TA for GFATM

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TA for GFATM

• "Make money to work"
• Some experiences to share

Ger Steenbergen
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Overview

• Why do countries apply?
• Why TA for GFATM applications?
• Role of TA
• GFATM process and procedures
• Success or failure.
• Principles of good TA
• Step by step
• Conclusions

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Why do countries apply?

• Frank and hidden motives

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Public reasons

• It is there, so take advantage
• TB program lacks funds
• Opportunity for massive funding for health
• Strengthen national ownership
• Opportunity for innovation
• Scaling up fight against TB
• Involve more national stakeholders

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Not so public reasons

• Funding without donor-politics
• TB must become equal to HIV/AIDS
• Forcing domestic agenda
• Money is power.
• Participation in national decisions
• Political influence
• Prestige
• Revenge
• Personal gain

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Why TA for GFATM applications?

• Reasons for asking support

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Increase success

• TA consultant is an expert on
• GFATM procedures and criteria
• TRP expectations and review
• TB global standards
• How to fill the application form
• TA will enhance success

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TA useful because..

• Range of expectations on TA expertise
• Knowledge on "hidden issues" of GFATM
• Writing the application
• Checking the application
• Providing credibility to the process
• Outsider can manage "conflicts"
• Assist in forming CCM
• Facilitating the writing process

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Role of TA

• A key to success

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Coordinating TA an active resource

• Provide technical advice on TB
• Provide strategic advice on TB control
• Provide advice on CCM
• Provide relevant information and tools
• Facilitates writing process
• Facilitates CCM functions
• Ensures continuity of CCM

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GFATM process and procedures

• How does it work?

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PR

• Principal "Recipient" or Principal "Resulter"
• Relationship between CCM and PR
• Relationship between PR and SR
• Correct any misconception
• PR is the single entity to decide
• PR has all the power that money buys
• PR only deals with LFA or GFATM

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CCM

• A good CCM is the vital starting point
• GFATM recommendations and requirements
• Assess what is feasible and realistic
• Build on existing coordination mechanisms
• Explain deviations from GFATM standard
• Ensure transparency
• Ensure full documentation
• Ensure full participation of all stakeholders
• Keep donors involved or at least informed

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Writing committee

• Advice CCM on forming writing committee
• Writers should
• Have mandate to write contents
• Have writing skills
• Computer literate (word and spreadsheet)
• Full time available for duration of writing
• Ensure that members maintain contact with their
  constituencies

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Application form

• Elaborate the format
• Explain the logic of proposal
• Explain the available tools
• Explain the available resource documents
• Ensure that all terms are understood
• Ensure that budget requirements are clear
• Ensure link with HIV/AIDS
• Ensure links with other health initiatives

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Success or failure.

• Success has many fathers,
• Failure is often an orphan

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Short term Long term

• Successful application
• Approval TRP
• Grant signature
• First disbursement received
• Challenges
• Timely report results and finances
• Oversight function of CCM
• Applying for second trance

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Learn from failures

• Most applications get Cat 2 or 3 from TRP
• Why did it not succeed?
• Discuss with CCM TRP response / Appeal ?
• Wrong dynamics in CCM writing committee
• Political or other pressures
• Missing vital information

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Principles of good TA
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Technical resource

• GFATM matters
• TB best practices
• Tool kits
• Ensure that resources are adequately used

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Facilitator

• National ownership
• Advice on CCM if necessary
• Encourage writers to be realistic
• Correct writers on unclear formulation
• Stimulate innovation
• Ensure consistency and logic
• Ensure crisp writing
• Avoid too long or argumentative writing

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Writer

• Demonstrate commitment
• Write
• Only sections that others have difficulty with
• Improve work from others
• Explanatory notes if necessary
• Check and countercheck budget and explanatory
  notes/breakdown
• Ensure quality before presenting to CCM

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Step by step

• There are no short cuts

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Arrival.

• Check country profile data with reality
• Assess rationale behind GFATM application
• Identify major players and powerbase
• Assess existing funding modalities
• Identify stakeholders
• Map major stakeholder expectations
• Meet people and be one of them.

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CCM

• Ensure composition and inclusiveness
• Ensure CCM ownership of application
• CCM governance issues
• Meet GFATM expectations
• Determine mandate of writing committee
• Agree on time schedule
• Agree on interim feed back

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Writing

• Work with writing committee as
• Resource and reference
• Facilitator
• Manager of writing process (time, result)
• Fill in the gaps
• Quality and consistency check

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Submission to CCM

• Provide presentation support to writing committee
• Provide additional information
• Advise on next steps
• Inform on what to expect and when (if necessary)

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Departure

• Debrief to CCM and others
• Ensure continuity after departure
• Available lines of communication and support
• Be available for advice and support
• Be available for formulating responses to TRP
• Respond quickly and consistently
• Share your experiences and lessons learned

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Conclusions

• The end is near

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TA for GFATM

• Respects national ownership thru CCM
• Technical competence
• GFATM matters
• TB matters
• Broader health sector orientation (HIV/AIDS)
• Facilitating the process
• Excellence in communication
• Consensus builder
• Ambitious for success

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Assisting countries in applying for a GFATM grant

• Good TA is a trusted resource and reference

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THANK YOU

• AND SUCCESS IN YOUR WORK
• Patients and communities depend on it.