Ram Deo Chaudhary Programme Manager, BNMT

Outlines VMGO of BNMT Guiding principles of partnership Historical background Current efforts Strengths Area of improvement Lesson learnt

VMGO (Vision, Mission, Goal, Objectives) Vision: Improved health and wellbeing of Nepali people. Mission: Working together with stakeholders in rights based approach to ensure equitable access to quality health services and better livelihood options for disadvantaged people. Goal: To contribute to strengthening the health system by improving access to and utilisation of services, by empowering local communities.

Objectives To contribute to institutional strengthening process by enhancing the capacity of the health service providers of government and non-governmental organizations at all levels. To facilitate empowerment of people at the community level in ensuring access to and utilization of quality health services. To contribute to increasing livelihood options to the people at the community level for improved health conditions. To enhance organizational capacity in managing its overall operations.

Guiding Principle of Partnership The Global Fund operates as a partnership, and the people and organizations who implement programs on the ground are fundamental to it. These implementing partners not only drive efforts to serve the communities living with these diseases, they are also involved in – and responsible for – governance and decision-making with regards to their country’s fight against the three diseases. The Principal Recipients often work with sub-recipients. Each recipient (PR or SRs), meet the same standards of financial management and accountability.

Historical Background Registered Started with Koshi Zonal Hospital (TB, MCH, Nursing Training ) BCG campaign in 15 district in EDR started Terai TB Programme to support NTP TB training to health workers for DOTS expansion TB/HIV pilot project in Morang and Sunsari district Health Improvement Programme (Partnership & Participation Approach) Uninterrupted assistance / support to the NTC / NTP for TB Control Programme.

Current Efforts as a SR GFATM Round-4 1 st May 2006 to 15 July 2008 (2 years- phase-I) 16 July 2008 to 16 July 2010 (3 years - phase-II) (Components – Quality Assurance of TB microscopy, Prevention, Treatment, Control of DR TB, Supportive Environment: Monitoring and Evaluation and Operational Research) Coverage area- 16 districts of the EDR GFATM Round-7 16 November 2009 to15 November 2011 ( the grant was consolidated in NSA) (Components - Quality Assurance of TB microscopy, TB/HIV Collaboration, MDR management Drug Procurement, PAL, ACSM, PPM) Coverage area – 23 districts NSA 16 July 2010 to 15 July 2013 (3 year phase-I) – Coverage 45 districts in 5 regions 16 July 2013 to 15 July 2015(2 years phase-II) - Coverage 31 districts in 2 regions (Components- Improve Diagnosis, High Quality DOTS, Lab Network, HSS (PAL, IC), TB/HIV Collaboration, MDR, PPM, ACSM)

Strengths Good coordination (all levels) Feeling as good a partners Good recognition by the NTP families Strong networking from the community level to the national level Recognised by the national and international donor communities as a partner of TB control campaign Rapid programme implementation capacity Model of Partnership with the Civil Society Organisations

Area of improvement Institutional capacity strengthening Financial management for timely performance Reduction of dependency on external funding Research and innovation for new tools and techniques of TB control Expansion of TB networks at the community level especially at the hard to reach areas and groups of people Massive involvement of TB infected and affected people through establishing their network in the fight against tuberculosis.

Lesson Learnt Capacity building of TB infected and affected people through IEC activities makes a great impact in their livelihood. There is emerging need of massive involvement of TB infected and affected communities for TB elimination. Regular risk assessment of the health care providers involved in the TB control. Management of Infection Control measures in the health institution is essential for universal precaution.

Thank you.