Evaluation of the Tuberculosis Control Assistance Program (TB CAP)

areas as defined by governing bodies and to ensure their consistent reflection in actual TB CAPworkplans.The PMU should be authorized to define and provide guidance on country project support, inconsultation with NTPs and Partners.OPERATIONAL MANAGEMENTThe PMU should clarify its role in the development of workplans and consistently adhere to thedefinition. If it is to be responsible for pre-planning workplans before a coordinating partner isselected, this should always be the case, and potential coordinating partners should not be involved. Ifit is to be responsible for ensuring the technical quality and strategic relevance of workplans, this tooshould be done consistently, and the criteria should be clearly communicated to partners in advance.If it is to delegate all responsibility for workplan preparation, it should not participate at all andinstead should consistently seek partners to conduct this work.The PMU should establish a system for registering potential new core and country projects in a Webbasedsystem accessible to all partners and set out a standardized process for workplan development,approval, and implementation. It should also take responsibility for updating this system with thedates when events occur, so that it will be possible to quickly and easily identify projects at differentstages of development and flag those that may need intervention. Such a process would also facilitategeneral reporting and, if financial details were included, make financial tracking more accurate andtimely. There are several Web-based procurement systems upon which to model such a system.FINANCIAL MANAGEMENTTB CAP should continue to have its finances independently audited each year and should encouragethe auditors to identify recommendations and potential risks and monitor progress on previousrecommendations.All partners should be encouraged to have their cost shares audited.The PMU should establish a system for more quickly and accurately forecasting expenditures andfuture financial requirements.The PMU should more closely monitor project planning to ensure that results planned are realisticand achievable. It should clarify the date when a project should start reporting; currently, it is notclear in annual reports when a project began, and therefore it is not possible to evaluate whether it ison schedule.The PMU should institute policies to enforce quicker reporting of expenditures, such as by notreleasing new funds until outstanding expected expenditures have been reported.The PMU should adopt a definition of accrual that allows for expected expenditures to be reportedunofficially to allow for better estimating of progress and future financial needs.MONITORING AND EVALUATIONThe PMU should develop, in collaboration with partners, a simple, clear standardized operatingprocedure for planning, approving, and implementing a TB CAP workplan (country or core) withindicative times for each action, and gain agreement from all partners to do their best to adhere to theprocedure and agree to be monitored against the schedule. Such a system would be a valuable guidewhen beginning a new project as well as being necessary for monitoring.EVALUATION OF THE TUBERCULOSIS CONTROL ASSISTANCE PROGRAM (TB CAP) 33