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The RBM Partnership Global Framework for Coordinated Action against Malaria

The RBM Partnership Global Framework for Coordinated Action against Malaria. Briefing to the London School of Economics and Political Science Geneva, 22 February 2010. The RBM Partnership. Contents Roadmap Mechanisms Counting out till 2010 . Introduction.

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The RBM Partnership Global Framework for Coordinated Action against Malaria

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  1. The RBM PartnershipGlobal Framework for Coordinated Action against Malaria Briefing to the London School of Economics and Political Science Geneva, 22 February 2010

  2. The RBM Partnership Contents • Roadmap • Mechanisms • Counting out till 2010 Introduction

  3. About Roll Back Malaria Partnership History, Mandate & Vision • Launched in 1998 by WHO, UNICEF, UNDP and the World Bank, in an effort to provide a coordinated global response to the disease; • The RBM Partnership is the global framework to implement coordinated action against malaria. It mobilizes for action and resources and forges consensus among partners. • Its strength lies in its ability to form effective partnerships both globally and nationally. • Its overall strategy aims to reduce malaria morbidity and mortality by reaching universal coverage and strengthening health systems. • Led by the Executive Director, who actsas global spokesperson for RBM and the malaria community. • Served by a Secretariatthat is hosted by the World Health Organization in Geneva, Switzerland.

  4. Key Functions • Convene Partners in a neutral environment • → Identify and disseminate best practices • Provide a coordination mechanism to allow Partners to focus on what they do best • → Align Partners with country requests based on Partners’ comparative advantage, through Sub-Regional Network workplans • Facilitate Partner interaction to reduce duplication and barriers; increase speed • → Encourage and coordinate joint Partner missions and hand-offs • → Mobilize Partners to support countries’ response to funding opportunities and/or programs at risk • Support Partner activities by providing consolidated sources of information • → Serve as repository of information on country-level gaps and bottlenecks, resources deployed, and progress against goals • 5. Advocate on behalf of collective to increase resource availability • → Use aggregated M&E and gap data to champion for more financial support from donors • → Work with endemic country governments to ensure national and health sector budgets provide sufficient support for malaria control

  5. RBM brings together all partners to fight malariaIncreased awareness: more and more organizations commit to fighting malaria Multilaterals Donor Countries NGOs Malaria Endemic Countries Research & Academia Private Sector Ex officio members Foundations UN Special Envoy for Malaria Clinton Global Initiative

  6. Roll Back Malaria celebrity champions Yvonne Chaka Chaka Youssou N'Dour Her Royal Highness Princess Astrid of Belgium

  7. The RBM Partnership Contents • Introduction • Roadmap • Mechanisms • Counting out till 2010

  8. Supporting progress towards universal coverage • Many countries are facing various problems and therefore have difficulties to implement countries workplans and to deliver good results • In September 2008, the UN Secretary General reiterated his call for Universal Coverage of malaria prevention and control by the end of 2010. • Each country and subregion will have to report nationally and to world leaders with an unified voice on progress made with regard to 2010 Universal Coverage Targets. • The RBM Partnership has the mandate to assist countries to achieve those targets and to report on them. • By implementing the Global Malaria Action Plan (GMAP), these targets could be achieved

  9. What is the Global Malaria Action Plan (GMAP)? • The GMAPG is a global framework for action around which those working against malaria can coordinate their efforts • The GMAP expands the focus of our activities to • Medium and long-term activities as well as the near-term activities • All 109 malarious countries around the world • All human types of Malaria (P. falciparum, P. vivax, P. malariae and P. ovale) • This plan has been developed consensually over the past year by more than • 30 endemic countries and regions around the world • 65 international institutions • 250 experts in fields as diverse as economics, public health and epidemiology - Ultimately, the GMAP will help achieve a world free of malaria

  10. The targets of the Global Malaria Action Plan are ambitious • The GMAP targets are to: • Achieve universal coverage by 2010 and sustain universal coverage indefinitely; • Reduce global malaria cases from 2000 levels by 50% in 2010 & by 75% in 2015; • Reduce global malaria deaths from 2000 levels by 50% in 2010 & to near zero in 2015; • Eliminate malaria in 8-10 countries by 2015 and afterwards in all countries in the pre-elimination stage today; and • In the long term, eradicate malaria world-wide through progressive elimination in countries By meeting these targets, the malaria MDG will be achieved and there will be progress towards the other MDGs

  11. Scale-up for impact (SUFI) CONTROL Sustained Control ELIMINATION 1 2 RESEARCH 3 GMAP proposes 3-part global strategy to achieve targets

