Strategic Planning and Innovation (SPI)

Strengthening combined HIV, TB and malaria programme management

Waiting to be examined by the medical practitioner
Waiting to be examined by the medical practitioner

Many countries face various management challenges to meet the health needs of the population. These difficulties include:

  • a possible bottleneck between the Ministry of Finance and the Ministry of Health;
  • a poor human resource capacity, aggravated by the application of ceilings to the recruitment of health professionals;
  • a poor institutional capacity to decentralize decision-making power to the periphery;
  • a poor definition of an essential health package and its costing;
  • a lack of public-private partnerships in service delivery;
  • poor monitoring and evaluation systems;
  • a poor understanding of constraints to service utilization;
  • poor coordination in logistics chain management;

Together with partners in WHO (HRH, Regional offices) and outside the organization, SPI is focusing on strengthening the management of combined programmes in selected countries including PHARPE (Public Health and Rehabilitation Programmes for Eritrea). SPI seeks to identify opportunities to accelerate the scale up of HIV, TB and malaria services.

Addressing some of the above challenges requires identifying potential synergies in the management and delivery modes (facility versus community-based, and/or outreach) of HIV/AIDS, TB and malaria programmes. It seeks to determine which combinations of delivery modes achieve optimal coverage and reduce the total cost of seeking care.


PHARPE is a tripartite programme partnership between the Directorate General for Development Cooperation of Italy, WHO, and the Eritrean Government.

External partners