Questionnaire for completion by the Chair and Secretary of the Working group



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DOC 2.08-3.1.A.4 PPM

QUESTIONNNAIRE FOR COMPLETION BY THE

CHAIR AND SECRETARY OF THE WORKING GROUPS or SUBGROUPS

BACKGROUND INFORMATION

The Partnership’s working groups have played a major role in TB control, research and advocacy. Depending on the issue in question the working groups and subgroups have taken different roles and activities. Probably the most important role of the working groups is the completion of their strategic 10-year plans within the Global Plan to Stop TB 2006-15. In general, however, the working groups and sub-groups also serve as forums for engaging TB partners, discussing issues and progress achieved, and coordinating activities.


Measuring the full effectiveness and efficiency of the working groups and subgroup has proven difficult. One of the recommendations of the Independent External Evaluation of the Stop TB Partnership highlighted the need for the Coordinating Board to review all the working groups periodically. The full recommendations are available at the following web address: http://www.stoptb.org/resource_center/documents.asp
In this regard, the Stop TB Partnership Secretariat has developed this questionnaire to initiate the process of a review and to collect information to assess the status of the current working groups and subgroups.
A. OBJECTIVES, ACTIVITIES and FUNDING NEEDS OF THE WORKING GROUP or SUBGROUP
SUBGROUP ON PUBLIC- PRIVATE MIX FOR TB CARE AND CONTROL (PPM SUBGROUP)
1. Describe briefly the objectives of your working group or subgroup


  • To promote systematic engagement of all health care providers in TB care and control in line with International Standards for TB Care, the Stop TB Strategy and the Global Plan to Stop TB 2006-2015.

  • To provide a venue for sharing ideas, experiences and best practices related to PPM development, implementation and scale-up.

  • To promote and coordinate training of consultants for PPM activities.

  • To coordinate development of generic tools and materials assist in the development of region / country specific tools and training materials for PPM planning and implementation.

  • To provide guidance on developing global, regional, country-specific policies, strategies and plans to involve all care providers in implementation of TB control activities.

  • To coordinate provision of technical assistance related to PPM planning and implementation.

  • To promote the utilization of PPM as a component of a comprehensive approach for general strengthening of the capacity of health systems to utilize the full potential of available health care providers.




2. Describe the key activities to be undertaken by the working group or subgroup in 2008 and 2009 (i.e. activities included in your work plan 2008-2009) (Short description has to be given for each activity)



Advocacy and promotion of International Standards for TB Care

  • Facilitate engaging national professional associations in TB control using ISTC as a tool for advocacy and monitoring

  • Help country TB programmes in the identification of strategies to use ISTC for scaling up PPM

  • Assist in developing national coalitions of associations of health professionals to promote provision of quality TB care

  • Facilitate development of tools and guidance to implement ISTC, putting the standards in practice on the ground

  • Help identify ways to and promote the Patient Charter for TB care along with ISTC

  • Assist in the dissemination and promotion of the PPM guidance document, tools and the ISTC

Coordination

  • Coordinate and share responsibilities among Subgroup partners for technical assistance to countries on PPM implementation and ISTC promotion

  • Assist country programmes in mobilizing resources for PPM scale up including through applications to the Global Fund.

  • Assist countries to measure contribution of PPM to TB care and control and monitor performance of PPM implementation

Training and Knowledge Management

  • Organize and assist in organizing PPM related training at global, regional and country levels.

  • Develop and manage a knowledge management system in order to source knowledge and channel information to different target audiences

Policy and Strategy Development and Research

  • Support the development of guidance to strengthen involvement of hospitals in TB care and control

  • Assist in strengthening collaboration with businesses and corporate sector in TB control

  • Facilitate development of policies and strategies to engage social security organizations in TB control.

  • Help synthesize evidence and formulate strategies to involve traditional healers and Informal providers in TB control

  • Support the development of strategies to extend PPM DOTS to implement TB/HIV collaborative activities

  • Collaborate with the MDR-TB Working Group to help engage private care providers in MDR-TB prevention and management


3. Please indicate the annualized targets (2008 and 2009) quantified as far as possible, and demonstrate how each contribute to the Global Plan milestones.



