A proposed shift in partnership focus from change management to country implementation support
Download
1 / 31

RBM HWG MEMBERSHIP - PowerPoint PPT Presentation


  • 263 Views
  • Uploaded on

A proposed shift in Partnership focus: From change-management to country implementation support. RBM Harmonization Working Group 12 th RBM Board Meeting May 10, 2007 Geneva. INCREMENTAL SCALE-UP VERSUS SCALING-UP FOR IMPACT: COUNTRIES AND PARTNERS AT A CROSSROADS.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'RBM HWG MEMBERSHIP' - Angelica


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
A proposed shift in partnership focus from change management to country implementation support l.jpg

A proposedshift in Partnership focus: From change-management to country implementation support

RBM Harmonization Working Group12th RBM Board MeetingMay 10, 2007Geneva


Incremental scale up versus scaling up for impact countries and partners at a crossroads l.jpg
INCREMENTAL SCALE-UP VERSUS SCALING-UP FOR IMPACT: COUNTRIES AND PARTNERS AT A CROSSROADS

  • The Board has endorsed a new rallying cry :

    • “Scale Up”

      • Existing full package of proven interventions

      • Nation-wide to high coverage

      • Rapidly

    • “For Impact”

      • Track action and document changes in coverage and benefits in human and economic terms

  • Together, these influence implementation action and reiterate Abuja and RBM Global Strategic Plan Targets

  • Difficult trade-offs


Un harmonized approaches l.jpg
“UN-HARMONIZED” APPROACHES: COUNTRIES AND PARTNERS AT A CROSSROADS

  • Single interventions

  • Sub-national “projects”

  • Gradual scale-up

    • Focus is not scaling up on effective interventions as quickly as possible

  • Each partner doing their own thing with their own plan and systems

  • Un-monitored and un-evaluated work


15 countries participating in us president s malaria initiative l.jpg
15 COUNTRIES PARTICIPATING IN US PRESIDENT’S MALARIA INITIATIVE

Mauritania

Mauritania

Niger

Niger

Mali

Mali

Eritrea

Chad

Chad

Senegal

Senegal

Sudan

Sudan

The Gambia

The Gambia

Burkina Faso

Djibouti

Djibouti

Guinea

Guinea

Benin

Nigeria

Nigeria

Sierra Leone

Sierra Leone

Ethiopia

Ethiopia

Togo

Cote d'Ivoire

Ghana

Liberia

Liberia

Central African Rep

Cameroun

Somolia

Eq Guinea

Uganda

Uganda

Kenya

Kenya

Gabon

Congo

Congo

Rwanda

Rwanda

Congo, DRC

Congo, DRC

Burundi

Burundi

Tanzania

Tanzania

Angola

Angola

Malawi

Malawi

Zambia

Zambia

Mozambique

Mozambique

Zimbabwe

Zimbabwe

Madagascar

Madagascar

Botswana

Botswana

Namibia

Namibia

Swaziland

Swaziland

South Africa

Lesotho


Countries participating in world bank malaria booster program l.jpg
COUNTRIES PARTICIPATING IN WORLD BANK INITIATIVEMALARIA BOOSTER PROGRAM

Mauritania

Mauritania

Niger

Niger

Mali

Mali

Eritrea

Chad

Chad

Senegal

Senegal

Sudan

Sudan

The Gambia

The Gambia

Burkina Faso

Djibouti

Djibouti

Guinea

Guinea

Benin

Nigeria

Nigeria

Sierra Leone

Sierra Leone

Ethiopia

Ethiopia

Togo

Cote d'Ivoire

Ghana

Liberia

Liberia

Central African Rep

Cameroun

Somolia

Eq Guinea

Uganda

Uganda

Kenya

Kenya

Gabon

Congo

Congo

Rwanda

Rwanda

Congo, DRC

Congo, DRC

Burundi

Burundi

Tanzania

Tanzania

Angola

Angola

Malawi

Malawi

Zambia

Zambia

Mozambique

Mozambique

Zimbabwe

Zimbabwe

Madagascar

Madagascar

Botswana

Botswana

Namibia

Namibia

Swaziland

Swaziland

South Africa

Lesotho


Countries participating in both us pmi and wb booster l.jpg
COUNTRIES PARTICIPATING IN BOTH INITIATIVEUS-PMI AND WB BOOSTER

