EAP Cluster Team Leader for Management to visit the by umsymums31


                                                       Published by the Tropical Disease Foundation, Inc.

Volume II, Issue No. 1                                                                                           January-February 2008

  2008’s                            EAP Cluster Team
Jumpstart:                          Leader for Management

• Jan. 3: Finalization of RCC
                                    to visit the Philippines
proposal of Informatics                    Dr. Elmar Vinh-Thomas, EAP
Management System – TB-PR           Cluster Team Leader for
• Jan. 3: Meeting with the          Management, is scheduled to visit
Procurement and Malaria Team        the Philippines from 14-16 April
– TB-PR                             2008 to meet with the Country
                                    Coordinating Mechanism (CCM),
• Jan. 3: RCC Proposal              the Principal Recipients, and other
submission – Malaria                partners. This visit follows that of
• Jan. 4: Quarantine Meeting        Fund Portfolio Manager, Inga
– HIV                               Oleksy, who was in the country
• Jan. 7-11: NGOs Financial         recently for the Global Fund (GF)
and     Programmatic        Re-     Implementation Visit that was
orientation 2nd Batch – HIV         facilitated by the Tropical Disease
                                    Foundation (TDF). With Project
• Jan. 7-11: Comprehensive
                                    Officer Annet Odhiambo, and Fund
STI Cluster 1 – HIV
                                    Portfolio Assistant for the East Asia
• Jan. 8: Meeting with M and        and the Pacific Team, Country
E unit – TB-PR                      Programs Priscille Bonnefoy-
                                    Xayakhom, Oleksy joined TDF staff          Inga Oleksy, Annet Odhiambo, and Priscille Bonnefoy-Xayakhom
• Jan. 8-10: Meeting with TDF
Financial Management – TB-PR        and SR implementers in visiting
                                    key project sites in Mindanao,
• Jan. 8-11: Monitoring and
                                    namely: the tuberculosis project in
site visit (World Vision) @
                                    Ozamis City, Misamis Occidental;
Butuan – TB-PR
                                    the HIV/AIDS project in Cagayan
• Jan. 9-11: NPO Meeting –          de Oro City, Misamis Oriental; and
Malaria                             malaria project in Butuan City,
• Jan. 10: Orientation on TB-       Agusan del Norte last January 26-
HIV Collaborative Activities @      28, 2008.
Aloha Hotel – TB-PR                        Oleksy and company, along
                                    with Dr. Michael Voniatis of the
• Jan. 11: Verification of
                                    World Health Organization and Dr.
Progress Report (PMDT) – TB-
                                    Rosalind Vianzon of the
                                    Department of Health-Infectious
• Jan. 14-18: Monitoring and        Disease Office, were warmly
site visit (DOH) @ Sultan           welcomed at the Ozamis City airport
Kudarat and Region I – TB-PR        by a group led by Dr. Evelyn
• Jan. 14-18: Monitoring and        Magsayo, TB and STI Regional
site visit for PPMD (Financial) @   Coordinator of the Center for Health
NCR – TB-PR                         Development, Dr. Daniel T. Medina,    The Global Fund Team and the Tropical Disease Foundation Team,
• Jan. 14-19: Monitoring and        Ozamiz City Health Officer, Mr. Paul  together with Dr. Michael Voniatis of WHO and Dr. Rosalind Vianzon of
site visit for PPMD (Financial) @   Singh, PPMD Nurse, Dr. Leo Tago,      DOH posed for a picture with the welcoming group at the Ozamiz City
Region II – TB-PR                   Program Director of the Holistic      airport (picture courtesy of Mr. Paul Singh)
                                    Community Development Initiatives,
• Jan. 14-19: Inventory of          Atty. Connie Lim, Committee Chair for Health, and a group of health workers and volunteers. A brief meeting
equipment @ Tuguegarao              was also made with the Congresswoman of the 2nd District of Misamis Occidental, Hon. Herminia Ramiro.
– TB-PR                                    Due to unprecedented delays in travel, the visiting Team was not able to witness the luncheon meeting
