TB CARE I Program Overview

1. TB CARE I Program Overview Sara Massaut Country Director TB CARE I Kenya AFRO National Strategic Planning Workshop Nairobi, Kenya 15 October, 2012

2. GHI TB Policy Framework and Targets Impact – MDGs by 2015 • 50% reduction in TB deaths vs. 1990 • 50% reduction in TB disease burden vs 1990. Outcome • Detect at least 70% of all cases (all forms) • Successfully treat 85% of all TB cases • Output – based on ~$2.2B over 6 years • Successfully treat at least 2.6 million new TB cases • Diagnose and initiate treatment for at least 57,200 MDR TB cases

3. USAID TB Funding Trends 1998–2012 Funding Level (Millions US $) * USAID GHP Account

4. What is TB CARE • The main USAID mechanisms to support USAID’’s strategy, goal and targets in Global TB Control. • Follow-on mechanism of TBCTA 2000-2005 and TB CAP (2005-2010) • $225M x 2 projects; TB CARE I and TB CARE II • TB CARE I : implemented by TBCTA and led by KNCV Tuberculosis Foundation. • TB CARE II : by a coalition led by URC. • Core partners are Project HOPE, Partners in Health, JHPIEGO, Canadian LungAssociation.

5. Tuberculosis Coalition for Technical Assistance

6. TB CARE Technical Areas Universal Access Laboratories PMDT Infection Control Sustain or exceed 84% case detection rate and 87% treatment success rate Treat successfully 2.6 million new sputum-positive TB cases Diagnose and treat 57,200 new cases of MDR- TB Health Systems Strengthening TB/HIV M&E, Surveillance and OR Drugs Supply and Management

7. Key Performance Indicators Numberof cases notified (all forms and new confirmed TB cases) Case detection rate (all forms) Number (and percent) of confirmed TB cases among HCWs Treatment Success Rate Number of MDR cases diagnosed and put on treatment

8. From USAID country missions: ‘Mission funding’ 90% of all funding From regional USAID bureaus: ‘Regional funding’ forregionalpolicydevelopment and service strengthening Direct from USAID Washington: ‘Core funding’ for global policy development (tools and guidelines) Main funding sources

9. TB CARE’s Worldwide Coverage 20 Countries & 2 Regional offices

10. Strategic approach for different groups of countries/regions/districts

11. Overarching Elements Collaboration and Coordination Access to TB Services for All People Responsible and Responsive Management Practices Evidence-Based Project M&E

12. Prime contractor with USAID Hosts Program Management Unit (PMU) Has sub-agreements with other partners KNCV/PMU management USAID KNCV PMU WHO FHI KNCV JATA ATS MSH The Union Core Projects Projects Projects Projects Country Projects RegionalProjects

13. PMU Organogram SMB AOTR • Ann Mbuqua • Finance Officer • Tristan Bayly • Knowledge Exchange Officer • Tico Boekhoudt • Finance Officer • Marja de Zwaan • Support • Jeroen van Gorkom • Deputy Director • Technical Services • Ersin Topcuoglu • Deputy Director • Operations/M&E • Rosanne van Halm • Team Leader • Finance • Maarten van Cleeff • Program Director • Andrée Willemse • Project Officer • Country Support • Claire Moodie • M&E Officer • Gunta Dravniece • Technical Officer PMDT • Mischa Heeger • Project Officer • Core/Country Support • Klaas Jaap Breetvelt • Project Officer • Country/Regional Support • Max Meis • Technical Officer • IC • Manuela Rehr • Technical Officer • Laboratories • Sanne van Kampen • Technical Officer • Laboratories

14. Review and approve all the work plans and budgets before they are submitted to the USAID Missions and AOTR Organize visits to country projects where there is a need Facilitate the selection of the lead and collaborating partners Regularlycollect data and manage reporting at all levels Role of PMUMonitoring and controlling body

15. Role of PMU Technical Staff • Support and facilitate interventions to achieve the expected deliverables and outputs in their respective areas • Give overall strategic direction and help translate TB CARE strategy into country projects • Involve in the development of country work plans • Oversee development and implementation of core, regional and country projects

16. Country level organization

17. Country Level Organization PMU Lead Partner HQ USAID Mission • Collaborating Partner • Collaborating Partner • Country Director Financial Reporting Financial Reporting Overall ProjectOversight & • Technical Reporting Administrative Link & Financial Reporting HQ HQ

18. NTP USAID missions Global Fund (Inter)national NGOs Patients Stop TB partnership Work at Country Level Guiding principles • One partner as the lead partner • Collaborating partners selected based on comparative advantage • Local partners subcontracted • Empowered country management (decentralization) • Reporting from country offices to missions • Reduced role and LoE of HQ • Partnership with NTP • Support National TB Strategy • Build on existing initiatives • Strengthen local capacity • Consolidate innovations in priority areas • Facilitate scale up and sustainability

19. Keeping the balance

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25. Establishonecoalition voice to USAID and NTP, dialogamong all stakeholders (GF, TBTEAM, etc.) Officially liaise with USAID mission and NTP Lead workplan development Define and agree the roles and level of involvement of Collaborating Partners Facilitates approval process at all levels (HQ, NTP, USAID mission and PMU) Final approval of USAID Washington through PMU Ensures timely implementation of all activities Ensures timely reporting for all partners Responsibilities of the lead partner

26. Bridging the gapWhich one is our bridge?

27. Do the right thing!A road map Interventions that work Appropriate interventions Appropriate implementation Models of Care that can be scaled up

28. Thankyou www.tbcare1.org