Mauritania

Mauritania

Niger

Niger

Mali

Mali

Eritrea

Chad

Chad

Senegal

Senegal

Sudan

Sudan

The Gambia

The Gambia

Burkina Faso

Djibouti

Djibouti

Guinea

Guinea

Benin

Nigeria

Nigeria

Sierra Leone

Sierra Leone

Ethiopia

Ethiopia

Togo

Cote d'Ivoire

Ghana

Liberia

Liberia

Central African Rep

Cameroun

Somolia

Eq Guinea

Uganda

Uganda

Kenya

Kenya

Gabon

Congo

Congo

Rwanda

Rwanda

Congo, DRC

Congo, DRC

Burundi

Burundi

Tanzania

Tanzania

Angola

Angola

Malawi

Malawi

Zambia

Zambia

Mozambique

Mozambique

Zimbabwe

Zimbabwe

Madagascar

Madagascar

Botswana

Botswana

Namibia

Namibia

Swaziland

Swaziland

South Africa

Lesotho


Gfatm per capita funding levels in malaria endemic african countries l.jpg
GFATM PER-CAPITA FUNDING LEVELS IN MALARIA-ENDEMIC AFRICAN COUNTRIES

Gabon

Global Fund summary country lifetime budgets per-capita population

US$ 0.00

$0.50-1.99

$2.00-2.99

$3.00-4.99

$5.00-9.99

$10.00-52.00

Mauritania

Mauritania

Niger

Niger

Mali

Mali

Eritrea

Chad

Chad

Senegal

Senegal

Sudan

Sudan

The Gambia

Burkina Faso

Djibouti

Guinea Bissau

Guinea

Guinea

Benin

Nigeria

Nigeria

Sierra Leone

Sierra Leone

Ethiopia

Ethiopia

Togo

Cote d'Ivoire

Ghana

Liberia

Liberia

Central African Rep

Cameroun

Somolia

Eq Guinea

Uganda

Uganda

Kenya

Kenya

Congo

Congo

Rwanda

Congo, DRC

Congo, DRC

Burundi

Tanzania

Tanzania

Angola

Angola

Malawi

Malawi

Zambia

Zambia

Mozambique

Mozambique

Zimbabwe

Zimbabwe

Madagascar

Madagascar

Botswana

Botswana

Namibia

Namibia

Swaziland

South Africa

Lesotho


Are we positioned to succeed l.jpg
ARE WE POSITIONED TO SUCCEED? COUNTRIES

  • Consensus and Board Approval on Essential Interventions - YES:

    Especially:

    • Transmission reduction with ITNs and IRS

    • Prevention of Malaria in Pregnancy

    • Prompt and Effective Case Management

  • This is the easy part…thanks largely to WHO


Are we positioned to succeed10 l.jpg
ARE WE POSITIONED TO SUCCEED? COUNTRIES

  • Consensus and Board Approval for Harmonization and Implementation Support?

    • Country-led “Three-Ones”

      • One National Plan

      • One Implementation Coordination System

      • One Monitoring and Evaluation System

  • This is not the easiest part…we must learn by doing


Rbm hwg membership l.jpg

Millennium Project: Awash Teklehaimanot; 1 Additional academic partner engaged in implementation TBD by Board Member

UN Foundation: Kevin Starace; 2 Additional foundation partners to TBD by Board Member

Private Sector: To be determined

Representatives of active RBM Working Groups (To be determined/adjusted)

Representatives of RBM SRNs: 4

Malaria Endemic Countries (3)

RBM HWG MEMBERSHIP

  • World Bank: Suprotik Basu (Co-chair)

  • UNICEF: Melanie Renshaw (Co-chair)

  • WHO: Sergio Spinaci, Valentina Buj, Robert Agyarko

  • GFATM : Mabingue Ngom

  • US/PMI: Trent Ruebush, Rob Newman - 1 additional bi-lateral TBD

  • UNDP: Sandii Lwin

  • MACEPA (Rick Steketee); VOICES (Matt Lynch); 1 Additional NGO partner to be determined by Board member


Rbm harmonization working group terms of reference l.jpg
RBM HARMONIZATION WORKING GROUP: TERMS OF REFERENCE academic partner engaged in implementation TBD by Board Member

Coordinate a process to support the development of and adherence to the “3-ones” concept at country level

Assist countries to identify support needs for scaling-up through comprehensive gap analyses (including tool development for gap analyses)

Track and Facilitate resource flows from partners to countries

Harmonize partner efforts to fill country-identified gaps

Facilitate the development of a “rapid-response” mechanism to support countries to overcome implementation bottlenecks (reactively and proactively)

Secure additional resources from the Global Fund, PMI, World Bank and others in support of country scale-up


Priority areas of work l.jpg
PRIORITY AREAS OF WORK academic partner engaged in implementation TBD by Board Member

  • GAP ANALYSIS AND IMPLEMENTATION SUPPORT

  • MATCHING RESOURCES TO IDENTIFIED GAPS

  • INFORMATION DISSEMINATION &TOOL DEVELOPMENT


Gap analysis and implementation support l.jpg
GAP ANALYSIS AND IMPLEMENTATION SUPPORT academic partner engaged in implementation TBD by Board Member

  • Key challenge facing RBM in many countries is making the money work. In other countries, resources are the rate-limiting factor

    • >US$800 million in outstanding financial commitments are available for malaria control scale-up in Africa.

