12. Role of national and international technical and funding partners in the implementation of aDSM Multi-partner training package on active TB drug safety monitoring and management (aDSM) July 2016

Objectives of the presentation By the end of this presentation, the participant is expected to be able to: Identify key areas in the implementation of aDSM in which partner support would be of help Match the strengths of particular partners (technical, advocacy and funding) with specific gaps

Key steps in aDSM implementation Create a national coordinating mechanism for aDSM Develop a plan for aDSM Define management and supervision roles and responsibilities Create standard data collection materials Train staff on the collection of data Define schedules and routes for data collection and reporting Consolidate aDSM data electronically Develop capacity for signal detection and causality assessment PARTNER SUPPORT

Create a national coordinating mechanism for aDSM Provide technical advice (could be members on the coordinating mechanism, depending on setting) Facilitate discussions and advocate for appropriate visibility of the national coordinating mechanism in the public sector hierarchy Invite aDSM experts from other countries to share experiences

Develop a plan for aDSM Facilitate discussions Share technical expertise in terms of project management (e.g. development of the plan and budget, strategy, indicators, etc.) Share templates or examples from other settings Support the writing of the plan (technical, funding)

Define management and supervision roles and responsibilities Share templates or examples from other settings Act in some of the roles and take on some responsibilities (e.g. if a partner is supporting a treatment intervention in an administrative area then they can support aDSM in that setting)

Create standard data collection materials Share technical expertise (e.g. expert review of the paper or electronic forms used in the country) Share templates, examples from other countries Help draft standard operation procedures, adapt data collection tools Ensure that any tools developed by a partner in a country are in conformity with the requirements for local and international reporting

Train staff on the collection of data Facilitate the organisation of training at different levels (e.g. national, regional, district, health facility, private sector) Share technical expertise (e.g. pedagogical advisor support) Share curriculum, case studies and other materials Train the “national trainers” Provide funding & venues for training activities Develop training materials

Define schedules and routes for data collection and reporting Facilitate discussions Share examples and lessons learnt from other settings Support the collection of data and reporting to national and global level Updating the methods as knowledge advances

Consolidate aDSM data electronically Technical support in adaptation of existing system (or implementation of new system) Help on revising systems to allow reporting

Develop capacity for signal detection and causality assessment Role for partners? Facilitate discussions Organize dedicated training on signal detection (methods, stats) and causality assessment

Conclusions Technical partners could play an important catalytic role to help national TB programmes implement the changes required to introduce aDSM In addition to the technical expertise, advocacy and facilitation of discussion, given the relative novelty of aDSM agencies and donors may need to provide funds to enable key activities in the short term (e.g. to train, hire consultants, undertake some of the clinical tests, modify information systems) In the maintenance phase and long term, partners could play a role to ensure supervision, completeness of reporting and updating the methods and human resource development