MALARIA CONTROL VALUE CHAIN by edt34384

VIEWS: 11 PAGES: 21

									        for discussion only




MALARIA CONTROL VALUE CHAIN

           May 2006




                              -0-
                                                                        for discussion only


                                          THE MALARIA CONTROL VALUE CHAIN




                                     Strategy and planning                                               Execution

                                     Intervention
                                      Intervention    Program
                                                       Program     Implementation
                                                                    Implementation                  Procurement
                                                                                                     Procurement     Distribution &
                                                                                                                      Distribution &   Monitoring &
                                                                                                                                       Monitoring &
                Objectives
                 Objectives                                                           Production
                                                                                       Production
                                      strategies
                                       strategies      design
                                                        design        planning
                                                                       planning                     & preparation
                                                                                                     & preparation   care delivery
                                                                                                                      care delivery     evaluation
                                                                                                                                         evaluation




                                         Analysis based on holistic view of the partnership
                       Donors and           Development                        Endemic                           Research &
                                                                 NGOs          countries      Private sector      academia             WHO
                       foundations            partners




Core Functions - 12May06.ppt                                                                                                                          -1-
                                                                                                                                                                                                        for discussion only

            NEEDS ALONG VALUE CHAIN MUST BE BASIS FOR DEFINING
                      PARTNERSHIP CORE FUNCTIONS




                                   Strategy and planning                                                                                                                                                                                                                                                                                                                                                     Execution

                                    Intervention
                                     Intervention                               Program
                                                                                 Program                                                                                    Implementation
                                                                                                                                                                             Implementation                                                                                                                                                                                        Procurement
                                                                                                                                                                                                                                                                                                                                                                                    Procurement                                                                     Distribution &
                                                                                                                                                                                                                                                                                                                                                                                                                                                                     Distribution &   Monitoring &
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Monitoring &
                Objectives
                 Objectives                                                                                                                                                                                                                                                          Production
                                                                                                                                                                                                                                                                                      Production
                                     strategies
                                      strategies                                 design
                                                                                  design                                                                                       planning
                                                                                                                                                                                planning                                                                                                                                                                                           & preparation
                                                                                                                                                                                                                                                                                                                                                                                    & preparation                                                                   care delivery
                                                                                                                                                                                                                                                                                                                                                                                                                                                                     care delivery     evaluation
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        evaluation




                                                          LARGE SET OF ACTIVITIES MUST BE EXECUTED SEAMLESSLY                                                                                                                                                                               ROLE CLARITY DOES NOT ADDRESS ALL BARRIERS IN MALARIA
                                                                     IN ORDER TO CONTROL MALARIA                                                                                                                                                                                                                                  Strategy and planning                                                       Execution

                                                                                                                        Malaria Value Chain Activities                                                                                                                                                          Global          Intervention         Program      Implementation                       Procurement &                          Monitoring &
                                                                                                                                                                                                                                                                                                                 Global          Intervention         Program      Implementation        Production     Procurement &     Distribution         Monitoring &
                                                                                                                                                                                                                                                                                                              objectives         strategies           design         planning             Production     preparation       Distribution        evaluation
                                                                                        Strategy and planning                                                             Execution                                                                                                                            objectives         strategies           design         planning                            preparation                           evaluation


                                                                       Global
                                                                        Global        Intervention
                                                                                       Intervention       Program
                                                                                                           Program       Implementation
                                                                                                                          Implementation                        Procurement &
                                                                                                                                                                 Procurement &        Distribution &
                                                                                                                                                                                       Distribution &     Monitoring &
                                                                                                                                                                                                           Monitoring &                                                                                  Inadequate          Multiple actors    Major funders    Partners not       Ineffective        Ineffective                          Lack of M&E
                                                                                                                                               Production
                                                                                                                                                Production
                                                                     objectives
                                                                      objectives       strategies
                                                                                        strategies         design
                                                                                                            design          planning
                                                                                                                             planning                             preparation
                                                                                                                                                                   preparation        care delivery
                                                                                                                                                                                       care delivery       evaluation
                                                                                                                                                                                                            evaluation                                                                                   prioritization of   vying for          not harmonized   accountable to     mechanisms for     global                               harmonization
                                                                                                                                                                                                                                                                                                         needs in global     strategic                           each other         forecasting,       procurement




                                 Key                                                                                                                                                                                                                                                                                                                                                                                                                                  Barriers to
                                                                                                                                                                                                                                                                                                         malaria             leadership                                             communicating      agencies




                                                                                                                                                                                                                                                                                               Global
                                                               Assess and          R&D of             Help countries      Operational        Coordinate        Select producer   Retrieve and           Execute country-                                                                                 community                                                                  and linking
                                                               prioritize needs    interventions      to adopt            planning to        new and                             store                  level monitoring                                                                                                                                         Funding            supply and
                                                                                                      processes &         determine          existing          Order             commodities            and evaluation                                                                                                       Weak                                                                      ... But others above and beyond
                                                                                                                                                                                                                                                                                                                                                                 disconnected       demand
                                                               Define clear and    Exchange           policies            what needs to      sources of        commodities                                                                                                                                                   mechanisms
                                                                                                                                                                                                                                                                                                                                                                 from                                  remit of individual organizations
                                                               common set of       learnings on                           be done            production                          Distribute             Aggregate data                                                                                                       linking research
                                                                                                                                                                                                                                                                                                                                                                 implementation                              and require additional
                                                               global metrics      interventions      Conduct                                                  Confirm           commodities            and synthesize                                                                                                       to policy
                                                                                                                                                                                                                                                                                                                                                                 support                                          coordination
                                                                                                      situation           Partner            Manufacture       delivery          within country         learnings
                                                               Set targets for     Set technical      analysis to         planning to        commodities
                                                               global metrics      policy on          define local        decide who                           Pay for           Communicate            Communicate                                                                                            Some barriers
                                                                                   available          conditions and      will do what       Quality           commodities       and educate            results                                                                                                 addressed by
                                                                                                                                                                                                                                                                                                               clarifying roles                 Program          Ineffective /      Limited local      Weak country       Weak              Weak links




                               activities                                                                                                                                                                                                                                                                                                                                                                                                                              success
                                                               Resource            interventions      assess capacity                        assurance and
                                                               mobilization                                               Provide and        control           Manage            Diagnose               Conduct                                                                                             along value chain ...               demands          lack of            production         procurement        distribution      between M&E
                                                               around targets      Delineate          Develop             obtain price                         shipping and      effectively            research                                                                                                                                outstripping     planning           capacity           plans              infrastructure    and country
                                                                                   range of           strategic plan      and availability                     clearance                                assessments                                                                                                                             HR capacity                                                                                 strategy
                                                               Generate new        strategic                              data                                                   Administer care                                                                                                                                                                 Inability to
                                                               sources of          options            Apply for                                                Link to and                                                                                                                                                                                                                             Burdensome         Inconsistent
                                                                                                                                                                                                                                                                                                                                                Slow             forecast,
                                                               support                                program                                                  support health    Manage                                                                                                                                                                                                                government         coverage of       Weak M&E
                                                                                                                                                                                                                                                                                                                                                adaptation to    communicate,




