presentation of the rbm partnership harmonized work plan 2008 rbm partnership 13 th board meeting...

Presentation of the RBM Partnership Harmonized Work Plan 2008

RBM Partnership 13th Board Meeting

Nov 28-29, 2008, Addis Ababa

Prepared in Coordination with the RBM Partnership Secretariat

by FSG Social Impact Advisors

2

I. Harmonized Work Plan (HWP) - Introduction

II. Synthesis of HWP

III. Funding for HWP

Agenda

3

The 2007 Malaria Landscape Report Emphasizes the Urgency to Accelerate the Actions towards Achieving RBM Goals

The Harmonized Workplan responds to the need of scaling-up for impact

Source: RBM Landscape report 2007

• There is a continued need for large inflows of resources to actualize country plans to scale-up for impact

• Advocacy for additional resources

• Building in-country health capacity to absorb funds

Findings from the report Needs to be addressed

• Evidence suggests that real breakthroughs in coverage and rapid scale-up can be made through integrated nationwide distribution campaigns

• Managerial support and expertise to assist countries in the selection/development of sustainable delivery models

• While supportive national governments, high health worker density, nationwide advocacy campaigns and small size of countries favor progress in countries, key enablers and success stories need to be further understood

• Understanding and building success stories

• Campaigning to build on expertise on behavioral change in communities

• Advocating for and building a stronger civil society and grass root organization infrastructure for long-term sustainability

• Building and improving M&E infrastructure for better quality of malaria data

• Data available is not always consistent or up-to-date

• Advocating for and assisting countries to plan for SUFI

• While many countries have planned for SUFI, there is a high level of inconsistency in their understanding and levels of ambition

4

RBM Sec. Built on the Change Process and Coordinated the Generation of HWP with Buy In from All Members

Workplan harmonization process

During the workshop in which all the WGs and SRN delegates participated

With comments and involvement from RBM sec.

RBM sec. and FSG

• Captured each group’s work plans

• Grouped the activities around major partnership actions

• Discussed the synthesized workplan with the groups

• All RBM working groups and SRNs developed respective work plans for the coming year

• RBM Sec. hired FSG Social Impact advisors to put together the Harmonized work plan

August September October/November

• Discussed and reviewed the harmonized workplan

• Checked completeness of activities; how they interfaced and sequenced

• Launched a budget validation process

• Revised work plan and budgets based on inputs from the WGs and SRNs

• Developed work plan synthesis for the board

• Developed funding scenarios for the 2008 budget

July

5




Agenda

6

• Support countries to rapidly expand access to effective

treatment and prevention against malaria nationwide;

• Improve management and healthcare systems to ensure that

short-term gains can be sustained in the medium- to long-term;

• Maintain malaria high on the development agenda using a

results-oriented evaluation framework;

• Provide a comprehensive research agenda, ranging from

product development to implementation strategies.

RBM Defined Three Strategic Priorities for 2006-2010 in the RBM Global Strategic Plan

This is the context in which the board approves activities

Action at country level

Action at country level

Global advocacy and finance

Global advocacy and finance

Research and developmentResearch and development

7

RBM Has Defined Six “Operational” Priorities and Targets for 2008

Strengthen Access to Commodities for Malaria Control 5

Keep Malaria High on the Development Agenda and Access Additional Resources2

Enhance Performance in Countries and Secure Continued Resources3

Track country progress4

Strengthen Capacity and Enhance Performance for SUFI Implementation 1

Ensure Proper Functioning of Partnership Mechanisms 6

These priorities were defined on the basis of RBM Global Strategic Plan

8

RBM HWP ‘08 Objectives Re-Emphasize RBM Strategic Priorities

By 2010, particularly in the lowest two economic quintiles: • 80% of people at risk from malaria are protected• 80% of malaria patients are diagnosed and treated with effective anti-malarial medicines

• In areas where transmission is stable, 80% of pregnant women receive intermittent preventive treatment (IPT)

• Malaria burden is reduced by 50% compared with 2000

RBM Targets 2010

RBM 2010 Targets

• Action at country level•Support countries to rapidly expand access to effective treatment and prevention against malaria nationwide;

• Improve management and healthcare systems to ensure that short-term gains can be sustained in the medium- to long-term

•Global advocacy and finance•Maintain malaria high on the development agenda using a results-oriented evaluation framework

Research and development•Provide a comprehensive research agenda, ranging from product development to implementation strategies

RBM Strategic Priorities for 2005-2015 (2006-2010 Shown Below)

a b c

RBM Goals as laid out in the Global Strategic Plan

Strengthen Capacity and Enhance Performance for SUFI Implementation Enhance Performance in Countries and Secure Continued Resources (through diagnostic and corrective response)Track country progressEnsure proper functioning of partnership mechanisms and provide stewardship

