Partnering process: exploration

www.stoptb.org/countries/partnerships/

Elisabetta Minelli, Global Stop TB PartnershipKefas Samson, Stop TB SwazilandSubrat Mohanty, Partnership for Tuberculosis Care and Control, IndiaWasiq Khan, EMRO Stop TB Partnership

Partnering process

• Systematization - 32 national stop TB partnerships and other partnering initiatives

• Contextualization – Need to be adapted to the local context

• Tailored technical assistance needed! (www.stoptb.org/national_partnerships)

Building a vision(Needs, challenges,

resources, opportunities)Can obstacles be

addressed?

Identification and dialogue amongpotential partners

(motivation, commitment)

Mapping resources(identifying cash andnon-cash resources)

Partnershipmanagement

(core structure)

Preparing a planof activities with

roles and resources

Implementation(once resources are in

place to work onspecific deliverables)

Monitoring & evaluation

of effectiveness and impact - outputs and

outcomes

Reviewthe partnership

(process, outputs, outcomes).

Corrective actions

Institutionalization:building structures and

mechanisms to maintain commitment and ensure

continuity

Leadership

Roles

Mandates in specific areas

Agreement oncore principles,

goals and objectivesPartnering agreement

Process: 1 - Exploration 2 - Building 3 - Maintenance

Partnering process

EXPLORATORY WORKSHOP

C

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G

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FORMAL LAUNCH

Initial partners

Institutions: - Ministry of Health / NTP- WHO

Advocates and service providers:- nongovernmental organizations- community based organizations- faith based organizations- private sector

Act as broker/facilitator of the partnering process or hire an external broker/facilitator for this task

Prerequisites

• Initial partners are committed to work in close coordination with the NTP and NTP is willing to be involved.

• The objectives of the national TB plan provide the basis to establish a collaboration with various partners.

• Other ongoing forms of collaboration/coordination are identified, contacted and involved (build upon).

Partnership exploration component

BUILDING A COMMON VISION

IDENTIFICATION and DIALOGUE with PARTNERS

MAPPING RESOURCES

EXPLORATORY WORKSHOP

Building a common vision

1. Why do we want to work together?

2. Why do we think a partnership could be useful?

3. Where we want to get?

See tool 1PARTNERSHIP HAS A CLEAR VISION AND ADDED VALUE

• TB control requires the joint action of more actors

• NTP and multiple actors currently deal with TB control

• NTP and other actors gain from recognizing the role that others play towards a common vision: a world free of TB

Why do we want to work together?

Could a partnership be useful?

+ -

Strengths: • Coordination and common strategy• Multi-sectoral participation• Increased resources (human/financial)• Active leadership

Weaknesses:• Inadequate partnering process experience• Uneasiness to work with different sectors• Competition among different interests• Vision, goal and objectives not agreed upon

Opportunities:• International funding mechanisms support partnerships• ACSM keeps TB on agenda and empowers communities• Social change – institutional reform

Threats:• Local social/political/economic environment• Inability to access external resources

Inte

rnal

Ext

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SWOT ANALYSIS ADDED VALUE

Where do we want to go?

• Vision: a country free of tuberculosis.

• Goal: to strengthen TB prevention, care and control in a country.

• Objective:− To contribute to the implementation of the

national strategic plan to control TB by harnessing the contribution of all stakeholders, including health service providers.

Partnership exploration components

BUILDING A VISION

IDENTIFICATION and DIALOGUE with PARTNERS

MAPPING RESOURCES

EXPLORATORY WORKSHOP

• Old partners (usual suspects)

• New partners

Identification and dialogue with partners

CORE GROUP OF INTERESTED PARTNERS

See tool 2

Who do we want to work with?

Relevant partners

PUBLICCIVIL SOCIETY

PRIVATE

PUBLICMinistry of HealthNational TB programmePublic health servicesOther ministries (education, social welfare, labour)

CIVIL SOCIETYNongovernmental organizationsFaith-based organizationsCommunity-based organizations

PRIVATE/CORPORATEPrivate health care providersCorporate business – corporate social responsibilityMedia

MULTILATERAL/BILATERAL ORGANIZATIONSUN - WHOBilateral donors

INTERNAT.

