TBTEAM Trends The global picture and SEARO details

1. TBTEAM TrendsThe global picture and SEARO details Dr Malgorzata Grzemska Stop TB Department, WHO, Geneva Regional Workshop on TB Control Planning, Implementation and Monitoring Jakarta, Indonesia, 29-31 May 2012

2. TBTEAM (TB TEchnical Assistance Mechanism) • History: • Concept presented at Coordinating Board in 2005 to address the perceived need at country, regional and global level for more efficient and effective coordination of TB technical assistance • Launched in 2007 • Structure: • A Stop TB Partnership Initiative (under the umbrella of the DOTS Expansion Working Group) • TB Technical Assistance providers (33 partners) • Secretariat hosted at WHO in WHO Stop TB Department • Regional TB TEAM focal points • National NTP TA Coordinators

3. Functions • TBTEAM is a mechanism for: • Building capacity of country TA planning, coordination and monitoring, • Supplying, coordinating and monitoring global and regional TA, • Feedback from Clients and Consumers on TA Quality, and • Resource Mobilization • Country Level • Building capacity of country TA planning, coordination and monitoring • Short and long-term in-country TA • Global Fund proposal preparation • Global Fund grant negotiation • Global Fund grant bottleneck removal and other implementation requests • Global Fund Phase II renewal preparation • Development of NTP TA plans • Monitoring of TA planning and coordination

4. Functions • Regional Level • Regional TA coordination and responses • Support to countries in TA plan development • Coordination of regional TA meetings for country stakeholders. • Global Level • On-line coordination platform • Transmits country requests for TA missions and technical experts • Supplying and Monitoring TA • Managing the feedback mechanism on quality of TA • Planning tool and marketplace • Sharing of information • Managing the roster of technical experts (239 experts online)

5. Web tool missions and events training opportunities partner profiles and mapping requests for assistance, call for expert

6. Global trends in tuberculosis missionsBy purpose by end of 2011 • 2938 completed missions • The number of events entered peaked in 2009 (at around 66 missions per month) and by 2011 this has fallen back to 50 missions per month. • For technical areas such as MDR/XDR TB and laboratory capacity strengthening, mission numbers peaked in 2010. • PaediatricTB, and operational and basic science research and infection control, show a recent continuing upward trend.

8. Global trends in tuberculosis missionsBy partners • The major contributors to the TBTEAM database have all had reductions in number of missions between 2009 and 2011 • For KNCV, this fell from 123 to 63 missions/yr • the Union from 100 to 87 • the GDF from 86 to 44 • However new partners getting active • CDC, GMS and ICN all increasing in last 2 yrs. Reasons?

10. Geographical distribution of missionsQuantity • The proportions of missions carried out in the different regions match the burden of disease except • South East Asia which appears underrepresented • Europe which is over represented. • This is likely due to India which has much internal TA not captured on the website and the additional focus on laboratory and MDR missions in Europe.

12. Many missions are Global Fund related

13. Who is funding the missions: • USG/TBTEAM was the largest funding source of missions recorded on the TBTEAM website, supporting 25 (25%) of the 101 missions in the last quarter of 2011 • In up to 30% of mission reports we do not get the funding source recorded.

15. Mission reports to help inform future missions • TBTEAM offers an opportunity of ensuring storage and controlled but ready access to previous mission reports by experts/agencies who need them. • Only 11% of missions resulted in a mission report in 2011. (either confidential or public) • This is slightly better than in previous years, but nowhere near to what we need to make the TBTEAM website • There is great variation in partners putting up reports with Project Hope leading with 79% of all their reports on the website. • Overall only 39 % of USAID/TBTEAM funded missions were uploaded by partners in 2011.

16. Data for 2011 uploaded reports by completed mission by Funding source Data for 2011 uploaded reports by completed mission by Partner

17. Next steps • TBTEAM will provide regular quarterly feedback to partners and donors on TB TA. • TBTEAM will submit annual data to Global TB report to provide a measure of reported TB-TA • TBTEAM will be more proactive with partners to follow up on Technical assistance data entry. (Ideas of improving data on database?)

18. SEARO Picture

19. SEARO mission trends by organiser • The total number of completed missions are slightly down year on year. • This is reflected in missions by most organizers e.g. WHO/SEARO GDF KNCV., GLC • The Union is bucking the trend. • Many more TBTEAM partners are recording missions in 2011 than ever before • WHO SEARO & CO & HQ organized around half ( 52%) of all missions recorded.

20. Completed missions by country

21. Type of mission in SEARO

22. One of the functions of the TBTEAM website is to be a source of reports • Mission report uploading in SEARO • The database could serve each country as the depository of its technical reports. • All reports can be uploaded confidentially so that NTP can control and manage access through their country TBTEAM focal point.

23. In summary • The TBTEAM website is monitoring TB TA provision and trends. • Countries and partners are making use of this to a varying degree • Much more needs to be done to encourage all "mission information" to be shared and especially all mission reports to be uploaded. • Please share your ideas with us.