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16th RBM Partnership Board meeting
14-15 May 2009
Decision points and next steps
Ramada Park Hotel
Adoption of Board Meeting Agenda
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16th RBM Board Meeting agenda was adopted with proviso that sufficient time
is given to the election of a new Board Chair.
Adoption of 15th Board Meeting Minutes
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Minutes of the 15th RBM Board meeting were adopted with an amendment to
page 9 withdrawing the mention of a Financiers' Forum concept paper to be
presented to the Board.
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Draft Board Meeting minutes to be circulated within 10 days after the end of
the Board sessions.
Adoption of Financial Report
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The Board provisionally adopts the unaudited Financial Statement for the
RBM Partnership Secretariat and SRNs – 2008 (Table 1) (certified by the
WHO Chief Accountant);
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Took note of the income projected for 2009 (table 3) and
the actual income for Quarter 1 2009 (table 4);
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Took note of the provisional statement of income and
expenditures for Quarter 1, 2009 (table 5);
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Requested formally that all partners provide to the Secretariat, as 2009
progresses, information on contributions to support core RBM mechanisms
(Working Groups, Task Forces, Sub-regional networks) that are not
channeled through the WHO accounts but are channeled directly to the
mechanism or through other partners.
Financial Report Next steps
• The Secretariat will prepare monthly reporting to the Finance Committee
including: (i) income and expenditure statement; (ii) cash flow statement;
and (iii) balance sheet including accounts receivable and accounts payable.
• The Secretariat will use a template for a "shadow system" for monitoring
income and expenditure until the GSM Oracle-based system is fully
validated for accuracy, comprehensiveness, and real time access.
• The Secretariat will include in the report for Q2 2009 a breakdown of staff by
type of contract and the proportion of staff costs to overall activity for each
area of work.
• The Secretariat will develop a note concerning procedures relating to
WHO audit results in case changes in data are needed.
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Financial Report additional next steps
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Shadow system to be expanded to include direct contributions to
RBM Working Groups or other mechanisms and special projects
outside the RBM funds within WHO.
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Budget template to be developed to provide budgetary information
for proposals that are submitted to the Board for decision.
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Financial reporting of income and expenditure to include notes
explaining significant variances (between projected budgets/actual
expenditures and expenditure shifts between priority areas).
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Template to be developed to better understand and present the
timings of income and expenditures.
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Conflict of Interest Decision point – Next Steps
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Postpone further discussion until the end of July 2009 and request
interested members of the Partnership Board to develop a revised
policy and declaration form.
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Board decisions on Global Fund MOU
• Approved the proposed revised MOU between The Global Fund and the
RBM Partnership
• Requested the Executive Director, in consultation with the Executive
Committee, to finalize and sign the MOU with The Global Fund Executive
Director
• No budget implications for the signing of the MOU. However there will be
budget implications in the operationalisation of the MOU.
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Next steps for Global Fund MOU
• Following approval by the RBM Board, the revised MOU will be resubmitted
to The Global Fund Secretariat for transmittal to its Policy and Strategy
Committee and its Board.
• Any substantive revisions that may be requested by The Global Fund will be
referred to the RBM Executive Director and Executive Committee.
• The RBM Secretariat, in consultation with The World Bank and other
interested partners, will work with the Global Fund Secretariat to prepare
proactively for implementation of the MOU.
• Once the MOU is agreed by RBM and The Global Fund, and signed by their
respective Executive Directors, RBM and The Global Fund will implement
the provisions of the MOU.
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Board decision Forum VI in 2011
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Agreement in principle to not organize a stand alone Forum.
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Approval in principle to organize a Global High-Level Event on RBM
Progress towards the 2010 targets alongside the UN General Assembly
meeting in September 2011.
Approval of an Oversight Subcommittee representative of RBM partner
constituencies, to guide the organisation of the Global High-Level Event in
terms of scope, format, content and objectives as per Board
recommendations.
Subcomitee to develop a calendar of events worldwide, leading to the
Global High Level Event.