                                                                                                                                                                                                                                                                                               Country
                                                                                   Define             funding                                                  infrastructure    compliance                                                                                                                                                                                                            bottlenecks        delivery NGOs     information
                                                                                                                                                                                                                                                                                                                                                new malaria      and link actual
                                                               Communicate         conditions of                                                                                                                                                                                                                                                                                                                                            systems and
                                                                                                                                                                                                                                                                                                                                                policies         supply and
                                                               targets to          use for the        Aggregate                                                Train health                                                                                                                                                                                                                                                                 training
                                                                                                                                                                                                                                                                                                                                                                 demand
                                                               malaria             interventions      commodity                                                personnel                                                                                                                                                                                                                               Poor               Coverage gaps
                                                               community                              demands for                                                                                                                                                                                                                               Lack of                                                communication      due to improper
                                                                                   Communicate        global forecast                                          Integrate with                                                                                                                                                                   program                                                with               use
                                                                                                                                                                                                                                                                                                                                                                 Politics and
                                                                                   strategies to                                                               community                                                                                                                                                                        sustainability                                         manufacturers
                                                                                                                                                                                                                                                                                                                                                                 hierarchy limit
                                                                                   malaria                                                                     health systems                                                                                                                                                                   and continuity                                         and procurers
                                                                                                                                                                                                                                                                                                                                                                 NMCP control
                                                                                   community
                                                                                                                                                                                                                                                                                                                                                Weak national
                                                                                                                                                          Supply chain management                                                                                                                                                               health systems                                  Key    x   = remaining barriers after clarifying roles
                                                                                                            Project management                                      Program management
                                                                                                                                                                                                                                                                                                                                                                                                       x   = barriers removed through clarifying roles
                                                    Source: Interviews with RBM Partners, BCG research; BCG analysis                                                                                                                                                                      Source: Interviews with RBM Partners, BCG research; BCG analysis
                                                    AB Briefing - 12May06.ppt                                                                                                                                                 -4-                                                         AB Briefing - 12May06.ppt                                                                                                                                           -8-




                                                                                                                                                                                                                                          CORE FUNCTIONS OF PARTNERSHIP

                                                                                                                                                                                                                                                   Principal functions


                                                                                                                                                                                                                                                            Set
                                                                                                                                                                                                                           Collect and                   priorities         Disseminate
                                                                                                                                                                                                                           analyze data                      &              and support
                                                                                                                                                                                                                                                         strategy




                                                                                                                                                                                                                                                     Coordinating role


                                                                                                                                                                                                                                              Align partners around needs

                                                                                                                                                                                                                                       Harmonize strategies and coordinate action           Coordination
                                                                                                                                                                                                                           Generate accountability and enabling political environments



                                                                                                                                                                                                        Core Functions - 12May06.ppt                                                                                   - 38 -




                                                                                                                                               Partnership core functions
Core Functions - 12May06.ppt                                                                                                                                                                                                                                                                                                                                                                                                                                                                         -2-
                                                                                                                                                                                                        for discussion only

            NEEDS ALONG VALUE CHAIN MUST BE BASIS FOR DEFINING
                      PARTNERSHIP CORE FUNCTIONS




                                   Strategy and planning                                                                                                                                                                                                                                                                                                                                                      Execution

                                    Intervention
                                     Intervention                               Program
                                                                                 Program                                                                                    Implementation
                                                                                                                                                                             Implementation                                                                                                                                                                                         Procurement
                                                                                                                                                                                                                                                                                                                                                                                     Procurement                                                                     Distribution &
                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Distribution &   Monitoring &
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       Monitoring &
                Objectives
                 Objectives                                                                                                                                                                                                                                                           Production
                                                                                                                                                                                                                                                                                       Production
                                     strategies
                                      strategies                                 design
                                                                                  design                                                                                       planning
                                                                                                                                                                                planning                                                                                                                                                                                            & preparation
                                                                                                                                                                                                                                                                                                                                                                                     & preparation                                                                   care delivery
                                                                                                                                                                                                                                                                                                                                                                                                                                                                      care delivery     evaluation
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         evaluation




                                                          LARGE SET OF ACTIVITIES MUST BE EXECUTED SEAMLESSLY                                                                                                                                                                                ROLE CLARITY DOES NOT ADDRESS ALL BARRIERS IN MALARIA
                                                                     IN ORDER TO CONTROL MALARIA                                                                                                                                                                                                                                   Strategy and planning                                                       Execution

                                                                                                                        Malaria Value Chain Activities                                                                                                                                                           Global          Intervention         Program      Implementation                       Procurement &                          Monitoring &
                                                                                                                                                                                                                                                                                                                  Global          Intervention         Program      Implementation        Production     Procurement &     Distribution         Monitoring &
                                                                                                                                                                                                                                                                                                               objectives         strategies           design         planning             Production     preparation       Distribution        evaluation
                                                                                        Strategy and planning                                                             Execution                                                                                                                             objectives         strategies           design         planning                            preparation                           evaluation


                                                                       Global
                                                                        Global        Intervention
                                                                                       Intervention       Program
                                                                                                           Program       Implementation
                                                                                                                          Implementation                        Procurement &
                                                                                                                                                                 Procurement &        Distribution &
                                                                                                                                                                                       Distribution &     Monitoring &
                                                                                                                                                                                                           Monitoring &                                                                                   Inadequate          Multiple actors    Major funders    Partners not       Ineffective        Ineffective                          Lack of M&E
                                                                                                                                               Production
                                                                                                                                                Production
                                                                     objectives
                                                                      objectives       strategies
                                                                                        strategies         design
                                                                                                            design          planning
                                                                                                                             planning                             preparation
                                                                                                                                                                   preparation        care delivery
                                                                                                                                                                                       care delivery       evaluation
                                                                                                                                                                                                            evaluation                                                                                    prioritization of   vying for          not harmonized   accountable to     mechanisms for     global                               harmonization
                                                                                                                                                                                                                                                                                                          needs in global     strategic                           each other         forecasting,       procurement




                                 Key                                                                                                                                                                                                                                                                                                                                                                                                                                   Barriers to
                                                                                                                                                                                                                                                                                                          malaria             leadership                                             communicating      agencies




                                                                                                                                                                                                                                                                                                Global
                                                               Assess and          R&D of             Help countries      Operational        Coordinate        Select producer   Retrieve and           Execute country-                                                                                  community                                                                  and linking
                                                               prioritize needs    interventions      to adopt            planning to        new and                             store                  level monitoring                                                                                                                                          Funding            supply and
                                                                                                      processes &         determine          existing          Order             commodities            and evaluation                                                                                                        Weak                                                                      ... But others above and beyond
                                                                                                                                                                                                                                                                                                                                                                  disconnected       demand
                                                               Define clear and    Exchange           policies            what needs to      sources of        commodities                                                                                                                                                    mechanisms
                                                                                                                                                                                                                                                                                                                                                                  from                                  remit of individual organizations
                                                               common set of       learnings on                           be done            production                          Distribute             Aggregate data                                                                                                        linking research
                                                                                                                                                                                                                                                                                                                                                                  implementation                              and require additional
                                                               global metrics      interventions      Conduct                                                  Confirm           commodities            and synthesize                                                                                                        to policy
                                                                                                                                                                                                                                                                                                                                                                  support                                          coordination
                                                                                                      situation           Partner            Manufacture       delivery          within country         learnings
                                                               Set targets for     Set technical      analysis to         planning to        commodities
                                                               global metrics      policy on          define local        decide who                           Pay for           Communicate            Communicate                                                                                             Some barriers
                                                                                   available          conditions and      will do what       Quality           commodities       and educate            results                                                                                                  addressed by
                                                                                                                                                                                                                                                                                                                clarifying roles                 Program          Ineffective /      Limited local      Weak country       Weak              Weak links




