Tuberculosis (TB)

TBTEAMs work with the Global Fund

David Rochkind

TB cash flow to countries through Global Fund grants, July- August 2013

In the first eight months of 2013, countries received a little over US$ 2 billion for the three diseases, of which US$ 402 million was allocated to TB. This equals 21% of the two-year funding envelope for TB.

In the past two months – July and August, 37 countries received US$ 119 million of cash disbursements to TB grants. The largest disbursements were made to Ethiopia (US$ 18.6 million), Pakistan (US$ 16.4 million), Myanmar (US$ 13.2 million), China (US$ 12.4 million), Tajikistan (US$ 6.3 million) and Kyrgyzstan (US$ 4.3 million). The disbursements to Tajikistan and Kyrgyzstan were the largest amounts in the European Region-specifically targeted at addressing MDR-TB.

TBTEAM partners are monitoring grant performance globally, and in-country partners provide technical support for the implementation of grant activities.

TB grant performance scores in July 2013 show that out of the the 127 TB grants, 87% are performing above average. TBTEAM partners are prioritizing and following up 17 Grants with a B2 score in the TB portfolio, to identify reasons for these poor ratings and facilitate action to improve performance. Grant ratings are a useful tool to monitor performance and take early action. Falling grant ratings can be an early indication of a grant getting into difficulty and grants with a B2, or C performance ratings suggest the need for urgent consideration of additional support needs for the grant.

TBTEAM working with countries to maximize Global Fund

Currently US $ 2.5 billion is available in Global Fund resources for countries through 130 active signed TB grants. A further US $ 1 billion is available in grant renewals. Implementation of Global Fund grant activities and expenditure of funds between now and December 2013 are critical as the new funding model will be operationalized in 2014. At that time the Global Fund will make an assessment of all funds still available to countries for spending. It is very important that all current TB grants manage to have disbursed and expended as much money as possible in their existing grants before the end of 2013. Where funds are not utilized, these will be treated by the Global Fund as part of the existing TB funding pipeline available from 2014 onwards.

  • Monitor implementation performance and fund disbursement on a monthly basis through focal points in countries and key stakeholdersflagging problem areas early.
  • Identify and address the causes of delayed disbursement – prioritizing the twenty countries with 65% of this problem.
  • Help countries develop sound phase 2 requests and concept notes. This will be based on country reviews, impact assessments, and updated strategic plans. Follow up will be undertaken of grants to be signed soon, to ensure they are on track.
  • Regional workshops will be organized for NTP managers and PRs in coordination with TB technical partners, to orient countries on the new funding model and undertake strategic planning.
  • A United TBTEAM Global Fund Situation Room organized jointly by TBTEAM, the Global Fund and the Stop TB partnership will be set up to update and consult with key partners, to identify issues that require higher level intervention and support in countries.

TBTEAM, the Tuberculosis Technical Assistance Mechanism, with a secretariat housed in WHO, is the Global coordination mechanism for technical assistance for countries from among the global network of TB technical partners. It supports Global Fund grants by linking these partners to countries for proposal preparation, grant negotiation, implementation of grants, consolidation of plans across multiple grants, provision of technical assistance to address grant bottlenecks, and on- going grant monitoring.

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