NTP Indonesias experience in establishing links between Sub recipients and the GFATM PR, CCM, PFM, L

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NTP Indonesias experience in establishing links
between Sub recipients and the GF-ATM (PR, CCM,
PFM, LFA)

• Carmelia Basri, NTP Indonesia
• GFATM, Technical Cooperation in Countries
• Mega Meeting, Versailles 16 Oct 2005

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TB Situationin Indonesia

• Leading cause among infectious diseases (NHHS
  1995)
• 583.000 new cases per year, and 140.000 death per
  year
• Ranked 3rd in TB burden Globally, following India
  and China

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Chronology of Events leading to rapid scaling up
of DOTS
CDR
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Factors Contributing to the Successful
Application for GFATM TB (1st Round)

• MOH was assisted by partners for preparing the
  application.
• Strengths of the application were
• inventory of available support from Govt donors
  (KNCV,Dutch,USAID,CIDA, NLR etc)
• Gaps in funding identified
• Supporting geographical areas and program
  components not covered by local budgets or donor
  assistance.
• Synergies with other disease programs were
  pursued.
• Potential for sustainability was highlighted.

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Approved Budget (Rd 1)

• Approved budget for five years
• US 70,653,840
• Grant agreement for two years (yr 1 2)
• US 21,612,265
• Phase 2 approved for 3 years (yr 3, 4 5)
• US 49,864,735

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Structural players

• Principal recipient
• Sub recipients
• Provincial DOTS teams
• CCM

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PR ORGANOGRAM
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Composition of Provincial DOTS teams
PTC Provincial Training Coordinator
Line of administration PTO
Provincial Technical Officer
Line of technical guidance PPO
Provincial Project Officer
Line of coordination
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COUNTRY COORDINATION MECHANISM (CCM) STRUCTURE
CHAIRMAN
Vice Chairman 1
Vice Chairman 2
Executive Secretary
Program Technical Adviser
Admin / Finance Officer
Information Officer
CCM Members
Sub Group TB
Sub Group HIV/AIDS
Sub Group Malaria
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Composition of Revitalized CCM
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Linking with partners to Fight TB

• The Country Cooperation Strategy (CCS) of WHO
  recognizes AIDS, TB and Malaria as priority needs
• The 5 yr Country Strategic Plan for TB were
  developed together with WHO, KNCV other
  partners
• The Dutch supported HRD project channeled thru
  WHO laid the foundation of DOTS activities
  helped establish a PMU at central level, which
  facilitated start up of the GF PMU smooth
  disbursement of GF funds.
• ISAC project has further facilitated technical
  assistance at Central Provincial levels
• Synergy and complementarity of other donor
  assisted projects (USAID/TBCTA thru KNCV and
  others)

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Lessons learnt from phase 1

• Importance of strong local partnership (KNCV,
  WHO, NLR) in proposal development
• Effective communication between PR-LFA FPM
• PR-LFA-FPM relationship built upon transparency
• Phased expansion - started with 8 provinces
  ?lessons learnt ?expand to other provinces

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Lessons learnt from phase 1

• Creation of program management units in Central
  Unit Province (PPOFA) ?facilitates
  disbursement of funds monitoring of expenditure
• Strengthening management at all levels (central,
  province district) is a key factor in scaling
  up and success

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Lessons learnt from phase 1

• Operational Flexibility by FPM LFA has allowed
  Reprogramming of funds to address conduct other
  activities such as National Prevalence survey,
  support ISAC initiative support expansion to
  NGOs other partners
• Successful submission of Rd 5 proposal, building
  on the lessons learnt from implementation of the
  Rd 1 proposal.

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• THANK YOU