Advocacy, Communication and Social Mobilization to Stop TB

1
Advocacy, Communication and Social Mobilization
to Stop TB

• Session 1 Overview of the subgroup at country
  level

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ACSM to 10-Year Strategic Framework for Action
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Strategic Overview of ACSM

• Both the Global Plan and the ACSM 10 Year
  Strategic Framework call for the rapid scale-up
  of ACSM activities at country level
• 3.2 billion over the life of both plans. 2.9
  billion for countries and 133 million for
  international agency needs

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Strategic Objectives

• By 2008, at least 10 endemic countries will have
  developed and will be implementing multisectoral,
  participatory ACSM initiatives and generating
  qualitative and quantitative data on ACSM's
  contribution to TB control.
• By 2010, at least 20 priority countries will be
  implementing multisectoral, participatory-based
  ACSM initiatives, and monitoring and evaluating
  their outcomes.
• By 2015, multisectoral, participatory ACSM
  methodology will be a fully developed component
  of the Stop TB Strategy.
• By 2015, all priority countries will be
  implementing effective and participatory ACSM
  initiatives

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The Framework for Action will

• Objectives
• Improve country and partner access to timely and
  quality-assured technical assistance.
• Enable a collaborative approach to the delivery
  of technical assistance in support of country and
  partner-owned ACSM plans.
• Assist in the professional development of
  national institutions as well as national and
  regional ACSM professionals.

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The Targets are

• 2008 10 countries
• 2010 20 countries
• 2015 ACSM methodologies will be fully a
  developed component of the Stop TB Strategy
• 2015 all priority countries implementing
  effective ACSM Initiatives

Only if the Framework is fully funded!
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Utilization Rapid growth in ACSM
2002 data as gathered from ACSM Needs Assessment
Survey of HBC's 2006-2007 data gathered from HBC
DOTS Expansion survey Planned
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Funding HBCs with GFATM funding via rounds 1-6
for ACSM activities
2002 data as gathered from ACSM Needs Assessment
Survey of HBC's 2006-2007 data gathered from HBC
DOTS Expansion survey Approved grants from 5th
round GFATM
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Funds at Country Level via GFATM

• Successful 5th round for ACSM
• 35 million over two years
• 63 million over five years
• (Some TA budgeted for in some 5th grants)
• Challenge 1 How to access resources to
  maximise the impact of available GFATM funding
  and to achieve the targets as detailed in the
  GP2 and ACSM Strategic Framework for technical
  cooperation among partners and countries.

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6th round GFATM supported by partners and using
ACSM framework

• Afghanistan
• Congo Rep
• Eritrea
  
• Ethiopia
• Togo
• Zambia
• Egypt

• Iraq
• Morocco
• Pakistan
• PNG
• Vietnam
• Botswana

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Funding for ACSM Technical Assistance Lagging (as
of Feb 2006)
Global Plan 2006-2015 calls for 2.3 billion in
TA needs for all technical areas
Note USAID is the largest single donor for ACSM
technical support
US9 million gap in ASCM projected TA needs at
country level
In millions
12
Improving funding for ACSM Technical Assistance
Lagging (as of Sept 2006)
Note USAID is the largest single donor for ACSM
technical support
US9 million gap in ASCM projected TA needs at
country level
In millions
13
Meeting endorsements

• Stop TB Coordinating Board meeting (Abuja)
• WHO Strategic Technical Advisory Group (STAG)
• Endorsement of framework
• Monitoring and evaluation approaches needs to be
  re-examined
• 2007 STAG requests a progress report

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Future

• Revision of WHO policy guidelines to conform with
  new Stop TB Strategy
• Accelerate implementation
• Monitoring and Evaluation

• Capacity at country level needs to be expanded
• Cross partner collaboration
• Resource allocation
• Advocacy for ACSM
• Formative research needs to be accelerated