Faruque Ahmed

1
Principal Recipient of Global Fund Grant
Bangladesh Experience
DRAFT

• Faruque Ahmed
• BRAC, Bangladesh

2
BANGLADESH

• South Asian low income country
• Population 144 million
• Area 147,570 sq-km
• Life expectancy at birth 62 years
• MMR 3.22/1000 live birth
• IMR 65/1000 live birth
• TFR 3 children born/woman
• Literacy rate 43
• Population below poverty line 45
• GNP per capita 444 US

3
GFATM Grants for National TB Control Program

• Round 3 (2004-2009)
• Approved Grant (US) 42.47 million
• PR-Govt. 15.45 million
• PR-NGO 27.02 million
• SRs 10 NGOs
• Round 5 ( 2006-2011)
• Approved Grant (US) 45.97 million
• PR- Govt. 26.45 million
• PR-NGO 19.52 million
• SRs 31 NGOs

4
Responsibility of Two PRs
5
Major Strengthens of PR-NGO and Achievements

• Long history of government-NGO partnership
• - sustained government and donor support in
  health sector (e.g. FP, EPI,TB, Nutrition etc)
  helped building trust
• - joint development of national strategy,
  participatory planning and resource
  mobilization
• BRACs experience in poverty alleviation
  (education ,
• health,micro-finance) and presence
  throughout the
• country
• Health system strengthened
• - ensuring human resources and capacity building
• - establishing peripheral and EQA laboratories
• - joint supervision and monitoring
• - ensuring uninterrupted supply of
  drugs-logistics

6
Results Increased TB Case Detection
7
Results Increased TB Treatment Success
8
Experience as PR-NGO at Country Level

• Performance based funding helps in getting
  timely
• results
• Ensures quick funding and accountability in
  terms of
• value for money
• Strengthens country capacity for rapid and
  rational
• use of resources
• Provides a platform (CCM) for civil society
• to be an willing partner in the fight against
  3 diseases
• Presence of LFA helps in quick feedback and
• decision making

9
Scaling up of Activities

• Sustain the public-private partnership model of
  TB
• round 3 and 5 and beyond that
• Similar approach being now followed for malaria
  
• proposal for round 6
• Continue the best practice of services (eg.
  community
• based diagnostic and treatment services) in the
  
• subsequent rounds
• Initiate and expand new activities based on
  emerging
• need and lesson learnt (eg. PPM,TB-HIV, DOTS
  plus
• etc.)

10
Good Practices as PR-NGO

• Coordination between two PRs and oversight
• - Quarterly meeting of PR-NGO steering
  committee (representative from NTP SRs,
  BRAC, WHO)
• - Monthly meeting with NTP, BRAC, WHO and
• - Joint field visits
• Quarterly coordination meeting with SRs and
• monthly visit to SRs
• Ensure participation of SRs in planning,
  monitoring
• auditing and capacity building
• Conflict resolution and trust building through
  
• discussion and continuous communication

11
Issues for Consideration

• Strengthen oversight role of CCM and TB
  technical
• sub-committee
• Capacity of government counterpart and SRs is
• critical for results
• Continuity in leadership of both PRs
• Selection of SRs jointly by both PRs is
  important

12
Thank You