Progress and next steps: 3rd Feb 00

Where have we reached so far?
Questions posed:
How should we progress from now?

• The challenge of scaling up
• The challenge of supporting country action
• The challenge of monitoring and evaluation
• The challenge of the technical issues

Tensions between specifying outcomes and supporting system development?

The future of the global partnership: focused yet flexible

• On being an RBM partners
• Expectations and responsibilities
• Communications and meetings

Must focus together on country level, using communications tools to the full

Define roles carefully, especially at country level

National governments are reviewing malaria management approaches within context of local conditions:

• Statements of intent, consensus on way forward, inclusive planning
• Concentrate on critical interventions at community level and in the home
• Involve the stronger involvement of community-level groups, in discrete areas, so that they are all involved in Roll Back - as participants, not spectators
• Milestones established, government encourages partner “buy-in” to RBM as a highlighted activity within context of strategic health plan
• Political commitment, leading to Malaria being handled as a multisectoral issue, all partners review achievement of agreed milestones
• Indicators to help funding partners to assess progress: composite indicator of national RBM activity
• On the tension, main priority is to strengthen the health system
• "Fused approaches" - systems and outcomes - are possible when household and community levels are in the centre: seek ways not to overtax the health care systems
• Make the interventions clear, and seek ways to take them to scale
• Bring together thinking and action among the key priorities for poor people's health
• Agreement on the main challenges
  
  

On where we are in the partnership:

• Partners able to negotiate their relative roles on finance, technical and implementation;
• More to be done on channels of financial transfer - streamline the procedures;
• Do not forget it is a global problem;
• Share experiences so we can learn more;
• Bring in the other regional banks
• Bring in regional groups
• Ensure that community actions are at the root of this partnership
• Must have more concrete ideas of how to Roll Back Malaria

David Nabarro