Global Fund Financial Project Management

By Fasil Tsegaye

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Outline

Background of the survey Steps toward NTPS GFATM principles Financial management Next step

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Background

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45.0%

Prop

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Ten Years Trend of New Smear Posetive, Smear Negative and Extra Pulmonary Tuberculosis Proportion in Ethiopia

New Smear positive TB

New Smear Negative TB

New EPTB

Years in GC

National Status and MDG Target

S/NOutcome Indicators

Target 2015Achievement 2008/09

1 Case Detection Rate of Smear Positive (Infectious) TB  >70% 34%

2Treatment Success Rate of identified Smear positive TB 

>85% 84%

Impact Indicator

3 Prevalence of all forms of Tuberculosis per 100,000 Population 

156 579

4 Mortality due to all forms of Tuberculosis per 100,000 Population

20 92

Far away to achieve the MDGs targets by 2015 specially impact indicators of Prevalence and Mortality Reduction due to Tuberculosis!!!

FRAMEWORK TO SHIFT THE CDR

CDR >70%

Pursue high quality DOTS expansion & enhancement

Lab networking & EQA-

TB/HIV collaboratio

n

M&E

HEWs’ involvement/ community mobilization

Steps towards NTPS 7

Prevalence Survey come to Mind Concept note were prepared using the options from the red book CCM approved the request directly giving us the responsibility to modify, the requested amount, the budget line with out further approval, since the reprogramming was made from the same disease component and the same category. Partners reflect their commitment to cover the gap at GF budgeting and support the prevalence surveyWR write an Email to Stop TB Department WHO, an expert was assigned to evaluate – fast track

Budgeting8

Annex 2B: Detailed Component Budget

Funds requested from the Global Fund (in Euro/US$)

Year 1 Year 2 Year 3 Year 4 Year 5 TotalHuman resources 476,208 453,744 453,744 333,744 333,744 2,051,184Infrastructure and equipment 924,309 91,500 39,000 39,700 39,000 1,133,509Training 1,891,080 1,691,668 1,691,668 1,576,943 762,395 7,613,753Commodities and products 1,041,240 979,640 1,412,874 1,240,197 1,196,874 5,870,825

Drugs 150,700 450,7004,936,856 5,545,472 6,194,949 17,278,676

Planning and administration 1,834,880 1,806,905 1,946,905 1,898,116 2,018,378 9,505,184Total funds requested from the Global Fund 6,318,417 5,474,157 10,481,047 10,634,172 10,545,339 43,453,131

Understand GFATM Principles 9

Performance/Result orientedGap filling Country Ownership / utilization of the existing system

Working in Partnership/ Complimenting each other

GF Financial Management 10

Practical knowledge of the principles which gives

you Negotiation capacity.

Functional areas of GFATM GFATM HQ, LFA, PR, SR,SSR, CCM and OIG,

NTPS can be SR or SSR under any PR and MOU or agreement can be signed under the GFATM PR agreement framework.

GF Financial Mx11

The MoU/ agreement gives you freedom and the NTPS to be measured by it own performance and to report independently. The MoU shall gives you some flexibility to pass budget lines in some caseThe MoU shall consider:

HR, able to get from the local market, To use different procurement modalities,Identify level of decisions, Identify signatories andThe financial system that will be utilized

If amendments made, usually GFATM send you implementation letter for the acceptance.

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Financial utilization

Almost all payments were fixed : In each cluster except in pastoralist and very remote clusters: 23,000 ETB for local assistants and 2000 ETB for any incidental costs. Decided in a participatory way, the management took risk to pass the public system regulation. Give responsibility for survey coordinators to order payments, sign any bill related to the NTPS Partners were always kept on loop to cover the unexpected expenditure.

Visit to kept informed 14

Financial utilization continuedA/ code Description  Budget  Expenditure 

6113 Salary to survey staff  10092700.00 2837681.26

6114 Daily laborers  101126.85

6116 Allowances  16395.00

6121 Per diem  4,681,600.00  3072758.80

6212 Stationeries  499548.00 483830.96

6213 Photocopy  807503.82

6214 Medical equipments and Supplies  4468667.00 3026206.21

6217 Fuel  1343832.00 503950.23

6218 Other expenditures  4663565.00 387500.59

6219 Books  450.00

Financial Utilization con.

A/ code  Description  Budget  Expenditure 6223 Consumables  1965397.896232 Transport  213066 73049.86233 Events  279300 128480.366241 Maintenance  1,283,382.10252 Vehicle Rent  2434964 27206253 Announcements  21366.56254 Insurance  56672.196255 Loading and unloading 95568.786256 Service fee 13493.04

6258Communication Services (telephone, Postal, Fax..) 141930 34044.25

6271 Training  1475314 495967.67Total  30, 294,486.0 15,407,546.3

Summery finance in USD

S/r Description  Budget  Expenditure  Balance 

1International   Procurement  837,400.0 

2Total Local expenditure  1,185,195.9 

3 Total  2,697,542.5 2,022,595.9  674,946.6

Reasons for the remaining Balance

Available Materials in the institute were used than went to procurement

Less deal is found in the Market than Expected

Partners cover significant proportion of the survey cost. Our partners WHO, TB-CARE-I, USAID Ethiopia and GLRA, keep on backing the survey at different time.

Next step

All Culture and confirmatory result will be available in late August. Central panel for final x-ray diagnosis will meet with international TA in September.Final analysis and rate fixing will be done to November. Final Result dissemination 2nd week of December The result will also presented in ARM, IUTLD

Next step

Some researchable issues are uncovered by this survey TB HIV co infection rate among smear positive and culture positive, smear negative and culture positive cases of this survey. Confirmatory study as follow up of cases of Extra Pulmonary TB (Survival Lymphadenitis ) suspects which are identified by the survey. TB prevalence survey a replica of this national survey in congregate settings (Refuge camps, Prison/Jail and Boarding schools)

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