Transcript TB Technical Assistance Mechanism (TBTEAM) Annual Report I will talk about • • • • • "Mission" Data from the Website Reviews National Strategic Plan updates Regional Workshops Global Fund – – – – New funding Existing funding Consultant.

TB Technical Assistance
Mechanism (TBTEAM)
Annual Report
2013
I will talk about
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"Mission" Data from the Website
Reviews
National Strategic Plan updates
Regional Workshops
Global Fund
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New funding
Existing funding
Consultant orientation
TB and HIV concept note
• Challenges for the coming year
What is TBTEAM
 A global technical assistance (TA) coordination mechanism
TBTEAM works through a network of 35
technical and financial TB partners to
coordinate TA to improve implementation of TB
programmes
Who is TBTEAM
Global TB Program
(WHO)
Support
Strucuture
Regional TBTEAM
International
Partners
In-country
staff (WHO &
Partners)
The core
The Mechanism
Global TBTEAM
NTP/national
TBTEAM
Coordinator
Located in 6 WHO
Regional Offices
TBTEAM partners technical assistance
is provided mostly within country
(supplemented when needed by external missions)
PATH Country: DRC, Tanzania, Myanmar:Develop, introduce, and expand the use of
innovative health technologies to diagnose TB and drug-resistant TB.
India Strengthen health systems and build collaboration across sectors.
Bangladesh; Making TB a notifiable disease.
Nigeria: Foster enabling environments that involve communities in TB efforts.
80% of all TA funding is from
USG/mainly USAID
Reviews
• 29 Country Reviews supported by TBTEAM
partners since June 2014, a further 9 are
planned this year. In many of these preceding
Epi analyses were carried out and this is
becoming a standard requirement for sound
reviews.
– updated WHO Guidelines on NTP Reviews and on
Epi analyses have been produced.
Reviews
Between June 2013 and May 2014 29 country Reviews were supported by TBTEAM
partners.
DR Congo, Nepal, Yemen, Central African Republic, Tajikistan,
Burundi, Liberia Cambodia, Thailand, Ethiopia, Philippines ,
Uganda , Djibouti ,South Africa, Pakistan. Papua New Guinea,
Congo, Kenya, Tanzania, South Sudan, Bhutan, Romania,
Bangladesh, Swaziland, Benin, Malawi (mini), Togo,
Uzbekistan, DPR Korea
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A further 9 reviews are planned in the remaining part of this year and TBTEAM
partners are already engaged in supporting the preparations for these.
• Bulgaria , Sri Lanka, Côte d’Ivoire, Kyrgyzstan, Madagascar,
Armenia , Mozambique, Myanmar , Comoros.
• EPI analysis has been supported in last twelve months. (Nigeria,
Rwanda, Cote D’Ivoire, Togo, Tanzania, Ethiopia, Kenya,
Bangladesh, Zambia)
National Strategic Plans updated:
• 3 global meetings: Cepina, Divonne Rabat:
– 34 countries supported and trained on reviewing
their NSP processes in 3 National Strategic Planning
workshops organised by TBTEAM secretariat and
partners.
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Countries going for new funding model prioritised.
Peer review and critique of NSPs.
Consultants paired with countries.
Civil society representatives engaged with TBP advice.
GF country teams invited along and co funded.
Regional Workshops
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EURO, The Hague, Netherlands, May 2013 (9 countries)
WPRO Manila, Philippines, Aug 2013 (7 countries)
SEARO ,Bangkok, Thailand, Sept 2013
(11 countries)
AFRO , Nairobi, Kenya Oct 2013
(21 countries)
– Updates on latest WHO guidelines/developments
– Global Fund colleagues explained the New Funding Model
– Countries TA needs were assessed (roadmaps)
New Funding from the Global Fund
TBTEAM Partners support Global Fund grant
renewals
46 Global Fund grant renewal processes in 36 countries that went
through the Grants approval committee 2013 were supported by
TBTEAM partners.