                               activities                                                                                                                                                                                                                                                                                                                                                                                                                               success
                                                               Resource            interventions      assess capacity                        assurance and
                                                               mobilization                                               Provide and        control           Manage            Diagnose               Conduct                                                                                              along value chain ...               demands          lack of            production         procurement        distribution      between M&E
                                                               around targets      Delineate          Develop             obtain price                         shipping and      effectively            research                                                                                                                                 outstripping     planning           capacity           plans              infrastructure    and country
                                                                                   range of           strategic plan      and availability                     clearance                                assessments                                                                                                                              HR capacity                                                                                 strategy
                                                               Generate new        strategic                              data                                                   Administer care                                                                                                                                                                  Inability to
                                                               sources of          options            Apply for                                                Link to and                                                                                                                                                                                                                              Burdensome         Inconsistent
                                                                                                                                                                                                                                                                                                                                                 Slow             forecast,
                                                               support                                program                                                  support health    Manage                                                                                                                                                                                                                 government         coverage of       Weak M&E
                                                                                                                                                                                                                                                                                                                                                 adaptation to    communicate,




                                                                                                                                                                                                                                                                                                Country
                                                                                   Define             funding                                                  infrastructure    compliance                                                                                                                                                                                                             bottlenecks        delivery NGOs     information
                                                                                                                                                                                                                                                                                                                                                 new malaria      and link actual
                                                               Communicate         conditions of                                                                                                                                                                                                                                                                                                                                             systems and
                                                                                                                                                                                                                                                                                                                                                 policies         supply and
                                                               targets to          use for the        Aggregate                                                Train health                                                                                                                                                                                                                                                                  training
                                                                                                                                                                                                                                                                                                                                                                  demand
                                                               malaria             interventions      commodity                                                personnel                                                                                                                                                                                                                                Poor               Coverage gaps
                                                               community                              demands for                                                                                                                                                                                                                                Lack of                                                communication      due to improper
                                                                                   Communicate        global forecast                                          Integrate with                                                                                                                                                                    program                                                with               use
                                                                                                                                                                                                                                                                                                                                                                  Politics and
                                                                                   strategies to                                                               community                                                                                                                                                                         sustainability                                         manufacturers
                                                                                                                                                                                                                                                                                                                                                                  hierarchy limit
                                                                                   malaria                                                                     health systems                                                                                                                                                                    and continuity                                         and procurers
                                                                                                                                                                                                                                                                                                                                                                  NMCP control
                                                                                   community
                                                                                                                                                                                                                                                                                                                                                 Weak national
                                                                                                                                                          Supply chain management                                                                                                                                                                health systems                                  Key    x   = remaining barriers after clarifying roles
                                                                                                            Project management                                      Program management
                                                                                                                                                                                                                                                                                                                                                                                                        x   = barriers removed through clarifying roles
                                                    Source: Interviews with RBM Partners, BCG research; BCG analysis                                                                                                                                                                       Source: Interviews with RBM Partners, BCG research; BCG analysis
                                                    AB Briefing - 12May06.ppt                                                                                                                                                  -4-                                                         AB Briefing - 12May06.ppt                                                                                                                                           -8-




                                                                                                                                                                                                                                           CORE FUNCTIONS OF PARTNERSHIP

                                                                                                                                                                                                                                                    Principal functions


                                                                                                                                                                                                                                                             Set
                                                                                                                                                                                                                            Collect and                   priorities         Disseminate
                                                                                                                                                                                                                            analyze data                      &              and support
                                                                                                                                                                                                                                                          strategy




                                                                                                                                                                                                                                                      Coordinating role


                                                                                                                                                                                                                                               Align partners around needs

                                                                                                                                                                                                                                        Harmonize strategies and coordinate action           Coordination
                                                                                                                                                                                                                            Generate accountability and enabling political environments



                                                                                                                                                                                                         Core Functions - 12May06.ppt                                                                                   - 38 -




                                                                                                                                               Partnership core functions
Core Functions - 12May06.ppt                                                                                                                                                                                                                                                                                                                                                                                                                                                                          -3-
                                                    for discussion only

         METHODOLOGY FOR CREATING MALARIA VALUE CHAIN


            Inputs                                                                                                                                                                                                 Parameters

Interviews with malaria experts   Value chain activities                                                                                                                                                  Mapping activities at
and key RBM Partners across                                                                                                                                                                               appropriate level
all major constituencies                                                                                                                                                                                   • Succinct enough to engage
  • Including RBM Secretariat                                                                                                                                                                                and communicate
    and RBM Board members                                                                                                                                                                                  • Detailed enough to
                                        LARGE SET OF ACTIVITIES MUST BE EXECUTED SEAMLESSLY
                                                   IN ORDER TO CONTROL MALARIA
                                                                                                      Malaria Value Chain Activities
                                                                                                                                                                                                             accurately inform Core
Participation, observation, and                                                                                                                                                                              Functions
                                                                      Strategy and planning                                                            Execution

                                                     Global
                                                      Global        Intervention
                                                                     Intervention       Program
                                                                                         Program       Implementation
                                                                                                        Implementation                       Procurement &
                                                                                                                                              Procurement &    Distribution &
                                                                                                                                                                Distribution &     Monitoring &
                                                                                                                                                                                    Monitoring &
                                                                                                                            Production
                                                                                                                             Production
                                                   objectives
                                                    objectives       strategies
                                                                      strategies         design
                                                                                          design          planning
                                                                                                           planning                            preparation
                                                                                                                                                preparation    care delivery
                                                                                                                                                                care delivery       evaluation
                                                                                                                                                                                     evaluation

                                             Assess and          R&D of             Help countries     Operational        Coordinate        Select producer   Retrieve and       Execute country-




interviews at RBM meetings
                                             prioritize needs    interventions      to adopt           planning to        new and                             store              level monitoring
                                                                                    processes &        determine          existing          Order             commodities        and evaluation
                                             Define clear and    Exchange           policies           what needs to      sources of        commodities
                                             common set of       learnings on                          be done            production                          Distribute         Aggregate data
                                             global metrics      interventions      Conduct                                                 Confirm           commodities        and synthesize
                                                                                    situation          Partner            Manufacture       delivery          within country     learnings
                                             Set targets for     Set technical      analysis to        planning to        commodities
                                             global metrics      policy on          define local       decide who                           Pay for           Communicate        Communicate



  • WIN working group                                                                                                                                                                                     Descriptive, not prescriptive
                                                                 available          conditions and     will do what       Quality           commodities       and educate        results
                                             Resource            interventions      assess capacity                       assurance and
                                             mobilization                                              Provide and        control           Manage            Diagnose           Conduct
                                             around targets      Delineate          Develop            obtain price                         shipping and      effectively        research
                                                                 range of           strategic plan     and availability                     clearance                            assessments
                                             Generate new        strategic                             data                                                   Administer care
                                             sources of          options            Apply for                                               Link to and