  • Recognizing that malaria endemic countries are not homogeneous in the type of support required, each endemic countries in Africa was placed into support category

  • HWG recognize that endemic countries need different types of support and developed a categorization for African countries

  • Countries that are categorized into one group will move to other groups (potentially quite quickly)


Hwg country categorization criteria l.jpg
HWG: COUNTRY CATEGORIZATION CRITERIA academic partner engaged in implementation TBD by Board Member

Emergency: Countries with urgent action required including those: with no external financial support; at high risk of losing GFATM second phase funding and with limited/no other funding sources; with 'conditional go' for their phase 2 Global Fund grants that will need to quickly improve programme implementation and countries suffering from complex emergencies

Validation: Countries performing well but constrained by available finances. These countries need assistance to validate their strategic and operational plans to secure additional resources

Implementation: Countries with adequate financing in the short term, but unable to fully utilize them

Funding and Implementation: Countries with both financial and implementation constraints

No action required: Countries without short and medium term assistance needs


Gap analysis and implementation support activities to date l.jpg
GAP ANALYSIS AND IMPLEMENTATION SUPPORT: ACTIVITIES TO DATE academic partner engaged in implementation TBD by Board Member

  • Support mission to Nigeria led by WHO in response to alert from Global Fund on possible loss of grant

    • Outcome: Grant maintained

  • HWG Review mission to Mozambique to review technical soundness of strategic plan and catalyze development of operational plan

  • Participation in Zambia comprehensive program review


Gap analysis and implementation support proposed activities from may 2007 2008 l.jpg
Gap Analysis and Implementation Support: Proposed Activities from May 2007-2008

  • Development and Implementation of Early Warning System and Implementation Assistance Hotline to proactively alert HWG to implementation bottlenecks

    • Linkages with other RBM structures and partners

  • Implementation Support mechanism to respond to bottlenecks, nested in existing partners but requiring additional support

  • Develop special package of assistance for emergency countries (3 countries, as per demand)

  • Gap Analysis and Partner Mapping in at least 7 countries (based on initial demand)

    • Once gaps are identified, the HWG will work to fill resource gaps – both financial and technical

  • Provided 12 months of in-country assistance to 4-5 NMCPs to assist in partnership coordination, adherence to three-ones, implementation support

    Once gaps are identified, the HWG will work to fill resource gaps: financial and technical


Matching resources to identified gaps activities to date l.jpg
MATCHING RESOURCES TO IDENTIFIED GAPS: ACTIVITIES TO DATE from May 2007-2008

  • Support process to 19 countries to prepare proposals in response to the Global Fund’s 7th Call for Proposals.

  • Target is to double the success rate from Round 6, going from 34% approval to at least 60%

    • Each country matched with a local and external consultant to support proposal development and consensus building.

    • High-level dialogue between RBM Executive Director and Ministers to reinforce HWG support process

    • Training for all 19 countries plus consultants on proposal development and responding to previous proposal weaknesses identified by TRP

    • Mock TRP scheduled for June 4-5 in Nairobi.

    • HWG to brief TRP in August to highlight cross-cutting issues and challenges to bear in mind when reviewing proposals


Matching resources to identified gaps activities to date continued l.jpg
MATCHING RESOURCES TO IDENTIFIED GAPS: ACTIVITIES TO DATE (CONTINUED)

  • Support to UNITAID to match ACT resources with identified gaps

    • Liberia and Burundi identified by HWG as facing ACT emergencies during HWG country review (risk of supply interruption)

    • HWG prepared “appeals” on impending ACT shortfalls in both countries

    • Proposal to UNITAID to fill short-term ACT needs in both countries

    • Approx. US$1.5 million of ACTs provided to avoid interruption

  • UNITAID in discussions with the Harmonization Working Group on ACT financing

    • pre-proposal submitted for US$90 million of ACTs over the next 12 months

    • Extensive consultations with partners and countries for development of the proposal


Matching resources to identified gaps proposed activities may 07 may 08 l.jpg
MATCHING RESOURCES TO IDENTIFIED GAPS: Proposed activities May 07 - May 08

Conduct independent evaluation of HWG Round 7 Proposal Development Support Process (Dec 2007)