$687,332,610 of funding for TB was approved by the Global Fund Board.
Grant renewals countries
• Angola Bangladesh, Belarus Benin Colombia
Congo Dominican Republic Ecuador Egypt
Eritrea Georgia Guinea Guinea-Bissau Haiti
Honduras India Indonesia Kenya Lao (Peoples
Democratic Republic) Macedonia (Former
Yugoslav Republic) Mongolia, Myanmar, Namibia
Nepal Nicaragua Pakistan Papua New Guinea
Rwanda Senegal Somalia South Africa, Ukraine,
Viet Nam, Yemen, Zambia, Zimbabwe.)
Existing Funding:
TBTEAM partners support to country programs with existing
grants contributed to the release of 726 million US dollars from
the Global Fund in 2013.
TBTEAM partners and the secretariat engaged proactively with
Global Fund country teams and country partners. Over 160
country discussions and conference calls were held to discuss
improving the grants- and coordination of technical assistance.
Consultant orientation
I) Orientation of around 45 consultants and TBTEAM
partners on the New Funding model in July 2013,
and 15 TB consultants trained together with UNAIDS
consultants on the New Funding Model in Nairobi in
April 2014. Follow up webinars have been held.
TB and HIV single
concept note
• Global Fund Guidance notes issued
• Johannesburg Workshop WHO, GF, UNAIDS, and Pepfar with
TB and HIV country teams in High TB/HIV burden countries in
East & Southern Africa (February 2014).
• Joint consultant orientation in Nairobi April.
• Meetings with WHO HIV, UNAIDS, GF technical advisors to
exchange information
• Over 70% of Global TB Burden with GF funding now needs to
develop single concept notes.
GenXpert roll-out
Mainly for HIV clinics: Ratio 3:1 or more
From the TB clinic
TB retreatment:
Cat 1 failure and
contacts from
MDR patients
All HIV tested
and positive TB
suspects
presenting to TB
programme
TOTAL
10,000
From the HIV clinic (pre & ART)
All TB suspects
referred from
ART/pre ART
clinics
200.000
90,000
Assumption
(total 2 million people)
assume 10% per year
referred as TB
suspects.
100,000
TOTAL
200,000
66% of costs of GenXpert roll-out
likely to be generated by HIV treatment clinics.
Challenges for the coming year
TBTEAM partner support for
Global Fund Concept notes
• 58 countries are applying for TB in the New
Funding model in 2014
• TBTEAM Partners are engaged in supporting
30 countries undergoing TB concept note
development this year and another 28
countries submitting single TB/HIV concept
notes.
• WHO/GF agreement for 29 million to support
processes leading up to concept note development
2014/2015 (9 million for TB).
Challenges for the coming year
Global Fund: funding constraint
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Overall around 2.56 billion of funding is available for TB from the Global Fund
for the next 4 years- most of this is tied up in already approved funding:
– Existing TB funding:
US 1,672,468,360
– Additional funding:
US 896,699,923
TOTAL
US 2,569,168,282
Represents 642 million allocations per year.
(Plus 10% of GF money is set aside for incentive funding) if proportionately
distributed would give TB 64 million a year extra)
• Funding constraints
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Global Funding is flat-lining for the next 4 years
2/3 of funding gap will not be provided by the global fund grants.
Laboratory expansion preceding MDR expansion
Costed NSPs give us a chance to monitor at country level
Challenges for the coming year (cont.)
• Keeping the eye on the ball for existing funding
– Roll out of the new funding model… preserving the gains made in existing
funding:
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Eg Mozambique focus on 3 million (27 not yet signed)
• Single Concept notes for TB and HIV
– Ensure that TB component is quality product.
– Early engagement technical assistance support. Meeting with HIV counterpart
– Ensuring that TB priorities in timing, and funding allocations are not unduly
changed.
• Post 15 Global TB strategy
– Partners and TA providers engagement with the roll out of post 15 Global TB
Strategy
Thanks to