Transcript ACADEMIC SCAN - Roll Back Malaria

Update and Decision Points from the
Harmonisation Working Group
The Harmonization Working Group
Board Endorsed TORs
1
Secure additional resources from the Global Fund, PMI, World
Bank and others in support of country scale-up
2
Assist countries to identify support needs for scaling-up through
comprehensive needs assessments
3
Coordinate a process to support the development of and adherence
to the “3-ones” concept at country level
4
Harmonize partner efforts to fill country-identified gaps
5
Facilitate the development of a “rapid-response” mechanism to
support countries to overcome implementation bottlenecks
(reactively and proactively)
6
Track and Facilitate resource flows from partners to countries
Harmonization Working Group November 2007
Board Decisions
1
2
3
Endorsed the terms of reference and the areas of focus for
2008:
● Gap analysis/needs assessments
● Matching resources to identified gaps
● Information development and tool development
Endorsed the need for incremental financing and staff support
to:
● HWG partners –particularly in the Implementation support
mechanism
● The RBM secretariat (for co-ordination and facilitation)
Approved the “Malaria Implementation Support Team” name
change
Harmonization Working Group November 2007
1 Secure Additional Resources –
GFATM Round 7 Support Process
● First fully coordinated effort to develop high quality proposals
● Support to 19 programmes: Angola, Burundi, Burkina Faso,
(CAR), Congo, Chad, DRC, Ethiopia, Ghana, Liberia, Madagascar,
Malawi, Rwanda, Senegal, Sierra Leone, Sudan (North and
South) Tanzania, Zanzibar and Zambia
● Realistic and publicly announced target (>60% success rate)
● Prioritization and tailoring of country support
● High level of partner involvement in planning, execution, and
fundraising and intense level of Secretariat support.
● Contracting out to expand partnership capacity
Harmonization Working Group November 2007
1 Secure Additional Resources –
Round 7 Support Package
● Synthesis of information on unsuccessful applications from earlier
Rounds and existing grants including identification of bottlenecks;
● Modification of the GFATM template to increase “malaria friendliness”
● Selection of experienced internal and external consultants
● Training workshops for consultants and country teams (including
members of the CCM and Malaria Control Programmes) on proposal
development and gap analysis
● Mock TRP session for the draft proposals prior to finalization (over
120 participants from 24 countries)
● Individual assistance missions to countries, where required,
● Expert review of final stage of proposals
● Briefing of the TRP
Harmonization Working Group November 2007
1 Secure Additional Resources –
Significant inputs from donors
Cost Centre
US$
Proposal writing Training
Workshops
300,000
Support to in-country processes
(Local consultants, proposal
writing, and consultative
processes) (US$ 20,000/country)
400,000
300,000
Mock Technical Review Panel
200,000
Staff time and travel (agency
contributions)
735,00
Harmonization Working Group November 2007
250,000
RBM Sect.
347,000
USAID
200,000
ExxonMobil
Malaria No More
External Consultants
Total
Millennium Project
US$
1,935,000
UNICEF
87,000
200,000
30,000
VestergaardFransden
100,000
WHO
100,000
Total cash
received
$1,314,000
1 Secure Additional Resources –
Significant Individual Commitments
● Steering Committee: Trent Ruebush, Sergio Spinaci, Valentina Buj, Rick
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Steketee, Melanie Renshaw, Suprotik Basu
RBM Secretariat: James Banda, Richard Carr, Betty Udom, Sophie Schmidt
Claude Rwagacondo
WHO: Sergio Spinaci, Robert Agyarko, Valentina Buj, Jose Nkuni, Charles
Paluku, Peter Olumese, Stephane Tohon, Khoti Gausi, Walter Kazadi,
Josephine Namboze
Millennium Project: Awash Teklehaimanot, Yemane Ye-ebiyo Yihdego, Hailay
Desta Teklehaimanot Daniel Madandi, Sékou Fantamady Traore, Belco
Poudiougou, Abdoulaye Mohamed Touré, Aklilu Seyoum, Ousmane Faye
UNICEF: Melanie Renshaw, Rory Nefdt, Angus Spiers
World Bank: Suprotik Basu, Jean Pierre Marshande, John Paul Clark
GFATM: Mabingue Ngom, Mark Grabowsky, Joanne Barczyk, Karmen Bennet,
David Curry, Ilze Kalnina, Sophie Logez, Sandrine Lourenco, David Powell
US/PMI: Trent Ruebush, Larry Slutsker, Robert Wirtz, Angus Spiers
