1 PERFORMANCE SUB-COMMITTEE REPORT 2 PERFORMANCE SUB-COMMITTEE REPORT Agenda I. Why Progress Tracking? II. Proposed approach III. Decision Points IV. Backup 3 BACKUP Why focus on Progress Tracking? Explanation Actively monitor the Harmonized Work Plan 2008 • RBM partnership needs to report progress on the HWP 08 activities (~ USD 33M budget) – ROI for the donors • HWP 2008 has 6 priorities, > 100 activities, covering 12 mechanisms, that extend from end of 07 until end of 08 • > 50% of these activities involve collaboration between mechanisms: mutual progress updates are important • RBM partnership has defined high level targets for 2008 Report on RBM 2008 targets Create links between RBM activities and impact on global malaria control targets • Contribution from activities of HWP 2008 needs to be qualitatively assessed and reported in order to improve future plans and activities • While RBM fills the vital resource gaps in the global malaria control, majority of the impact/ outcomes fall outside of RBM partnership’s control • To gauge the appropriateness of its workplan budgets, however, the partnership needs to measure the overall progress made by countries through annual Landscape Report updates 4 BACKUP At RBM, Progress Tracking Needs To Occur at Three Levels Item Tracked Level 1 Level 2 Level 3 Level of aggregation HWP ‘08 Activities • Progress reporting based on completion of activities HWP ‘08 Targets • Progress tracking against RBM HWP 2008 targets RBM 2010 Targets in the yearly Harmonized Work Plan (HWP) 2008 • Progress report on global targets by aggregating country level data tracked by the partnership 5 At RBM, Progress Tracking Needs To Occur at Three Levels Item Tracked Level 1 Level 2 Level 3 Is RBM directly accountable? Why? HWP 2008 Activities • Activities have been defined by RBM mechanisms HWP 2008 Targets • Targets involve implementation and decisions beyond the RBM mechanisms. E.g., 12-20 countries to deploy MIS RBM 2010 Targets • Targets involve implementation and decisions beyond the RBM mechanisms (e.g., in-country and global actors) • Achievement of outcomes take long periods and need significant in-country effort 6 Agenda I. Why Progress Tracking? II. Proposed approach III. Decision Points IV. Backup 7 Summary of Progress Tracking for Three levels Level 1 Item Tracked, Example Involvement Output Level 3 Activities defined in the HWP 2008 2008 Targets set by RBM partnership RBM 2010 Targets 1.4.1 Provide consultant support to 45 malaria endemic sub-Saharan African countries to complete needs assessment and gap analysis including partner and intervention mapping. 2008 targets for Priority 1: By 2010, particularly in the lowest two economic quintiles HWG Contracting out, Sep07 –Mar 08, USD4.5M • Support deployment of partnership coordinators in 10 countries • • RBM Sec managed monitoring process • Performance Sub comm. (PSC) and RBM Sec. managed • Performance Sub comm and RBM Sec. managed • Management dashboard with exception handling capability updated • Compiled based on interviews and qualitative assessments on progress • Compiled based on data from countries and global malaria scene • Monitored every 3 months • Compiled every 6 months • Compiled once a year • Led by: RBM Sec • Led by: PSC, RBM Sec. • Led by: PSC, RBM Sec. • WGs, SRNs and the board to input into the process • Chairs and co-chairs of WGs, SRNs to participate in the process • Countries, donors and other constituencies of the partnership • 3-monthly progress report by priority and mechanism • 6-monthly progress report by priority, target and mechanism • Yearly Malaria Landscape Report • Exception reporting, “red flags” • Exception reporting • Report for EC • Report for EC, Board • Activities maintained in a shared file Process Level 2 • 45 technically sound, operationally feasible ,country and partner owned SUFI business plans 8 • 80% of people at risk from malaria are protected 80% of malaria patients are diagnosed and treated with effective anti-malarial medicines … • Other? EXAMPLE Measuring Progress at Level 1 Sample of output – Management Dashboard What will be tracked: All priorities and All Mechanisms Q1 2008 – Progress update on HWP 08 Total # of Activities = 140 Activities 100% 100% 100% 80% 80% 80% 60% Planned activities 20% 20% Unplanned activities Budgets Process for tracking Q4 07 End of Q1,Q2, Q3, Q4 08 Q1 Planned Q4 08 Q1 Budget overspend • Set up progress tracking tool/system • Set up progress tracking tool/ system • Consolidate yearly progress • Set up HWP activities in progress tracking system • Launch monitoring process end of every quarter Exceptions • Launch progress tracking process with WGs and SRNs and set up expected dates for monitoring • Generate progress and exception reports by priority and mechanism • Compile lessons learnt in activity implementation, goal setting and monitoring process • Report to the Performance sub committee and to the Board on HWP progress Action items • Report to the EC and launch activities needed to make progress in HWP 9 0% Ongoing 60% 40% Untracked Yet to start 20% Complete 0% Ratios (>1 shows an exception) USD Million Total ’08 Planned Q1 Actual Tracked 40% 40% 0% 60% % of total Budget used 52 % Budgets actual vs. planned 1.13 % Budget needed vs. remaining for uncommenced activities 1.13 % % of total budget used vs. % of Ongoing activities completed 10 % / 52 % 33 17 15 USD 2 M • XWG having unresolved resourcing issues • XARN unable to create awareness around X events • RBM Sec to convene a special EC call to resolve issues • .. EXAMPLE Measuring Progress at Level 2 