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Improved approach to develop TB national strategic plans: Experience from 10 countries

10 August 2021

At the end of January 2021, the Global Fund, the WHO, the KNCV Tuberculosis Foundation and the Gates Foundation invited representatives from selected partner organisations and key stakeholders to participate in an online meeting to hear about the recent efforts to improve the quality of TB national strategic plans (NSPs).

A participatory, methodical and evidence-based approach to TB programming

Over the past year and a half, the People-Centred Framework (PCF) approach, combined with modelling and costing tools have been used to support national strategic planning efforts in ten high TB-burden countries. The aim was to facilitate a participatory, methodical, and evidence-based approach to TB programming, expected to enhance the quality, people-centeredness and responsiveness of National Strategic Plans. The Global Fund has also established a NSP-based application mechanism so that countries can apply for funding using a high-quality NSP. 

We have undertaken an initial evaluation of the use of PCF to develop NSPs, the quality of NSPs in these countries (when compared to prior NSPs from these same countries), and the use of NSP-based applications. Although the evaluation is still ongoing, we wanted to share our experience and lessons learned to date with interested parties and solicit feedback. We appreciate the participation and feedback from country representatives, technical partners and other stakeholders at this meeting, and we look forward to receiving additional feedback and suggestions as we formulate our recommendations on how to improve TB NSPs.

Photocredit: Tristan Bayly

Program and recording of day 1

Day 1  Topic  Speakers 
15 min  Welcome and introduction  Mohammed Yassin (GF); Teresa Kasaeva (WHO); Gidado Mustafa KNCV); Daniel Chin (Gates Foundation)  
10 min  Why is it important to improve our approach to the development of evidence-based NSPs and TB programming?  Stavia Turyahabwe (NTP manager Uganda)  
20 min  Use of PCF in 10 countries to improve NSP: overall processes and lessons learned  Kathy Fiekert (KNCV) 
20 min  Use of modeling, costing and economic analyses for NSP development  Emmy van der Grinten (KNCV) & Nim Arinaminpathy (Imperial College London)  
10 min  Break    
20 min  Quality NSP: Evaluation of TB NSP in 9 countries  Giuliano Gargioni (WHO) 
20 min  NSP-based applications: Experience and feedback from key stakeholders  Estifanos Shargie (GF) & Jane Carter (TRP)  
20 min  Impressions from 3 countries 
  • Patrick Migambi (NTP manager Rwanda)   
  • Lorraine Mugambi-Nyaboga, (CHS Kenya, NGO)   
  • Ani Herna Sari (POP TB Indonesia, affected populations)  
15 min  Brief description on way forward; preview agenda on next day  Daniel Chin (Gates Foundation) 

The recording of day 1

Program and recording of day 2

Day 2   Topic  Speakers 
5 min  Welcome – intro – logistics  Daniel Chin (Gates Foundation) 
30 min  Panel response 1  

Rational & responsive use of evidence & data in the application of TB programming and planning, NSP development and resource mobilization 

  • What are the gaps and what is needed to build infrastructure, capacity and self-reliance among all stakeholders? 
  • How do we bring the different strands of information and skills available together (to make them accessible to and usable by all stakeholders)? 
  • How do we take the approach and lessons learned to sub-national level? 
Moderator: Kathy Fiekert (KNCV) 

Panel: 

  • Moses Arinaitwe, (NTP Uganda),  
  • Egwuma Efo (KNCV),  
  • Enos Masini (GF), 
  • Matt Hamilton (Avenir, modeler)   
30 min  Breakout group 1: moderated discussion (participants will be randomly assigned)  A moderator and a rapporteur for each group 
10 min  Break   
30 min  Panel response 2  

Who’s NSP is it anyway – How to make NSPs fit purpose and utilization by all stakeholders 

  • How to ensure NSPs meet the needs of and are usable/ utilized by all stakeholders? (Govt/NTP, national stakeholders – CSOs, NGOs, affected populations, technical agencies, donors, etc.) – Who needs what, and what can realistically be included? 
  • How do we translate NSPs into action at all levels? 
  • What possible additional components should be included in the NSP toolkit? Are there any components that we do not need or need in a different format? 
  • How do we make the NSPs work when things suddenly change – especially in the COVID-19 context? 
Moderator: Giuliano Gargioni (WHO) 

Panel: 

  • Christian Gunneberg (WHO)  
  • Imran Pambudi (NTP manager, Indonesia),   
  • Lorraine Mugambi-Nyaboga, (CHS Kenya, NGO)   
  • Saman Zamani, (GF FPM Uganda) 
30 min  Breakout group 2: moderated discussion (participants will be randomly assigned)  A moderator and a rapporteur for each group 
15 min  Closing: next steps; survey  Mohammed Yassin (GF) 

The recording of day 2 – session 1

The recording of day 2 – session 2

Please contact us if you have any questions or feedback you want to share with us.

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