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/‎

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 706 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

• 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

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

OctoberEndDate

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

OctoberEndDate

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

ISTESA

Country ISO3 Grant Number

Funds still to

be disbursed

(Committed-

Disbursedd)

Rating

OctoberEndDate

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 Republic)TZA 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

African Regional TB Managers meeting , 14th to 16th Oct 2013, Panari Hotel, Nairobi

(Country name)

Technical Assistance plan Nov 2013 – Dec 2014

TASK COST Available funding

Who is organising eg Partner

Time frame

Comments Support needed