Transcript Creating a Vision for the Secretariat

Presentation of the RBM Partnership
Harmonized Work Plan 2008
RBM Partnership 13th Board Meeting
Nov 28-29, 2008, Addis Ababa
Prepared in Coordination with the RBM Partnership Secretariat
by FSG Social Impact Advisors
Agenda
I. Harmonized Work Plan (HWP) - Introduction
II. Synthesis of HWP
III. Funding for HWP
2
The 2007 Malaria Landscape Report Emphasizes the Urgency to
Accelerate the Actions towards Achieving RBM Goals
Findings from the report
Needs to be addressed
• There is a continued need for large inflows of
resources to actualize country plans to scaleup for impact
• Advocacy for additional resources
• While many countries have planned for SUFI,
there is a high level of inconsistency in their
understanding and levels of ambition
• Advocating for and assisting countries to plan
for SUFI
• Evidence suggests that real breakthroughs in
coverage and rapid scale-up can be made
through integrated nationwide distribution
campaigns
• Data available is not always consistent or upto-date
• Managerial support and expertise to assist
countries in the selection/development of
sustainable delivery models
• While supportive national governments, high
health worker density, nationwide advocacy
campaigns and small size of countries favor
progress in countries, key enablers and
success stories need to be further
understood
• Understanding and building success stories
• Building in-country health capacity to absorb
funds
• Building and improving M&E infrastructure for
better quality of malaria data
• Campaigning to build on expertise on behavioral
change in communities
• Advocating for and building a stronger civil
society and grass root organization
infrastructure for long-term sustainability
The Harmonized Workplan responds to the need of scaling-up for impact
Source:
RBM Landscape report 2007
3
RBM Sec. Built on the Change Process and Coordinated the
Generation of HWP with Buy In from All Members
Workplan harmonization process
July
• All RBM working
groups and SRNs
developed
respective work
plans for the coming
year
• RBM Sec. hired FSG
Social Impact
advisors to put
together the
Harmonized work
plan
August
September
• Captured each
group’s work plans
During the workshop
in which all the WGs
and SRN delegates
participated
• Grouped the
activities around
major partnership
actions
• Discussed and
reviewed the
harmonized
workplan
• Discussed the
synthesized
workplan with the
groups
• Checked
completeness of
activities; how they
interfaced and
sequenced
RBM sec. and FSG
• Launched a budget
validation process
4
October/November
With comments and
involvement from RBM
sec.
• Revised work plan
and budgets based
on inputs from the
WGs and SRNs
• Developed work plan
synthesis for the
board
• Developed funding
scenarios for the
2008 budget
Agenda
I. Harmonized Work Plan (HWP) - Introduction
II. Synthesis of HWP
III. Funding for HWP
5
RBM Defined Three Strategic Priorities for 2006-2010
in the RBM Global Strategic Plan
Action at
country level
• Support countries to rapidly expand access to effective
treatment and prevention against malaria nationwide;
• Improve management and healthcare systems to ensure that
short-term gains can be sustained in the medium- to long-term;
Global advocacy
and finance
• Maintain malaria high on the development agenda using a
results-oriented evaluation framework;
Research and
development
• Provide a comprehensive research agenda, ranging from
product development to implementation strategies.
This is the context in which the board approves activities
6
RBM Has Defined Six “Operational” Priorities and Targets for 2008
1
Strengthen Capacity and Enhance Performance for SUFI Implementation
2
Keep Malaria High on the Development Agenda and Access Additional Resources
3
Enhance Performance in Countries and Secure Continued Resources
4
Track country progress
5
Strengthen Access to Commodities for Malaria Control
6
Ensure Proper Functioning of Partnership Mechanisms
These priorities were defined on the basis of RBM Global Strategic Plan
7
RBM HWP ‘08 Objectives Re-Emphasize RBM Strategic Priorities
RBM Targets 2010
RBM 2010
Targets
By 2010, particularly in the lowest two economic quintiles:
• 80% of people at risk from malaria are protected
• 80% of malaria patients are diagnosed and treated with
effective anti-malarial medicines
• In areas where transmission is stable, 80% of pregnant
women receive intermittent preventive treatment (IPT)
• Malaria burden is reduced by 50% compared with 2000
RBM Strategic Priorities for 2005-2015 (2006-2010 Shown Below)
RBM
Goals as
laid out in
the Global
Strategic
Plan
a• Action at country level