MACEPA: Rick Steketee, Hana Bilak, Paul Libiszowski
PSI: Ricki Orford
Global health advocates: Louis da Gama
MAWG special working group
Harmonization Working Group November 2007
1 Secure Additional Resources –
Results
19 countries supported
● 17 Round 7 and 3 RCC
proposals
● 12/17 Round 7
proposals awarded
● 3/3 RCC proposals
awarded
● Total 15/20 = 75%
Success
Percent
80
70
60
50
40
30
20
10
0
Round 5 Round 6 Round 7
Harmonization Working Group November 2007
Round 7
HWG
1 Secure Additional Resources –
Results: Additional Funds Available from GF
HWG support:
● Phase 1: US$388 M
● Phase 1 and 2: US$817 M
Malaria overall:
● Phase 1: 642 M
● Phase 1 and 2 US$1.3 B
Phase 1
USD
500
450
400
350
300
250
200
150
100
50
0
1
2
3
4
Round
Harmonization Working Group November 2007
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6
7
1 Secure Additional Resources
“The support of the RBM partners to countries
during Round 7 has been extraordinary and filled
an essential role in the application process. In
many ways, this effort was the fulfillment of our
collective vision of the RBM Partnership at its
best. I trust that you will consider-making this a
"normal" part of RBM Partnership activities..”
Michel Kazatchkine
Executive Director, The Global Fund
Harmonization Working Group November 2007
1 Secure Additional Resources –
Next Steps
● Evaluate Round 7 process for lessons learned
● Support appeals and category 2 countries to answer TRP
questions and provide technical support where necessary
to address TRP identified weaknesses
● Support successful countries to achieve signature –
including completion of monitoring and evaluation
(MERG), procurement/supply management (PSMWG)
and workplans (HWG)
– Currently the average time to signature is 290 days
● Work with GFATM to accelerate signature process
including understanding what HWG can do and what
GFATM must do alone
Harmonization Working Group November 2007
1 Secure Additional Resources –
Next Steps
● Introducing a Round 8 proposal taskforce
● Identify countries for Round 8 support. Provisionally:
– Cameroon
CAR
– Comoros
Congo
– DRC
Equatorial Guinea
– Ethiopia
Gabon
– Ghana
Kenya
– Mozambique
Nigeria
– Zanzibar
Zimbabwe
● Complete needs assessments in round 8 countries
including partnership capacities
● Assist countries/World Bank in preparation of Booster
Program Phase 2 (>US$500 million expected)
Harmonization Working Group November 2007
2a Assist countries to identify SUFI support needs
through comprehensive needs assessments
Mozambique Experience
● Comprehensive needs assessment (1 month) informed
strategic planning and successful GFATM Round 6
proposal
● Joint mission in Feb 07 (WHO, UNICEF, WB, RBM
Secretariat)
– Recommended support to finalisation of an
operational/business plan
– Provide long-term RBM facilitator to co-ordinate
partner support, hosted by WHO
– Needs assessments will be updated in future through
routine programme reviews
Harmonization Working Group November 2007
2a Assist countries to identify SUFI support needs
Needs Assessment – Origins
September 2006, Dakar Conference “Striking Back at Malaria in
sub-Saharan Africa”, delegates from 16 African countries called for
the following:
● Existing resources must be utilized effectively
● For performing countries, money and technical support should not be
the rate-limiting factor to Scale-up for Impact
● We commit to accelerating our efforts and actions to ensure that
countries that are most ready are supported to achieve their targets.
We will also accelerate our work with those countries that will require
more assistance to quantify their needs
● We must validate existing business and operational plans to be
convened by the RBM Harmonization WG with a simultaneous
meeting of key donors to match country-identified needs as
supported by performance based data
Harmonization Working Group November 2007
2a Assist countries to identify SUFI support needs
through comprehensive needs assessments
● Support 45 national programs to develop malaria needs
assessments and business plans over the next 4-6 months
that will result in achievement of 2010 RBM Goals (>80%
coverage)
● Plans will result in an improved understanding of country
support needs (financial and technical/implementation support)
and the resources and strategies required to fill them.
