Title: Thailand experience: process to develop Global Fund TB proposal
1Thailand experienceprocess to develop Global
Fund TB proposal
- Sirinapha Jittimanee, PhD
- Public Health Officer
- Tuberculosis BureauDepartment of Disease
ControlMinistry of Health
2Country information
- Population with 63.4 millions
- One of 22 high TB burden countries.
- An estimated 90,000 all TB patients
- 100 DOTS coverage in MOPH hospitals
- 1.6 MDR-TB in new TB patients
- 0.9 of HIV infection
- in pregnant women and
- 18 HIV infection in TB pts.
- An estimated 556,848 PHA in 2009
- ART is available at community level
3Global Fund grants
- Round 1 HIV grant, 109 million USD
(2003-2008) - Round 1 RCC HIV grant, 98 million USD (2008-2013)
- Round 1 TB grant, 11 million USD
(2004-2009) - Round 2 Malaria grant, 6 million USD
(2005-2010) - Round 2 HIV grant, 15 million USD
(2004-2019) - Round 2 HIV grant (non CCM proposal), 15 million
USD (2004-2007) - Round 3 HIV grant, 6 million USD
(2005-2010) - Round 6 TB grant, 19 million USD
(2006-2011) - Round 7 Malaria grant, 32 million USD
(2008-2014) - Round 8 HIV grant, 106 million USD
(2009-2015) - Round 8 TB grant, 32 million USD
(2009-2015)
4Country process to prepare Global Fund proposal
- Programme Review
- National TB Strategy
- Programmatic and financial gap analysis
- Technical areas to be included in proposal
- Decision to apply for Global Fund grant by CCM
- Call for contributions to proposal / potential
PRs, SRs - Writing team
- Capacity building
- Technical assistance
- Timeline
- Planning activities
- Budget
- Guiding principles for implementation
5Programme Review and National TB Strategy
- National TB strategy 2006-2010
- Broad direction
- All programme activities in line with strategy
- Multi-stakeholder external review of all TB
programme activities - Essential to justify programmatic needs based on
sound recommendations - Review report provides concrete direction
- Used as annex to proposal
6Technical areas to be included in proposal
- Based on programmatic gaps identified in
Programme Review and national TB plan - Activities that are not covered by other
financial resources - Government budget
- Other Global Fund grants
- Other bilateral donors
7CCM structure
TB technical advisory group
HIV technical advisory group
Malaria technical advisory group
8Decision to apply to Global Fund
- National TB Programme is the lead
- NTP proposes technical areas to TB technical
advisory group of the CCM - TB technical advisory group presents to CCM
- CCM approves
- CCM calls for partners (potential Principal
Recipients/Sub-Recipients) in public media
9Capacity building of writing team
- Participation in proposal preparation workshops
- Mentors
- Technical assistance
- Mock review by external experts
10Writing Team
- PR and SRs represented on writing team
- Lead/dedicated person
- Establish timeline
- Deadlines
- Clear roles and responsibilities
- Technical Assistance
- Useful to dedicate time as huge work
- External view helps flag issues that internally
we don't see
11Stakeholders
- All stakeholders (NTP, civil society, private
sector, donors, international NGOs) that
implement TB control activities should be
systematically involved in planning and ensuring
sufficient funding (through Global Fund or other
sources) for all implementing bodies. - TB proposals could consider including capacity
building activities for civil society
organizations (NGO, CBOs, FBOs, etc.) who are
involved in health-related activities at
community level.
12Financial Gap Analysis
13Planning Activities
14 Checklist of activities that are needed to
implement components of the Stop TB Strategy ?
Decision on activities based on country
experience, context and feasibility (e.g. scale
up of pilot projects, regional differences)
A matrix tool
15Budget preparation (1)Global Fund template or
modified
16Budget Preparation (2)
- Standard unit cost (training, meetings, printing,
incentives, computers, etc.) across SRs and
grants. - Supporting document for standard price
(specification, source of information-receipts
from previous experience) - Check list for standard budget items Procurement
fee for 3 of first line drugs and 7 for second
line drugs Annual GLC fee for 50,000 USD,
biological follow-up for MDR patients, etc.
17Procurement Preparation
- Country regulations and policies
- Process that PR checks that SRs do all
procurement according to the rules - Standard of Procedure drug distribution, drug
storage, drugs that are expired, etc. - Specification of heath equipment (digital x-ray
computers, microscopes, etc.) and reference of
price from 3-4 companies.
18Performance framework (PF)
- ME tool kit of GFATM
- Matrix tool
- 10-15 indicators
19Technical assistance
- Thailand MOPH-US. CDC Collaboration for
implementing pilot projects, helping with policy
development, developing training materials,
conducting training, developing GF proposal, and
documenting achievements - World Health Organization
for helping with proposal development,
reviewing country program performance, providing
capacity building for proposal writing and
implementing.
20Good Luck!