28-29 November 200713 th RBM Partnership Board Meeting

28-29 November 2007 13th RBM Partnership Board Meeting


GLOBAL MALARIA BUSINESS PLAN

Dr. Awa Coll-Seck


Agenda

Background

Achievements to date & points of discussion

Requested board actions

Next steps & challenges ahead


2010 2015 ? ?

Short-term Medium-term Long-term

Sta

ted

go

als

Why not have a more ambitious aim?

RBM 2010 Goals• 80% coverage• 50% reduction of

burden (vs 2000)

MDGs• Halted & begun to reverse

malaria incidence• U5 mortality reduced by

2/3 (vs 1990)

RBM 2015 Goals• 75% reduction of burden

(vs 2005)• MDGs achieved

African Union• Campaign on

elimination

Leadership Summit• Eradication

Leadership Summit• Elimination of

malaria as public health and economic burden


Twofold approach against malaria – both integrated in global plan

Design of medium / long-term activities • To go beyond control and reach elimination

or eradication requires– new tools through intensified R&D

efforts– definition of medium/long-term strategy

and "E"-framework1 – potentially new implementation

mechanisms

1 2Immediate actions and structure enhancements

• Existing interventions should be scaled-up dramatically to reach maximum impact and achieve 2010 targets

• Adequate implementation mechanisms and structures should be created to sustain efforts in the next 36 months

Global Malaria Business Plan will integrate short, medium and long-term activities under one plan with one vision


Agenda

Background

Achievements to date & points of discussion• Short-term actions• Medium/long-term activities• Developing GMBP




Control stabilization

phase

Short term focus of the GMBP

Elimination / eradication phase

2010 2015 ? ?


Development of new tools

Control phase with

existing tools


Scale-up efforts outlined in Harmonized Workplan 08 should be extended

Intensified efforts in 45 Sub-Saharan countries

• Comprehensive needs assessments completed

• Technically sound & feasible business plans

• Adequate funds for implementation of their High quality technical and implementation support

• Implementation Assistance Hotline and Early Warning System (EWS) by January 2008

Intensified efforts in 45 Sub-Saharan countries

• Comprehensive needs assessments completed

• Technically sound & feasible business plans

• Adequate funds for implementation of their High quality technical and implementation support

• Implementation Assistance Hotline and Early Warning System (EWS) by January 2008

Planning and implementation support should be extended to 2009 and 2010 and to non-Sub-Saharan countries in order to

reach RBM 2010 goal

Planning and implementation support should be extended to 2009 and 2010 and to non-Sub-Saharan countries in order to

reach RBM 2010 goal

20082008 2009-20102009-2010


Agenda

Background





What should be medium-long term focus?

Potential goalsPotential goals

Control

Elimination

Eradication

DefinitionDefinition

Reduction of disease incidence, prevalence, morbidity or mortality to a locally defined level as a result of deliberate efforts. Control requires continued efforts to maintain this state

Reduction to zero of the incidence of malaria infection or malaria disease in a specific geographic area as a result of deliberate efforts. Some continued intervention measures are required; surveillance has to be strengthened

Permanent reduction to zero of the global incidence of parasitemia as a result of deliberate efforts, such that control efforts are ultimately, in the longer term, no longer needed


Medium-long term focus of the GMBP

2010 2015 ? ?



phase



Control phase with

existing tools


R&D is a critical part of the medium -long-term strategy

Need to start developing tools that envision eradication

Need to develop tools to reach and sustain high level of control

Current R&D aiming at

control

Potential R&D pipeline for

elimination/eradication


Agenda

Background





Guiding principles of the Global Malaria Business Plan

The Global malaria business plan• Will be the one integrated global malaria business plan in the future

– will integrate all existing plans and cover work of the entire malaria community• Builds upon current successes of 2007 RBM plans & the country SUFI plans• Supports countries to implement their SUFI plans to achieve RBM targets

• Covers all countries affected by malaria (not only African countries)• Covers immediate, medium-term and long-term goals and actions

– current implementation support for 2008 is not postponed by the creation of the plan

– new long-term vision will influence future annual malaria action plans • Covers all human types of Malaria (P. falciparum, P. vivax, P. malariae and P. ovale)• GMBP will encompass local, regional and global activities and plans

• Will be developed consensually with all RBM constituents and other experts over the next 6 months, making best use of the Partnership's existing structures

• Will be coordinated by the the RBM secretariat in close collaboration with GMP and supported by BCG

• Will be guided by a leadership council & RBM EC and will be finally approved by the RBM board

Inte

gra

-ti

on

Sco

pe

Dev

elo

p-

men

t



phase

Global Malaria Business Plan covers short, medium and long-term horizon


2010 2015 ? ?