● Present plans to donors in mid 2007, as well as to individual
partners (e.g. GF, WB, PMI), for immediate support
● Builds on HWG's gap analysis work for GF Round 7 and feeds
into GF Round 8 proposals where necessary
Harmonization Working Group November 2007
Comprehensive Needs Assessments
Timeframe
Senegal
Mauritania
Mali
Niger
The Gambia
Djibouti
Nigeria
Guinea
Benin
Burkina Cameroun
Sierra
Faso
Togo
Leone Liberia
Ghana
Cote d'Ivoire
Eq Guinea
Eritrea
Sudan
Chad
Ethiopia
Central African
Rep
Kenya
DRC
Tanzania
Gabon
Congo
Uganda
Rwanda
Burundi
Angola
Zambia
Namibia
Zimbabwe
Malawi
Mozambique
South
Africa
Harmonization Working Group November 2007
Swaziland
Lesotho
Madagascar
October - January
December - February
January - March
February - April
2a Assist countries to identify SUFI support needs
through comprehensive needs assessments: Process
● Discussion and formation of Needs Assessment and Business Planning
(NABP) Task Force (3rd HWG Meeting, Sept 2007)
● HWG Workshop (Nairobi, October 2007) developed a common template with
countries for needs assessments (MACEPA support)
● Countries lead needs assessment and business plan development
(December 2007-March 2008)
– Each country is paired with a focal partner and additional supporting
partners.
– Each country has a consultant support to assist in writing /documentation
of assessment and plan
● RBM will aggregate assessments and plans (as foundation for Business
Plan), and assist in the development of regional/cross-border
investments/actions (March/April 2008)
● All outputs will feed into development of GF applications, WB Booster 2
design, and annual PMI malaria operational plans
Harmonization Working Group November 2007
2a Coordinate a process to support the development of and
adherence to the “3-ones” concept at country level
Business Plans to which countries and partners must adhere
● Template to be developed by MACEPA, building out from Needs
Assessment
● Business Plans (the “who does what”) cannot be externally driven,
but result from iterative discussions within country partnerships.
● Process for country level development to be coordinated by SRNs,
and supported by RBM Partners with in-country presence, including
WHO, Millennium project, UNICEF, MACEPA, US PMI, and the World
Bank
● Country-based business plans to be consolidated into one overall
scale-up business plan for the RBM partnership in Africa
Harmonization Working Group November 2007
Outcomes of Needs Assessment and Business
Planning Process
Five outputs proposed in the process:
● 45 Needs assessments for comprehensive scale-up
● 45 Country-determined business plans
● Advocacy piece, including economic/financial analysis - "frontloading" on the rationale for rapid scale-up (needed for donor
discussion as most assessments/plans will call for rapid and
comprehensive coverage)
● Scientific/public health consensus statement for a rapid scale-up in
sub-Saharan Africa and the possible results.
● Additional financial and technical support from donors/partners
(including new donors/partners) to ensure scale-up needs are met
with resources
Harmonization Working Group November 2007
3 Harmonize partner efforts to fill countryidentified gaps – Resource Mobilization
● Very high reputational risk to the RBM Partnership and all partners if
needs and gaps are not quickly matched with resources (financial
and technical)
● Primary responsibility rests with RBM Executive Director and lead
“opinion leaders” (Leadership Summit Participants?) in the public
and private sector who will lay the foundation for the donor
discussion, with the support of the RBM MAWG
● Present plans to a series of high-level donor meetings in mid 2007,
as well as to individual partners (e.g. GF, WB, PMI), for immediate
support
Harmonization Working Group November 2007
4 Facilitate the development of a “rapid-response” mechanism
to support countries to overcome implementation bottlenecks
Guinea – GFATM alerted HWG to grant problems including
implementing Rd 2 and signing of R6
● High-level missions (GFATM, RBM, WHO) to support Guinea, and
advocate for management changes
● Provision of 2HWG consultants to prepare detailed action plan, next
steps
● Grant signed in October
Angola - GFATM related problems including ineligible CCM, problems
with ACT roll-out, and concerns around phase 2 extension:
● High-level mission (UNDP, UNICEF, PMI) to support Angola in the
implementation of GFATM round 3 Feb 07
● WB supported a comprehensive gap analysis which formed the basis of
a new strategic plan
● PMI supported a consultant and workshop to realign the CCM
● HWG prioritised Angola for round 7 support (UNICEF, WHO, PMI, PSI)
● Round 7 success and extension of round 3 phase 2
Harmonization Working Group November 2007
5 Facilitate the development of a “rapid-response” mechanism
to support countries to overcome implementation bottlenecks
● Burundi and Liberia had no external resources for their malaria
