Executive Director's Report to the 12th Board Meeting

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Executive Director's Report to the 12th Board
Meeting
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Outcome of RBM Change Initiative

• First Board Meeting since finalization of 12
  month process
• Clarity provided by Change Initiative has created
  greater understanding of Secretariat functions
  and Partners roles and responsibilities
• Resulting in more positive profile of RBM
  Partnership, energized teams and working groups,
  intense period of productivity

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Objectives of six month report

• Malaria Landscape share tangible achievements
  and progress in the fight against malaria since
  last Board
• Report on actions taken following 11th Board
  Decisions
• Report on follow-up to Dakar Appeal
• Provide overview of current challenges facing the
  Partnership

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Malaria Landscape

• Malaria remains high on Political Agenda
• More partners engaged in rolling back malaria
• Partnership focused on country level results
• Continued progress for scale-up

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Malaria remains high on political agenda

• White House Summit (December 2006)
• Launch of African Union Communication Strategy
  for Malaria Elimination Campaign at meeting of
  African Union Health Ministers ( April)
• DATA Report for G8 now includes malaria
• Parliamentarian involvement UK Report on
  Malaria Financing continued EU engagement.

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More Partners Engaged in Rolling Back Malaria

• Private Sector
• Global Business Coalition for HIV TB and Malaria
• Coalition Against Malaria in Africa ( CAMA)
• NGOs
• Malaria No More (inc. Grassroots)
• Country Advocacy Coalitions
• Friends of the Fund Africa
• Community networks of PLWHA
• Inter-parliamentary groups
• New Donors
• 18 African countries joined OECD middle income
  countries in UNITAID
• Foundations
• Clinton Foundation

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Partnership focused on country level results

• Strong Partner commitment through Harmonization
  Working Group
• high level of engagement in country support for
  successful GFATM Round 7
• validation of SUFI plans in progress
• Africa Malaria Day - intensified advocacy and
  unified themes Leadership Partnership for
  Results

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Continued progress for Scale-Up

• Increased procurement of LLINS from 73.4
  million to 100.3 million over 1st quarter 2007 (
  ACT figures not yet available)
• Increased coverage through widespread LLIN
  immunisation campaigns all under fives in
  Rwanda over 40 in Ethiopia IRS adopted in
  more countries
• ACT home based initiatives launched ( Rwanda )
• Increased impact - more countries documenting
  decrease in morbidity and mortality i.e. decline
  in under five mortality of up to 50 in pilot
  districts of Tanzania with ITN and ACT roll out

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Continued progress for Scale-Up

• New Products Promising PPP Initiatives
• Bayer KO-Tab 1,2,3, DNDi Sanofi ASAQ BASF
  Interceptor
• ACT fixed dose combination, MMV- 4 products in
  pipeline
• Innovative Vector Control Consortium

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Translating 11th Board Decisions into Action

• Secretariat Work Plan and Budget
• Partner Facilitation
• Procurement and Supply management
• Advocacy
• Governance
• Hosting

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Secretariat Work Plan and Budget

• Secretariat developed prioritized work plan based
  on committed funding at end of November 2006
• From approved US9.5 million to prioritised US
  8.3 million
• 61 of prioritized budget available for use 39
  still to come.

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Secretariat Work Plan and Budget
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Secretariat Functions
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Secretariat Staffing

• Delayed implementation of Board Decision to make
  all posts Fixed Term.
• Secretariat has continued to operated under
  pressure and overload since last Board . This is
  not sustainable.
• Fixed Term post descriptions classification
  finally approved advertising of posts will
  commence for 1 month from today.

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Partner Facilitation

• Harmonization WG Up and running (meetings,
  telecons, leverage finance)
• Providing support to 20 CCMs for GF Round 7
  proposal development
• Validation of Zambia and Mozambique SUFI plans
  have been initiated
• Working with SRNs and endemic country
  constituency Reps to harmonize implementation
  support for SUFI (1st meeting held 9 May 2007)
• Tools methodologies for gap analysis, costing,
  validation, and ME have been developed and field
  tested and used to improve GF tools.
• Sub-Regional Networks all 4 up and running
  first quarter meetings held, telecons, leverage
  finance secured etc.
• Each SRN has a joint workplan for 2007 to
  coordinate technical support

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Procurement SupplyManagement

• Secretariat facilitated convening of PSM Task
  Force
• Terms of Reference for PSAM WG approved by EC
• Task force is finalizing Functions, and Roles and
  Responsibilities of Partners , PSMWG and role of
  Secretariat
• Secretariat continues to build database of
  commodities with inputs from partners
• High expectation from 11th Board that PSM
  functions will be resolved this demands that we
  move faster.

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Advocacy

• MAWG first meeting convened Jan 2007 completed
  TORs, Work-plan, selection of Co-Chairs.
• Two of three Board endorsed Goodwill Ambassadors
  have accepted nomination one is formally engaged
  
• Global Advocacy Strategic Framework epublished
  in French and English
• Agreements with RBM Partners on deployment of RBM
  Goodwill Ambassadors under discussion.

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Governance

• Executive Committee formed, membership confirmed,
  communication mechanisms established
• Constituency Representation
• Election of new Board members organized i.e NGOs,
  Research and academia, malaria endemic countries
  (elected through sub-regional entities ) will
  facilitate election of Board Chair and Vice Chair
• Working Groups
• Initiated the work-planning process in line with
  November recommendations .
• Consultations held with WHO/ GMP clarifying roles
  and responsibilities of RBM WGs and Technical
  Expert Groups

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Hosting

• Memorandum of Understanding signed by RBM Board
  Chair and Acting Director General WHO on December
  14, 2006. Evaluation planned after one year.
• Assessment of current and future hosting options
  will be presented.

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Follow-Up to Dakar Appeal (1)

• Closing the Gaps Harmonization Working Group
  successfully intervened to mobilise resources for
  ACTs ie Burundi and Liberia. PMI, WB Booster,
  UNITAID and GF in process of harmonizing inputs.
• Political Will the need to achieve 15 country
  level health expenditure targets highlighted in
  recent African Union Communication Strategy for
  Malaria country commitment to reduce or
  eliminate taxes and tariffs on ITNs needs more
  attention

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Follow-Up to Dakar Appeal (2)

• Mutual Accountability for Results tracking
  tools developed by consensus ( MERG) widespread
  deployment now required
• Moving Commodities Faster PSM WG functions will
  address country level procurement bottlenecks
  pooled procurement has been proposed by GFATM
  WHO pre-qualification - efforts are being made to
  speed up process

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Follow-Up to Dakar Appeal (3)

• ACT Roll Out - advocacy for ACTs to be recognised
  as "life saving" ongoing Global Subsidy
  discussions ongoing strategies being developed
  for countries facing treatment shortages early
  warning systems donors ready to support
  countries ( i.e. UNITAID)
• M E Capacity Building and Joint Reporting
  tools and indicators agreed (MERG) strategy to
  ensure adequate ME capacity being developed
• ( MACEPA)

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Challenges

• Mobilize new resources and secure existing
  available funds successful GF Round 7 advocacy
  to secure WB, PMI, UNITAID and GF resources new
  funding
• Make the money work improve performance at
  country level working groups fully supported to
  be able to assist countries overcome bottlenecks

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Challenges

• Monitoring Evaluation tracking tools deployed,
  e.g. roll out of Malaria Indicator Survey
• Accountability deploy tools to measure partner
  Secretariat performance
• Secretariat Work-plan fully funded approx
  US1million still needs to be found Secretariat
  in Geneva and sub region fully staffed