Sample of output (Based on Qualitative comments) What will be tracked: 2008 Targets Targets for 2008 1 • 45 technically sound, operationally feasible ,country and partner owned SUFI business plans • Support deployment of partnership coordinators in 10 countries 2 • >60% of countries applying for funding in Round8 (GFATM) to be successful • 45 Countries mobilize adequate funds for SUFI 3 • At least 95% of countries currently getting funding should continue to keep it • At least 80% of countries with existing Global Fund assistance should perform at "A" or “B1” ranking 4 • 12-20 countries to deploy MIS • Publish Malaria Landscape report and update 107 country profiles Process for tracking 5 End ‘07 • Agree on targets at RBM Board 2007 meeting • PSC and RBM Sec set up process for target 08 measurement Jun ‘08 Nov ‘08 • An affordable facility for Malaria in place • 45 countries have access to affordable medicines for malaria through the private sector • Launch mid-year Level2 • Launch end of year Level2 measurement process measurement process • Schedule interviews with • Schedule interviews with all all chairs chairs 6 • Compile report to the EC • Compile report to the partnership and partnership on board on findings (Discuss findings during 08 board meeting) • Launch actions 10 • Track progress and report to the EC and the partnership Board • Partnership achieves > 80% implementation rate of planned activities of the HWP Progress to date EXAMPLE Measuring Progress at Level 3 What will be tracked: RBM 2010 Targets Process for tracking INPUT • Total resources committed End ‘07 • Volume of ITN inflows Q1 08 Q4 08 • Measurement of Global Fund disbursement (and rating) • General government expenditure on health as a percentage of total government expenditure • Per capita government expenditure on health at international dollar rates OUTCOME • Density of physicians and nurses per 1000 people • People served as a % of people in need for ACT, ITN, IRS, IPT • % of U5 children with malaria fever receiving appropriate treatment within 24 hours • PSC agrees with MERG and RBM Sec. on the parameters to measure • Launch measurement process with donors, countries and other partnership constituencies • List of measurement parameters agreed and compiled • Set up guidelines and processes • Compile data • Analyze and prepare landscape report • Publish landscape report Sample of output • % of households with at least one ITN • % of U5 children sleeping under ITN • % of pregnant women sleeping under ITN • % of pregnant women on IPT according to national policy • % of households in malarious areas protected by IRS • % of U5 children with uncomplicated malaria correctly managed at health facilities • % of health facilities with no stock-outs if nationally recommended anti-malarial drugs continuously for 1 week during last 3 months • % of malaria epidemics detected within 2 weeks of onset and properly controlled IMPACT • All-cause under 5 Mortality rate • Anaemia prevalence in children under 5 years of age • Parasite prevalence rates in community surveys • Laboratory confirmed malaria cases seen in health facilities • Laboratory confirmed malaria deaths seen in health facilities • Malaria-attributed deaths in sentinel demographic surveillance sites 11 See RBM Malaria Landscape Report Agenda I. Why Progress Tracking? II. Proposed approach III. Decision Points IV. Backup 12 DECISION POINTS • Review the content of the performance measures and the means by which evaluative data will be captured • Discuss and Adopt progress reporting framework for the 2008 Harmonized Work Plan • Discuss and systematize annual evaluation process and recommendations for Performance Sub-Committee • Provide guidance on alignment of progress reporting framework with the ongoing development of the Global Malaria Business Plan (between now and May 2008) • Reaffirm its commitment to a results-oriented Partnership, and its own collective responsibilities emerging from its position as the governing body of the Partnership 13 Agenda I. Why Progress Tracking? II. Proposed approach III. Decision Points IV. Backup 14 BACKUP Why focus on Progress Tracking? Explanation Actively monitor the Harmonized Work Plan 2008 • RBM partnership needs to report progress on the HWP 08 activities (~ USD 33M budget) – ROI for the donors • HWP 2008 has 6 priorities, > 100 activities, covering 12 mechanisms, that extend from end of 07 until end of 08 • > 50% of these activities involve collaboration between mechanisms: mutual progress updates are important • RBM partnership has defined high level targets for 2008 Report on RBM 2008 targets Create links between RBM activities and impact on global malaria control targets • Contribution from activities of HWP 2008 needs to be qualitatively assessed and reported in order to improve future plans and activities • While RBM fills the vital resource gaps in the global malaria control, majority of the impact/ outcomes fall outside of RBM partnership’s control • To gauge the appropriateness of its workplan budgets, however, the partnership needs to measure the overall progress made by countries through annual Landscape Report updates 15 BACKUP At RBM, Progress Tracking Needs To Occur at Three Levels Item Tracked Level 1 Level 2 Level 3 Level of aggregation HWP ‘08 Activities • Progress reporting based on completion of activities HWP ‘08 Targets • Progress tracking against RBM HWP 2008 targets RBM 2010 Targets in the yearly Harmonized Work Plan (HWP) 2008 • Progress report on global targets by aggregating country level data tracked by the partnership 16