                                    and media forum organized by the implementing partners. What an event it could have been to witness the
                                    Regional and City health workers, the city and barangay local officials, the local media, community volunteers
                                    and implementing partners as they meet together to discuss the updates in the implementation of the Global
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                                    Fund TB project in the area, including public-private mix, social mobilization and quality DOTS service provision.
                                    Despite this, the Team was given the opportunity to witness an advocacy activity and was able to interview
                                    volunteer workers and patients. A short visit to the PPMD unit of Ozamiz City Health Office was also done. Mr.
• Jan. 15: Meeting with
                                    Singh patiently explained to the group how things are done in the unit and he graciously allowed us to go
consultant on proposed
                                    through the existing records and throw in some queries.
Operational research – TB-PR
                                          From Ozamis City, the group travelled to Cagayan de Oro where they met ALAGAD Mindanao Executive
•    Jan.     15-17:     DOTS       Director Maria Victoria Lauzon; CHOWS/Peer Educators Reynante Namocatcat, Agapito Pugahan, and
Certification @ Nueva Vizcaya –     Emelia Bokingkito; City Health Office / Social Hygiene Clinic Physician Dr. Joselito Retuya, Center for Health
TB-PR                               Development’s STI Coordinator Dr. Evelyn Magsayo,and regional epidemiologist Dr. Dave Mendoza. They
• Jan. 17: TWG Meeting – HIV        organized the group’s trip to the cruising sites of MSMs and PIPs.
• Jan. 21-25: Monitoring and              Finally, the group travelled to Butuan City where they attended the graduation of School-on-Air. They
site visit for PPMD (Financial) @   were joined by the program staff, namely: Dr. Casmerlita Yu, Regional Malaria Coordinator, CHD Caraga; Dr.
Region III– TB-PR                   Flordeliza Averion, Provincial Health Officer, Agusan del Norte; Dr. Sylvia Samontan, Regional TB Coordinator,
                                    CHD Caraga; Jimmy Egay, HEPO and Provincial Malaria Coordinator, AND; Marisol Tuso, Provincial Project
• Jan. 21-25: Verification of       Coordinator, Provincial Management Team – TDF;
Progress report to all SRs–         and Liezl Maca, Provincial Project Assistant,
TB-PR                               Provincial Management Team – TDF. In Barangay
• Jan. 21-26: Inventory of          Tungao, the team visited the RDT site, where they
equipment @ Butuan City –           were joined by RDT Baranggay Health Worker Ms.
TB-PR                               Gloria Apolinario and Ms. Merlinda Lahinao,
• Jan. 21-26: Monitoring and        president of the Baranggay Health Workers.
site visit for PPMD (Financial) @   Meanwhile, in Baranggay Lingayao, Las Nieves,
CARAGA – TB-PR                      Agusan del Norte, the team had the opportunity
                                    to visit the Baranggay Malaria Microscopy Center
• Jan. 21-26: Monitoring and
                                    under baranggay microscopist Mr. Teodular
site visit for PPMD @ CARAGA
                                    Rosales. Similarly, they were also able to observe
                                    net retreatment activities in this project site.
• Jan. 21-26: Monitoring and                                                                     A picture taken in Barangay Dona Consuelo, the
site visit for PPMD (Financial) @   This article was made possible through the contributions     intervention area visited by the Team, with Dr. Tago, Dr.
Region I – TB-PR                    of the following individuals: Rita Cucio, Lou Pambid, Tina   Medina, Paul Singh, Atty. Lim, and community volunteers
                                    Ignacio, Jojo Merilles and Paul Singh.                       (picture courtesy of Paul Singh)
• Jan. 24-25: Monitoring and
site visit (World Vision) – TB-PR
•     Jan.   26-28:      GF
Implementation visit– TB-PR,
HIV, Malaria                                     Training Modules on
• Jan. 28: Monitoring and site
visit (PMDT) @ MMC – TB-PR                Multi-Drug Resistant TB (MDR-TB):
                                              The First in the World
