1. April_2010 Partnering initiatives at country level Proposed partnering process to build a national stop tuberculosis (TB) partnership

2. April_2010 Outline Background What is a national stop TB partnership? Why to establish a partnership? What are the benefits of establishing a partnership? Who could lead the process to establish a partnership? How does the partnering process work? What should be considered when costing the partnering process?

3. April_2010 Background Fifth component - Stop TB Strategy: empowering people with TB, and communities through partnership. Partnership is an innovative way to engage in TB control, by taking into account the competencies and comparative advantages of actors that come from different sectors of society and play a role at the level where they can perform better and more effectively.

4. April_2010 Background Nature of these partnerships is voluntary and necessarily country-specific, expressing typical cultural and organizational diversity. Depending on the local situation, countries might decide to leverage already existing forms of collaboration/coordination (Interagency Coordination Committee - ICC, Country Coordinating Mechanism - CCM, National TBTEAM, PPM group) and initiate a national stop tuberculosis (TB) partnership.

5. April_2010 What is a national stop TB partnership? a voluntary alliance between organizations drawn from different sectors of society (government, civil society and private/corporate sector) who commit to work collaboratively towards TB prevention, care and control in which all partners contribute from their core competencies share risks and responsibilities and benefit by achieving their own, each others and the overall partnership goal

6. April_2010 It aims at: strengthening TB prevention, care and control in a given country towards the targets of the Global Plan to Stop TB in close collaboration with the national TB control programme (NTP) with the support, if needed, of the Global Stop TB Partnership Secretariat What is a national stop TB partnership? Its main focus: Contribute to the implementation of national TB plan Decided by the partners on a case by case basis and varies depending on the country context From advocacy and resource mobilization to coordination of service delivery

7. April_2010 The operational challenges of TB control and the social aspects of the disease demand a joint effort of institutions and civil society. While governments are responsible for ensuring services reach the people in need, different actors (civil society and private/business sector) are often involved in in TB prevention, care and control. Governments can recognize and support as part of the public system other actors that institutionally do not belong to the state ("public function of private initiative"). Engagement of civil society is essential to design, implement and evaluate people-centred health services. Why to establish a partnership?

8. April_2010 What are the benefits of establishing a partnership? Coordination based on a common strategy and plan Multi-sectoral participation: public, private, civil society (health sector and beyond) Increased access to resources (local/global): financial, technical, human, knowledge, physical and network resources Pro-active leadership Social capital available for other endeavors

9. April_2010 Who could lead the process to establish a partnership? This is the CORE GROUP OF INTERESTED PARTIES Institutions: -NTP -WHO (including Stop TB Partnership secretariat) Other actors involved/interested in the fight against TB : -nongovernmental organizations -private/corporate sector -community based organizations -faith based organizations Act as broker/facilitator of the partnering process or hire an external broker/facilitator for this task

10. April_2010 How does the partnering process work? PREREQUISITES PARTNERSHIP EXPLORATION PARTNERSHIP BUILDING PARTNERSHIP MAINTENANCE

11. April_2010 Prerequisites Initial partners are committed to work in close coordination with the national TB programme and the national TB programme is willing to be involved in a partnering process. The objectives of the national TB plan provide the basis to establish collaboration with various partners. Pre-existing forms of collaboration/coordination are identified, and if existing, contacted and involved (Interagency Coordination Committee - ICC, Country Coordinating Mechanism - CCM, National TBTEAM, PPM group).

12. April_2010 Partnership exploration EXPLORATORY WORKSHOP ($) $ = cost centres, see last slide

13. April_2010 Building a common vision The initial partners: −identify the needs, challenges, resources and opportunities −discuss whether a national partnership could address these issues PARTNERSHIP HAS A CLEAR VISION AND ADDED VALUE

14. April_2010 Identification of relevant partners CORE GROUP OF INTERESTED PARTNERS The initial partners: −identify and assess relevant partners −promote a dialogue about the vision, goal and planned objectives as well as their motivation and commitment −explore complementarities and synergies

15. April_2010 Mapping resources RESOURCE MAP The core group of interested partners: −collects information on services already provided by prospective partners (activities, competences, resources) −summarizes all collected information in a summary sheet that matches the information on prospective partners against the national TB plan (services/tasks) and different geographic areas

16. April_2010 Partnership building COREGROUPCOREGROUP FORMAL LAUNCH $ $ $ $

17. April_2010 Operational plan The core group of interested partners drafts a proposal of an operational plan including: −major products and activities that the partnership could carry out with indicators/milestones −role and responsibilities of each partner −planned costs, available resources and gaps which can be addressed either by one of the partners or by mobilizing resources domestically or by applying to an international funding mechanism OPERATIONAL PLAN circulated for comments to all partners

18. April_2010 Operational plan The Core Group should develop the operational plan considering: −National TB policy, strategy and plan −Proposals for funding to the Global Fund The operational plan identifies strategic relevant areas of the national TB plan towards which partners can contribute to NB: a Global Fund proposal is often formulated to fund gaps of the national TB plan

19. April_2010 Partnering agreement The core group of interested partners drafts a proposal of a partnering agreement (terms of reference) including: −the core principles, goals and objectives −role and responsibilities of each partner −governance structure −operational plan as an annex PARTNERING AGREEMENT circulated for comments to all partners

20. April_2010 Governance structure The core group of interested partners drafts a proposal of governance structure functional to: −Goal and objectives of the partnership −Role and responsibilities of partners Necessary to ensure that decision-making, management and development arrangements are appropriate and operate effectively GOVERNANCE STRUCTURE circulated for comments to all partners SECRETARIAT in PLACE

21. April_2010 Partnership maintenance $$ $ $

22. April_2010 Partnership maintenance The partners deal with: −implementing the agreed activities in the areas of advocacy and service delivery. −monitoring and evaluation of the activities for effectiveness and impact (outputs and outcomes) through the indicators outlined in the operational plan. −reviewing the outputs and outcomes of the partnering processes periodically and take any necessary corrective action. −institutionalizing the partnership, if the review is positive. If negative, the partnership should go through the exit-strategy or a transition strategy.

23. April_2010 How does the partnering process work? EXPLORATORY WORKSHOP COREGROUPCOREGROUP FORMAL LAUNCH

24. April_2010 Costing the partnering process - cost centers? Partnership exploration: −the exploratory workshop/s on common vision, identify relevant partners and map resources Partnership building: −basic documents −establishment of a secretariat −formal launch

25. April_2010 Partnership maintenance: −meetings of the governing bodies; −implementation of the activities agreed in the operational plan; −monitoring and evaluation of the activities; −institutionalization of the National Stop TB Partnership. Costing the partnering process - cost centers?

26. April_2010 Costs may be covered through the following mechanisms: −in-kind or cash contributions from the partners; −resource mobilization strategy at country level (e.g. targeting corporate/business sector or network of supporters); −inclusion of partnering process and partnership operation in proposals submitted to Global Health Initiatives. Costing the partnering process - cost centers?