Executive Director's Report to the 12th Board Meeting

Outcome of RBM Change Initiative

• First Board Meeting since finalization of 12 month process

• Clarity provided by Change Initiative has created greater understanding of Secretariat functions and Partners roles and responsibilities

• Resulting in more positive profile of RBM Partnership, energized teams and working groups, intense period of productivity

Objectives of six month report

1. Malaria Landscape: share tangible achievements and progress in the fight against malaria since last Board

2. Report on actions taken following 11th Board Decisions

3. Report on follow-up to Dakar Appeal4. Provide overview of current challenges facing the

Partnership

Malaria Landscape

• Malaria remains high on Political Agenda • More partners engaged in rolling back malaria• Partnership focused on country level results

• Continued progress for scale-up

Malaria remains high on political agenda

• White House Summit (December 2006) • Launch of African Union Communication Strategy for

Malaria Elimination Campaign at meeting of African Union Health Ministers ( April)

• DATA Report for G8 now includes malaria • Parliamentarian involvement – UK Report on Malaria

Financing; continued EU engagement.

More Partners Engaged in Rolling Back Malaria

• Private Sector • Global Business Coalition for HIV TB and Malaria • Coalition Against Malaria in Africa ( CAMA)

• NGOs• Malaria No More (inc. Grassroots)• Country Advocacy Coalitions • Friends of the Fund Africa• Community networks of PLWHA

• Inter-parliamentary groups • New Donors

• 18 African countries joined OECD + middle income countries in UNITAID

• Foundations• Clinton Foundation

Partnership focused on country level results

• Strong Partner commitment through Harmonization Working Group – high level of engagement in country support for successful

GFATM Round 7 – validation of SUFI plans in progress

• Africa Malaria Day - intensified advocacy and unified themes; Leadership & Partnership for Results

Continued progress for Scale-Up

• Increased procurement of LLINS – from 73.4 million to 100.3 million over 1st quarter 2007 ( ACT figures not yet available)

• Increased coverage through widespread LLIN + immunisation campaigns; all under fives in Rwanda; over 40 % in Ethiopia ; IRS adopted in more countries

• ACT home based initiatives launched ( Rwanda ) • Increased impact - more countries documenting decrease in

morbidity and mortality i.e. decline in under five mortality of up to 50% in pilot districts of Tanzania with ITN and ACT roll out

Continued progress for Scale-Up

New Products + Promising PPP Initiatives • Bayer: KO-Tab 1,2,3, DNDi & Sanofi: ASAQ; BASF:

Interceptor • ACT fixed dose combination, MMV- 4 products in

pipeline;• Innovative Vector Control Consortium

Translating 11th Board Decisions into Action

1. Secretariat Work Plan and Budget

2. Partner Facilitation

3. Procurement and Supply management

4. Advocacy

5. Governance

6. Hosting

Secretariat Work Plan and Budget

• Secretariat developed prioritized work plan based on committed funding at end of November 2006– From approved US$9.5 million to prioritised US$

8.3 million – 61% of prioritized budget available for use – 39%

still to come.

Secretariat Work Plan and Budget

Netherlands - Firm Pledge

7%

Netherlands7%

UK - DFID18%

USA - USAID7%

Gates Foundation

24%

WHO3%

Carry Over from 200610%

Gates Foundation (SARN)

14%

World Bank10%

Secretariat Functions

Executive Director7%

Programme Support Cost (WHO)

13%

Partnership Facilitation38%

Communication and Advocacy

18%

Commodity Services9%

Partnership Development

15%

Secretariat Staffing

• Delayed implementation of Board Decision to make all posts Fixed Term.

• Secretariat has continued to operated under pressure and overload since last Board . This is not sustainable.

• Fixed Term post descriptions + classification finally approved – advertising of posts will commence for 1 month from today.

Partner Facilitation

• Harmonization WG: Up and running (meetings, telecons, leverage finance)

– Providing support to 20 CCMs for GF Round 7 proposal development

– Validation of Zambia and Mozambique SUFI plans have been initiated

– Working with SRNs and endemic country constituency Reps to harmonize implementation support for SUFI (1st meeting held 9 May 2007)

• Tools & methodologies for gap analysis, costing, validation, and M&E have been developed and field tested and used to improve GF tools.

• Sub-Regional Networks: all 4 up and running; first quarter meetings held, telecons, leverage finance secured etc.

– Each SRN has a joint workplan for 2007 to coordinate technical support

Procurement & SupplyManagement

• Secretariat facilitated convening of PSM Task Force – Terms of Reference for PSAM WG approved by EC – Task force is finalizing Functions, and Roles and

Responsibilities of Partners , PSMWG and role of Secretariat

• Secretariat continues to build database of commodities with inputs from partners

• High expectation from 11th Board that PSM functions will be resolved – this demands that we move faster.

Advocacy

• MAWG – first meeting convened Jan 2007; completed TORs, Work-plan, selection of Co-Chairs.

• Two of three Board endorsed Goodwill Ambassadors have accepted nomination; one is formally engaged

• Global Advocacy Strategic Framework e–published in French and English

• Agreements with RBM Partners on deployment of RBM Goodwill Ambassadors under discussion.

Governance

• Executive Committee formed, membership confirmed, communication mechanisms established

• Constituency Representation – Election of new Board members organized i.e NGOs, Research

and academia, malaria endemic countries (elected through sub-regional entities ) – will facilitate election of Board Chair and Vice Chair

• Working Groups: – Initiated the work-planning process in line with November

recommendations . – Consultations held with WHO/ GMP clarifying roles and

responsibilities of RBM WGs and Technical Expert Groups

Hosting

• Memorandum of Understanding signed by RBM Board Chair and Acting Director General WHO on December 14, 2006. Evaluation planned after one year.

• Assessment of current and future hosting options will be presented.

Follow-Up to Dakar Appeal (1)

• Closing the Gaps – Harmonization Working Group successfully intervened to mobilise resources for ACTs ie Burundi and Liberia. PMI, WB Booster, UNITAID and GF in process of harmonizing inputs.

• Political Will – the need to achieve 15% country

level health expenditure targets highlighted in recent African Union Communication Strategy for Malaria; country commitment to reduce or eliminate taxes and tariffs on ITNs needs more attention

Follow-Up to Dakar Appeal (2)

• Mutual Accountability for Results – tracking tools developed by consensus ( MERG) ; widespread deployment now required

• Moving Commodities Faster – PSM WG functions will address country level procurement bottlenecks; pooled procurement has been proposed by GFATM; WHO pre-qualification - efforts are being made to speed up process

Follow-Up to Dakar Appeal (3)

• ACT Roll Out - advocacy for ACTs to be recognised as "life saving" ongoing; Global Subsidy discussions ongoing; strategies being developed for countries facing treatment shortages; early warning systems; donors ready to support countries ( i.e. UNITAID)

• M + E Capacity Building and Joint Reporting –

tools and indicators agreed (MERG) ; strategy to ensure adequate M+E capacity being developed ( MACEPA)

Challenges

• Mobilize new resources and secure existing available funds: successful GF Round 7; advocacy to secure WB, PMI, UNITAID and GF resources & new funding

• Make the money work: improve performance at

country level; working groups fully supported to be able to assist countries overcome bottlenecks

Challenges

• Monitoring & Evaluation: tracking tools deployed, e.g. roll out of Malaria Indicator Survey

• Accountability; deploy tools to measure partner & Secretariat performance

• Secretariat Work-plan fully funded: approx US$1million still needs to be found; Secretariat in Geneva and sub region fully staffed