RBM Workplan Objectives 2008

Access additional resources (incl. through GFATM, UNITAID)Strengthen Access to Commodities for Malaria ControlEnsure proper functioning of partnership mechanisms and provide stewardship

RBM Workplan Objective 2008

Strengthen Capacity and Enhance Performance for SUFI Implementation Strengthen Access to Commodities for Malaria Control Ensure proper functioning of partnership mechanisms and provide stewardship

RBM Workplan Objective 2008

RBM Workplan Objectives for 2008

1

3

4

6

2

5

6

1

5

6

9

• Ensure Proper Functioning of

Partnership Mechanisms

HWP Synthesis by Priorities and Targets

Priorities Targets for 2008

• Strengthen Access to

Commodities for Malaria Control 5

• An affordable facility for Malaria in place

• At least three (3) integrated (ITN/immunization) mass distribution campaigns, of

which one should be held in a large country;

• 45 countries have access to affordable medicines for malaria through the private

sector

• Keep Malaria High on the

Development Agenda and Access

Additional Resources

2

• Enhance Performance in Countries

and Secure Continued Resources

(through diagnostic and corrective

response)

• At least 95% of countries currently getting

funding should continue to keep it

• At least 80% of countries with existing Global

Fund assistance should perform at "A" or

“B1” ranking

3

• Strengthen Capacity and Enhance

Performance for SUFI Implementation

• 45 technically sound, operationally feasible ,country

and partner owned SUFI business plans

• Support deployment of partnership coordinators in

10 countries

• Track country progress4

1

6

• Track progress and report to the EC and the

partnership Board

• Partnership achieves > 80% implementation rate of

planned activities of the HWP

• 12-20 countries to deploy MIS

• Publish Malaria Landscape report and update

107 country profiles

• >60% of countries applying for funding in Round8

(GFATM) to be successful

• 45 Countries mobilize adequate funds for SUFI

Budget for 2008

• USD 8.4 Million

• USD 7.2 Million

• USD 6.7 Million

• USD 1.2 Million

• USD 2.4 Million

• USD 4.3 Million

10

Involvement

Mechanisms

RBM Priorities for 2007-2008

HWGHWG SRNSRN MAWGMAWG MERGMERG MIPMIP PSMPSM WINWIN RWGRWG AMFMAMFM RBMSecretariat

RBMSecretariat

Strengthen Capacity and Strengthen Capacity and Enhance Performance Enhance Performance for SUFI Implementation for SUFI Implementation

Strengthen Capacity and Strengthen Capacity and Enhance Performance Enhance Performance for SUFI Implementation for SUFI Implementation

Keep Malaria High on Keep Malaria High on the Development the Development Agenda and Access Agenda and Access Additional ResourcesAdditional Resources

Keep Malaria High on Keep Malaria High on the Development the Development Agenda and Access Agenda and Access Additional ResourcesAdditional Resources

Enhance Performance in Enhance Performance in Countries and Secure Countries and Secure Continued Resources Continued Resources (through diagnostic and (through diagnostic and corrective response)corrective response)

Enhance Performance in Enhance Performance in Countries and Secure Countries and Secure Continued Resources Continued Resources (through diagnostic and (through diagnostic and corrective response)corrective response)

Track Country ProgressTrack Country ProgressTrack Country ProgressTrack Country Progress

Strengthen Access to Strengthen Access to Commodities for Malaria Commodities for Malaria ControlControl

Strengthen Access to Strengthen Access to Commodities for Malaria Commodities for Malaria ControlControl

Ensure Proper Ensure Proper Functioning of Functioning of Partnership Mechanisms Partnership Mechanisms

Ensure Proper Ensure Proper Functioning of Functioning of Partnership Mechanisms Partnership Mechanisms

BoardBoard

Other Cross Cutting Other Cross Cutting ActivitiesActivitiesOther Cross Cutting Other Cross Cutting ActivitiesActivities

1

2

3

4

5

6

The Involvement of Partnership Mechanisms Differs by Objective

11

Strengthen Capacity and Enhance Performance for SUFI Implementation

1

Support Best PracticesSupport Best Practices

MIPMIPHWGHWG SRNSRN MAWGMAWG MERGMERG RBM Secretariat

RBM Secretariat

WINWIN RWGRWG

Advocate for Country planning

Advocate for Country planning

Support Country PlanningSupport Country Planning

• Establish taskforce on community use

Make progress on:

