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