You want to find out: • Motivation and commitment to a partnership

approach

• Sharing of the proposed vision, goal and objectives

• Contribution to the partnership given its specific identity (information/resources/ competences/skills)

• Possible complementarities and synergies with what the other partners would do

Dialogue

Partnership exploration components

BUILDING A VISION

IDENTIFICATION and DIALOGUE with PARTNERS

MAPPING RESOURCES

EXPLORATORY WORKSHOP

Mapping resources

Who, what, where, with what resources?

RESOURCE MAP

See tool 3

Mapping resources

1. Consider the national TB plan and identify the services requested

2. Collect information on services already provided by prospective partners (activities, competences, resources)

3. Summarize all collected information in a summary sheet that matches the information on prospective partners against the national TB plan and different geographic areas

NTP PLAN

SUMMARYSHEET

Form to collect information on services already provided by partners

Name of prospective Partner:

Location / Region:

SERVICES (ACTIVITIES, COMPETENCES, RESOURCES)

CORE DOTS SERVICES Service Provided(tick √ )

Gap/Challenge Service that could be provided if additional

support availed

Identify TB suspects

Collect sputum samples

Do smear microscopy √

(example)Old monocular microscopeOnly one lab technician available and therefore tests conducted twice a week

(example)Higher quality direct microscopy on a daily basis

Summary sheet on task/partner/geographic area

Service Service/ Tasks Region 1 Region 2 Region 3

Core DOTS services

Identify TB suspects Partner 1 Partner 2   Partner 3

 Collect sputum samples

Partner 1Partner 2

Gap  Partner 3

 Do smear microscopy

Partner 1Partner 3

Gap Partner 2

…

 ACSM Conduct advocacy activities

Gap Gap Gap

  Training health staff on interpersonal communication and counseling

Partner 4 Partner 4 Partner 4

Capacity building for treatment supporters/volunteers

Partner 4 Partner 4 Constraint

Building a vision(Needs, challenges,

resources, opportunities)Can obstacles be

addressed?

Identification and dialogue amongpotential partners

(motivation, commitment)

Mapping resources(identifying cash andnon-cash resources)

Partnershipmanagement

(core structure)

Preparing a planof activities with

roles and resources

Implementation(once resources are in

place to work onspecific deliverables)

Monitoring & evaluation

of effectiveness and impact - outputs and

outcomes

Reviewthe partnership

(process, outputs, outcomes).

Corrective actions

Institutionalization:building structures and

mechanisms to maintain commitment and ensure

continuity

Leadership

Roles

Mandates in specific areas

Agreement oncore principles,

goals and objectivesPartnering agreement

Process: 1 - Exploration 2 - Building 3 - Maintenance

EXPLORATORY WORKSHOP ($)

Budget centres

($) budget centre

Questions for discussion

In your experience,

• Is there a need for a national partnership? Any example.• What could be the relationship between NTP and

partnership? Any example.• Are there similar existing forms of collaboration? Any

example. How would you integrate the existing forms of collaboration into a national partnership and why?

• How to initiate a national partnership? Country case studies.

• Who could be the initial partners of a national partnership? Any example.

SWOT analysis, Swaziland

Mapping exercise, Swaziland

ACTIVITYaccording to NTP plan/GFTAM proposal

GEOGRAPHICAL REGION AND PARTNER PROVIDING SERVICE

MBABANE MANZINI HHOHHO LUBOMBO SHISELWENI

Identify TB suspects

Baylor; Caritas

FLAS; PSI; TASC; Anglican Church; Caritas; Seventh Day Adventist

FLAS; Anglican Church; Caritas; Seventh Day Adventist

Good Sheperd; Anglican Church; Caritas; Seventh Day Adventist

Anglican Church; Caritas; Seventh Day Adventist

Collect sputum samples

Baylor; Caritas

Caritas Caritas Good Sheperd; Caritas

Caritas

Do smear microscopy

Baylor     Good Sheperd  

Diagnose TB Baylor     Good Sheperd