Global Plan Targets

  • All countries have developed guidelines by 2010 for the involvement of relevant public and private health care providers in DOTS and have implemented them by 2015.

  • Around 70% of world population to be covered by PPM approaches by 2015.

Annualized Targets for the PPM Subgroup

All the PPM Subgroup targets directly or indirectly contribute to the Global Plan target mentioned above.



  • Assisted all high burden countries (HBCs) and at least 5 regional priority countries in conducting National Situation Assessments for PPM .

A National Situation Assessment is the first step which countries need to take to be able to develop relevant and effective PPM operational guidelines.

  • Facilitated PPM operational guideline development or incorporation of PPM in national TB strategy by all HBCs and at least 5 regional priority countries

The PPM operational guidelines are essential for countries to help them implement and scale up PPM.

  • Supported ISTC promotion in at least five additional countries and translation from English into seven additional languages.

This target contributes to ensuring equitable access to quality TB care.

  • Facilitated measurement of PPM contribution to TB care and control using the revised WHO recording and reporting system in at least 5 regional priority countries.

  • Facilitated PPM related technical assistance to 30 countries.

Technical assistance as outlined above is to help countries initiate, implement or scale up PPM and share experiences.

  • PPM scale up supported in at least six additional countries.

This target directly contributes to the Global Plan target outlined above.

  • Supported implementation of PPM TB/HIV pilot projects in at least two countries and TB/HIV working group supported in developing and promoting the PPM TB/HIV protocol

  • MDR TB working group supported in the development of the MDR TB Strategy

  • Community TB Subgroup of the ACSM working group supported in the promotion of the Patient Charter for TB care to countries

  • Around 50% of the world population living in areas where PPM is being implemented

Disclaimer: The Subgroup does not receive or provide any funds to help achieve these targets. These are based on the commitment and willingness of Stop TB partners to work on PPM issues and share the information with the Subgroup secretariat.



4. Please describe briefly the structure of the working group or subgroup and its operational modality (core group or none, frequency of meetings, means of communications, etc.).

4. Please describe briefly the structure of the working group or subgroup and its operational modality (core group or none, frequency of meetings, means of communications, etc.)






The Subgroup is steered by an independent Chair supported by a Core Group. Membership of the Subgroup is open. Members come from a range of institutions, national TB programmes, technical partners, geographic areas and disciplines with relevant interests and experience in engaging all health care providers in TB care and control. The Core Group has "permanent" and "non-permanent" members. The permanent members represent major institutions and constituencies engaged in global TB control. Non-permanent members are added to seek expertise in specific areas and will be replaced periodically.
The Subgroup meeting is organized once in 12-18 months, while the core group meets face-to-face at least twice a year. Teleconferences are organized as and when required for discussions among the Core Group members Various updates and information are also shared through the WHO PPM website.


B. PARTNERS AND STOP TB PARTNERSHIP'S CONTRIBUTION

To evaluate the level of effort the working group or subgroup is expecting to put in (staff and funding).


1. Indicate names of key partners/people responsible and working in developing and delivering each activity described in A.2 in 2008 and 2009.


Activities and responsible partners


Advocacy and promotion (PPM and International standards for TB care)


Coordination



Training and Knowledge Management


Policy and Strategy Development and Research





  • American Thoracic Society(ATS)- Phil Hopewell







  • Japan Anti-Tuberculosis Association (JATA) - Akihiro Ohkado




  • KNCV Tuberculosis Foundation- Jan Voskens




  • Management Sciences for Health (MSH) - Pedro Suarez




  • The Union - Vishnu Kamineni







  • World Care Council - Case Gordon









  • American Thoracic Society(ATS)- Phil Hopewell




  • Bill and Melinda Gates Foundation - Daniel Chin and Guy Stallworthy




  • Japan Anti-Tuberculosis Association (JATA) - Akihiro Ohkado




  • KNCV Tuberculosis Foundation- Jan Voskens




  • The Union - Vishnu Kamineni




  • USAID - Cheri Vincent




  • World Health Organization (WHO) - Mukund Uplekar, Knut Lonnroth, Berthollet Kaboru and Monica Yesudian