• Support countries to rapidly expand
access to effective treatment and
prevention against malaria nationwide;
• Improve management and healthcare
systems to ensure that short-term gains
can be sustained in the medium- to longterm
RBM Workplan Objectives 2008
RBM
Workplan
Objective
s for 2008
1 Strengthen Capacity and Enhance
Performance for SUFI Implementation
3 Enhance Performance in Countries
and Secure Continued Resources
(through diagnostic and corrective
response)
4 Track country progress
6 Ensure proper functioning of
partnership mechanisms and provide
stewardship
b•Global
advocacy and finance
• Maintain malaria high on the
development agenda using a resultsoriented evaluation framework
RBM Workplan Objective 2008
2 Access additional resources
(incl. through GFATM, UNITAID)
5 Strengthen Access to Commodities
for Malaria Control
6 Ensure proper functioning of
partnership mechanisms and
provide stewardship
8
c
Research and development
• Provide a comprehensive research
agenda, ranging from product
development to implementation
strategies
RBM Workplan Objective 2008
1 Strengthen Capacity and
Enhance Performance for SUFI
Implementation
5 Strengthen Access to
Commodities for Malaria Control
6 Ensure proper functioning of
partnership mechanisms and
provide stewardship
HWP Synthesis by Priorities and Targets
Priorities
•1
Strengthen Capacity and Enhance
Performance for SUFI Implementation
Targets for 2008
• 45 technically sound, operationally feasible ,country
and partner owned SUFI business plans
Budget for 2008
• USD 8.4 Million
• Support deployment of partnership coordinators in
10 countries
•
2
•
3
•4
Keep Malaria High on the
Development Agenda and Access
Additional Resources
Enhance Performance in Countries
and Secure Continued Resources
(through diagnostic and corrective
response)
Track country progress
• >60% of countries applying for funding in Round8
(GFATM) to be successful
• USD 7.2 Million
• 45 Countries mobilize adequate funds for SUFI
• At least 95% of countries currently getting
funding should continue to keep it
• USD 6.7 Million
• At least 80% of countries with existing Global
Fund assistance should perform at "A" or
“B1” ranking
• 12-20 countries to deploy MIS
• USD 1.2 Million
• Publish Malaria Landscape report and update
107 country profiles
5•
Strengthen Access to
Commodities for Malaria
Control
• An affordable facility for Malaria in place
• USD 2.4 Million
• At least three (3) integrated (ITN/immunization) mass
distribution campaigns, of which one should be held
in a large country;
• 45 countries have access to affordable medicines for
malaria through the private sector
•6
Ensure Proper Functioning of
Partnership Mechanisms
• Track progress and report to the EC and the
partnership Board
• Partnership achieves > 80% implementation rate of
planned activities of the HWP
9
• USD 4.3 Million
The Involvement of Partnership Mechanisms
Differs by Objective
Involvement
Mechanisms
RBM Priorities
for 2007-2008
HWG
SRN
MAWG
MERG
MIP
1
Strengthen Capacity and
Enhance Performance
for SUFI Implementation
2
Keep Malaria High on
the Development
Agenda and Access
Additional Resources
3
Enhance Performance in
Countries and Secure
Continued Resources
(through diagnostic and
corrective response)
4
Track Country Progress
5
Strengthen Access to
Commodities for Malaria
Control
6
Ensure Proper
Functioning of
Partnership Mechanisms
Other Cross Cutting
Activities
10
PSM
WIN
RWG
AMFM
RBM
Secretariat
Board
1
Strengthen Capacity and Enhance Performance for
SUFI Implementation
HWG
Support Best
Practices
• Compile toolkits
developed by
WGs and partners
planning,
resourcing,
implementing and
M&E
SRN
MAWG
MIP
MERG
Develop and finalize:
• Enable peer-to-peer • Establish taskforce on Make progress on:
community use
knowledge sharing
• M&E training course • Technical updates on
incl. finalizing
• Promote the need
IPT, case
• Service coverage
regional joint work
for and use of good
management of
estimates, IRS
plans and
quality TA
malaria in pregnancy,
indicator
guidelines,
organizing study
MIP implementation
field testing of
tours
guide
anemia and lab
testing of
• Consensus statement
parasitemia,
on ITN delivery
spectrum mortality
through ANC,
modeling software
synthesis of country
level MIP
• Assessment of
implementation
quality of malaria
experiences and best
data for GFATM,
practices from
secondary analysis of
RAOPAG countries
MICS, DHS, MIS,
standardization of
• Operations research
priority indicators,
for increasing access
database on priority
to MIP interventions,
indicators, rating
incl. community
system for data
delivery, MIP M&E
source, public access framework, Global