  12. The RBM Partnership Contents • Introduction • Roadmap • Mechanisms • Counting out till 2010

  13. Working Groups Sub-regional Networks RBM Partnership's Architecture & Structure (1) a RBM Partnership Forum b1 RBM Partnership Host (Currently WHO) b2 Administrative accountability Functional accountability Executive Commitee c RBM Partnership Secretariat d e _____ Reporting line _ _ _ _ Facilitation and communication required

  14. RBM Mechanisms – Working Groups (2) • WG are a willing assembly of RBM Partners, as such, membership is open to all interested institutional partners. • Currently, the following Working Groups operate within the Partnership: • 1. Case Management Working Group (CMWG) • 2. Harmonization Working Group (HWG) • 3. Malaria Advocacy Working Group (MAWG) • 4. Malaria In Pregnancy Working Group (MIP) • 5. Monitoring and Evaluation Reference Group (MERG) • 6. Procurement and Supply Chain Management (PSM) Working Group • 7. Resources Working Group (RWG) • 8. Scalable Vector Control (WIN) Working Group

  15. WHO Expert Committees and RBM Partnership Working Groups have complementary purposes RBM Partnership Working Groups WHO Expert Committees Definition • Convention of experts convened by the WHO Director-General • Reach consensus on norms • & standards • Group of stakeholders convened by the RBM Partnership • Generate alignment among Partners on key issues in operations and scale-up Purpose

  16. RBM SRNs deployment • At present, there are 4 SRNs to coordinate partner support on technical and operational issues for going to scale with effective malaria control interventions to countries : • The West Africa Roll Back Malaria Network (WARN) coordinates 16 West African countries • The Central Africa Roll Back Malaria Network (CARN) coordinates 8 Central African countries. • The East Africa Roll Back Malaria Network (EARN) coordinates 11 East African countries. • The Southern Africa Roll Back Malaria Network (SARN) coordinates 11 Southern African countries. • Members of the SRN are primarily regional and in-country Partners • Each network is facilitated by an RBM focal point funded by the RBM Partnership and hosted by a Partner in the subregion

  17. RBM Partnership Secretariat's functions • The Secretariat is supporting and representing the Partnership, not as the Partnership nor as a Partner; • Secretariat is a service provider to the Partners and a broker for the Partnership • Secretariat performs on behalf of the Partnership and helps coordinate across individual Partners also performing on their own behalf • Secretariat answers to host administratively but to Board strategically and operationally • Facilitation to identify problems and bottlenecks and to facilitate the response • Interfacing to ensure that the Partnership and its mechanisms work effectively together • Management support to convene mechanism meetings, including working groups and the Board, as well as to prepare agendas, work plans, budgets and reports • Expert advice to the Partnership and its mechanisms, including on implementation support, consensus building or global governance • Progress tracking of the activities of Partnership mechanisms against Board approved work plans • Advocacy to ensure malaria remains high on the development agenda and additional resources are accessed • Secretariat functions evolve over time with the needs of the malaria community

  18. RBM Partnership Secretariat's Units • The Secretariat has 6 units: • 2 managerial units • The Executive Director's Office • The Secretariat Administration and Management • 4 technical units • The Partnership Facilitation Unit • The Communication and Advocacy Unit • The Commodities Services • The Partnership Development Unit • Each unit has its specific roles and responsibilities

  19. The RBM Partnership Contents • Introduction • Roadmap • Mechanisms • Counting out till 2010

  20. Challenges to achieving the 2010 targets • Main challenges coalesce around three main areas: • Filling current financial gaps • ► Funding needed for malaria control: achieving the goal of near-zero death by 2015 requires an investment of USD 6 billion per year • Capacity building in endemic countries • ►Commodity access; Commodity use;Systems strengthening • Addressing the issue of resistance • ►Case management, AMFM roll-out, Surveillance systems, Research for new drugs, Operational research

  21. Recent RBM Partnership products: • Mobilizing additional resources e.g. Supported countries to mobilize over 1.6 bn dollar additional financing for SUFI in Round 7-8-9 • Making the money work e.g. SRN, OGAC resolve implementation bottlenecks to ensure performance is "A" score and phase II renewal is on time without conditions • Tracking progress e.g. supporting MIS role out and updating implementation scores • Global coordination e.g. innovative solutions to procurement problems (AMFm, NetGuarantee) and supporting country harmonization (the 3-1) use of Consensus Toolkits (from WGs) for mobilizing money and reporting and GMAP to agree on 1 global plan helps countries focus on implementing under common goals; if there are many plans (i.e. each country and donor different), then there is fragmentation and no impact!

  22. Access to ACT's is improved by a price reduction paid by public and private purchasers, as well as by NGO's to producers Organization Many ACT producers Subsidy Invoice Drugs Public Buyer Private Buyer NGO buyer Funds Small payment Information Big payment Delivery Access to ACT's for patients within the first hours of symptoms

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