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

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The RBM Partnership

Contents

1.

2. Roadmap

3. Mechanisms

4. Counting out till 2010

Introduction

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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 acts as global spokesperson for RBM and the malaria community.

• Served by a Secretariat that is hosted by the World Health Organization in Geneva, Switzerland.

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Key Functions1. Convene Partners in a neutral environment

→ Identify and disseminate best practices

2. 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

3. 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

4. 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

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Ex officio members

Donor CountriesMultilaterals

Malaria Endemic Countries

NGOs

Foundations

Research & Academia

Private Sector

RBM brings together all partners to fight malaria Increased awareness: more and more organizations commit to fighting malaria

Clinton Global

Initiative

UN Special Envoy for Malaria

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Roll Back Malaria celebrity champions

Her Royal Highness Princess Astrid of Belgium

Yvonne

Chaka ChakaYoussou N'Dour

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The RBM Partnership

Contents

1. Introduction

2. Roadmap

3. Mechanisms

4. Counting out till 2010

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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

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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

Ultimately, the GMAP will help achieve a world free of malaria

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

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The targets of the Global Malaria Action Plan are ambitious

By meeting these targets, the malaria MDG will be achieved and there will be progress towards the other MDGs

• 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

The GMAP targets are to:

• Achieve universal coverage by 2010 and sustain universal coverage indefinitely;

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GMAP proposes 3-part global strategy to achieve targets

Scale-up for impact(SUFI)

Sustained Control

CONTROL1

ELIMINATION2

RESEARCH3

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The RBM Partnership

Contents

1. Introduction

2. Roadmap

3. Mechanisms

4. Counting out till 2010

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RBM Partnership Forum

RBM Partnership's Architecture & Structure (1)

RBM Partnership

Executive Commitee RBM

Partnership Secretariat

Host(Currently WHO)

Administrative accountability Functional accountability

Working Groups

Sub-regional Networks

_____ Reporting line

_ _ _ _ Facilitation and communication required

b1

b2

a

c

d e

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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

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WHO Expert Committees and RBM Partnership Working Groups have complementary purposes

Convention of experts convened by the WHO Director-General

Reach consensus on norms & standards

WHO Expert Committees RBM Partnership Working Groups

Group of stakeholders convened by the RBM Partnership

Generate alignment among Partners on key issues in operations and scale-up

Definition

Purpose

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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

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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

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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

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The RBM Partnership

Contents

1. Introduction

2. Roadmap

3. Mechanisms

4. Counting out till 2010

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Challenges to achieving the 2010 targets

Main challenges coalesce around three main areas:

1. 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

2. Capacity building in endemic countries► Commodity access; Commodity use; Systems strengthening

3. Addressing the issue of resistance ► Case management, AMFM roll-out, Surveillance systems, Research for new drugs,

Operational research

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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!

Organization

Subsidy

Access to ACT's is improved by a price reduction paid by public and private purchasers, as well as by NGO's to producers

Access to ACT's for patients within the first hours of symptoms

DrugsFundsInformation

Invoice

Small paymentBig payment

Many ACT producers

Private Buyer

Public Buyer

NGO buyer

Delivery