to datasets
MIP Strategic
framework
WIN
Document:
• Best practices in
scalable malaria
vector control,
cochrane review,
• Private sector
approaches to
scaling up IRS
• Bridging “catch up”
campaigns to “Keep
up” campaigns
RWG
• Coordinate review
and publication of
NHA malaria subaccount guidelines
RBM
Secretariat
• Provide
management
support, expert
advice,
interfacing,
documentation &
event support
towards WG and
SRN workplan
implementation
• Guidance framework
for scaling up LLINs
and IRS
• Equip 2 sub-regional
MIP coalitions
Support Country
Planning
• Support gap
analyses in 45
countries
• Support SRNs in
developing new
plans
• Support HWG in
gap analyses,
business planning
for SUFI in 45
countries
• Provide support
to joint & country
missions
• Provide expert
advice to SWOT
analyses and
deployment
• Support
deployment of
partnership
coordinators in 10
countries
Advocate for
Country
planning
• Promote: HWG and
validation of country
plans, “three ones”
approach, malaria
representation on
CCM
• Support MAWG WP
implementation
• Develop & update
website, publish
factsheets, ebrochure, e-updates
regarding consensus
on best practices
11
2
Keep Malaria High on Development Agenda and Access Additional
Resources
HWG
Support proposal
writing
• Support GFATM
proposal
development:
Increase percentage
of successful
applications to
GFATM from 32% in
R6 to >60% in R8,
publish evaluation of
R7 GFATM campaign
SRN
MAWG
• Support HWG
managed proposal
development
PSM
WIN
• Provide TA to PSM
portions of proposa
• Assist countries to
develop PSM plans
• Support countries
with successful
grant application in
grant negotiations
• Support project
development: support
country requests for
additional resources,
TA to 5 countries to
expand existing
projects, present
business case to
donors at country and
global levels
• Provide TA to
WIN portions of
proposal
MIP
RWG
AMFM
• Provide support to
proposal
development: support
10 countries in
GFATM proposal
writing, identify MIP
related gaps based on
past proposals,
develop generic
template to be used
by countries for R8
RBM
Secretariat
• Management
support to
HWG for
partners
development
of funding
proposals
• Management
support to
SRN’s in grant
negotiations
• Interface
between WGs
and CCMs in
support of
grant
negotiations
• Support R7 (~20)
approved countries in
developing M&E and
PSM plans
Advocate for and
mobilize
resources
• Advocate at global
levels global
resource gaps
resulting from gap
analyses from R7
and business case to
donors
Advocate for
additional
resources:
• Develop RBM
brand, develop
messages to
support funding
and malaria
research,
marketing material
and congressional
briefings
• Ensure PSM issues
are incorporated in
MAWG advocacy
messages
• Organize member
visits, participate in
GFATM meetings,
identify new
sources of funding
• Advocate to
country
governments on
increased malaria
spending, engage
celebrity spokes
persons for
malaria
12
• Identify 3
champions to
support MAWG
• Design innovative • Raise awareness to
approaches to
create political
financing malaria
support for ACT
control incl. ACT
subsidy project
• Support MAWG WP
implementation
• Manage media
outreach,
promotional events,
attend relevant
meetings, advocate
for greater resources
3
Enhance Performance in Countries and Secure Continued Resources
HWG
Support
Operations
• Develop launch and implement the
• Manage identification of
“Malaria Implementation Assistance”
country level implementation
Hotline and Early Warning System
bottle necks for EWS and for
(EWS)
GFATM phase2 renewal
countries
• Develop, launch and implement
Malaria Implementation Support
Team (MIST) embedded within
partner organizations
4
SRN
• Build in-country structures and
functions: Strengthen partnership
structures in countries, mobilize
external TA promote internal
contracting out of services
MAWG
• Communicate success of
partners in relation to EWS
• Assist in advocacy: advocacy for
PSM for better procurement and
supply chain management,
advocate for improving
performance of existing funds,
interfacing with WIN on advocacy
on taxes and tariffs for IRS
PSM
WIN
• Facilitate provision of TA to fix
PSM bottlenecks identified as
a result of EWS
• Advance implementation
guidelines of IRS and LLIN
including identifying
operational constraints, report
on taxes and tariffs,
registration with national
authorities and washing habits
• Serve as a link, create and
maintain PSM roster to find
appropriate resources
RBM Secretariat
• Interface with CCM’s
& SRN’s to diagnose
implementation
bottlenecks
• Provide management
support to HWG WP
implementation for
appropriate MIST
response
• Support
implementation of
MIST (incl.