• M&E training course

• Service coverage estimates, IRS indicator guidelines, field testing of anemia and lab testing of parasitemia, spectrum mortality modeling software

• Assessment of quality of malaria data for GFATM, secondary analysis of MICS, DHS, MIS, standardization of priority indicators, database on priority indicators, rating system for data source, public access to datasets

Develop and finalize:

• Technical updates on IPT, case management of malaria in pregnancy, MIP implementation guide

• Consensus statement on ITN delivery through ANC, synthesis of country level MIP implementation experiences and best practices from RAOPAG countries

• Operations research for increasing access to MIP interventions, incl. community delivery, MIP M&E framework, Global MIP Strategic framework

Document:

• Best practices in scalable malaria vector control, cochrane review,

• Private sector approaches to scaling up IRS

• Bridging “catch up” campaigns to “Keep up” campaigns

• Guidance framework for scaling up LLINs and IRS

• Coordinate review and publication of NHA malaria sub-account guidelines

• Compile toolkits developed by WGs and partners planning, resourcing, implementing and M&E

• Enable peer-to-peer knowledge sharing incl. finalizing regional joint work plans and organizing study tours

• Promote the need for and use of good quality TA

• Equip 2 sub-regional MIP coalitions

• Support gap analyses in 45 countries

• Support SRNs in developing new plans

• Support HWG in gap analyses, business planning for SUFI in 45 countries

• Support deployment of partnership coordinators in 10 countries

• Promote: HWG and validation of country plans, “three ones” approach, malaria representation on CCM

• Provide management support, expert advice, interfacing, documentation & event support towards WG and SRN workplan implementation

• Provide support to joint & country missions

• Provide expert advice to SWOT analyses and deployment

• Support MAWG WP implementation

• Develop & update website, publish factsheets, e-brochure, e-updates regarding consensus on best practices

12

Keep Malaria High on Development Agenda and Access Additional Resources

2

AMFMAMFMRWGRWGMIPMIPHWGHWG SRN SRN

Support proposal writingSupport proposal writing

RBM Secretariat

RBM SecretariatPSMPSM WINWINMAWG MAWG

Advocate for and mobilize resources

Advocate for and mobilize resources

• Support GFATM proposal development: Increase percentage of successful applications to GFATM from 32% in R6 to >60% in R8, publish evaluation of R7 GFATM campaign

• Support HWG managed proposal development

• Provide TA to PSM portions of proposa

• Assist countries to develop PSM plans

• Provide TA to WIN portions of proposal

• Provide support to proposal development: support 10 countries in GFATM proposal writing, identify MIP related gaps based on past proposals, develop generic template to be used by countries for R8

• Support project development: support country requests for additional resources, TA to 5 countries to expand existing projects, present business case to donors at country and global levels

• Support R7 (~20) approved countries in developing M&E and PSM plans

• Support countries with successful grant application in grant negotiations

• Advocate at global levels global resource gaps resulting from gap analyses from R7 and business case to donors

Advocate for additional resources:

• Develop RBM brand, develop messages to support funding and malaria research, marketing material and congressional briefings

• Organize member visits, participate in GFATM meetings, identify new sources of funding

• Advocate to country governments on increased malaria spending, engage celebrity spokes persons for malaria

• Ensure PSM issues are incorporated in MAWG advocacy messages

• Identify 3 champions to support MAWG

• Design innovative approaches to financing malaria control incl. ACT

• Raise awareness to create political support for ACT subsidy project

• Management support to HWG for partners development of funding proposals

• Management support to SRN’s in grant negotiations

• Interface between WGs and CCMs in support of grant negotiations

• Support MAWG WP implementation

• Manage media outreach, promotional events, attend relevant meetings, advocate for greater resources

13

Enhance Performance in Countries and Secure Continued Resources

PSMPSM WINWINHWGHWG SRNSRN MAWGMAWG RBM SecretariatRBM Secretariat

Support OperationsSupport Operations

3

• Develop launch and implement the “Malaria Implementation Assistance” Hotline and Early Warning System (EWS)

• Manage identification of country level implementation bottle necks for EWS and for GFATM phase2 renewal countries

• Communicate success of partners in relation to EWS

• Facilitate provision of TA to fix PSM bottlenecks identified as a result of EWS

• Develop, launch and implement Malaria Implementation Support Team (MIST) embedded within partner organizations

• Build in-country structures and functions: Strengthen partnership structures in countries, mobilize external TA promote internal contracting out of services

• Assist in advocacy: advocacy for PSM for better procurement and supply chain management, advocate for improving performance of existing funds, interfacing with WIN on advocacy on taxes and tariffs for IRS

