Through the process of developing the WHO-wide composite workplan, we have revised our logical framework to reflect the ongoing evolution of the Cabinet Project. Each of the outputs and most of the indicators have been refined to better reflect our current strategy and direction. The modifications are not dramatic departures, but rather a further articulation of our thinking following extensive discussions with relevant staff from across the Organization (including Regional Offices).
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Structure |
Detail |
OVI |
Status |
| Purpose |
Optimize the impact of the Global Partnership to Roll Back Malaria and ensure the effectiveness of WHO and associated bodies in that partnership |
Global roll back malaria strategy developed; elements agreed – serve as basis for action
Partners' strategies developed: they review progress and have the opportunity to determine funding approaches together
Project provides WHO with clear strategy and direction that is consistently applied across WHO.
Progress assessment leads to review of approach
Capacity of WHO developed to operate as a more purposeful effective and corporate entity |
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| Output 1 |
Communication of the RBM concept, strategy, approach and progress, and advocacy to mobilize political commitment and resources. |
All departments at all levels part of the Cabinet project and involved in decisions making.
Consensus around principles and core elements of Roll Back Malaria established in WHO and partners.
Continuous strategic direction provided for WHO's and other partners' contributions to rolling back malaria.
Global advocacy undertaken, in line with a common communications strategy.
Comprehensive internet-based information system developed and maintained to facilitate the rapid dissemination of information and collaboration.
Increase resources mobilized to support action to roll back malaria.
WHO-wide workplan for rolling back malaria developed and regularly reviewed. |
Action at HQ, regional and inter-country levels has been harmonized through regular contact and clearly defined roles. Within HQ, weekly meetings are held with all of the extended RBM team (including participants from other clusters/departments).
The underlying concepts and principles of RBM have been developed through discussions with WHO headquarters, regional and country staff, personnel from other partners, legislators and officials from malaria-affected countries, researchers and other interested parties.
The first WHO-wide composite workplan for rolling back malaria is in the final stages of development. This plan describes all malaria-related activities from across the entire Organization planned for 2000-01.
RBM strategy has been adopted through much of WHO and among several key partners. RBM offers strategic direction in a range of key areas.
RBM has begun to "brand" itself, through the creation of a logo and distribution of several key promotional materials including brochures, fact sheets and folders.
Preparations for the upcoming Meeting of African Heads of State in Nigeria in April 2000 have begun in conjunction with national officials and key partners.
RBM highlighted through organized media events, such as the recent successful press coverage on "One bednet for every African child".
A database-driven web site is in its final pre-launch development; graphics, content and programming are on target for site pre-launch testing on Jan. 03, 2000; the official site launch is planned for the Global Partners' meeting, Feb. 2, 2000.
Substantial resources have been mobilized during 1998-99 -- income received slightly exceeds the planned budget of US$20m for the preparatory phase. |
| Output 2 |
National authorities, development partners and other groups supported as they establish country-level partnerships in support of action to RBM. |
Six elements of the strategy agreed and adopted by other organizations
Sustained commitment to the Partnership of different constituencies (public, nonprofit, private sectors) evidenced
Appropriate working arrangements and forms of association for the Partnership developed and agreed
Strong and effective links and open communications with partners maintained.
Forum for partnership executive group explored and/or established to ensure the optimum RBM Global Partnership functioning and use of resources for going to scale with partnership action
Annual meetings of the Global Partnership held
Country and regional partnerships beyond the health sector catalyzed and responsive to needs and demands
Development of societal movements promoted, as evidenced by effective community actions.
Information on country resource flows and outcomes tracked, synthesized and shared.
Country and regional capacity to catalyze partnerships and societal movements enhanced. |
Widespread support and consensus have been obtained on the six elements of the strategy to Roll Back Malaria, building upon the WHO global malaria control strategy endorsed in Amsterdam in 1992.
DFID, USAID, the World Bank, African Development Bank, UNDP and UNICEF have agreed on eleven African countries to spotlight RBM country partnerships. DFID and World Bank have committed to consultancy on financing of RBM action at country level.
Consultations and joint programming with ADB, World Bank and RBM on Banks' country finance, spotlight partnership and furthering RBM action within inter-sectoral and infrastructure projects in countries.
Three major consultations with NGO consortia and five seminars with researchers to discuss forms of association with RBM.
A significant portion of the upcoming 3rd Global Partners' Meeting (Feb 2000) is planned to deal directly with issues regarding working arrangements and forms of association for the Partnership.
World Bank, USAID and CDC have seconded staff to the WHO RBM Cabinet Project to strengthen effectiveness of approach.
The 3rd Global Partners' Meeting is scheduled to occur on 2-3 February 2000 in Geneva. The 1st was also held in Geneva in December 1998; the 2nd in Harare in June 1999.
Rapid assessments were conducted in six African countries by a team of World Bank, UNICEF, UNDP and WHO staff in consultation with national government officials, to acquire an overview of country-specific and cross-country needs and opportunities for cross-agency collaboration at the field level.
A series of regional meetings have taken place throughout Asia, Africa, Central Europe, the Amazonas and the Eastern Mediterranean to build consensus around the principles, objectives and features of Roll Back Malaria and the form it will take at country and regional levels.
Following the consensus building meetings, as many as 21 countries have made excellent progress in their inception process, with intention statements based upon consensus of all relevant partners.