Recruitment of MIST
coordinator)
Track Country Progress
HWG
Analyze
data/report on
landscape
• Provide MIST support to assist
countries in M&E
SRN
• Support MERG in MIS
implementation, compile and
disseminate bi-annual country
progress reports
• Support MIP to strengthen
capacity of MIPESA and
RAOPAG
MAWG
• Promote tools created by HWG
and MERG, advocate for
improved M&E capacity at
country level and build
advocacy strategies by using
results generated by MERG
database
MERG
• Support in generation of Malaria
Landscape report
• Coordinate generation of maps/
reports: Malaria endemicity,
disease burden, population at
risk, effect of scaling up
interventions for upto1 0
countries based on MIS survey
data, malaria mortality
estimation
MIP
• Strengthen capacity of
MIP coalitions to provide
technical support for
monitoring progress in
MIP implementation in
countries and to assist
countries to incorporate
MIP indicators into
Maternity registers and
cards
RBM Secretariat
• Provide expert
advice and
interfacing
towards
production of the
Malaria
Landscape
• Publicize and
disseminate
Malaria Report
• Support
performance
sub-committee
in tracking
progress
13
5
Strengthen Access to Commodities for Malaria Control
HWG
Develop and
launch
AMFm
• Provide implementation support to
ACT implementation based on
information from HWG managed
needs assessment and refined
strategic/action plans and through
MIST structures present in
countries
MAWG
PSM
RWG
• Advocate and create
awareness for ACTs
• Review M&E plans for global
subsidy and support AMFM in
analytic work needed for the
launch of subsidy
AMFM
• Create technical proposal
with key recommendations on
subsidy levels incl. estimate
of funding, criteria for facility
architecture and
communication strategy to
promote uptake and
responsible introduction of
ACTs
RBM Secretariat
• Support MAWG for
AMFm launch
• Raise awareness and create
political support for ACT
subsidy and mobilize
necessary resources
Facilitate and develop:
Secure
global
supply
• Facilitate forecasting efforts
• Map global ACT market
• Disseminate quality standards for
medicines
Secure
country
absorption
• Measles Malaria Partnership
targeting at least 3 integrated mass
distribution campaigns including at
least 1 large country
• Develop procurement guidelines for
ACTs, RDTs, IRS and LLINs
• Facilitate collection of PSM toolbox
and success stories
• Develop ACT scaling up framework
• Implement delay monitoring system
• Establish PSM country coordination
committees
14
• Provide management
support and expert
advice to PSM for WP
implementation and to
ensure effective roll-out
of AMFm
6
Ensure Proper Functioning of Partnership Mechanisms
RBM Secretariat
• Support Implementation of the 2008 HWP:
•
1-6
• Nurture the expansion of the RBM partnership’s activities:
Provide expert advice, interfacing and management support to RBM
Board, Executive Committee, sub-committees, Executive Director, WG cochairs/SRNs, partners and constituencies:
•
Develop and manage knowledge management and partnership
communication mechanisms
•
Manage the RBM Secretariat:
•
to ensure the timely implementation of the 2008 HWP, and the
effective functioning of the mechanisms as outlined in the RBM
handbook
•
Manage Human Resources requirements (appoint and manage
staff and focal points to all mechanisms and structures, such as
SRN focal points, US-based Secretariat, etc)
•
to support timely progress tracking
•
•
to advocate and mobilize resources for the partnership,
including producing advocacy materials, organizing events,
preparing materials, organizing press relations, champion trips
and involvement, etc
Provide Secretariat financial management, recruitment and
career development, and administrative support
•
Manage hosting agency relationship
•
Develop Secretariat workplan and budget
•
Produce management reports
Cross cutting activities
HWG
• Coordinate
HWG workplan
• Organize two
meetings
SRN
• Operationalize
SRNs
• Improve local
advocacy and
communications
MAWG
• Provide
secretariat
support
• Hold one
annual and two
executive
meetings
MERG
• Hold two
meetings
• Conduct
activities for
MERG
secretariat
MIP
• Hold two
meetings
• Support MIP
participation in
annual planning
and review
meetings/ WG
meetings
15
PSM
• Convene two
meetings
WIN
• Facilitate
meetings
RWG
• Hold one
meeting
RBM Secretariat
