Partnering initiatives at country level

1. Partnering initiatives at country level Proposed partnering process to build a national stop tuberculosis (TB) partnership April_2010

2. Outline • Background • What is a national stop TB partnership? • Why to establish a partnership? • What are the benefits of establishing a partnership? • Who could lead the process to establish a partnership? • How does the partnering process work? • What should be considered when costing the partnering process? April_2010

3. Background • Fifth component - Stop TB Strategy: empowering people with TB, and communities through partnership. • Partnership is an innovative way to engage in TB control, by taking into account the competencies and comparative advantagesof actors that come from different sectors of society and play a role at the level where they can perform better and more effectively. April_2010

4. Background • Nature of these partnerships is voluntary and necessarily 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, PPM group)and initiate a national stop tuberculosis (TB) partnership. April_2010

5. What is a national stop TB partnership? • a voluntary alliance between organizations drawn from different sectors of society (government, civil society and private/corporate sector) • who commit to work collaboratively towards TB prevention, care and control • in which all partners contribute from their core competencies • share risks and responsibilities and • benefit by achieving their own, each others and the overall partnership goal April_2010

6. What is a national stop TB partnership? It aims at: • strengthening TB prevention, care and control in a given country • towards the targets of the Global Plan to Stop TB • in close collaboration with the national TB control programme (NTP) • with the support, if needed, of the Global Stop TB Partnership Secretariat Its main focus: • Contribute to the implementation of national TB plan • Decided by the partners on a case by case basis and varies depending on the country context • From advocacy and resource mobilization to coordination of service delivery April_2010

7. Why to establish a partnership? • 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 in TB prevention, care and control. • 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"). • Engagement of civil society is essential to design, implement and evaluate people-centred health services. April_2010

8. What are the benefits of establishing a partnership? • Coordination based on a common strategy and plan • Multi-sectoral participation: public, private, civil society (health sector and beyond) • Increased access to resources (local/global): financial, technical, human, knowledge, physical and network resources • Pro-active leadership • Social capitalavailable for other endeavors April_2010

9. Who could lead the process to establish a partnership? • Institutions: • NTP • WHO (including Stop TB Partnership secretariat) • Other actors involved/interested in the fight against TB : • nongovernmental organizations • private/corporate sector • community based organizations • faith based organizations • Act as broker/facilitator of the partnering process or hire an external broker/facilitator for this task This is the CORE GROUP OF INTERESTED PARTIES April_2010

10. How does the partnering process work? PREREQUISITES PARTNERSHIP EXPLORATION PARTNERSHIP BUILDING PARTNERSHIP MAINTENANCE April_2010

11. Prerequisites • Initial partners are committed to work in close coordination with the national TB programme and the national TB programme is willing to be involved in a partnering process. • The objectives of the national TB plan provide the basis to establish collaboration with various partners. • Pre-existing forms of collaboration/coordination are identified, and if existing, contacted and involved (Interagency Coordination Committee - ICC, Country Coordinating Mechanism - CCM, National TBTEAM, PPM group). April_2010

12. Partnership exploration $ = cost centres, see last slide EXPLORATORY WORKSHOP ($) April_2010

13. Building a common vision • The initial partners: • identify the needs, challenges, resources and opportunities • discuss whether a national partnership could address these issues PARTNERSHIP HAS A CLEAR VISION AND ADDED VALUE April_2010

14. Identification of relevant partners • The initial partners: • identify and assess relevant partners • promote a dialogue about the vision, goal and planned objectives as well as their motivation and commitment • explore complementarities and synergies CORE GROUP OF INTERESTED PARTNERS April_2010

15. Mapping resources • The core group of interested partners: • collects information on services already provided by prospective partners (activities, competences, resources) • summarizes all collected information in a summary sheet that matches the information on prospective partners against the national TB plan (services/tasks) and different geographic areas RESOURCE MAP April_2010

16. Partnership building $ C O R E G R O U P $ $ FORMAL LAUNCH $ April_2010

17. Operational plan • The core group of interested partners drafts a proposal of an operational plan including: • major products and activities that the partnership could carry out with indicators/milestones • role and responsibilities of each partner • planned costs, available resources and gaps which can be addressed either by one of the partners or by mobilizing resources domestically or by applying to an international funding mechanism OPERATIONAL PLAN circulated for comments to all partners April_2010

18. Operational plan • The Core Group should develop the operational plan considering: • National TB policy, strategy and plan • Proposals for funding to the Global Fund • The operational plan identifies strategic relevant areas of the national TB plan towards which partners can contribute to NB: a Global Fund proposal is often formulated to fund gaps of the national TB plan April_2010

19. Partnering agreement • The core group of interested partners drafts a proposal of a partnering agreement (terms of reference) including: • the core principles, goals and objectives • role and responsibilities of each partner • governance structure • operational plan as an annex PARTNERING AGREEMENT circulated for comments to all partners April_2010

20. Governance structure • The core group of interested partners drafts a proposal of governance structure functional to: • Goal and objectives of the partnership • Role and responsibilities of partners • Necessary to ensure that decision-making, management and development arrangements are appropriate and operate effectively GOVERNANCE STRUCTURE circulated for comments to all partners SECRETARIAT in PLACE April_2010

21. Partnership maintenance $ $ $ $ April_2010

22. Partnership maintenance • The partners deal with: • implementing the agreed activities in the areas of advocacy and service delivery. • monitoring and evaluation of the activities for effectiveness and impact (outputs and outcomes) through the indicators outlined in the operational plan. • reviewing the outputs and outcomes of the partnering processes periodically and take any necessary corrective action. • institutionalizing the partnership, if the review is positive. If negative, the partnership should go through the exit-strategy or a transition strategy. April_2010

23. How does the partnering process work? C O R E G R O U P EXPLORATORY WORKSHOP FORMAL LAUNCH April_2010

24. Costing the partnering process - cost centers? • Partnership exploration: • the exploratory workshop/s on common vision, identify relevant partners and map resources • Partnership building: • basic documents • establishment of a secretariat • formal launch April_2010

25. Costing the partnering process - cost centers? • Partnership maintenance: • meetings of the governing bodies; • implementation of the activities agreed in the operational plan; • monitoring and evaluation of the activities; • institutionalization of the National Stop TB Partnership. April_2010

26. Costing the partnering process - cost centers? • Costs may be covered through the following mechanisms: • in-kind or cash contributions from the partners; • resource mobilization strategy at country level (e.g. targeting corporate/business sector or network of supporters); • inclusion of partnering process and partnership operation in proposals submitted to Global Health Initiatives. April_2010