ACADEMIC SCAN

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(No Transcript)
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• Update and Decision Points from the Harmonisation
  Working Group

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The Harmonization Working GroupBoard Endorsed
TORs
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Board Decisions
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Secure Additional Resources GFATM Round 7
Support Process
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• 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 (gt60
  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

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Secure Additional Resources Round 7 Support
Package
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• 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

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Secure Additional Resources Significant inputs
from donors
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Cost Centre
US
Total cash received
1,314,000
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Secure Additional Resources Significant
Individual Commitments
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• Steering Committee Trent Ruebush, Sergio
  Spinaci, Valentina Buj, Rick 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

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Secure Additional Resources Results
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19 countries supported
Success Percent

• 17 Round 7 and 3 RCC proposals
• 12/17 Round 7 proposals awarded
• 3/3 RCC proposals awarded
• Total 15/20 75

Round 7HWG
Round 5
Round 6
Round 7
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Secure Additional Resources Results
Additional Funds Available from GF
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• HWG support
• Phase 1 US388 M
• Phase 1 and 2 US817 M

Phase 1 USD

• Malaria overall
• Phase 1 642 M
• Phase 1 and 2 US1.3 B

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Round
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Secure Additional Resources
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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
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Secure Additional Resources Next Steps
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• 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

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Secure Additional Resources Next Steps
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• 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 (gtUS500 million
  expected)

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Assist countries to identify SUFI support needs
through comprehensive needs assessments
2a
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

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Assist countries to identify SUFI support needs
Needs Assessment Origins
2a

• 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

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Assist countries to identify SUFI support needs
through comprehensive needs assessments
2a

• 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 (gt80 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

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Comprehensive Needs Assessments
Timeframe
Senegal
Mauritania
Mali
Niger
Eritrea
Sudan
Chad
Djibouti
Ethiopia
Nigeria
The Gambia
Central African Rep
Guinea
Benin
Somalia
Burkina Faso
Cameroun
Sierra Leone
Kenya
DRC
Togo
Liberia
Ghana
Uganda
Cote d'Ivoire
Rwanda
Eq Guinea
Burundi
Tanzania
Gabon
Angola
Congo
Zambia
Madagascar
Zimbabwe
Malawi
Namibia
Botswana
Mozambique
South Africa
Swaziland
Lesotho
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Assist countries to identify SUFI support needs
through comprehensive needs assessments Process
2a

• 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

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Coordinate a process to support the development
of and adherence to the 3-ones concept at
country level
2a

• 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

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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 - "front-loading" 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

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Harmonize partner efforts to fill
country-identified gaps Resource Mobilization
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• 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

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Facilitate the development of a rapid-response
mechanism to support countries to overcome
implementation bottlenecks
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• 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

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Facilitate the development of a rapid-response
mechanism to support countries to overcome
implementation bottlenecks
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• 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

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Facilitate the development of a rapid-response
mechanism to support countries to overcome
implementation bottlenecks
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• 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.

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Facilitate the development of a rapid-response
mechanism to support countries to overcome
implementation bottlenecks
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• 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 full-time staff within partners,
  if needed, to exploit comparative advantages)
  and
• a core-team that works full time on global,
  regional, and country-level 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.

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HWG Deliverables (1/3)
The RBM HWG/MIST will provide timely quality
planning, technical and implementation support to
45 priority malaria endemic countries in
sub-Saharan 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)

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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)
• gt70 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

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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.

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Decision Points

• Recognizing the Boards 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
• Operationalizing the Malaria Implementation
  Support Team (MIST) through a combination of
  virtual and co-located team members
• Defining linkages with existing RBM structures
  and support teams and
• Identifying and securing additional resources.