Country Level

1

• Country Level
• Needs assessments
• Business Plans

2
The Harmonization Working GroupBoard Endorsed
TORs
3
Assist countries to identify SUFI support needs
through comprehensive needs assessments
2

• Support 45 national programs to develop malaria
  needs assessments and business plans over the
  next 12 months that will result in achievement of
  2010 RBM Goals (gt80 coverage)
• Plans will result in an improved understanding of
  country support needs (financial and
  technical/implementation support) and the
  resources and strategies required to fill them.
• All outputs will feed into development of GF
  applications, WB Booster 2 design, and annual PMI
  malaria operational plans, as well as other
  donors
• Updated annually through routine programme reviews

4
Needs assessments Process (February 2008-April
2008)
2

• Template developed and initial group of
  consultants trained
• Countries lead needs assessment and business plan
  development
• Each country is paired with a focal partner and
  additional supporting partners (additional
  information next slide)
• Each country has a trained consultant to support
  writing /documentation of assessment and plan
• Each country is provided with operational costs
  to support in-country process
• By April preliminary needs assessments including
  timelines, milestones preliminary budgets for
  15 countries

5
Proposed Coordinating Agencies dependent on
in-country consultation (for those countries
that represent 80 of SSA malaria burden)
2a

• UNICEF
• Chad, Liberia, Malawi, Sudan (NS), Somalia,
  Zimbabwe

• WHO
• Burkina Faso, Burundi, Cameroon, CAR, DRC,
  Equatorial Guinea, Gabon, Ghana, Kenya, Rwanda,
  Senegal, Tanzania, Uganda, Zambia

JOINT Responsibility (WHO UNICEF) Angola,
Congo, Comoros (Clinton Foundation), DRC
(WHO/WB), Ethiopia, Nigeria (WHO/WB), Madagascar,
Mozambique, Sierra Leone
6
Needs Assessment Scope of Work
2a

• The consultant will work closely with the
  National Malaria Control Programme staff and key
  national partners to develop a comprehensive
  needs assessment.
• A template will be provided for the exercise.
  Specifically the consultant/consulting firm will
• review the organization and functions of the
  National Malaria Control Program and the
  political, strategic, and technical support it
  provides to decentralized levels of the country
• review service delivery arrangements at the
  provincial and district level, including
  communitybased, outreach, and facility-based
  services
• analyze bottlenecks in service delivery including
  human resources, technical support, drugs,
  equipment, and other inputs
• review financing available currently or planned
  for malaria control from the government and
  donors
• A report presenting findings on the above as well
  as documents gathered (in electronic form when
  possible) will be presented within 3 weeks of the
  country mission.

7
Analyse des carences
Annexe B
Tableau 4.4.1
Stratégies pour atteindre les objectifs DPS par
DPS
Produits nécessaires pour atteindre les
objectifs DPS par DPS
Analyse des carences DPS1 MI DPS2 IRS DPS3
Traitement DPS4 Prév pendant la grosesse
Evaluer les carences DPS par DPS
Systèmes de distribution pour atteindre les
objectifs DPS par DPs
Utilisation CCC DPS par DPS
SE pour mesurer les objectifs DPS par DPS
Annexe A
8
Coordinate a process to support the development
of and adherence to the 3-ones concept at
country level
3

• Business Plans to which countries and partners
  must adhere
• Template developed by MACEPA Malaria
  Consortium, building out from Needs Assessment
• Business Plans (the who does what) cannot be
  externally driven, but result from iterative
  discussions within country partnerships.
• Process for country level development to be
  coordinated by SRNs, and supported by RBM
  Partners with in-country presence, including WHO,
  UNICEF, MACEPA, US PMI, and the World Bank
• Country-based business plans to be consolidated
  into one overall scale-up business plan for the
  RBM partnership in Africa

9
Outlines Business Plan
3

• A plan for the full scale-up (90-100) of malaria
  control services including
• costing
• plan of action (coverage of provinces/regions and
  districts over time)
• implementation arrangements (role of national,
  provincial, and district levels and partners - UN
  agencies, NGOs, etc.)
• monitoring and evaluation
• taking into consideration the absorption capacity
  of the country.

10
Outcomes Needs Assessment Business Planning
Process
1-4

• Five outputs proposed in the process
• Up to 45 Needs assessments for comprehensive
  scale-up by Dec 2008 (21 completed by June 2008)
• Up to 45 Country-determined business plans by Dec
  08 (21 completed by September 2008)
• Additional financial and technical support from
  donors/partners (including new donors/partners)
  to ensure scale-up needs are met with resources