  • EARN                                                                                                                                                                                                   • Agnostic on various models
                                             support                                program                                                 support health    Manage
                                                                 Define             funding                                                 infrastructure    compliance
                                             Communicate         conditions of
                                             targets to          use for the        Aggregate                                               Train health
                                             malaria             interventions      commodity                                               personnel
                                             community                              demands for
                                                                 Communicate        global forecast                                         Integrate with
                                                                 strategies to                                                              community




  • GFATM/RBM (Dakar)                                                                                                                                                                                        / approaches to fighting
                                                                 malaria                                                                    health systems
                                                                 community

                                                                                                                                       Supply chain management
                                                                                         Project management                                      Program management

                                  Source: Interviews with RBM Partners, BCG research; BCG analysis




                                                                                                                                                                                                             malaria (e.g., different
                                  AB Briefing - 12May06.ppt                                                                                                                                         -4-




Leveraging internal BCG                                                                                                                                                                                      distribution models)
research and expertise
 • Previous case experience                                                                                                                                                                               Focus on malaria
 • Malaria experts                                                                                                                                                                                         • Only including broader
 • Research analysts                                                                                                                                                                                         systems when critically
                                                                                                                                                                                                             important
                                                    Iterative process
                                                    Iterative process



                                                                                                                                                                                                                                       -4-
                                                                          for discussion only

                     EXPANSIVE SET OF ACTIVITIES TO CONTROL MALARIA
                                                                      Malaria Value Chain Activities
                                    Strategy and planning                                                            Execution

                                  Intervention
                                   Intervention       Program
                                                       Program         Implementation
                                                                        Implementation                        Procurement &
                                                                                                               Procurement &      Distribution &
                                                                                                                                   Distribution &     Monitoring &
                                                                                                                                                       Monitoring &
                 Objectives
                  Objectives                                                                Production
                                                                                             Production
                                   strategies
                                    strategies         design
                                                        design            planning
                                                                           planning                             preparation
                                                                                                                 preparation      care delivery
                                                                                                                                   care delivery       evaluation
                                                                                                                                                        evaluation

           Assess &            R&D of             Help countries to    Operational        Coordinate         Select producer    Retrieve and        Design data
           prioritize          interventions      adopt processes      planning to        new and                               store               framework to
           country needs                          & policies           determine what     existing           Order              commodities         support metrics
                               Exchange                                needs to be        sources of         commodities
           Define clear and    learnings on       Conduct              done               production                            Distribute          Execute country-
           common set of       interventions      situation                                                  Confirm delivery   commodities         level monitoring
           global metrics                         analysis to          Partner            Manufacture                           within country      and evaluation
                               Set technical      define local         planning to        commodities        Pay for
           Set targets for     policy on          conditions and       decide who will                       commodities        Communicate         Aggregate data
           global metrics      available          assess capacity      do what            Quality                               and educate         and synthesize
                               interventions                                              assurance and      Manage                                 learnings
           Resource                               Develop              Provide and        control            shipping and       Diagnose
           mobilization        Delineate range    strategic plan       obtain price                          clearance          effectively         Communicate
           around targets      of strategic                            and availability                                                             results
                               options            Apply for            data                                  Link to and        Administer care
           Generate new                           program funding                                            support health                         Conduct research
           sources of          Define                                                                        infrastructure     Manage              assessments
           support             conditions of      Aggregate                                                                     compliance
                               use for the        commodity                                                  Train health
           Communicate         interventions      demands for                                                personnel
           targets to                             global forecast
           malaria             Communicate                                                                   Integrate with
           community           strategies to                                                                 community
                               malaria                                                                       health systems
                               community

                                                                                                        Supply chain management
                                                        Project management                                         Program management



Source: Interviews with RBM Partners, Secretariat and Key Opinion Leaders, BCG research; BCG analysis
Core Functions - 12May06.ppt                                                                                                                                           -5-
                                                                              for discussion only

                                    ALIGNMENT OF ROLES ACROSS VALUE CHAIN REQUIRED

                                                                                 Malaria Value Chain Players
                   ~# of Partners




                                                      Strategy and planning                                            Execution
    Constituency




                                                     Intervention
                                                      Intervention    Program
                                                                       Program   Implementation
                                                                                  Implementation                 Procurement &
                                                                                                                  Procurement &    Distribution &
                                                                                                                                    Distribution &   Monitoring &
                                                                                                                                                      Monitoring &
                                       Objectives
                                        Objectives                                                 Production
                                                                                                    Production
                                                      strategies
                                                       strategies      design
                                                                        design      planning
                                                                                     planning                      preparation
                                                                                                                    preparation    care delivery
                                                                                                                                    care delivery     evaluation
                                                                                                                                                       evaluation



 Donors            ~5

 Develop.
 partners          ~5

  NGOs             ~30(1)

Endemic
countries          ~100

 Private
 sector            ~10

Research &
 academia          ~10

  WHO                      1


                   ~160
                                                         Over 150 Partners involved in fighting malaria
                                                         Over 150 Partners involved in fighting malaria
                                                           • Significant value in coordination function
                                                           • Significant value in coordination function

                                                                                                                                   Primary focus
  (1) Not including community-based organizations (CBOs)                                                            Key
  Source: Interviews with RBM Partners, BCG research; BCG analysis                                                                Secondary focus
                                                                                                                                                           -6-
                                                                  for discussion only

            FIVE LEVELS OF PARTNERSHIP INVOLVEMENT IN ACTIVITIES
  “Independent”                       “Partner activities”                                      “Partnership activities”
        Not connected                      Loosely connected to                             Tightly connected to Partnership governance
           to RBM                         Partnership governance
         governance
                                                                                                                                      5

                                                                                                                4               Resourced by
                                                                                                                                 Partnership
                                                                                       3               Active collaboration
                                                                                                       through Partnership
                                                              2                 Delegation by
                                                                                 Partnership                                  ...allocate primary
                                          1           Acknowledgement                                                          responsibility to
                                                       from Partnership                                  ...work together           dedicated
                  0               Loose affiliation                                                     through a formal          Partnership
                                                                                  ...delegate to
                                  with Partnership                                                    forum or mechanism            resources
                                                                             individual Partner(s),
        Independent of                                                                                  for collaboration
                                                                               who take direction
          Partnership                                 ...rely on one or
                                                                              from collective; are
                                                      more Partners to                                                        e.g., RBM advocacy
                                                                                 accountable to
                                                      perform the role                                 e.g., Working Group
                                                                                Partnership for
                                                          under their                                 topics, Sub-Regional
                                 ...work under high                                 delivering
    Activities in which                                  independent                                    Network planning
    Activities in which             level operating
                                                       organizational
        Partners...
        Partners...                  principles of
                                                           mandate
                                      Partnership                              e.g., UNICEF for
                                                                                 procurement
                                                        e.g., WHO for
                                  e.g., academic
                                                       technical policy
                                     research




                               Indirect                              Level of Partnership involvement                                       Direct

