GFATM TB Grants in Romania Romanian Angel Appeal Foundation.

GFATM TB Grants in Romania

Romanian Angel Appeal Foundation

IMPLEMENTATION PERIOD: 01.10.2007 – 31.03. 2015GEOGRAPHIC COVERAGE: NATIONAL

Grant:ROM-607-G04T_TFM_NCE

Goal and objectives• Goal: To reduce the burden of TB in Romania

• Objectives:– Provide high-quality TB diagnosis and patient-centered care through

training of public and private sector provide– Protect poor and vulnerable populations from TB through targeted

education and adherence interventions– Scale up MDR-TB control by implementation of DOTS Plus– Expand capacity of the NTP to manage and coordinate national and

local TB control activities through health systems strengthening– Develop community support and political commitment for TB control

– Ensure the efficient and effective implementation of the Global Fund grant

Implementing Partners and Results• Sub-recipients

– Institutul de Pneumoftiziologie Prof. Dr. Marius Nasta – Administratia Nationala a Penitenciarelor– Centrul pentru Politici si Servicii de Sanatate– Organizatia Salvati Copiii– Scoala Nationala de Sanatate Publica si Mangement Sanitar– Centrul National de Studii pentru Medicina Familiei– Crucea Rosie Romana– Uniunea Nationala a Organizatiilor Persoanelor Afectate de HIV/SIDA

(UNOPA)

• Sub-sub recipient: – Asociatia pentru Sprijinirea Pacientilor cu Tuberculoza

Multidrog Rezistenta (ASPTMR)

Indicator SR Target committed R6+TFM+NCE

Target achived R6+TFM+NCE

%

Number of people trained to provide TB education, referral and DOTS to homeless

Save the children 262 389 148%

Number of decision makers and journalists sensitized with advocacy, communication, and social mobilization (ACSM) activities

CHPS 305 442 145%

Number of TB patients reached with nutritional support

Red Cross Romania 1700 2309 136%

Number of homeless TB suspects identified and referred to medical services

Save the children 830 1097 132%

Number of TB patients reached by DOTS supporters

UNOPA 250 321 128%

Number of TB cases detected among homeless

Save the children 240 308 128%

Number of people from vulnerable communities reached with TB health education through community based activities

CHPS and Save the Children 39202 49902 127%

Number of NTP staff trained in program management, surveillance, epidemiology and financial management

CHPS 2100 2484 118%

Number of MDR TB cases detected trough rapid diagnostic methods

Marius Nasta Institute 600 701 117%

Number of private practitioners/family doctors trained in DOTS strategy

CHPS 2500 2766 111%

Number of penitentiary staff trained in TB prevention, education, and control activities

National Administration of Penitentiaries

3917 4221 108%

Number of patients enrolled in MDR-TB treatment

Marius Nasta Institute 780 823 106%

Number of persons trained for Practical Approach to Lung Health (PAL)

CHPS 604 605 100%

Number of prisoners reached with TB health education sessions

National Administration of Penitentiaries

62520 58365 93%

Implementing Partners and Results

Source: http://portfolio.theglobalfund.org/en/Grant/Index/ROM-607-G04-T

FinancialFunds and expenditures (October 2007- March 2015)

EURO

Budget contracted with GFATM 10,510,257 Disbursment GFATM 10,509,413 VAT recovered 667,058 Interest 35,382 Expenditures 31.03.2015 11,125,678 Committed expenditures 80,720 Not committed (savings) 5,455

IMPLEMENTATION PERIOD:01.04.2015 – 31.03.2018GEOGRAPHIC COVERAGE: NATIONAL

GRANT: ROU-T-RAA

GRANT OVERVIEW

Source: http://portfolio.theglobalfund.org/en/Grant/Index/ROU-T-RAA

IMPLEMENTATION MAP

Nr.crt. IMPLEMENTATOR CONTRACTAT PROIECTFONDURI

ALOCATE DE PÂNĂ LA

1.       

Asocia iaț Română Anti-SIDA înparteneriat cu Alian aț pentru LuptaÎmpotriva Alcoolismului ișToxicomaniilor i Funda ia Paradaș ț

”Tratament pentru to i, acum!”ț 984.691 Euro

2.       Funda iaț Centrul Pentru Politici ișServicii de Sănătate

”Furnizarea de intervenţii integrate desuport comunitar în vederea depistăriiactive şi a îmbunătăţirii aderenţei latratament a cazurilor de tuberculoză (TB)”

764.867 Euro

”Diagnosticarea rapidă şi de calitate a  TB şiTB MDR/XDR prin îmbunătăţirea dotăriilaboratoarelor bk cu echipamente detestare rapidă şi dezvoltarea de ghidurimetodologice naţionale”

947.490 Euro

”Îmbunătăţirea controlului TB MDR/XDRprin asigurarea tratamentului neîntrerupt,complet şi de calitate, cu medicamente anti-tuberculoase procurate prin GLC (DOTS-Plus)”

2.275.731,96 Euro

4.        Organiza ia Salva i Copiiiț ț

”Identificarea activă a persoanelor fărăadăpost bolnave de TB iș oferirea deservicii integrate pentru cre tereașaderen ei la tratament”ț

388.663 Euro

5.       Federa iaț Uniunea Na ionalăț aOraganiza iilorț Persoanelor Afectatede HIV/SIDA

”Tratament sub directa observa ieț pentrupacien ii cu TB din România”.ț

431.336 Euro

6.       

Federa iaț Uniunea Na ionalăț aOraganiza iilorț Persoanelor Afectatede HIV/SIDA în parteneriat cuAsocia iaț pentru SprijinireaPacien ilorț cu Tuberculoză MultidrogRezistentă

”Servicii integrate pentru pacien iiț cu TBdin România”

746.237 Euro

3.       Institutul de Pneumoftiziologie„Marius Nasta”

Main expected results

• Development of the ambulatory care reform (including revision of the financial mechanisms, development of the community workers network, etc)

• Implementation of the ambulatory care reform in 6 counties

• Update of the national guidelines re. TB/HIV, case management of TB in children, diagnostic

• Centralised procurement for drugs and diagnostic consumables

Main expected results (cont.)

• Indicators and targets are set in accordance with the National Strategy for TB control in Romania

• The indicators are not set to reflect the performance of the activities implemented under the grant, but the impact of the National TB Programme (TB incidence, prevalence, treatment success rate for TB and MDR TB, mortality rate, etc)

Additional PR responsibilities

• Management of the development and implementation of the ambulatory care reform (including the cost analysis study)

• Management of all TA missions international and national

• Centralised procurement and SCM: drugs, diagnostic consumables and equipment, health products (syringes, needles, condoms, HIV, Hep B and C tests, vaccines, etc), vouchers, HEPA masks, etc

Status at 27 April 2015

• Sub-grant agreements signed• Operational manual revised and distributed to

SRs• First training and working meeting with SRs

planned for 7th May • All disbursements to SRs will be operated as

soon as RAA will receive the first disbursement from the GF