the incidence of malaria infection or malaria disease in a specific geographic area as a result of deliberate efforts. Some continued intervention measures are required; surveillance has to be strengthened
Permanent reduction to zero of the global incidence of parasitemia as a result of deliberate efforts, such that control efforts are ultimately, in the longer term, no longer needed
28-29 November 2007 13th RBM Partnership Board Meeting
Medium-long term focus of the GMBP
2010 2015 ? ?
Short-term Medium-term Long-term
Control stabilization
phase
Elimination / eradication phase
Development of new tools
Control phase with
existing tools
28-29 November 2007 13th RBM Partnership Board Meeting
R&D is a critical part of the medium -long-term strategy
Need to start developing tools that envision eradication
Need to develop tools to reach and sustain high level of control
Current R&D aiming at
control
Potential R&D pipeline for
elimination/eradication
28-29 November 2007 13th RBM Partnership Board Meeting
Agenda
Background
Achievements to date & points of discussion• Short-term actions• Medium/long-term activities• Developing GMBP
Requested board actions
Next steps & challenges ahead
28-29 November 2007 13th RBM Partnership Board Meeting
Guiding principles of the Global Malaria Business Plan
The Global malaria business plan• Will be the one integrated global malaria business plan in the future
– will integrate all existing plans and cover work of the entire malaria community• Builds upon current successes of 2007 RBM plans & the country SUFI plans• Supports countries to implement their SUFI plans to achieve RBM targets
• Covers all countries affected by malaria (not only African countries)• Covers immediate, medium-term and long-term goals and actions
– current implementation support for 2008 is not postponed by the creation of the plan
– new long-term vision will influence future annual malaria action plans • Covers all human types of Malaria (P. falciparum, P. vivax, P. malariae and P. ovale)• GMBP will encompass local, regional and global activities and plans
• Will be developed consensually with all RBM constituents and other experts over the next 6 months, making best use of the Partnership's existing structures
• Will be coordinated by the the RBM secretariat in close collaboration with GMP and supported by BCG
• Will be guided by a leadership council & RBM EC and will be finally approved by the RBM board
Inte
gra
-ti
on
Sco
pe
Dev
elo
p-
men
t
28-29 November 2007 13th RBM Partnership Board Meeting
Control stabilization
phase
Global Malaria Business Plan covers short, medium and long-term horizon
Elimination / eradication phase
2010 2015 ? ?
Short-term Medium-term Long-term
Development of new tools
Control phase with
existing tools
28-29 November 2007 13th RBM Partnership Board Meeting
Country perspective Global perspective
Proposed topics covered by the Global Malaria Business Plan
Advocacy
Finance & Resources
R&D• Vaccines• Drugs• Vector controls• Regulatory
Implementation• Program Management • Commodity supply & procurement • Appropriate Malaria interventions &
combinations • Education & awareness• Monitoring & evaluation• Country coordination
Policy & Strategy
Vision & Targets
28-29 November 2007 13th RBM Partnership Board Meeting
6 months timeline to prepare the Global Malaria Business Plan
Goal
Period
Activities
Deliverables
Phase IApproach
Plan for the plan
December 2007
• Define plan development process & governance (involved bodies & missions)
• Define plan scope & framework
• Define supporting work & analyses needed
Agreed approach for the plan
Phase IIContent
Define the Why, the What and the How
Until May 2008
• Convene Working Groups• Develop group work on all specific topics
- conduction of analyses, drawing of results and recommendations
• Coordinate work across working groups• Synthesize the plan
Draft of the plan
Phase IIIFinalization
Finalize and share plan
May to June 2008
• Share with major stakeholders
• Update and finalize• Organize implementation• Communicate to the
Community
Final plan and implementation tools
November's RBM Board
Potential interm. RBM Board (March)
May's RBM Board
World Health Assembly
GFATM Board
Active contribution of all Partners will be needed to create a successful plan
28-29 November 2007 13th RBM Partnership Board Meeting
R&D
Vac
cin
es
Dru
gs
VC
s
Reg
ula
tory
Board Sub-committee/ Executive Committee
RBM Board
Responsibility for GMBP, final agreement
Coordination / Plan synthesis
Content work
Technical Advisors group
Input on specific questions
Expert group
Advice on high-level approach Validation & orientation
Leadership council
Proposed governance Many partners actively involved in the plan development
Working Group for PlanRBM Secretariat + GMP + others
supported by BCG
Implementation
Pg
m M
gt
CS
P
Inte
rven
tio
ns
Aw
aren
ess
M&
E
Co
un
try
coo
rd.
Ad
voca
cy
Fin
ance
& r
eso
urc
es
Po
licy
& s
trat
egy
Draft plan components
28-29 November 2007 13th RBM Partnership Board Meeting
Proposed Topic Groups
Policy & strategy (WHO)
Implementation• Program management (HWG)• Appropriate Malaria interventions & combinations (WHO)• Commodity supply & procurement (PSM)• Education & awareness • M&E (MERG)• Country coordination (Endemic countries)
R&D (various)• Vaccines• Drugs• Vector control• Regulatory
Advocacy (MAWG)
Finance & resources (RWG)
28-29 November 2007 13th RBM Partnership Board Meeting
Well-coordinated communication strategy will be enabler of success
There is an urgent need for a communication plan in two areas
1. Ensure strong coordinate between Partners to • Clearly articulate the long term goals and the near term opportunities for
impact as part of a single and integrated strategy• Generate consensus and integrate view points around global commitments
– In the near term, around the Global Malaria Business Plan
2. Increase awareness in the broader community about• The RBM Partnership’s vision and resulting strategies and timelines• Continuing advancements and successes of the RBM Partnership over
time
A communication plan will be developed as part of the Global Malaria Business Plan
28-29 November 2007 13th RBM Partnership Board Meeting
Agenda
Background
Achievements to date & points of discussion
Requested board actions
Next steps & challenges ahead
28-29 November 2007 13th RBM Partnership Board Meeting
Requested board actions
• Commission the creation of one Global Malaria Business Plan
• Approve principles guiding the GMBP
– One plan
– Covering all countries affected by malaria
– Covering all human types of malaria
• Agree on the process, timeline and governance mechanism for development of the plan
28-29 November 2007 13th RBM Partnership Board Meeting
Agenda
Background
Achievements to date & points of discussion
Requested board actions
Next steps & challenges ahead