                                     Also a geographic dimension -- global, regional and/or local
                                     Also a geographic dimension -- global, regional and/or local
Core Functions - 12May06.ppt                                                                                                                        -7-
                                                    for discussion only

                  CLEAR LOGIC AND CRITERIA DEFINES PLACES IN WHICH
                    PARTNERSHIP UNIQUELY SUITED TO PLAY A ROLE
                                                                                               Partnership
                                                                          Partner activities
                                                                                                activities

       Does the activity fall squarely under the mandate of                       Y
       a large, existing organization (i.e., GFATM)?
                                                                                                   N
       Can the required capabilities and execution capacity                       Y
       reside within a single Partner organization?
                                                                                                   N
                                                                                  Y
       Is the activity more streamlined/efficient when
       performed by a single Partner than by collective?                                           N


       Are there conflicts of interest in having this activity                                     Y
       performed by an individual actor?
                                                                                  N

       Is credibility increased by having this activity                                            Y
       performed by collective?
                                                                                  N

       Is a single, standardized or coordinated approach                                           Y
       required?
                                                                                  N
       Does activity require identifying gaps or bottlenecks                                       Y
       indicating improvement opportunities across the
       system?                                                                    N

Core Functions - 12May06.ppt                                                                                 -8-
                                                         for discussion only

     EXAMPLE: DEFINING WHERE PARTNERSHIP UNIQUELY SUITED
“Provide and obtain price & availability data”               Partner      Partnership
                                                                                                      Comments
                                                            activities     activities
  Does the activity fall solely under the mandate
  of a large, existing organization (i.e., GFATM)?                             N            No major organization currently
                                                                                              mandated to execute task

  Can the required capabilities and execution
  capacity reside within a single Partner                       Y                       Need to be able to cull information from
  organization?                                                                           across constituencies and players

  Is the activity more streamlined/efficient when
  performed by a single Partner than by                         Y
                                                                                              Single, centralized point of
  collective?                                                                               communication highly desirable


  Are there conflicts of interest in having this
                                                                               Y          Community questions incentives of
  activity performed by an individual actor?
                                                                                        Partners directly involved in, or stand to
                                                                                         gain from, procurement decisions and
  Is credibility increased by having this activity
                                                                               Y                        execution
  performed by collective?
                                                                                           Transparency and consistency of
  Is a single, standardized or coordinated                                     Y         information required to match supply
  approach required?                                                                                 and demand

  Does activity require identifying gaps or                                                Not critical – however, provides
  bottlenecks indicating improvement                                           Y           opportunity to match commodity
  opportunities across the system?                                                               surpluses to needs

                                   5                 3
                 Could be “resourced” or “delegated” if a single Partner had comparative advantage
                 Could be “resourced” or “delegated” if a single Partner had comparative advantage
                                                                                                                          -9-
                                                                                   for discussion only

         PARTNERSHIP INVOLVEMENT VARIES ACROSS VALUE CHAIN
                                            Intervention
                                             Intervention          Program
                                                                    Program              Implementation
                                                                                          Implementation                         Procurement &
                                                                                                                                  Procurement &         Distribution &
                                                                                                                                                         Distribution &        Monitoring &
                                                                                                                                                                                Monitoring &
                         Objectives
                          Objectives                                                                           Production
                                                                                                                Production
                                             strategies
                                              strategies            design
                                                                     design                 planning
                                                                                             planning                              preparation
                                                                                                                                    preparation         care delivery
                                                                                                                                                         care delivery          evaluation
                                                                                                                                                                                 evaluation
                    Communicate           Communicate         Help countries to                                                                                           Communicate
                    targets to malaria    strategies to       adopt processes &                                                                                           results
       Resourcing




                    community             malaria             policies
                                          community
5




                    Generate new
                    sources of support




                                                                                                                                                                                                     Partnership activities
                    Assess & prioritize   Exchange            Aggregate                  Operational         Coordinate new                                               Aggregate data
                    country needs         learnings on        commodity                  planning to         and existing                                                 and synthesize
    collaboration




                                          interventions       demands for                determine what      sources of                                                   learnings
        Active




                    Define clear and                          global forecast            needs to be done    production
                    common set of                                                                                                                                         Design data
4




                                          Delineate range
                    global metrics                                                       Partner planning                                                                 framework to
                                          of strategic
                                                                                         to decide who                                                                    support metrics
                                          options
                    Set targets for                                                      will do what
                    global metrics

                                          Define conditions   Develop strategic          Provide and                          Supply chain management                     Execute country-
       Delegation




                                          of use for the      plans                      obtain price and                                                                 level monitoring
                                          interventions                                  availability data                                                                and evaluation
3




                                                                                                                                        Program management
                                                                         Project management


                                                                                                                                Select producer         Retrieve / store




                                                                                                                                                                                                     Partner activities
                                          Set technical
    edgement




                                                                                                             Quality
    Acknowl-




                    Resource                                  Apply for program
                    mobilization          policy on           funding                                        assurance and      Order commodities        commodities
                                                                                                                                Confirm delivery        Distribute commodities
2




                    around targets        available                                                          control
                                          interventions                                                                         Pay for commodities     Communicate & educate
                                                                                                                                Shipping & clearance
    affiliation




                                                              Conduct situation                                                                                                Conduct
      Loose




                                                              analysis to define local
1




                                                                                                                                                                               research
                                                              conditions and assess                                                                                            assessments
                                                              capacity


                                          R&D of                                                             Manufacture        Health infrastructure      Diagnose
    Indepen




                                          interventions                                                      commodities        Train personnel            Administer care
      dent
0




                                                                                                                                Integrate with             Manage compliance
                                                                                                                                  community health
                                                                                                                                  systems

                                                                                                                                                                                            - 10 -
                                                                           for discussion only
                   MANY SIGNIFICANT BARRIERS TO SUCCESS IN MALARIA
                     Some Addressed Through Clarified Roles; Coordination Also Required
                                        Strategy and planning                                                           Execution

                                       Intervention
                                        Intervention        Program
                                                             Program     Implementation
                                                                          Implementation                       Procurement &
                                                                                                                Procurement &                           Monitoring &
                                                                                                                                                         Monitoring &
                    Objectives
                     Objectives                                                                 Production
                                                                                                 Production                          Distribution
                                                                                                                                      Distribution
                                        strategies
                                         strategies          design
                                                              design        planning
                                                                             planning                            preparation
                                                                                                                  preparation                            evaluation
                                                                                                                                                          evaluation


               Inadequate          Multiple actors     Major funders    Partners not       Inadequate          Ineffective global                     Lack of M&E
               prioritization of   vying for           not harmonized   accountable to     collaboration to    procurement                            harmonization
               needs in global     strategic                            each other         accurately          agencies
               malaria             leadership                                              forecast and
     Global




               community                                                                   communicate
                                                                        Funding            actual supply and
                                   Weak                                                                        ... But others above and beyond
                                                                        disconnected       demand
                                   mechanisms
                                                                        from                                   remit of individual organizations
                                   linking research
                                                                        implementation                               and require additional
                                   to policy
                                                                        support                                           coordination