Request the RBM Secretariat to detail activities and budget and engage
partners in creating momentum towards the 2011 Global High-Level
Event.
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RBM Workplan 2010-2011 Decison Points
• The Board decided that the harmonized Partnership Workplan will be referred
to as the “RBM Partnership Work Plan”.
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RBM Workplan 2010-2011 Decison Point:
 The Board adopted objective 1 "Achieve Universal Coverage by 2010"
with the following targets:
 80% of the people at risk from malaria are using locally appropriate vector
control methods such as long-lasting insecticidal nets (LLINs), indoor
residual spraying (IRS) and, in some settings, other environmental and
biological measures where appropriate based on scientific evidence;
 80% of malaria patients are diagnosed and treated with effective antimalarial treatments;
 In areas of high transmission, 100% of pregnant women receive
intermittent preventive treatment (IPT);
 The global malaria burden is reduced by 50% of the 2000 levels: ~175 250M cases annually and less than 500,000 deaths annually from malaria
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RBM Workplan 2010-2011 Decision Point:
 The Board adopted objective 2 "Sustain Universal Coverage through
2015" with the following targets:
 Universal coverage continues with effective interventions
 Near zero global & national mortality for preventable deaths
 The global malaria burden is reduced by 75% of the 2000 levels: ~85 125M cases annually
 Achieve malaria-related MDGs (halting & reversing the incidence of
malaria)
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RBM Workplan 2010-2011 Decison Point:
 The Board adopted objective 3 "Prepare for Elimination" with the
following targets:
 Provide support to elimination efforts in 8-10 countries to achieve zero
transmission of locally transmitted disease by 2015
 MalERA to complete the elimination R&D agenda and promote its
implementation
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RBM Workplan 2010-2011 Decison Point:
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To meet the Partnership's objectives, the RBM mechanisms to
develop targets across 4 priority areas (as appropriate)
A.
Keep malaria high on the global agenda
B.
Ensure future funding for countries
C.
Make the funding work (effective implementation)
D.
Ensure quality reporting on country progress
Each target should be specific, measurable and timebound.
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RBM Workplan 2010-2011: Next Steps
From May to October 2009: Continuous consultation with Working Groups and Sub-Regional Networks
15 May 2009: Special Session of African Health Ministers
End of June 2009:
MERG to map schedule of planned surveys (DHS, MICS, MIS) and to draw up a list of additional MIS
required to produce a global report
First findings of the External evaluation
July-August 2009:
WHO/Sub Regional Networks (SRNs) annual planning and review meetings in all four African regions
August 2009: Identify key actions required through ministerial consultation with Asian & Latin American –
Caribbean countries
September 2009:
External independent evaluation report on optimal ways of working to implement 2010¬2011 RBM
partnership Work Plan
Board retreat, Operating Framework revision
Stakeholders meeting: 2010-2011 Work Plan finalized and agreement on the method of work.
