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GLOBAL TB PROGRAMME
Context, background and
objectives of the meeting
Haileyesus Getahun
Global TB Programme
WHO/HQ
GLOBAL TB PROGRAMME
Neglect DOTS Stop TB End TB
Evolution of WHO strategies and targets
70% Case DR
85% Rx
Success
-DOTS targets
-Reverse
incidence (MDG)
-Prevalence &
death: by 50%
(STP)
GLOBAL TB PROGRAMME
2008 2006 2003 1998
• Research; evidence building
• Rx support: DOT, case detection
• Africa, Asia and Latin America
• Component 5
WHO response to community based TB activities
• Social justice
• Partnerships
• NTP and NGOs
“Community
TB care in
Africa”
Project
2010
NTP is primary stakeholder NTP and NGOs are stakeholders
1st WHO consultation with NGOs and CSOs
GLOBAL TB PROGRAMME
The 2010 WHO Consultation with NGOs and
other CSOs, Geneva, Switzerland.
Recommendations
• Simplified WHO guidance required
• Define NGOs and NTP roles
• NGOs work to emphasise on
community based activities and
demand generation
• Critical role of WHO sought
Brokering and facilitative
• Reaching out beyond health sector
crucial
GLOBAL TB PROGRAMME
Implementation of recommendations of the 2010
WHO NGO consultation
• ENGAGE TB Approach - to
engage unengaged NGOs in
community based TB activities
• Standard core indicators defined
and M and E system established
• Global monitoring and evaluation
system established and 41
countries reported in 2014
• WHO brokered in many countries
between NTP and NGOs
GLOBAL TB PROGRAMME
WHO consultation with NGOs and CSOs, 2015,
Addis Ababa, Ethiopia
• Pre-meeting online consultation July-August, 2015
Define issues for the agenda of the meeting
Areas of importance for NGO engagement
Determine supported participation
• Web-based questionnaire with close and open
ended questions
• 700 NGOs participated with 400 NGOs with
complete response and motivation letter
GLOBAL TB PROGRAMME
Countries participated on the online pre-meeting
consultation and number of NGOs per country
700 NGOs participated from 73 countries
GLOBAL TB PROGRAMME
Areas of work of NGOs
1%
10%
40%
49%
0 20 40 60
Exclusively non-health sector
Exclusively TB
Exclusively health sector
Mix of health and non-health sectors
%
GLOBAL TB PROGRAMME
Types of health-related activities of NGOs
4%
5%
11%
19%
30%
31%
0 10 20 30 40
Medical products and technologies
Health care financing
Health workforce
Leadership & governance
Health care service delivery
Health information
%
GLOBAL TB PROGRAMME
Type of TB services provided by NGOs
GLOBAL TB PROGRAMME
NGO-NTP collaboration (315 responses)
90%
10%
0
20
40
60
80
100
Yes No
53% 27%
20%
Very Good/Good Poor Excellent
GLOBAL TB PROGRAMME
Engaged and unengaged NGO needs to expand or
initiate TB services into their exisiting areas of work
Expand (%) Initiate (%)
Institutional capacity for TB control 320 (54) 48 (48)
Technical assistance for TB areas 111 (19) 18 (18)
Advocacy and networking skills 75 (13) 17 (17)
Monitoring and evaluation 50 (8) 6 (6)
General knowledge of TB 37 (6) 11 (11)
Total 593 (100) 100 (100)
GLOBAL TB PROGRAMME
• Identify experiences, challenges and opportunities
• Share innovative approaches for TB prevention,
care and control
• Define a roadmap for action and the way forward
Objectives of the meeting
Implementing the End TB Strategy
89 NGOs from 37 countries and more than 150 participants
GLOBAL TB PROGRAMME
• Process
Plenary presentations and discussions
Market place presentations
Rotational and parallel group discussion
• Outcome - Roadmap with actions to address needs
Capacity building
Technical assistance
Advocacy & networking
Monitoring & evaluation
Process and outcome of the meeting
Free exchange of information and roadmap