                      Some barriers
                      addressed by
                  clarifying roles along               Program          Ineffective /      Limited local       Weak country         Weak              Weak links
                                                       demands          lack of            production          procurement          distribution      between M&E
                      value chain ...
                                                       outstripping     planning           capacity            plans                infrastructure    and country
                                                       HR capacity                                                                                    strategy
                                                                        Inability to
                                                                                                               Burdensome           Inconsistent
                                                       Slow             forecast,
                                                                                                               government           coverage of       Weak M&E
                                                       adaptation to    communicate,
     Country




                                                                                                               bottlenecks          delivery NGOs     information
                                                       new malaria      and link actual
                                                                                                                                                      systems and
                                                       policies         supply and
                                                                                                                                                      training
                                                                        demand
                                                                                                               Poor                 Coverage gaps
                                                       Lack of                                                 communication        due to improper
                                                       program                                                 with                 use
                                                                        Politics and
                                                       sustainability                                          manufacturers
                                                                        hierarchy limit
                                                       and continuity                                          and procurers
                                                                        NMCP control

                                                       Weak national
                                                       health systems
                                                                                                               x   = remaining barriers after clarifying roles

                                                                                                               x   = barriers removed through clarifying roles
Source: Interviews with RBM Partners, Secretariat and Key Opinion Leaders, BCG research; BCG analysis
Core Functions - 12May06.ppt                                                                                                                                            - 11 -
                                                                                                                                                                                                        for discussion only

            NEEDS ALONG VALUE CHAIN MUST BE BASIS FOR DEFINING
                      PARTNERSHIP CORE FUNCTIONS




                                   Strategy and planning                                                                                                                                                                                                                                                                                                                                                      Execution

                                    Intervention
                                     Intervention                               Program
                                                                                 Program                                                                                    Implementation
                                                                                                                                                                             Implementation                                                                                                                                                                                         Procurement
                                                                                                                                                                                                                                                                                                                                                                                     Procurement                                                                     Distribution &
                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Distribution &   Monitoring &
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       Monitoring &
                Objectives
                 Objectives                                                                                                                                                                                                                                                           Production
                                                                                                                                                                                                                                                                                       Production
                                     strategies
                                      strategies                                 design
                                                                                  design                                                                                       planning
                                                                                                                                                                                planning                                                                                                                                                                                            & preparation
                                                                                                                                                                                                                                                                                                                                                                                     & preparation                                                                   care delivery
                                                                                                                                                                                                                                                                                                                                                                                                                                                                      care delivery     evaluation
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         evaluation




                                                          LARGE SET OF ACTIVITIES MUST BE EXECUTED SEAMLESSLY                                                                                                                                                                                ROLE CLARITY DOES NOT ADDRESS ALL BARRIERS IN MALARIA
                                                                     IN ORDER TO CONTROL MALARIA                                                                                                                                                                                                                                   Strategy and planning                                                       Execution

                                                                                                                        Malaria Value Chain Activities                                                                                                                                                           Global          Intervention         Program      Implementation                       Procurement &                          Monitoring &
                                                                                                                                                                                                                                                                                                                  Global          Intervention         Program      Implementation        Production     Procurement &     Distribution         Monitoring &
                                                                                                                                                                                                                                                                                                               objectives         strategies           design         planning             Production     preparation       Distribution        evaluation
                                                                                        Strategy and planning                                                             Execution                                                                                                                             objectives         strategies           design         planning                            preparation                           evaluation


                                                                       Global
                                                                        Global        Intervention
                                                                                       Intervention       Program
                                                                                                           Program       Implementation
                                                                                                                          Implementation                        Procurement &
                                                                                                                                                                 Procurement &        Distribution &
                                                                                                                                                                                       Distribution &     Monitoring &
                                                                                                                                                                                                           Monitoring &                                                                                   Inadequate          Multiple actors    Major funders    Partners not       Ineffective        Ineffective                          Lack of M&E
                                                                                                                                               Production
                                                                                                                                                Production
                                                                     objectives
                                                                      objectives       strategies
                                                                                        strategies         design
                                                                                                            design          planning
                                                                                                                             planning                             preparation
                                                                                                                                                                   preparation        care delivery
                                                                                                                                                                                       care delivery       evaluation
                                                                                                                                                                                                            evaluation                                                                                    prioritization of   vying for          not harmonized   accountable to     mechanisms for     global                               harmonization
                                                                                                                                                                                                                                                                                                          needs in global     strategic                           each other         forecasting,       procurement




                                 Key                                                                                                                                                                                                                                                                                                                                                                                                                                   Barriers to
                                                                                                                                                                                                                                                                                                          malaria             leadership                                             communicating      agencies




                                                                                                                                                                                                                                                                                                Global
                                                               Assess and          R&D of             Help countries      Operational        Coordinate        Select producer   Retrieve and           Execute country-                                                                                  community                                                                  and linking
                                                               prioritize needs    interventions      to adopt            planning to        new and                             store                  level monitoring                                                                                                                                          Funding            supply and
                                                                                                      processes &         determine          existing          Order             commodities            and evaluation                                                                                                        Weak                                                                      ... But others above and beyond
                                                                                                                                                                                                                                                                                                                                                                  disconnected       demand
                                                               Define clear and    Exchange           policies            what needs to      sources of        commodities                                                                                                                                                    mechanisms
                                                                                                                                                                                                                                                                                                                                                                  from                                  remit of individual organizations
                                                               common set of       learnings on                           be done            production                          Distribute             Aggregate data                                                                                                        linking research
                                                                                                                                                                                                                                                                                                                                                                  implementation                              and require additional
                                                               global metrics      interventions      Conduct                                                  Confirm           commodities            and synthesize                                                                                                        to policy
                                                                                                                                                                                                                                                                                                                                                                  support                                          coordination
                                                                                                      situation           Partner            Manufacture       delivery          within country         learnings
                                                               Set targets for     Set technical      analysis to         planning to        commodities
                                                               global metrics      policy on          define local        decide who                           Pay for           Communicate            Communicate                                                                                             Some barriers
                                                                                   available          conditions and      will do what       Quality           commodities       and educate            results                                                                                                  addressed by
                                                                                                                                                                                                                                                                                                                clarifying roles                 Program          Ineffective /      Limited local      Weak country       Weak              Weak links




                               activities                                                                                                                                                                                                                                                                                                                                                                                                                               success
                                                               Resource            interventions      assess capacity                        assurance and
                                                               mobilization                                               Provide and        control           Manage            Diagnose               Conduct                                                                                              along value chain ...               demands          lack of            production         procurement        distribution      between M&E
                                                               around targets      Delineate          Develop             obtain price                         shipping and      effectively            research                                                                                                                                 outstripping     planning           capacity           plans              infrastructure    and country
                                                                                   range of           strategic plan      and availability                     clearance                                assessments                                                                                                                              HR capacity                                                                                 strategy
                                                               Generate new        strategic                              data                                                   Administer care                                                                                                                                                                  Inability to
                                                               sources of          options            Apply for                                                Link to and                                                                                                                                                                                                                              Burdensome         Inconsistent
                                                                                                                                                                                                                                                                                                                                                 Slow             forecast,
                                                               support                                program                                                  support health    Manage                                                                                                                                                                                                                 government         coverage of       Weak M&E
                                                                                                                                                                                                                                                                                                                                                 adaptation to    communicate,