Control phase with

existing tools


Country perspective Global perspective

Proposed topics covered by the Global Malaria Business Plan

Advocacy

Finance & Resources

R&D• Vaccines• Drugs• Vector controls• Regulatory

Implementation• Program Management • Commodity supply & procurement • Appropriate Malaria interventions &

combinations • Education & awareness• Monitoring & evaluation• Country coordination

Policy & Strategy

Vision & Targets


6 months timeline to prepare the Global Malaria Business Plan

Goal

Period

Activities

Deliverables

Phase IApproach

Plan for the plan

December 2007

• Define plan development process & governance (involved bodies & missions)

• Define plan scope & framework

• Define supporting work & analyses needed

Agreed approach for the plan

Phase IIContent

Define the Why, the What and the How

Until May 2008

• Convene Working Groups• Develop group work on all specific topics

- conduction of analyses, drawing of results and recommendations

• Coordinate work across working groups• Synthesize the plan

Draft of the plan

Phase IIIFinalization

Finalize and share plan

May to June 2008

• Share with major stakeholders

• Update and finalize• Organize implementation• Communicate to the

Community

Final plan and implementation tools

November's RBM Board

Potential interm. RBM Board (March)

May's RBM Board

World Health Assembly

GFATM Board

Active contribution of all Partners will be needed to create a successful plan


R&D

Vac

cin

es

Dru

gs

VC

s

Reg

ula

tory

Board Sub-committee/ Executive Committee

RBM Board

Responsibility for GMBP, final agreement

Coordination / Plan synthesis

Content work

Technical Advisors group

Input on specific questions

Expert group

Advice on high-level approach Validation & orientation

Leadership council

Proposed governance Many partners actively involved in the plan development

Working Group for PlanRBM Secretariat + GMP + others

supported by BCG

Implementation

Pg

m M

gt

CS

P

Inte

rven

tio

ns

Aw

aren

ess

M&

E

Co

un

try

coo

rd.

Ad

voca

cy

Fin

ance

& r

eso

urc

es

Po

licy

& s

trat

egy

Draft plan components


Proposed Topic Groups

Policy & strategy (WHO)

Implementation• Program management (HWG)• Appropriate Malaria interventions & combinations (WHO)• Commodity supply & procurement (PSM)• Education & awareness • M&E (MERG)• Country coordination (Endemic countries)

R&D (various)• Vaccines• Drugs• Vector control• Regulatory

Advocacy (MAWG)

Finance & resources (RWG)


Well-coordinated communication strategy will be enabler of success

There is an urgent need for a communication plan in two areas

1. Ensure strong coordinate between Partners to • Clearly articulate the long term goals and the near term opportunities for

impact as part of a single and integrated strategy• Generate consensus and integrate view points around global commitments

– In the near term, around the Global Malaria Business Plan

2. Increase awareness in the broader community about• The RBM Partnership’s vision and resulting strategies and timelines• Continuing advancements and successes of the RBM Partnership over

time

A communication plan will be developed as part of the Global Malaria Business Plan


Agenda

Background






• Commission the creation of one Global Malaria Business Plan

• Approve principles guiding the GMBP

– One plan

– Covering all countries affected by malaria

– Covering all human types of malaria

• Agree on the process, timeline and governance mechanism for development of the plan


Agenda

Background





Next steps

Identify members and leaders of each Topic Group

Identify members of Technical and Expert groups

Finalize Leadership Council composition

Working group to engage with each topic group to define questions covered by each team

Documents

28-29 November 200713 th RBM Partnership Board Meeting