• Jan. 28-31: Monitoring and
site visit (World Vision) GenSAn
• Jan. 28 – Feb. 1: Monitoring
                                          Following its eight years of
and site visit (PhilCAT) @ CAR –
                                    experience in Multi-Drug Resistant
                                    Tuberculosis (MDR-TB) management,
• Jan. 28 – Feb. 2: Monitoring      the TDF Programmatic Manage-
/ site visit (PhilCAT) @ Cotabato   ment of Drug-resistant TB (PMDT)
– TB-PR                             team, with technical assistance
• Jan. 29 – Feb. 1:                 from the World Health Organi-
Comprehensive STI Cluster 2 @       zation in Geneva, Switzerland, has
CSB Hotel Mla – HIV                 finalized a competency-based set
• Jan. 31 – Feb. 19: Validation     of training modules that will be the
and Desk Review of Q13 Report       key material for capacity building
of PNGOC – HIV                      in the expansion of PMDT. The
                                    PMDT training modules are the
• Feb. 1: Treatment Hub Sub-        world’s first competency-based
Committee Meeting @ PGH –           training material on MDR-TB in
HIV                                 English and will be the basis for
• Feb. 1-29: Data Validation for    the global generic modules that
Round 2 Q17-18 – Malaria            will be developed for other
• Feb. 4-8: Monitoring and site     countries implementing MDR-TB
visit (PhilCAT) @ Region 2 – TB-    management.
                                          The material is the product      The TDF program staff poses with Dr. Tupasi, Dr. Vianzon (NTP Program
PR                                                                         Manager), Dr. Bontuyan, Dr. Garfin, and Mr. Creswell (WHO). (photo
                                    of valuable inputs discussed in        courtesy of Ms. Nona Rachel Mira)
• Feb. 6: CCM Meeting @ World       consultative meetings with key
Vision – TB-PR
                                    partners in TB Control, particularly the National TB Control Program of the Department of Health, the Lung
• Feb. 7-8: Technical Review        Center of the Philippines (LCP), the Philippines TB Society, Inc. (PTSI), the Center for Health Development –
of ETR pilot implementation @       Metro Manila (CHD-MM), the local government units in MM, the National TB Reference Laboratory (NTRL),
Angeles City – TB-PR                and the WHO Country Office. Under Round 5 of the Global Fund (GF), PMDT has expanded region-wide in
• Feb. 8: GF Round 8 Workshop       Metro Manila and in Region VII in Cebu, and approval is pending for nationwide expansion under the Rolling
@ Max’s Restaurant Q.C. – HIV       Continuation Channel of GF.
                                          Work on the modules started in August 2006 through Eli Lilly funding, which was coursed through the
• Feb. 8: Staff Meeting with Dr.
                                    WHO. Karin Bergstrom of the WHO Stop TB Department HQ and Jacob Creswell, a WHO consultant, visited
Romero – HIV
                                    the Philippines, guided, and supervised a PMDT core team at TDF during the one-and-a-half year module
                                    development. The process involved a ten-step procedure as enumerated in the accompanying table.
                                                                           Steps                                               Date accomplished
• Feb. 10-15: MMFO Phase II
– Malaria                               1   Define the target population for training.                                             Aug ’06
• Feb. 11: Staff Meeting with
                                        2   List the tasks to be performed by the target population on the job.                    Aug ‘06
Dr. Caoili – HIV
• Feb. 11-15: Monitoring site           3   List the skills and knowledge needed to do the tasks.                                  Oct ‘06
visit for PPMD (Fin.) @ Bicol
                                        4   Select the skills and knowledge to be taught.                                          Dec ‘06
• Feb. 11-16: Monitoring and            5   Draft expanded outlines of modules.                                                    Mar ‘07
site visit for PPMD (Financial) @
Negros, Iloilo – TB-PR                  6   Instructional objectives, draft of main body of text                                   Mar ’07 - Mar ‘08