• Serve as a link, create and maintain PSM roster to find appropriate resources

• Advance implementation guidelines of IRS and LLIN including identifying operational constraints, report on taxes and tariffs, registration with national authorities and washing habits

Track Country Progress4

SRNSRN MAWGMAWG MERGMERG

Analyze data/report on landscape

Analyze data/report on landscape

HWGHWG

• Provide MIST support to assist countries in M&E

• Support MERG in MIS implementation, compile and disseminate bi-annual country progress reports

• Support MIP to strengthen capacity of MIPESA and RAOPAG

• Promote tools created by HWG and MERG, advocate for improved M&E capacity at country level and build advocacy strategies by using results generated by MERG database

• Support in generation of Malaria Landscape report

• Coordinate generation of maps/ reports: Malaria endemicity, disease burden, population at risk, effect of scaling up interventions for upto1 0 countries based on MIS survey data, malaria mortality estimation

MIPMIP

• Strengthen capacity of MIP coalitions to provide technical support for monitoring progress in MIP implementation in countries and to assist countries to incorporate MIP indicators into Maternity registers and cards

• Interface with CCM’s & SRN’s to diagnose implementation bottlenecks

• Provide management support to HWG WP implementation for appropriate MIST response

• Support implementation of MIST (incl. Recruitment of MIST coordinator)

• Provide expert advice and interfacing towards production of the Malaria Landscape

• Publicize and disseminate Malaria Report

• Support performance sub-committee in tracking progress

RBM SecretariatRBM Secretariat

14

Strengthen Access to Commodities for Malaria Control

RWGRWG AMFMAMFM

Develop and launch AMFm

Develop and launch AMFm

RBM SecretariatRBM SecretariatHWGHWG PSMPSMMAWGMAWG

5

• Provide implementation support to ACT implementation based on information from HWG managed needs assessment and refined strategic/action plans and through MIST structures present in countries

• Advocate and create awareness for ACTs

• Review M&E plans for global subsidy and support AMFM in analytic work needed for the launch of subsidy

• Create technical proposal with key recommendations on subsidy levels incl. estimate of funding, criteria for facility architecture and communication strategy to promote uptake and responsible introduction of ACTs

• Raise awareness and create political support for ACT subsidy and mobilize necessary resources

• Support MAWG for AMFm launch

Secure global supply

Secure global supply

Facilitate and develop:

• Facilitate forecasting efforts

• Map global ACT market

• Disseminate quality standards for medicines

Secure country absorption

Secure country absorption

• Develop procurement guidelines for ACTs, RDTs, IRS and LLINs

• Facilitate collection of PSM toolbox and success stories

• Develop ACT scaling up framework

• Implement delay monitoring system

• Establish PSM country coordination committees

• Provide management support and expert advice to PSM for WP implementation and to ensure effective roll-out of AMFm • Measles Malaria Partnership

targeting at least 3 integrated mass distribution campaigns including at least 1 large country

15

HWGHWG SRNSRN MAWGMAWG MERGMERG MIPMIP PSMPSM WINWIN RWGRWG

• Coordinate HWG workplan

• Organize two meetings

• Operationalize SRNs

• Hold one annual and two executive meetings

• Provide secretariat support

• Hold two meetings

• Conduct activities for MERG secretariat

• Hold two meetings

• Support MIP participation in annual planning and review meetings/ WG meetings

• Convene two meetings

• Facilitate meetings

• Hold one meeting


• Improve local advocacy and communications

Ensure Proper Functioning of Partnership Mechanisms 6

Cross cutting activities1-6

• Support Implementation of the 2008 HWP:

• Provide expert advice, interfacing and management support to RBM Board, Executive Committee, sub-committees, Executive Director, WG co-chairs/SRNs, partners and constituencies:

• to ensure the timely implementation of the 2008 HWP, and the effective functioning of the mechanisms as outlined in the RBM handbook

• to support timely progress tracking

• to advocate and mobilize resources for the partnership, including producing advocacy materials, organizing events, preparing materials, organizing press relations, champion trips and involvement, etc


• Provide event support and interfacing for all key WG & SRN meetings

• Nurture the expansion of the RBM partnership’s activities:

• Develop and manage knowledge management and partnership communication mechanisms

• Manage the RBM Secretariat:

• Manage Human Resources requirements (appoint and manage staff and focal points to all mechanisms and structures, such as SRN focal points, US-based Secretariat, etc)

• Provide Secretariat financial management, recruitment and career development, and administrative support