  • American Thoracic Society(ATS)- Phil Hopewell




  • Bill and Melinda Gates Foundation - Daniel Chin and Guy Stallworthy




  • Japan Anti-Tuberculosis Association (JATA) - Akihiro Ohkado




  • KNCV Tuberculosis Foundation- Jan Voskens




  • Nuffield Centre for International Health and Development - Xiaolin Wei




  • The Union - Vishnu Kamineni




  • USAID - Cheri Vincent




  • World Care Council - Case Gordon




  • World Economic Forum- Shaloo Puri Kamble




  • World Health Organization (WHO) - Mukund Uplekar, Knut Lonnroth, Berthollet Kaboru and Monica Yesudian







  • American Thoracic Society(ATS)- Phil Hopewell




  • Bill and Melinda Gates Foundation - Daniel Chin and Guy Stallworthy




  • Global Business Coalition (GBC) - Shuma Panse




  • Japan Anti-Tuberculosis Association (JATA) - Akihiro Ohkado




  • KNCV Tuberculosis Foundation- Jan Voskens




  • Management Sciences for Health (MSH) - Pedro Suarez




  • The Union - Vishnu Kamineni




  • USAID - Cheri Vincent




  • World Economic Forum- Shaloo Puri Kamble




  • World Health Organization (WHO) - Mukund Uplekar, Knut Lonnroth, Berthollet Kaboru and Monica Yesudian




2. For the concerned activity, indicate the expected contribution(s) (funding, contractual services, facilities, training, travel, consulting, research, etc) from the partner(s) and the Stop TB Partnership Secretariat.


Activities

Contribution


Advocacy and promotion of PPM and International Standards for TB Care


Coordination



Training and Knowledge Management


Policy and Strategy Development and Research


American Thoracic Society



  • Collaborate and coordinate with other advocacy efforts to include PPM in overall advocacy strategies.

  • Coordinate the revision of the ISTC

  • Promote endorsement of ISTC by NTPs and professional societies

  • Review the extent of use of ISTC and promote its use during country PPM missions

  • Facilitate development of tools and guidance to put ISTC in practice on the ground

  • Together with WHO, organize the DEWG meeting with a focus on mobilizing professional associations, as part of the UNION conference in October 2008

  • Assist in coordination of technical assistance to countries on PPM implementation and ISTC promotion




  • Provide consultant training on ISTC implementation

  • Provide consultant training on involvement of professional societies




  • Based on experiences to date (especially in pilot countries) develop strategies for further dissemination and broad utilization of the ISTC.

  • Develop strategies for the systematic involvement of national and international professional societies in collaborating with NTPs to improve TB care and control.

Japan Anti-Tuberculosis Association (JATA)

  • Review the contents of training modules on ISTC




  • Technically assist NGOs on TB care through enhancement of networking in urban poor settings

  • Technically assist countries in collaboration with other partners to develop its own guidelines on involving hospitals in TB control

  • Enhance HIV co-infected TB patient care through involvement of HIV care health volunteers




  • Organize to have sessions on PPM in the international TB training course funded at RIT by JICA

  • Technically assist participants to develop operational research protocol on PPM during the training course at RIT

Hospitals in TB care and control

  • Develop the draft guidelines on involving hospitals in TB control and assist in finalizing it.

Businesses and corporate sector in TB control

  • Assist in finalizing the document working examples to undertake TB control at workplaces

GLRA







  • Organize or assist in organizing the PPM training at global, regional or national level.




The Union



  • Assist in coordination of technical assistance to countries on PPM implementation, as HR capacity allows.




  • Organize or assist in organizing the global PPM consultant training workshops and regional or national PPM workshops.



  • Facilitate development of strategies to extend PPM DOTS to implement TB/HIV collaborative activities




World Economic Forum



  • Promote endorsement and implementation of ISTC by the corporate sector

  • Collaborate and coordinate with other advocacy efforts to include the corporate sector in overall advocacy strategies







  • Assist in organizing the global PPM consultant training workshops and regional or national PPM workshops especially where corporate sector has potential role.