• Feb. 11-16: Monitoring and                and descriptions of training methods, examples and exercises.
site visit (PhilCAT) @ Region VI
– TB-PR                                 7   Experts provide realistic examples and information for use in exercises.

• Feb. 12: Meeting with M and           8   Draft the complete modules, Facilitator Guide.
E unit – TB-PR
                                        9    Field-test the training materials.                                                    31 Mar – 4 Apr ‘08
• Feb. 14-15: Pharmacy
Training @ Sulu Hotel Q.C. – HIV       10   Revise and finalize training materials based on the field test.                        Apr ‘08
• Feb. 15: Submission of DPRU
to the LFA – TB-PR                           The eight modules that have been produced include: 1) Module A: Introduction; 2) Module B: Detect
• Feb. 18-19: IEC Forum –             cases of MDR-TB; 3) Module C: Treat cases of MDR-TB; 4) Module D: Inform patients with MDR-TB; 5)
Malaria                               Module E: Ensure continuation of MDR-TB treatment, 6) Module F: Manage drugs and supplies for MDR-TB,
•Feb. 18-22: Meeting with             7) Module G: Monitor MDR-TB case detection and treatment, and 8) Module H: Field Exercise – Observe
Consultants – Malaria                 MDR-TB management. Each module comes with a Facilitator Guide, which serves as a step-by-step material
                                      for trainers or facilitators to properly lead small groups participating in the course. Methodologies used in the
• Feb. 18-22: Monitoring and          training course are Individual Feedback, Group Discussions and Role-plays. Through these modules, the
site visit (World Vision)             current program in the Philippines has been polished, with the procedures clarified through a series of consultative
@Tagbilaran, Leyte, Bohol– TB-        meetings among implementers and partners.
PR                                           A Final Editing workshop was conducted on 14-18 January 2008 with the TDF PMDT core team acting as
• Feb. 18-25: Monitoring and          facilitators. Participants were the National Tuberculosis Program (NTP), the WHO, and the Treatment Center
site visit for PPMD (financial) @     staff, who have been implementing the program in MDR-TB facilities. Comments gathered were incorporated
Region IV-A — TB-PR                   into the draft. On 11-15 February, an Orientation using the eight modules was conducted. Participating in this
• Feb. 18-29: On-site                 activity were the CHD-MM Medical and Nurse Coordinators and the NTP Coordinators of MM. K. Bergstrom
verification of LFA – TB-PR           and J. Creswell, who imparted good facilitating skills to the trainers, attended this orientation. Comments
                                      gathered from participants were again incorporated to the draft. Both activities were done at the De La Salle-
• Feb. 19-22: Monitoring and          College of St. Benilde in Manila.
site visit (HCDI & PPMD) @                   On 31 March-4 April, 2008, the first Field Test of the modules will be done with around twenty-five
Ozamis– TB-PR                         participants from Treatment Sites in Metro Manila. Facilitators will include the TDF core team and some NTP
• Feb. 20: PPC Meeting –              staff. After this field test, the modules will be finalized for printing. Through the team’s Training Coordinator,
Malaria                               Ms. Nona Mira, TDF has been conducting training courses for doctors, nurses, midwives, barangay health
Feb. 20: M and E meeting with         workers, and volunteers since 2003, using materials that were developed based on available guidelines. With
GMS consultant – HIV                  these modules in place, all future trainings for Directly Observed Therapy Short-course (DOTS) facilities that
                                      will serve as MDR-TB Treatment Centers or Sites will be competency-based.
• Feb. 21: Operation Research                With the planned nationwide PMDT expansion, the modules will adequately equip a pool of human
Presentation of Dr. Conky Quizon      resources for managing MDR-TB for the entire country, as well as greatly facilitate the mainstreaming of
– HIV                                 capacity building efforts for MDR-TB into the NTP.
• Feb. 21: SLH and PGH Site
Visit with Dr. John Wong – HIV
• Feb. 21-22: Monitoring and
site visit for PPMD (financial) @
Region IVB– TB-PR
• Feb. 22: Vector Control Sub-
Committee Meeting – Malaria
• Feb. 22: M and E Meeting –
• Feb. 25-29: Monitoring and
site visit for PPMD( financial) @
Region X– TB-PR
• Feb. 25-29: Monitoring and
site visit for World Vision @ CDO
• Feb. 25-Mar. 1: Monitoring
and site visit for PPMD (financial)
in 2 provinces – TB-PR
• Feb. 26: PNGOC M and E Exit
Meeting – HIV
• Feb. 26-29: VCT Cluster 4
@ GV Tower Hotel Cebu – HIV           Jacob Creswell, Dr. Tupasi, Dr. Vianzon, Karin Bergstrom, and Dr. Quelapio together with the TDF facilitators
                                      and NTP Coordinators at the CSB International Conference Center. (photo courtesy of Ms. Nona Rachel Mira)
• Feb. 27: Local Response
                                        GF Malaria Project Employees
                                         complete the 4th National