Support to Global Fund Round 8 Proposals

Provide support to PMI, World Bank and others to review projects and propose adjustments as needed in light of identified gaps (6-7 countries)


Matching resources to identified gaps proposed activities may 07 may 0821 l.jpg
MATCHING RESOURCES TO IDENTIFIED GAPS: Proposed activities May 07 - May 08

Together with MAWG, support events to ensure World Bank Booster, PMI, and other donor resources are secured to fill identified gaps

Provide support to fill agreed technical support gaps in 6 countries (based on gap analyses and HWG Early Warning System)

Develop with MERG, a biannual brief update on resource flows and implementation progress. First brief delivered to RBM Board by Nov 07


Information dissemination tool development l.jpg
INFORMATION DISSEMINATION & TOOL DEVELOPMENT May 07 - May 08

  • Activities to date:

    • Modification of GFATM proposal template to assist in malaria proposal development

  • Tools for malaria program scale up to support:

    • Planning

    • Resourcing (money and people)

    • Implementing

    • Monitoring and Evaluating

  • Print, electronic, web-share and CD version of “Essentials of Malaria Control Programming”

    • Partnership production under the leadership of the HWG with links to MERG, to the Advocacy WG & other WGs as appropriate


Slide23 l.jpg

Planning-Resourcing-Implementing-Monitoring & Evaluating May 07 - May 08

Planning Tools

National Strategic Plan for Malaria Control

3-year Implementation Plan

Annual Action Plan

-- midterm review

Resourcing Tools

Costing

Financial Management

HR assessment

Resourcing

Planning

Scaling Up for Impact

M&E Tools

M&E Plan

Global Fund Attachment A

Impact: reduced illness, anemia, death

Outcome: coverage and use

Outputs, Process, Inputs

Gaps assessment

Implementation Tools

Intervention support

ITNs, IRS, Prev of MiPreg, PECM

Systems support

Procurement & Supply Chain Mgt

Calendar of Action

IEC/BCC Plan

Advocacy Plan

Etc.

Implementing

Monitoring

&

Evaluating


The round 7 proposal submission support process a new way for rbm to do business l.jpg

THE ROUND 7 PROPOSAL SUBMISSION SUPPORT PROCESS: May 07 - May 08A NEW WAY FOR RBM TO DO BUSINESS


Slide25 l.jpg

Realistic and publicly announced target with buy-in from all WG partners

Prioritization and tailoring of country support given resource realities

Exceptionally high level of partner involvement in planning, execution, and fundraising

Exceptionally intense level of Secretariat support

Aggressive contracting out to expand partnership capacity

Support to Working Group members from the HWG’s budget to support fulfilling HWG activities



Slide27 l.jpg
CASE STUDY: IMPLICATIONS OF PROGRESS TO DATE ON ROUND 7 SUPPORT Estimated Time and Monies spent: January – July 2007

Operational Costs

  • Level of Coordination Required

  • At least one (2-hour) teleconference per week for the Steering Committee (WHO HQ and AFRO, MACEPA, UNICEF, World Bank, USAID)

Estimated Staff and Travel Costs

FTE = Full Time Equivalent



The round 7 proposal submission support process a new way for rbm to do business29 l.jpg
THE ROUND 7 PROPOSAL SUBMISSION SUPPORT PROCESS: SUPPORTA NEW WAY FOR RBM TO DO BUSINESS

  • Early Lessons Learned

    • Shifting to a focus on implementation support is time consuming, costly, but critical

    • Contracting out is proving to be essential, but expensive

    • Dedicated staff time from HWG Members is reaching its limit, as is Secretariat capacity


Slide30 l.jpg
Greater Focus on Implementation and Coordination will Require: Additional Support to Secretariat AND to Individual Partners


Board requested decision points l.jpg
BOARD REQUESTED DECISION POINTS Require:

  • Endorsement of Terms of Reference and Areas of Focus for 2007-2008:

    • Gap Analysis and Implementation Support:

    • Matching Resources to Identified Gaps

    • Information Development and Tool Development

  • Endorse the need for incremental financial and staff support to:

    • HWG Partners (particularly to implement the Implementation Support Mechanism); and

    • TheRBM Secretariat (for coordination and facilitation)

  • Guidance requested on role of the Private Sector (manufacturers, consulting firms, etc) in the HWG

    • Undisputed added value, but reputational risk due to conflict of interest perception

  • Guidance requested on expansion to other regions outside Africa

  • Consider name-change of HWG to “Malaria Implementation Support Team”

    If these actions are taken, the Harmonization Working Group will provide the Board with a comprehensive budget by July 1, 2007


  • ad