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Regional & Country TBTEAM

A Seita

WHO/EMRO

and Photos of Afghanistan ©WHO/Contrasto/R. Venturi

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What is TBTEAM?

• Country & Regional perspective

– Regional Offices think countries first

– “Does this solve our problem in countries?”

• EMR: “Dose this help us improve our low CDR?”

– Effectiveness of TBTEAM will be decided by countries, and not by RO, HQ or partners…

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What is TBTEAM?

• TBTEAM (from TBTEAM slides, Aug 07)– Old-new coordination mechanism

– Ensure coordinated TA by Stop TB Partners at country, regional & global levels

• One response from a country officer– What is this?

– New partnership? • Addition to CCM, IACC, National partnership, etc. etc.?

• Additional headache?

– New money?

– What is the added value of TBTEAM?

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What is TBTEAM?

• One response from the Regional Office

– “What is this?”

� Global mechanisms to coordinate / bring the needed TA to countries

– New partnership?

� No. Evolved from present partnership

“headache” � May be…

– New money? � ISA!

– What is the added value of TBTEAM?

� “Look next slides!”

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DIBOSDIBOSDIBOSDIBOS’’’’ssss baby is suffering from malnutrition, he is coughing and baby is suffering from malnutrition, he is coughing and baby is suffering from malnutrition, he is coughing and baby is suffering from malnutrition, he is coughing and

sweating, she is at the TB clinic awaiting to see a doctor, is isweating, she is at the TB clinic awaiting to see a doctor, is isweating, she is at the TB clinic awaiting to see a doctor, is isweating, she is at the TB clinic awaiting to see a doctor, is it TB?t TB?t TB?t TB?

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Why do we need TBTEAM?

From Pre-“GF” to Post-”GF”

• “routine” � “scaling up”

• 10K$ program� 10M$ program

• DOTS � Stop TB Strategy

• MOH/NTP � Partnerships

• Bulk budget � Performance based financing

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Why do we need TBTEAM?

From Pre-“GF” to Post-”GF” TA

• “routine” � “scaling up”

• 10K$ program� 10M$ program = managerial

• DOTS � Stop TB Strategy= technical

• MOH/NTP � Partnership = coordination

• Bulk budget � PBF = M/E

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Why do we need TBTEAM?

TBTEAM: O

ptimal mec

hanism to

bring TAs to

countries &

Regions

TBTEAM: O

ptimal mec

hanism for

countries to

buy TAs

9People are responding to the efforts...

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How to best develop / use TBTEAM for countries?

• Build on existing systems of TA

– e.g. EMR TA focal points & TA network

• National level coordination � NTP

• Regional level coordination � WHO/EMRO

• EMRO – NTP/WHO.CO – Partners

• Coordinate & communicate TA

– Joint global planning: Cape Town!

– Coordination via regional mechanisms

• Regional STAGs, Regional Partnerships

– Information sharing (TBTEAM Web)

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How to best develop / use TBTEAM for countries?

• Funding to TBTEAM– TA is not free

• TBTEAM is the best shop for countries to buy TA, but it should be paid.

– OGAC funding is appreciated…

• Inclusive and NOT exclusive– From 15 global partners to national & regional partners

– GFATM is the real target!• Can TBTEAM be the integral part of GFATM TA?

• Can WHO & Stop TB Partnership sell TBTEAM to GFATM Board meeting next week?

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TBTEAM & GFATM

• Opportunity & threat to countries

– e.g. TA needs for GF in 2008 (excl.R8)

– Rapidly increasing TA need, part. M&E (MESS)

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TBTEAM

• Global & Regional response to the increased TA needs in countries

• Mechanism for countries to “buy” TA

• Country-Region setting is needed– Country: NTP as TA focal point

– Regional: WHO RO as TA focal point

– Joint planning / coordination at these levels

• TBTEAM-funding is required– Can TBTEAM grant TA?

• GFATM is the real target

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ZakayevaZakayevaZakayevaZakayeva will will will will

be cured, she be cured, she be cured, she be cured, she

will give birth to will give birth to will give birth to will give birth to

a healthy child a healthy child a healthy child a healthy child

………… but will but will but will but will

everyone else everyone else everyone else everyone else

in Afghanistan in Afghanistan in Afghanistan in Afghanistan

and other and other and other and other

countries be so countries be so countries be so countries be so

lucky? lucky? lucky? lucky?