Committee Meeting @ PNAC
Conference Room – HIV
• Feb. 28: Special TWG
Meeting @ SACCL Conference
Room San Lazaro Comp. – HIV                   MMFO Training
                                          The fourth national training on Management
    ... AND TARGETS                  of Malaria Field Operations concluded its 2nd phase
                                     last February 14, 2007 at Pepperland Hotel in
                                     Legaspi City. The first phase of the training course
• March: Hiring of ETR staff for     was held in Antipolo City from August 27 to
the ETR workstations – TB-PR         September 2, 2007. Twenty-four project
• Mar. 3: Meeting to integrate       coordinators from the different provinces of Global
malaria services with other          Fund Malaria (GFMC) Project and nine from the
programs @ Philippine Malaria        national project office successfully finished the
Network Office – Malaria             course. The faculty was composed of experts
                                     from the Infectious Disease Office (IDO) of the
• Mar.      3-5:     External
                                     Department of Health, regional and provincial
Evaluation Manila (RGF & PGH)
                                     malaria coordinators, and the World Health
                                     Organization Country Office. The training course
•     March 3-5: Consultative        was facilitated by ACTMalaria.
Meeting for ETR clerks – TB-PR
• Mar. 5: External Evaluation                                                                                The training design was conceptualized
@ Davao City – HIV                                                                                     according to the skills and roles of the project
                                                                                                       coordinators. The course was designed to
• March 5-7: Updating an M                                                                             enhance analytical skills, management by fact,
& E plan of TB (writeshop) – TB-                                                                       and data utilization. The two-week training
PR                                                                                                     course was split into two phases to include
• Mar.     6-9:    External                                                                            basic epidemiology of malaria and knowledge
Evaluation @ Zamboanga City                                                                            utilization for the efficient management of
(HDES and SHC) – HIV                                                                                   malaria in the field. Group works and problem
•     March 6-14: Visit of                                                                             solving techniques were the approaches used.
consultant from GMS on HR –                                                                                  The participants’ major output was a
TB-PR                                                                                                  situational analysis of malaria in their
                                                                                                       respective provinces. With support from the
• Mar. 7: Global Fund Malaria
                                                                                                       Centers for Health Development (CHD)
Management Meeting @
                                                                                                       through the Regional Malaria Coordinators,
Philippine Malaria Network
                                                                                                       provincial malaria management issues were
Office – Malaria
                                                                                                       tackled which drew challenging concerns to
• Mar. 9: External Evaluation                                                                          stakeholders and advocates of public health.
@ Butuan – HIV                                                                                         A field activity was conducted in Donsol,
• Mar. 10-12: External                                                                                 Sorsogon where participants were given the
Evaluation and MOA Signing @                                                                           chance to interview Malaria Surveillance and
Surigao City – HIV                                                                                     Vector Control (MASUVECCO) volunteers and
                                                                                                       Rural Health Unit staff who were responsible
• Mar. 10-12: Review on PIMS
                                                                                                       for the successful control of malaria in
@ Region III – TB-PR
• March 10-14: Consultative                                                                                  The success of the said training course
