news@TDF Published by the Tropical Disease Foundation, Inc. PRINCIPAL RECIPIENT OF GLOBAL FUND PROJECTS IN THE PHILIPPINES Volume II, Issue No. 1 January-February 2008 2008’s EAP Cluster Team Jumpstart: Leader for Management A CALENDAR OF ACCOMPLISHMENTS... • 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 PR 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 please scroll down to continue... 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 – TB-PR 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 – TB-PR • Jan. 28 – Feb. 1: Monitoring Following its eight years of and site visit (PhilCAT) @ CAR – experience in Multi-Drug Resistant TB-PR 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 Reg.–TB-PR • 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 – HIV • 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 – TB-PR • 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 – HIV 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 Sorsogon. • 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- PR • 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 please scroll down to continue... 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) – TB-PR • 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. HIV 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 – Malaria • April 7-11: Training on ETR for newly hir ed and assigned ETR clerks, ESUs, FHSIS, TB Coor – TB-PR • Apr. 7-19: TWG Monitoring Visits – Malaria • Apr. 14-16: Visit of the EAP Cluster Team Leader for Treatment Hubs’ Pharmacists Training Management • 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 days. 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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