                                                                                                                                                                                                                                                                                                Country
                                                                                   Define             funding                                                  infrastructure    compliance                                                                                                                                                                                                             bottlenecks        delivery NGOs     information
                                                                                                                                                                                                                                                                                                                                                 new malaria      and link actual
                                                               Communicate         conditions of                                                                                                                                                                                                                                                                                                                                             systems and
                                                                                                                                                                                                                                                                                                                                                 policies         supply and
                                                               targets to          use for the        Aggregate                                                Train health                                                                                                                                                                                                                                                                  training
                                                                                                                                                                                                                                                                                                                                                                  demand
                                                               malaria             interventions      commodity                                                personnel                                                                                                                                                                                                                                Poor               Coverage gaps
                                                               community                              demands for                                                                                                                                                                                                                                Lack of                                                communication      due to improper
                                                                                   Communicate        global forecast                                          Integrate with                                                                                                                                                                    program                                                with               use
                                                                                                                                                                                                                                                                                                                                                                  Politics and
                                                                                   strategies to                                                               community                                                                                                                                                                         sustainability                                         manufacturers
                                                                                                                                                                                                                                                                                                                                                                  hierarchy limit
                                                                                   malaria                                                                     health systems                                                                                                                                                                    and continuity                                         and procurers
                                                                                                                                                                                                                                                                                                                                                                  NMCP control
                                                                                   community
                                                                                                                                                                                                                                                                                                                                                 Weak national
                                                                                                                                                          Supply chain management                                                                                                                                                                health systems                                  Key    x   = remaining barriers after clarifying roles
                                                                                                            Project management                                      Program management
                                                                                                                                                                                                                                                                                                                                                                                                        x   = barriers removed through clarifying roles
                                                    Source: Interviews with RBM Partners, BCG research; BCG analysis                                                                                                                                                                       Source: Interviews with RBM Partners, BCG research; BCG analysis
                                                    AB Briefing - 12May06.ppt                                                                                                                                                  -4-                                                         AB Briefing - 12May06.ppt                                                                                                                                           -8-




                                                                                                                                                                                                                                           CORE FUNCTIONS OF PARTNERSHIP

                                                                                                                                                                                                                                                    Principal functions


                                                                                                                                                                                                                                                             Set
                                                                                                                                                                                                                            Collect and                   priorities         Disseminate
                                                                                                                                                                                                                            analyze data                      &              and support
                                                                                                                                                                                                                                                          strategy




                                                                                                                                                                                                                                                      Coordinating role


                                                                                                                                                                                                                                               Align partners around needs

                                                                                                                                                                                                                                        Harmonize strategies and coordinate action           Coordination
                                                                                                                                                                                                                            Generate accountability and enabling political environments



                                                                                                                                                                                                         Core Functions - 12May06.ppt                                                                                   - 38 -




                                                                                                                                               Partnership core functions
Core Functions - 12May06.ppt                                                                                                                                                                                                                                                                                                                                                                                                                                                                          - 12 -
                                                    for discussion only

                                     PARTNERSHIP CORE FUNCTIONS

                                         Principal functions




                Data                             Prioritize
                aggregation                     and define            Disseminate
                and analysis                     strategy             and support




                                             Coordinating role
                                      Align partners around needs

                               Harmonize strategies and coordinate action           Coordinating
                                                                                     functions
                      Generate accountability and enabling political environments




Core Functions - 12May06.ppt                                                                 - 13 -
                                                 for discussion only


                                     PRINCIPAL FUNCTIONS OF PARTNERSHIP




                               Data                   Prioritize
                               aggregation           and define          Disseminate
                               and analysis           strategy           and support




                          • Aggregates and      • Sets standards and   • Leads advocacy
                            synthesizes           metrics
                            Partner data                               • Enables and provides
                                                • Contributes to         cross-constituency
                          • Minimizes             strength and           communication
                            conflicting           primacy of country
                            information           plans                • Supports execution




Core Functions - 12May06.ppt                                                                    - 14 -
                                                                                for discussion only
                                   PRINCIPAL FUNCTIONS OF PARTNERSHIP KEY
                                     TO ALLEVIATING BARRIERS TO SUCCESS
                                               Main Role Seen In Strategy And Planning
                                                 Strategy and planning                                                         Execution

                                                Intervention
                                                 Intervention        Program
                                                                      Program      Implementation
                                                                                    Implementation                       Procurement &
                                                                                                                          Procurement &                        Monitoring &
                                                                                                                                                                Monitoring &
                               Objectives
                                Objectives                                                                Production
                                                                                                           Production                      Distribution
                                                                                                                                            Distribution
                                                 strategies
                                                  strategies          design
                                                                       design         planning
                                                                                       planning                            preparation
                                                                                                                            preparation                         evaluation
                                                                                                                                                                 evaluation



                                             Exchange           Aggregate          Provide and                                                             Aggregate data
Data                                         learnings on       commodity          obtain price and                                                        and synthesize
                                             interventions      demands for        availability data                                                       learnings
                                                                global forecast




                       Assess &              Delineate          Develop            Operational         Coordinate                                          Define data
                       prioritize            range of           strategic plans    planning to         new and                                             framework to
                       country               strategic                             define what         existing                                            support metrics
                       needs                 options                               needs to be         sources of
                                                                                   done                production
Prioritize             Define clear and
                                        Define
                       common set of
                                        conditions of                              Partner
                       global metrics
                                        use for the                                planning to
                                        interventions                              decide who
                                                                                   will do what
                       Set targets for
                       global metrics

                       Communicate           Communicate         Help                                                                                      Communicate results
                       targets to            strategies to       countries to
Dissem-                malaria               malaria             adopt
                       community             community           policies and                                                    Program                   Execute country-
inate &                                                          processes                                                      management                 level monitoring
support                Generate new                                                                                                                        and evaluation
                       sources of support                                   Project                                     Supply chain
                                                                          management                                    management
Core Functions - 12May06.ppt                                                                                                                                         - 15 -
                                                                   for discussion only
                       PRIORITIZATION LARGELY DONE COLLABORATIVELY
                          Partnership Resources Focused on Disseminating and Supporting
                                                                                                                                                  5
                                                                                                       4
                                                              3                                                                            Resourced by
                               1         2                                                    Active collaboration                          Partnership
                      0                                 Delegation by                         through Partnership
                            Loose      Acknow-           Partnership
              Independent affiliation ledgement


                                                  Provide and obtain price and       Aggregate data and synthesize learnings
                                                  availability data
  Data                                                                               Aggregate commodity demands for global
                                                                                     forecast
                                                                                     Exchange learnings on interventions

                                                  Define conditions of use for the   Assess and prioritize country needs
                                                  interventions
                                                                                     Define data framework to support metrics
                                                  Develop strategic plans            Operational planning to define what needs to be done
                                                                                     Define clear and common set of global metrics

 Prioritize                                                                          Partner planning to decide who will do what
                                                                                     Coordinate new and existing sources of production
                                                                                     Set targets for global metrics
                                                                                     Delineate range of strategic options