Meeting – ETR, including                                                                               primarily lies on the next steps and endeavors
orientation, planning, needs                                                                           to be done as the new graduates bring home
assessment for ESUs, TB and                                                                            the acquired in-depth knowledge and skills
FHSIS coordinator – TB-PR                                                                              vital to their field. Special projects will be
• Mar. 10-15: Monitoring and                                                                           undertaken by the teams, which will then be
site visit for PPMD (financial) in                                                                     reviewed after a year of implementation.
4 provinces – TB-PR                                                                                    (VV Ulat)
• Mar. 11: Meeting with M & E
unit to give updates and discuss
findings during site visits – TB-
• Mar. 11: CCM Meeting
(DPRU Malaria Presentation) @
                                     GFMC Project holds Health Promo Forum
Philippine Malaria Network                As the Global Fund Malaria Component (GFMC) Project – Round 6 gears up for full implementation, the
Office – Malaria                     Tropical Disease Foundation, Inc., Primary Recipient of the project, held a Forum on Health Promotion on 18-
• Mar. 11: Border operation          19 February, 2008 at Fersal’s Place in Quezon City. The two-day activity was aimed at assessing the health
planning (CHD 10, 11, and 12)        promotion strategies and methods used in the GFMC Project – Round 2. It also served as a venue for levelling
@ Davao City – Malaria               off among project partners towards the identification and eventual implementation of the Health Promotion
                                     component of the GFMC Project Round 6.
• Mar. 12: Planning for the
                                          Twenty-four TDFI-GFMC Provincial Project Coordinators and 18 Health Education and Promotion Officers
evaluation of GF R2 IEC
                                     (HEPO) representing eighteen provincial local government units attended the Forum. Staff members from
strategies and R6 IEC activities
                                     the National Project Office were also present.
– Malaria
                                          After the preliminaries on the first day, Mr. Felix Bautista, a social marketing specialist, facilitated the
                                     discussion on the framework for evaluation of GF 2 Health Promotion Strategies. A workshop to facilitate
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                                     critiquing of IEC materials developed and used during the Round 2 project then followed. The activity proved
                                     to be an informative and enriching experience for the proponents of the materials and strategies. This
• Mar. 11-12: External               facilitated the viewing of their outputs from a different lens.
Evaluation @ FPOP –HIV                      On the second day, Mr. Raul Caceres, the main facilitator, discussed the evolution of the Information,
• Mar. 13-15: External               Education and Communication approach in health promotion. It was followed by an introduction of Behavior
Evaluation @ Baguio (AWAC and        Centered Programming (BCP) as an innovative and alternative strategy for health promotion. A Workshop on
SHC) – HIV                           BCP was conducted to reinforce the principles and contextualize the concepts discussed during the session.
• Mar. 17: TWG sub-                         As emphasized by the facilitator, the IEC Forum should serve as an appreciation course on BCP, which
commit tee      on    clinical       will be an initial phase in the actual adoption of the framework. Next steps include the actual evaluation of
management (finalization of          the health promotion component of the GF 2 project, to be completed within the next two months. Dissemination
National Guidelines on Malaria       of results and planning for the health promotion component of GF 6 will then follow. The HEPOs and PPCs will
Chemotherapy) – Malaria              be contacted sometime in April for the planning workshop. The expected output is the actual drafting of the
                                     Health Promotion Plans for each of the provinces covered by the GFMC project. (Bombo Darauay, TDFI-GFMC
•     March 18: Capacity             Cagayan)
Upgrading on MS Office
Applications (Retooling: Part 1)
•     Third week of March:
Orientation and Consultative
Workshop on ME3 – TB-PR
• Mar. 20: TWG Meeting – HIV             Training on Comprehensive
•     March 24: World TB Day
– TB-PR                                  STI Case Management
• Mar. 24-28: Comprehensive                    Sexually Transmitted Infections (STIs) have become a public health
STI Cluster @ Bohol – HIV                concern because of their interactions with HIV and the implications of
• Mar. 26-28: National Project           these in care and treatment. Effective management of STIs is considered
                                         essential in the prevention of HIV transmission.

