background nature and function rationale opportunities for tb control partnering process

• Background

• Nature and function

• Rationale

• Opportunities for TB control

• Partnering process

After this session participants will know:

1. The concept of stop TB partnering initiatives at country level (national stop TB partnerships).

2. The rationale of building a national stop TB partnership and its opportunities for TB control

3. The partnering process: exploration, building and maintenance of a national stop TB partnership and the related budget centers;

4. Discuss real-life challenges with participants and share experience.

• Stop TB Strategy component 5:− empowering people with TB, and communities

through partnership.

• Partnership:− an innovative way to engage in TB control, by taking

into account the competencies and comparative advantages of actors that come from different sectors of society and play a role at the level where they can perform better and more effectively.

• Essentially country-specific, expressing typical cultural

and organizational diversity.

• Depending on the local situation, countries might decide

to leverage already existing forms of

collaboration/coordination (Interagency Coordination

Committee - ICC, Country Coordinating Mechanism -

CCM, National TBTEAM) and initiate a national stop

tuberculosis (TB) partnership.

AFRO

FrancophonieGhanaKenyaMalawiNigeriaSwazilandUganda

SEARO

BangladeshIndiaIndonesia

EMRO

EMReg.PartnershipAfghanistanDjiboutiEgyptJordanIranKuwaitMoroccoPakistanSudanSyria

EURO

ItalyUK (Results)

WPRO

JapanNepalRepublic of KoreaPhilippinesViet Nam

National PartnershipsAs of January 2010

AMRO

BrazilCanadaDominican Rep.MexicoPeru’USA

Partnerships inHigh Burden Countries

AfghanistanBangladeshBrazilCambodiaChinaDR CongoEthiopiaIndiaIndonesiaKenyaMozambiqueMyanmarNigeriaPakistanPhilippinesRussian FederationSouth AfricaThailandUgandaUR TanzaniaVietnamZimbabwe

Partnerships in WHO Regions & HBC

• a voluntary alliance between organizations from different sectors of society

• who commit to work collaboratively towards TB prevention, care and control

• where all partners contribute from their core competencies

• share resources, risks and responsibilities

• benefit by achieving their own, each other's and the overall partnership goal;

• Usually strives towards mutual accountability

In close collaboration with the NTP, it aims at:− strengthening TB prevention, care

and control

− according to the NTP plan

− to achieve the targets of the Global Plan to Stop TB

Its main focuses could be:− Contribute to the implementation

of national TB plan− Decided by the partners on a

case by case basis

• 14-fold increase in budget allocated for TB• Significant increase in coordination between the NTP

and implementing partners resulted in improved quality and accessibility of services

• A cohesive national movement to stop TB• TB gained increasing prominence on the

political agenda

• Enhance coordination and improve services provided by several actors besides the public health system: nongovernmental organizations, faith based organizations, community based organizations and the private sector.

• Help the country to apply successfully to GF Round 8 and obtain support for all the partnership's activities contributing to the national TB control plan.

• Today the government accorded to the Ministry of Health the status of 'Sector'.

• The operational challenges of TB control and the social aspects of the

disease demand a joint effort of institutions and civil society.• While governments are responsible for ensuring services reach the

people in need, different actors (civil society and private/business sector)

are often involved in the delivery of service.• Governments can recognize and support as part of the public system

other actors that institutionally do not belong to the state ("public function

of private initiative").• Avoidance of duplication thereby ensuring synergy• Higher institutions or levels of the society should support and promote

what a lesser form of social organization can do, in order to contribute to

the common good of its members (subsidiarity).• Engagement of civil society is essential to design, implement and

evaluate people-centered health services.

• National TB programme recognized the existence and contribution of several nongovernmental, faith-based and community based organizations to the delivery of TB control services in the country, particularly in hard-to-reach and disadvantaged districts.

• Taking into account this effort, the national TB programme decided to support the work of these organizations and actually to delegate some of its supervisory responsibility on health facilities.

• For this reason, in collaboration with international partners, such as WHO, the national TB programme found a way to apply for external funding through a Partnership's initiative and through the Italian Cooperation.

• These funds were used to cover the activities of these civil society organizations for more than 4 years.

Opportunities for TB control

1. Coordination based on a common strategy and plan

2. Multi-sectoral participation: public, private, civil society

(health sector and beyond)

3. Increased access to resources (local/global): f

inancial, technical, human, knowledge, physical and

network resources

4. Pro-active leadership

5. Social capital available for other initiatives

Partnership for Tuberculosis Care and Control, India

• Support and strengthen India’s TB control efforts• Bring together partners from different sectors across the country on a

common platform− non-governmental organizations

− community-based organizations

− affected communities

− the corporate sector

− professional bodies

− technical agencies

− academia

• Harness the strengths and expertise of different partners in various technical and implementation areas, and empower affected communities, for TB care and Control

Philippine Coalition Against Tuberculosis

• Government actively sought to form a partnership with different sectors:

− private doctors to diagnose TB− an NGO to help people get into

treatment (intensive phase)− community health workers to support

people complete their cure− public health system to provide the

medications

Building a vision(Needs, challenges,

resources, opportunities)Can obstacles be

addressed?

Identification and dialogue amongpotential partners

(motivation, commitment)

Mapping resources(identifying cash andnon-cash resources)

Partnershipmanagement

(core structure)

Preparing a planof activities with

roles and resources

Implementation(once resources are in

place to work onspecific deliverables)

Monitoring & evaluation

of effectiveness and impact - outputs and

outcomes

Reviewthe partnership

(process, outputs, outcomes).

Corrective actions

Institutionalization:building structures and

mechanisms to maintain commitment and ensure

continuity

Leadership

Roles

Mandates in specific areas

Agreement oncore principles,

goals and objectivesPartnering agreement

Process: 1 - Exploration 2 - Building 3 - Maintenance

The Partnering process

EXPLORATORY WORKSHOP

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FORMAL LAUNCH