• Manage hosting agency relationship

• Develop Secretariat workplan and budget

• Produce management reports

16




Agenda

17

• WGs/ SRNs need a budget of ~ USD 23Million, > 50% of which is for direct in-country

support

• RBM Sec. needs a budget of ~ USD 10Million, more than ~70% of which to support HWP

and 30% to continue nurturing the partnership

• 4 priorities need budgets more than USD 4 Million each:

– Strengthen capacity for SUFI implementation

– Access additional resources

– Enhance performance in countries

– Ensure proper functioning of the partnership

• Activities can commence in 2007 provided a budget of USD 3.5 Million can be secured

ASAP, of which HWG and SRNs account for more than 70% of the budget

• These numbers will evolve, as the WGs and SRNs are reviewing their work plans following

the recommendations from the Executive Meeting of the RBM Partnership Board in Seattle

to revisit the plan to achieve 80% coverage by 2010

WGs and Secretariat Require USD 33 Million to Implement Activities Planned in HWP 08

To achieve elimination/eradication of malaria, it is vital that the HWP be fully funded

18

0.5 0.9

10.2

0.01 0.6

1.03.2

10.9 1.2

32.8

1.41.41.4

0

2'500

5'000

7'500

10'000

12'500

15'000

17'500

20'000

22'500

25'000

27'500

30'000

32'500

35'000

37'500

40'000

MIP WIN RWGRBM Mechanisms

RBM Sec Total Budget

2008

Workplan Budget Overview by RBM Mechanisms

HWG SRNs PSM MERG MAWG

40

205.4

EARN

CARN

SARN

WARN

2008 BudgetUSD Millions

Source: RBM partnership work plans, FSG analysis

19

32.82.6

4.3

2.4

1.26.7

7.2

8.4

0

2'500

5'000

7'500

10'000

12'500

15'000

17'500

20'000

22'500

25'000

27'500

30'000

32'500

35'000

Strengthen capacity for SUFI implementation

Access additional resources

Enhance performance in countries and secure

continued resources

Track country progress

Strengthen access to commodities for malaria control

2008 BudgetMillion USD

Priorities from HWP Ensure proper functioning

of the partnership

Cross cutting

activities

Total

Workplan Budget Overview by Objective

35

1

2

3

4

5

6


20

1.2

3.1

32.8

4.3

2.4

6.7

4.1

0.07

2.4

5.9

2.6

0

2'500

5'000

7'500

10'000

12'500

15'000

17'500

20'000

22'500

25'000

27'500

30'000

32'500

35'000

Priorities from HWP

Total

Workplan Budget Overview by Sub-Priority

Best practices

Country planning

(CP)

Advocacy on CP

Proposal writing

Resource mobilization

35

Strengthen capacity for SUFI implementation

1Access additional

resources

2

Enhance performance in countries and

secure continued resources

Track country progress

Strengthen access to commodities for

malaria control

Ensure proper functioning

of the partnership

Cross cutting

activities

3

4

5

6

2008 BudgetUSD Millions


17.5

21

3.532.810.2

22.6

0

2'500

5'000

7'500

10'000

12'500

15'000

17'500

20'000

22'500

25'000

27'500

30'000

32'500

35'000

37'500

40'000

RBM Mechanisms Require ~ USD 33 Million in 2008 for Implementing Activities in HWP

WGs, SRNs

RBM Sec.

5

30

10

15

20

25

RBMMechanisms

Total Budget

2008

Budget needed for activities in

2007

2008 Budget

USD Millions

35


40

22

10.20.999.33.1

6.2

0

2'500

5'000

7'500

10'000

HWP 08 PartnershipCategory of RBM SecSupport

2008 Budget

USD Millions

Board and

Constituencies

5

10

Total2008

> 50% of RBM Sec Budget Requested to Support HWP


23

• Based on past experience, ~ USD 14 Million of funds

can be raised for the 2008 budgets, leading to a USD 20

Million gap for which new sources of funding need to

identified

• For the activities that can commence in 2007,

~ USD 1.7 Million of funding needs to be identified

• Seattle meeting highlights a positive outlook on funding

To achieve elimination/eradication of malaria, it is vital that the HWP be fully funded

Development of funding scenarios may be inefficient at this stage

24

For 2008 HWP Needs A Budget of USD ~33 Million of Which <50% Can Be Funded Based on Past Funding Levels

Expected 2008 Funds raised by RBM mechanisms

100% = USD 32.8 Million

An expected additional USD20 Million of funds need to be raised

Note: Based on 2007 fundraising figures of RBM SecretariatSource: RBM Secretariat

Gap

RBM Sec

SRNs

Partners

RBM Sec

SRNs

Partners

Gap

9M

1M

3M

20M

presentation of the rbm partnership harmonized work plan 2008 rbm partnership 13 th board meeting...

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