Office meeting – Malaria
                                               To update the key implementers in the prevention and treatment of
• Mar.      28:    Philippine            STIs, a two-cluster, five-day training on Comprehensive STI Management
Partnership Forum to Fight TB,           will be held in September 2008. This will be composed of six modules,
Malaria, and HIV/AIDS – TB-PR,
Malaria, HIV
                                         covering gender and sexuality, prevention and care of STI, syndromic              News
                                         STI management, health promotion, education and counseling,
• Mar. 28: Monitoring and site           supervision, and monitoring and evaluation.
visit for PPMD (financial) in                  The Department of Health (DOH),in partnership with the Tropical Disease Foundation,
Mindoro – TB-PR                          Inc., conducted the first batch of STI Case Management Training from January 29 to February 1,
• Mar. 28: GF Annual Partners            2008 at the College of St. Benilde Hotel in Manila. Participants came from the twenty one (21) sites
Meeting – HIV                            of the HIV Round 5 Project.
• First week of Apr.:
Monitoring and site visit – World
Vision – 5 Task Forces to be
visited – TB-PR
• April-May: Setting up the
ETR workstations – TB-PR
• Apr. 1-3: Curriculum review
and revision for Clinical
Management of Malaria –
•    April 7-11: Training on
ETR for newly hir ed and
assigned ETR clerks, ESUs,
• Apr. 7-19: TWG Monitoring
Visits – Malaria
• Apr. 14-16: Visit of the EAP
Cluster Team Leader for
                                       Treatment Hubs’ Pharmacists Training
• Apr. 14-18: Monitoring and
                                       and HACT Clinical Case Conference Held
site visit for PPMD (financial) in           HIV-AIDS Core Team (HACT) physicians and pharmacists from the 11 Global Fund-supported
3 provinces – TB-PR                    treatment hubs gathered for a pharmacist training and HACT clinical case conference at Sulo Hotel,
                                       Quezon City from February 14 to 15, 2008. Pharmacists from the Research Institute of Tropical Medicine
• Apr. 15: DRPU – HIV                  (RITM) and San Lazaro Hospital (SLH), the two biggest treatment hubs in the Philippines, and the
• April 16: Capacity Upgrading         Procurement and Supply Management (PSM) team of the Tropical Disease Foundation (TDF) presented
on MS Office Applications (Part        tools that can be used by the different treatment hubs to ensure accurate monitoring and timely reporting
II) – TB-PR                            of antiretroviral (ARV) stocks. This training is aimed at minimizing risk for expiration of the drugs and
• Apr. 17: TWG Meeting – HIV           preventing drug interruption among patients on ARVs. Physicians from the RITM, SLH, the Philippine
                                       General Hospital (PGH), and TDF presented cases of HIV patients currently being managed at the
• Apr. 25: World Malaria Day           treatment hubs. The participants discussed a number of topics, among which are (1) management
— Malaria                              issues related to ARV treatment; (2) common adverse drug reactions to ARVs; (3) pediatric HIV; (4)
• Last week of Apr.:                   prevention of parent-to-child transmission; (5) common opportunistic infections; (6) HIV and TB co-
Monitoring and site visit for          infection; and (7) HIV and drug-resistant tuberculosis. (Mary Joy A. Morin)
PPMD @ Region VI — TB-PR
                               Three Things That Matter Most
                  In Global Fund Project Implementation and Beyond
                            by Onofre Edwin “ Jojo” A. Merilles Jr., Program Manager, Global Fund TB projects