programme when GF grants finished in 06, neither were successful in
round 6
– Established HWG Focal Points
– Appealed GF Round 6 rejection– not successful
– UNICEF/WHO emergency proposal to UNITAID to maintain ACT
supplies - successful
– Countries included in 20 countries for round 7 proposal support
– Round 7 funds awarded
● Lesson Learned: Real time implementation support has been
successful, but has been relatively ad-hoc (dependant on individuals, not
systems) and demand has outstripped supply (HWG, including SRNs),
e.g., Cameroon
Harmonization Working Group November 2007
5 Facilitate the development of a “rapid-response” mechanism
to support countries to overcome implementation bottlenecks
Malaria Implementation Support team (MIST)
● May 2007 Board Meeting endorsed the MIST and charged HWG
with its development
● Gates Foundation Leadership summit re-emphasized this call
calling for a “team to focus on a dramatic country-led scale-up
and effective regional strategies (especially in Africa)…the team
will focus on the immediate need to eliminate malaria as a public
health threat, and will feed into the broader agenda and business
plan of the RBM Partnership
● Team of malaria and non-malaria specialists at all levels (global,
regional, sub-regional and country) capable of driving the malaria
scale-up. Leadership Summit called for the “most dedicated,
talented, and committed professionals to focus exclusively on the
goal.”
Harmonization Working Group November 2007
5 Facilitate the development of a “rapid-response” mechanism
to support countries to overcome implementation bottlenecks
● Malaria Implementation Support team (MIST) Proposed Architecture
developed by MIST Task Force (formed at September 2007 HWG
Meeting)
● MIST will be a combination of
– strengthened capacity of partner organizations (e.g. embedding fulltime staff within partners, if needed, to exploit comparative
advantages) and;
– a core-team that works full time on global, regional, and countrylevel strategy and support to reach 80% coverage within 36 months
● The team will draw on support from WHO, UNICEF, WB, PMI,
MACEPA, Millennium Project, SRNs etc and from technical assistance
pools (consultants) identified by RBM working groups and through
RFPs.
● An Early Warning System and Support Hotline monitored by MIST.
Harmonization Working Group November 2007
HWG Deliverables (1/3)
The RBM HWG/MIST will provide timely quality planning, technical and
implementation support to 45 priority malaria endemic countries in subSaharan Africa
Planning
● 45 comprehensive needs assessments completed by May 2008
identifying implementation bottlenecks, technical and implementation
assistance, financing and commodity requirements to support SUFI
● 45 technically sound, operationally feasible, country and partner owned
SUFI business plans completed by June 2008, building on existing
business plans developed by countries and partners (e.g. PMI
operational plans, World Bank annual plans, etc)
Harmonization Working Group November 2007
HWG Deliverables (2/3)
Financing and Implementation Support
● 45 Countries have adequate and sustained funds for each of their SUFI business plans
through:
– 100% of SSA countries with successful round 7 proposals will have signed grants by
April 2008 (including support to finalize PSM and M &E plans)
– >70% of SSA countries applying for funding in Round 8 (GFATM) are successful
– At least 95% of countries currently getting funding should maintain this funding.
– At least 80% of countries with existing Global Fund assistance should perform at "A"
or “B1” ranking over the life of the existing grants
– Donor meeting to attract additional resources (from existing donors and new donors)
held by April 2008, with at least 50% of country needs filled
Harmonization Working Group November 2007
HWG Deliverables (3/3)
Technical and implementation support
● Increase access to and utilization of high quality technical and
implementation support with 80% of support needs being successfully
addressed within 30 days of request/as planned.
● Development, launch, and implementation of the Implementation Assistance
Hotline and Early Warning System (EWS) by January 2008.
Harmonization Working Group November 2007
Decision Points
● Recognizing the Board’s previous commitment to the
development of a “rapid-response” mechanism to support
countries to overcome implementation bottlenecks, the
Board:
– Endorses the timeline and deliverables laid out in the
Harmonization Working Group work-plan.
– Charges the Chair of the Executive Committee to
develop a plan that includes:
1) Operationalizing the Malaria Implementation Support
Team (MIST) through a combination of virtual and colocated team members;
2) Defining linkages with existing RBM structures and
support teams; and
3) Identifying and securing additional resources.
Harmonization Working Group November 2007