November 2009:
RBM Partnership Work Plan adopted and approved funding through the 17th Board Meeting
January 2010: RBM Partnership Work Plan implementation starts
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Venue Board meeting & retreat : Decison Points
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Venue 17th RBM Board meeting: Sunday 15 to Tuesday 17 November
2009 in Brasil
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Venue for Board retreat in Switzerland at end of August or early
September, depending on the availability of External Evaluation results
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Challenges faced in accelerating progress towards 2010 Universal Coverage Targets
Summary RBM Board Chair
"Internal" challenges
"External" challenges
Lack of country ownership/sustained political will
Funding/resource constraints
Funding/resource constraints
•Significant funding gap faced by a number of countries
•Under –utilization/ inefficient use of resources already available
Harmonization/coordination
•Insufficient integration of fragmented malaria control initiatives at country level
•Lack of comprehensive/detailed national operational plans
•Insufficient flexibility of funding mechanisms and the allocation of
resources available
Commodities
•Problems with the funding process: persistent/significant procedural
delays between the funding approval stage to final disbursement of
funds to countries
•Lack of local commodity manufacturing capacities
Harmonization/coordination
•Inadequate access to ACTs
Health systems/capacities
•Inadequate procurement capacities/inefficiencies and bottlenecks in
procurement systems
•Weaknesses in supply chain management systems, lack of effective
procedures/capacities for tracking progress
•Lack of harmonization among partners – slow progress towards
harmonization and alignment of planning, budgeting and reporting
processes
•Growing pressure against use of DDT (WHO guidelines – challenges
of balancing health concerns related to chemical safety and insecticide
resistance with the benefits of DDT as an effective malaria control tool)
•Inadequacy of effective M&E systems and capacities
•Overall health system weaknesses esp. inadequacy of HRH
Parasite/vector resistance
•Drug resistance of malaria parasite – largely due to continued use of monotherapies
Commodities
•Insufficient stocks of commodities – LLINs and ACTs available on the
(global) market
•Growing resistance of mosquitoes to insecticides
Research
•Inadequate attention to/support for operations research to address bottlenecks
Partnerships/collaborative efforts
•Inadequate use of complementary "high impact" strategies (e.g. social
mobilization and leveraging of NGOs/CSOs capacities in effectively reaching
communities with interventions)
•Insufficient engagement/mobilization of all sectors/stakeholders in the national
malaria response
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Ministerial Consultation: Next Steps
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Provide a report on the ministerial special session to all participating
ministers
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Feed the challenges identified during the special session into the
development of the 2010-2011 RBM Partnership Workplan.
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Summary of implementation challenges identified through
Board events (13 to 15 May 2009)
Challenges (1) to inform development of RBM Partnership Workplan
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Strengthening Information Systems
Ensuring proper use of LLINs and treatment with ACTs
Integration of complimentary interventions
Securing additional funding and timely availability
Monitoring resistance (Artemisinin, Pyrethroids, DDT)
Governance of large programs
Managing geography of large countries
Maintaining coverage of insecticidal nets
Reducing cost of commodities
Strengthening health systems – human resources, infrastructure, Equipment,
Implementation capacity, Access to ACTs in all health centers, training (entomologists,
management)
– Production capacity of commodities, manufacturing in endemic countries at
international standards
– Procurement and tendering transparency, accountability
items in black arising from ministerial session; items in blue additional challenges identified by Information Session and Day 1 Board)
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Summary of implementation challenges identified
through Board events (13 to 15 May 2009)
Challenges (2) to inform development of RBM Partnership Workplan
– Developing public health insurance
– Environmental Management and Vector Control
– Mitigating different climates – epidemics, transmission settings
– Updating strategic plans – integrated vector control, operational research,
communication,
– Quantification and forecasting
– Intersectoral, interministerial, intercountry/subregional approaches
– Cultural sensitivity – appropriate communication for behavior and social change
– Engaging new partners - Faith Based Organizations, NGOs, Communities
– Strong Strategic Planning
– Ownership of the fight against malaria
items in black arising from ministerial session; items in blue additional challenges identified by Information Session and Day 1 Board)
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Resistance Taskforce: Decision & Next Steps
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WHO, through RBM Case Management & WIN Working Group in particular, but
also in collaboration with MERG and HWG, takes the lead on these two issues
(strategy for the RBM Partnership to comprehensively address pharmaceutical
and insecticide resistance) to start addressing management solutions.
A report should be available before the 17th RBM Board meeting.
PMI and GFATM will consider funding once the requirements are determined in
the strategy development process.
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Any Other Business :
Global Fund shared board seat Next Steps
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Board provides mandate to the RBM Executive Director to dialogue with
UNITAID and StopTB regarding the use of the approved joint GFATM board
seat.
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EXD to report back to Board
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Any Other Business :
Legal binding nature of RBM Partnership Operating
Framework
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A legal opinion, commissioned by the Private Sector Constituency, indicates
that the RBM Partnership Operating Framework does not create any legally
binding engagements for partners in the Partnership or on the Board.
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Board Chair Election
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The RBM Board elected Honourable Kapembwa Simbao, Minister of
Health from Zambia as the new Chair of the RBM Board
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