      I was invited to speak in behalf of the Principal Recipient, the Tropical Disease Foundation,
Inc., during the January 15, 2008 DOTS Modular Training Course. The activity is part of the
Global Fund to Fight AIDS, TB and Malaria (GFATM) TB Round 5 grant. As expected, and as any
other activity organized by the implementing sub-recipient — The Philippine Coalition Against
Tuberculosis (PhilCAT), the training course held in Traders Hotel, Manila was well attended with
about 70 new DOTS providers from all over the country. The participants are the upcoming TB
champions as they say.
      This article is not about the training course. This is not about the new breed of service
providers. This is not about the Tropical Disease Foundation, nor the Philippine Coalition Against
Tuberculosis. Rather, this is about the message I gave to the participants of the course: a
message which became the mantra for the year of the Global Fund TB project coordinating
team. Let me quote in full the message for truncating it would demean the thought.

     Good morning and a Happy New Year to one and all!
     I stand before you in behalf of Dr. Thelma E. Tupasi, the President of the Tropical Disease
Foundation, the Principal Recipient of the Global Fund TB projects in the country, and in behalf
of the Global Fund TB coordinating team of the Principal Recipient.

      Eight months ago, we received a letter from Global Fund saying that the Philippines Round 2 TB project is qualified to submit for a
Rolling Continuation Channel proposal. The major qualifier is the ability to demonstrate exemplary performance and the potential for
sustainability. The original deadline set at that time was midnight of October 3, 2007, Geneva time. And so, just like what we did in the
other proposal making activities we have had in the past, we have prepared a detailed calendar with the end view of submitting the
complete proposal documents by midnight of October 3. For several reasons, the deadline for submission was re-scheduled on November
30, 2007. With the change in schedule, we also changed the calendar of activities, and I would say, adjusted our pace. It was during the
last week of November that we received an advice from the Global Fund that the deadline is again being moved to January 3, 2008. I
guess, typical of us all Filipinos, the writing group also postponed the finalization of the proposal. To cut the story short, it was on
Thursday, January 3, 2008 that the proposal writing team was finally able to sit down and put a closure on the details of the proposal. In
accordance with the guideline, a printed copy of the proposal should be stamped received by a courier and an electronic copy should be
received by the Global Fund on the due date. We were able to deliver the documents to a courier at 10:30pm of January 3, Philippine
time, and we were able to successfully send the thick volume of documents in four separate emails at about 1:30am of January 4, which
is about six hours before midnight of January 3, Geneva time. We all went home past two in the morning looking forward to a good night
sleep. Other members of the proposal writing group may have slept well but I didn’t. That night and a couple of nights after was
‘reflection time.’ It troubled me to realize upon review of the various communications sent to the Country Coordinating Mechanism that
when the deadline date was changed, the time of submission was also changed. Now, why am I telling you this? It is because this
highlights and in fact, re-affirms a couple of important things in life, which I would like to share with you.

     First: Never ignore details. We were so glad that the deadline dates were being moved knowing that it will give us
more time to prepare. But moving dates does not literally mean only the dates are being moved. We should know better this time that
when it says, change in deadline, there is really a CHANGE, and thus all details need to be taken into serious consideration, leaving
nothing to assumption. And so, with this training activity, I implore all participants and delegates, do not ignore details. The things you will
miss if you ignore details may be the things that may cause you sleepless nights.

     Second: Do not put on hold for tomorrow what you can accomplish for the day.
Time and again, we are being reminded that time is of essence. But as always, we tend to relax whenever deadlines are not immediate.
We tend to forego completion of things especially if it is not yet the end date.

     Third: Do not sweat the small stuff, knowing that you will get the chance to make things better. As I told you
a while ago, I had some sleepless nights thinking over and debating with myself the implications of the failure to comply with the
prescribed deadline. But within the same week, we received the confirmation from the GF that the proposal we submitted was accepted.
And in fact, to date, we already have responded to three letters sent by GF in relation to the review they are conducting on the papers we
submitted. And so, don’t sweat the small stuff. If during the training you find things hard to comprehend, do some effort to clarify and
understand. Never surrender and don’t give up. What may be hard for now will be simple and easy in the coming days. Experience will
help you better understand. Just bear in mind that tomorrow is always another day, and we can always make things better in the coming
     With that I end my message. Let me just refresh you a bit. The first thing to remember is to never ignore details. The second is to
not delay completion of things. And third is to not sweat the small stuff for there will always be opportunities for us to do better. And that
puts everything in perspective, in proposal making, in training and beyond. And so, enjoy the training. Absorb all the details and be
mindful of time.
     Good day to everyone!

      There it is. The message I delivered. Three things, three mantra. This has become the guiding principles of our team. This in fact
made us realize that the past could have been simpler if we only considered all details. It made us realize that often in the past we worried
a lot for tomorrow, sometimes forgetting that tomorrow will always be a better day. And finally, it affirmed our resolve to always be
proactive and conscious of our commitments to the patients, partners, and the community.

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