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