Results Based Disbursement: The Yemeni Experience

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Results Based Disbursement The Yemeni Experience

• The joint GF to Fight AIDS, TB Malaria and WHO
  Regional Meeting for Eastern Mediterranean Region
  in collaboration with Unicef and UNAIDS
• Rounds 1, 2 3 Countries
• 29 - 31March 2004, Amman, Jordan

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Results Based Disbursement

• How it works and how this mechanism should
  complement broader ME plans?

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(No Transcript)
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• CCM formed in February 2002
• Chairman of the CCM Minister of Public Health
  Population
• The CCMs members represent all the sectors in
  the country
• Regular meetings on a quarterly basis

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• The CCM decided not to submit any proposal in the
  1st round in March (Short Notice)
• The AIDS, TB and Malaria proposals were all
  submitted in September 2002 (2nd round)
• Only the malaria proposal was approved in January
  2003
• Total grant of the malaria proposal
• USD 11,878,206 over 5 years, against 5 main
  objectives

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• The AIDS TB proposals were again submitted in
  May 2003 and were rejected
• The AIDS proposal was again appealed in December
  2003 and was approved in March 2004.

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• Total grant of the AIDS proposal
• UDS 14,764,062 million
• No disbursements so far

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• The objectives in both proposals (AIDS and
  Malaria) were matching with the national
  strategic plans of both programmes.
• The proposals submitted to the GF aimed at
  strengthening the already ongoing activities
  supported by the government and other donors.

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Objectives of the malaria proposal

• 1- To establish a building for the HQ of the NMCP
  at the capital Sanaa and a building for the HQ
  of the regional office of Tihama to be
  functioning by the year 2005.

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• 2- Building, developing and strengthening the
  national capacity
• by having 2 national entomologists by the
  years 2004 and 2005
• by having 30 nationals trained on
  Epidemiology in Action by the end of 2005

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• by having 42 national laboratory technicians
  and 42 national clinicians (medical doctors)
  trained on malaria quality control, planning,
  monitoring, evaluation and training (ToTs) by the
  end of 2005

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• 3- To strengthen the malaria information system
  to be 100 functioning in all the governorates by
  the end of 2005.
• 4- To distribute the ITNs among 60 of the
  pregnant women and children under five over the
  period of the proposal.

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• 5- To interrupt malaria transmission in Socotra
  island during 2002/2003 with the ultimate goal of
  malaria eradication in the island by the end of
  2005, and to ensure the sustainability of the
  integrated vector control operations in Tihama
  area which is the highest malaria endemic area in
  the country.

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• Principal recipient NMCP (MoPHP)
• Total disbursement UDS 11,878,206
• 1st disbursement UDS 4,159,632
• Period 1 September 2003 31 August 2005
• 1st Cash request on 4 October 2003
• 30 of the 1st disbursement (USD 1,247,890)
• 1st disbursement actually received
• USD 200,000 in December 2003

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• From December 2003 up to date there have been
  delays in implementation due to obstacles beyond
  the PR control.
• The reasons behind these delays were discussed
  with the GF secretariat.

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Advantages of result based disbursement

• Fosters Management By Objectives
• Improves the performance
• Urges the programmes team respect the time
  scales
• Makes ME a crucial and essential programmatic
  component

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ACKNOWLEDGEMENTS

• Thanks to
• 1- RBM unit / EMRO
• 2- The WHO office in Sanaa
• 3- CCM members
• 4- The GF team
• 5- The LFA team (PWHC KPMG)

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Thanks and best wishes