Businesses and corporate sector in TB control

  • Support documentation of working examples and synthesize evidence-base on ways to undertake TB control at workplaces

  • Develop strategies and tools for systematic engagement of the corporate sector

  • Facilitate collaboration between NTPs and the business sector to strengthen TB control at workplaces

MDR TB

  • Collaborate with the MDR- TB Working Group to help engage the corporate sector in MDR-TB prevention and management

TB/HIV

  • Facilitate development of strategies to extend PPM to implement TB/HIV collaborative activities at the workplace

World Health Organization

  • Co-organize the DEWG Meeting with a focus on mobilizing professional associations, as part of the UNION conference in October 2008

  • Review the extent of use of ISTC and promote its use during country PPM missions

  • Collate data on ISTC utilization and endorsement as part of the Global TB Control Report.

  • Facilitate development of tools and guidance to put ISTC in practice on the ground

  • Support development and management of a knowledge management system in order to source knowledge and channel information to different target audiences

  • Coordinate and share responsibilities among Subgroup partners for technical assistance to countries on PPM implementation and ISTC promotion

  • Assist country programmes in mobilizing resources for PPM scale up including through applications to the Global Fund.




  • Organize or assist in organizing the global PPM consultant training workshops and regional or national PPM workshops.

  • Prepare a guiding document and provide assistance to countries to help implement the WHO recommended recording and reporting system, to be able to measure and report regularly on the contribution of PPM to key TB care and control.




Hospitals in TB care and control

  • Assist in finalizing the guidelines on involving hospitals in TB control.

Businesses and corporate sector in TB control

  • Document working examples and synthesize evidence-base on ways to undertake TB control at workplaces

  • Facilitate collaboration between NTPs and the business sector to strengthen TB control at workplaces

Social Security Organizations

  • Facilitate development of policies and strategies to engage social security organizations in TB control

Informal care providers

  • Help synthesize evidence and formulate strategies to involve traditional healers and informal providers in TB control.

MDR TB

  • Collaborate with the MDR- TB Working Group to help engage private care providers in MDR-TB prevention and management

TB/HIV

  • Facilitate development of strategies to extend PPM DOTS to implement TB/HIV collaborative activities

3. Please indicate how the working group or subgroup engages with its constituencies in a regular manner.



a) The PPM Subgroup's major constituencies include the Stop TB partners, other working groups of the partnership, NTP managers and staff, NGOs, private medical sector organizations, business sector, professional associations, academic and research institutions and patient and community representatives.

b) The PPM Subgroup meeting provides the main platform for sharing of information and ideas as well as formulating recommendations.

c) The interaction with relevant constituencies also takes place during documentation of experiences, implementation projects and any piloting of technical materials and tools.

d) For discussions on specific areas with relevant constituencies, the subgroup secretariat organizes teleconferences.

d) Other mechanisms such as interest groups around specific topics such as for example, involving hospitals in TB control or engaging the business sector also exist.

e) The PPM website and a new web-based PPM Lab have also been useful in keeping in contact with the Subgroup's constituencies. .

f) The chair and secretariat of the PPM Subgroup regularly participate in the DOTS Expansion Working Group(DEWG) core team meetings and teleconferences. The secretariats of the PPM Subgroup, TB/HIV Working Group and MDR-TB Working Group are in communication to work on engaging relevant care providers in TB/HIV collaborative activities and MDR-TB management and prevention. .


C. WORKING GROUP vs. SUBGROUP
1. Indicate the added value for your group to be a working group or subgroup?


a) Historically, TB control interventions have been designed and planned by the public sector and implemented as well by the public sector through the network of public health facilities.

b) In reality however, a large proportion of patients even in the poorest settings seek care at non-public health facilities

c) Making national programmes shed their conventional approaches and embrace all care providers -- private, voluntary, corporate -- requires concerted efforts at all levels: global, regional, national as well as local. This is precisely what the PPM Subgroup attempts to do.

d) Even countries that have achieved the global target of 70% case detection have a large proportion of the remaining 30% outside the national TB programmes. They need to be offered quality TB care.

e) Furthermore, it will be possible to meet the Stop TB Strategy objective of achieving universal TB care only through engaging all care providers .



2


In their own view, the PPM Subgroup has played and continued to play its part in contributing substantially to achieving engagement of diverse care providers in TB care and control. A large evidence base demonstrates the current and potential role of non-state providers in TB control. It is important that this group continues and expands its work until the global targets for TB control are met.
. Please specify why you need to continue as a working group or becoming a working group (for subgroups)? Please specify an estimated duration of time for the working group?




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