                                                  Project management                                                        Communicate strategies to malaria
                                                                                                                            community
                                                  Supply chain management
Dissem-                                                                                                                     Communicate results

inate &                                           Program management                                                        Communicate targets to malaria
                                                                                                                            community
support                                           Execute country-level monitoring
                                                                                                                            Help countries to adopt policies and
                                                  and evaluation
                                                                                                                            processes
                                                                                                                            Generate new sources of support
Core Functions - 12May06.ppt                                                                                                                           - 16 -
                                                                        for discussion only
                                 PRINCIPAL FUNCTIONS OF PARTNERSHIP
                               PRIMARILY AT GLOBAL AND COUNTRY LEVELS
                                                                                              Partnership would drive activity at ...
                                     Principal Function of Partnership                    Global           Regional              Country

                               • Aggregate data and synthesize learnings
                               • Exchange learnings on interventions
         Data
                               • Aggregate commodity demands for global forecast
                               • Provide and obtain price and availability data


                               • Assess and prioritize country needs
                               • Define clear and common set of global metrics
                               • Set targets for global metrics
                               • Define data framework to support metrics

     Prioritize                • Delineate range of strategic options
                               • Define conditions of use for the interventions
                               • Operational planning to define what needs to be done
                               • Partner planning to decide who will do what
                               • Coordinate new and existing sources of production
                               • Develop strategic plans


                               • Communicate targets to malaria community
                               • Communicate strategies to malaria community
                               • Communicate results
    Dissem-                    • Generate new sources of support
    inate &                    • Help countries to adopt policies and processes
    support                    • Program management
                               • Program delivery
                               • Supply chain management
                               • Execute country-level monitoring and evaluation

                                                                                                 Key      Primary     Secondary
Core Functions - 12May06.ppt                                                                                                               - 17 -
                                                                    for discussion only
                                        COORDINATING ROLE REQUIRED
                                      TO ALLEVIATE BARRIERS TO SUCCESS
                                     Intervention
                                      Intervention       Program
                                                          Program   Implementation
                                                                     Implementation                 Procurement &
                                                                                                     Procurement &   Distribution &
                                                                                                                      Distribution &   Monitoring &
                                                                                                                                        Monitoring &
                       Objectives
                        Objectives                                                    Production
                                                                                       Production
                                      strategies
                                       strategies         design
                                                           design      planning
                                                                        planning                      preparation
                                                                                                       preparation   care delivery
                                                                                                                      care delivery     evaluation
                                                                                                                                         evaluation



                                                               • Focus Partners on global priorities
                        Align players
                                                               • Support efforts to align Partners around country’s true needs
                        around needs
                                                               • Systematically identify gaps and mobilize Partners to fill
Partnership activity




                                                               • Facilitate seamless hand-offs across value chain
                        Harmonize strategies                   • Harmonize major funders
                        and coordinate action                  • Provide ongoing coordination of control strategies between
                                                                 global and country levels

                                                               • Manage Partnership boundaries to ensure authority linked to
                        Generate accountability
                                                                 oversight
                        and enabling political
                        environments                           • Provide objective source of leverage to empower malaria
                                                                 control programs to overcome bottlenecks




                                                     Create an enabling environment for Partners
                                                     Create an enabling environment for Partners
                                                                                                                                                   - 18 -
                                                      for discussion only
                         COORDINATING FUNCTIONS CUT ACROSS
                         GEOGRAPHIES AND GOVERNANCE LEVELS
                                                                                   5
                                                                                               Geographic focus
                                                                     4

         Coordinating Functions                                Collaboration   Resourced   Global   Regional   Country

Align players around needs
 • Focus Partners on global priorities
 • Support efforts to align Partners
 • Systematically ID gaps and mobilize Partners

Harmonize strategies and coordinate action

• Facilitate seamless hand-offs across value chain
• Harmonize major funders
• Coordinate strategies between global & country level

Generate accountability and enabling
political environments
• Manage Partnership to ensure authority linked to oversight
• Provide objective source of leverage to countries




                                                                   Require Partnership          Must take place
                                                                     involvement via       simultaneously on multiple
       Key touch point                                              collaboration and         levels of geography
                                                                        resourcing
                                                                                                                 - 19 -
                                                                              for discussion only
                                 STRONG PARTNERSHIP VALUE PROPOSITIONS
                                      EXIST ACROSS CONSTITUENCIES
         “Principal                 Donors and           Development                                 Endemic                                 Research &
                                                                                  NGOs               countries        Private sector          academia              WHO
         Functions”                 foundations            partners

                                 Increased              Increased ability     Increased ability    Additional         Increased            Improved access to Increased
 Leads malaria                   ability to raise       to fund individual    to fund individual   resources and      market size          funding            resources available
 advocacy                        funds                  efforts               efforts              support                                                    for GMP

                                 Additional publicity   Identification of     Dissemination of     Forum for cross-   Minimized costs of   Efficient and      Mechanism for
 Enables and provides            for successes          potential             best practices       border             working across       consistent         disseminating
 cross-constituency                                     conflicts early                            collaboration      decentralized        distribution of    guidelines to
 communication                                                                                                        market               findings           Partners

                                 Consistent             Increased             Strengthened         Ownership of       Reduced number of Reduced number        Country activity
 Contributes to strength         methods for            speed of impact       relationship with    process            interface points  of interface points   aligned around
 and primacy of country          monitoring and         and probability       in-country NGO                          within country    within country        WHO guidance /
 plans                           evaluation             of success            partnership                                                                     policy

                                                                                                                                           Reduced            Formal space to
 Sets standards and              Stronger links to      Forum to influence    Clarified            Minimized          Clarity on
                                                                                                                                           complexity in      influence strategy
 metrics through                 funding metrics        strategic direction   contribution to      multiplicity of    demand
                                                                                                                                           monitoring and     of all Partners
 collaboration                                                                effort               M&E programs       forecasts
                                                                                                                                           evaluation

                                 Coordination and       Increased             NGOs’ capacity       Accurate,          Single point of      Minimized          Streamlined
 Aggregates and                  consultation to        alignment with        matched to most      consistent data    contact for          transaction        mechanism for
 synthesizes Partner             maximize               broader malaria       relevant needs       on commodity       forecasting          costs of data      understanding
 data and priorities             investment impact      community                                  availability /     demand               collection         policy needs
                                                                                                   quality

 Minimizes duplication           Ownership over         Potential conflicts   Forum for            Optimized use of   Reduced              Minimized          Reduced
 of effort and conflicting       impact in a            identified early      partnership with     resources          information          overlapping        contention on
 information                     particular area                              key stakeholders                        asymmetries          research efforts   Partner overlap


                                 Early warning          Improved links with Improved links with Augmented local       Reduced              Additional,        Complementary
 Supports execution              system to ensure       other Partners      other Partners      program               transaction          consolidated       assistance for
                                 results                                                        management            costs                data on            implementation
                                                                                                capacity                                   implementation
  Key:      Primary value
                                                          “Coordinating Functions” add value across constituencies:
                                                          “Coordinating Functions” add value across constituencies:
                                                                              alignment, harmonization, accountability
                                                                              alignment, harmonization, accountability
Source: Interviews with RBM Partners; BCG analysis
  Core Functions - 12May06.ppt                                                                                                                                         - 20 -

								
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