• Provide event
support and
interfacing for
all key WG &
SRN meetings
Agenda
I. Harmonized Work Plan (HWP) - Introduction
II. Synthesis of HWP
III. Funding for HWP
16
WGs and Secretariat Require USD 33 Million to
Implement Activities Planned in HWP 08
•
WGs/ SRNs need a budget of ~ USD 23Million, > 50% of which is for direct in-country
support
•
RBM Sec. needs a budget of ~ USD 10Million, more than ~70% of which to support HWP
and 30% to continue nurturing the partnership
•
•
4 priorities need budgets more than USD 4 Million each:
–
Strengthen capacity for SUFI implementation
–
Access additional resources
–
Enhance performance in countries
–
Ensure proper functioning of the partnership
Activities can commence in 2007 provided a budget of USD 3.5 Million can be secured
ASAP, of which HWG and SRNs account for more than 70% of the budget
•
These numbers will evolve, as the WGs and SRNs are reviewing their work plans following
the recommendations from the Executive Meeting of the RBM Partnership Board in Seattle
to revisit the plan to achieve 80% coverage by 2010
To achieve elimination/eradication of malaria, it is vital that
the HWP be fully funded
17
Workplan Budget Overview by RBM Mechanisms
2008 Budget
USD Millions
40'000
40
37'500
10.2
35'000
32.8
32'500
30'000
27'500
25'000
22'500
1.0
20
0.9
0.6
0.5
0.01
3.2
20'000
5.4
17'500
15'000
12'500
10.9
1.4
1.4
1.4
1.2
10'000
WARN
SARN
CARN
EARN
7'500
5'000
2'500
0
RBM
HWG
Mechanisms
SRNs
PSM
MERG
MAWG
Source: RBM partnership work plans, FSG analysis
18
MIP
WIN
RWG
RBM Sec
Total
Budget
2008
Workplan Budget Overview by Objective
2008 Budget
Million USD
35'000
35
2.6
32'500
32.8
4.3
30'000
27'500
2.4
25'000
6.7
1.2
22'500
20'000
17'500
7.2
15'000
12'500
10'000
8.4
7'500
5'000
2'500
0
1
3
5
Strengthen capacity for
Enhance performance
Strengthen access to
Cross
SUFI implementation
in countries and secure
commodities for
cutting
continued resources
malaria control
activities
Priorities
2
4
6
from HWP
Access additional resources
Track country progress
Ensure proper functioning
of the partnership
Source: RBM partnership work plans, FSG analysis
19
Total
Workplan Budget Overview by Sub-Priority
2008 Budget
USD Millions
35'000
35
2.6
32'500
32.8
4.3
30'000
27'500
2.4
25'000
1.2
6.7
22'500
20'000
17.5
17'500
3.1
15'000
4.1
12'500
10'000
5.9
0.07
7'500
5'000
2.4
2'500
0
Best
practices
Priorities
from HWP
Country
planning
(CP)
Advocacy
on CP
1
Strengthen capacity for
SUFI implementation
Proposal
writing
2
Access additional
resources
Source: RBM partnership work plans, FSG analysis
3
Enhance
performance in
countries and
secure continued
resources
Resource
mobilization
5
Strengthen access
to commodities for
malaria control
4
Track country progress
20
6
Ensure proper
functioning
of the partnership
Total
Cross
cutting
activities
RBM Mechanisms Require ~ USD 33 Million in 2008 for
Implementing Activities in HWP
2008 Budget
USD Millions
40'000
3.5
40
37'500
10.2
35'000
32.8
35
32'500
30'000
30
27'500
25'000
25
22.6
22'500
20'000
20
17'500
15'000
15
12'500
10'000
10
7'500
5'000
5
2'500
0
RBM
Mechanisms
WGs,
SRNs
RBM Sec.
Total
Budget
2008
Source: RBM partnership work plans, FSG analysis
21
Budget needed
for activities in
2007
> 50% of RBM Sec Budget Requested to Support HWP
2008 Budget
USD Millions
3.1
10'000
10
9.3
0.99
10.2
7'500
6.2
5'000
5
2'500
0
Category of
RBM Sec
Support
HWP 08
Partnership
Board
and
Constituencies
Source: RBM partnership work plans, FSG analysis
22
Total
2008
To achieve elimination/eradication of malaria, it is
vital that the HWP be fully funded
•
Based on past experience, ~ USD 14 Million of funds
can be raised for the 2008 budgets, leading to a USD 20
Million gap for which new sources of funding need to
identified
•
For the activities that can commence in 2007,
~ USD 1.7 Million of funding needs to be identified
•
Seattle meeting highlights a positive outlook on funding
Development of funding scenarios may be inefficient at this stage
23
For 2008 HWP Needs A Budget of USD ~33 Million of Which
<50% Can Be Funded Based on Past Funding Levels
Expected 2008 Funds raised by RBM mechanisms
Gap
RBM Sec
100% = USD 32.8 Million
SRNs
Partners
Partners
SRNs
1M
3M
Gap
20M
9M
RBM
Sec
An expected additional USD20 Million of funds need to be raised
Note: Based on 2007 fundraising figures of RBM Secretariat
Source: RBM Secretariat
24