WHO plans to support series of case studies to document critical elements/factors that contributed and/or lead to successful societal catalysis and disseminate such results in conjunction with UNICEF and UNDP.
A "country tracking" database is under development to enable up-to-date sharing of key information on country-level action to roll back malaria. This database will be linked to the Internet information system and thus readily available. The input for the database has been debated and agreed within WHO and will be debated with partners at the upcoming Partners' Meeting.
Throughout the preparatory phase, it has become evident that working through partnerships and societal movements represents a new way of working for public health and thus requires a new set of skills and capacities. In the next two years, this type of capacity at country, regional and global levels will be developed through training and hands-on experience. |
| Output 3 |
Technical guidance for action to Roll Back Malaria ensured, through help to develop in-country capacity (for operational research and evidence-based decision making) and provision of consistent, good quality advice as appropriate. |
Global and regional standards for community and country-level action to roll back malaria continuously reviewed and updated as necessary
WHO personnel, consultants and others are proficient at helping countries incorporate these guidelines into national-level action,
Capacity developed at country level to enable national institutions to establish and modify standards.
Capacity of WRs office and Regional office increased to ensure provision of timely and effective technical advice
Networks of experts established and maintained to develop capacity at country level and among partners.
Critical issues identified by RBM project at regular intervals: if necessary, RBM sponsors networks in these areas |
The malaria situation and control efforts have been reviewed by an expert committee.
Experiences and lessons learned from the accelerated implementation of malaria control in Africa have been documented.
The impact of global malaria control strategy has been reviewed.
Guidelines have been developed on: newly available antimalarial drugs, and protection of travelers. A textbook on malaria was published in Russian for use in CIS countries. Other manuals are under preparation.
Reviews of community based interventions, urban malaria control approaches for policy and strategic development
International and inter-country training courses conducted on various aspects of malaria control to develop the capacity to plan, implement, monitor and evaluate programme activities.
Strategic support given to strengthen national training institutions. Resource network of trained trainers established.
Training materials developed and disseminated
National plans of action, including community level activities evaluated and adapted.
Malaria experts recruited at HQ, regional, inter-country and country (National Programme Officers) offices recruited to provide technical advice to countries.
Technical support networks have been established and are functioning on: (1) drug resistance, (2) improved access to drugs, (3) mapping malaria and health care, (4) epidemics, (5) complex emergencies, (6) home management, and (7) insecticide treated bednets.
Policy group on combination drug therapies and their application formed and regularly meeting. |
| Output 4 |
Applied research to develop new, or modify existing, interventions to RBM, supported and new products (for diagnosis, treatment and/or prevention) developed. |
RBM strategic direction for research and development defined in collaboration with TDR.
Needs for operational and strategic research and product development defined based upon knowledge gaps, tools and products for RBM at country level.
Linkages with R&D partners established to ensure that RBM's needs influence priority setting
Mechanisms to improve the use of research findings in policies and practices supported. |
Products, objectives and activities for strategic direction agreed with TDR, and SMT. Small in-house working groups organized for each OVI.
Support to TDR for research and development of artesunate suppositories, to provide early emergency treatment to patients at risk of death from malaria.
Review of developments of rapid diagnostics for malaria to stimulate deployment of appropriate technologies to speed malaria control.
Launch of Medicines for Malaria Venture by WHO, other partner agencies and industry to develop malaria drugs.
Concepts on strategic direction discussed with several research institutions, including at a meeting with MIM at the Fogarty Foundation. Collaborating through MMV to establish links between public and private sectors and with German Pharma Health Fund to assess suitability of a rapid quality screening method for on-the-spot quality checks.
Undertaken study trials, in collaboration with TDR, on multi-drug combinations in Africa as a result of policy discussions on the increasing ineffectiveness of single drugs. |
| Output 5 |
Intensifying outcomes of RBM action through social movements for health: development of medium term strategy. |
Medium term strategy to achieve better outcomes from RBM action developed
Mechanisms to incorporate RBM operations within ongoing health sector reform examined
Effective RBM action beyond the health sector catalyzed.
Wider policy issues (i.e., gender, poverty, economics) explored in relation to the intensification of action to roll back malaria. |
A working group of professionals from WHO and other partners will be convened to: critically review the key elements of malaria control, based upon evidence collected through previous studies; determine the inputs necessary in each setting to respond to the RBM challenge; and consider the potential value of "packages" for case management, social marketing, franchising and other public-private action.
A policy advisor has been seconded to the Cabinet Project to coordinate the development of a plan to incorporate RBM into ongoing health sector reform, specifically with regard to financing options and links with TB and HIV.
Institutional linkages, particularly with Harvard and LSHTM, have been developed with regard to issues such as economic crises and institutional realities. |
| Output 6 |
National authorities are enabled to track progress, monitor actions to RBM – and evaluate their impact. |
WHO-wide monitoring group established and effectiveFramework for monitoring RBM developed and agreed with all partners
Technical guidelines on monitoring methodology and specifications of indicators developed and agreed upon by partners
Plan for data collection and analysis developed and agreed with partnersSelected sentinel sites for demographic surveillance supported. |
Working group firmly established and representing all relevant areas of WHO; consensus almost reached on indicators and operational definitions.
Framework has been drafted and internally discussed and will be presented for discussion at the Partners meeting in February
A joint TDR/RBM proposal for research on methods for community-based monitoring is being developed
Over 40 demographic surveillance sites are now supported, of which 28 are in Africa |