Evaluation of the Tuberculosis Control Assistance Program (TB CAP)

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Relying on that monitoring instrument, the PMU should create and maintain an up-to-date internalM&E system to track the workplan process against set indicators, both to allow rapid analysis ofworkplans in process and their status and to determine where schedules are failing.The PMU should coordinate standardized, independent annual evaluations of TB CAP projects toassess, analyze, and report on the quality of TB CAP support provided, its impact, and the ensuingchallenges and opportunities.TB CAP reports to USAID should include a summary and indicators of annual PMU and partnerperformance.USAID should review with the PMU its quarterly/semi-annual reporting and ensure that onlyessential items are required.Knowledge ManagementTB CAP should leverage the activities conducted to promote the ISTC with application in countriesof proven methods of involving private practitioners in management of TB patients according tonational guidelines.TB CAP should only produce new tools when it is clear that existing tools cannot be adapted.TB CAP should analyze successful tools and experiences from its projects and establish a process fordisseminating them and monitoring how they are used.RESPONDING TO REQUESTS FOR SUPPORTUSAID Missions should be better informed about the added value of longer-term investments thatstrategically strengthen the institutional capacity of national TB control programs.TB CAP should offer, upon request, TA to Missions to increase their understanding of strategic andprogrammatic issues in TB control and coordination of TB with other health activities, such as HIVand primary health care.ASSESSING COUNTRY NEEDSThe Mission, the PMU, and the NTP should jointly undertake a standardized pre-assessment for everynew country before coordinating and collaborating partners are selected.TB CAP should periodically re-evaluate the support it is providing to a country to ensure that what isbeing done remains effective in light of new needs or changed national policies.SELECTING COORDINATING AND COLLABORATION PARTNERSThe PMU should provide information and a recommendation to the board about assignment ofcoordinating partners for country and core projects. The decision on selection should rest with theboard.The board should establish a clear, transparent procedure for selecting coordinating and collaboratingpartners. All partners should be clear about the criteria used for selection.The major criteria for selection of a coordinating partner should be its quality and capacity.The board should adopt a conflict of interest statement, and members with a conflict should recusethemselves from selection decisions.Balancing allocation of work among partners while ensuring the highest quality of support would beadvantageous to the harmony of TB CAP. A partnership is at its best when all contributors are34 EVALUATION OF THE TUBERCULOSIS CONTROL ASSISTANCE PROGRAM (TB CAP)
carrying an appropriate load. The PMU should seek to identify when issues related to allocation ofprojects arise, determine the cause, and present the situation to the board for resolution.The PMU should only coordinate country projects when all other measures have first been attemptedand the success of the TB CAP project is at risk.CREATING COUNTRY WORKPLANSIn countries where TB CAP assistance is requested for multiple years, initial workplans should beapproved for the entire term, with annual adjustments to correspond as closely as possible tosequential needs identified in national strategic TB plans and based an the availability of funds.For multiyear workplans, a realistic and longer timeframe should be allowed for planning andapproval of the initial plan. Shorter, more streamlined planning and approval processes should applyto annual updates.The PMU should determine an acceptable lead time for workplan development, identify projects thatfar exceed that time, and analyze the causes of delays. The PMU should then identify strategies toreduce delays, such as the use of tools like workplan templates to facilitate faster start-up or closeroversight and management of the work planning process by PMU staff.Missions should allocate annual TB CAP funds based as closely as possible on annual workplanadjustments and budget requirements.There is a need for defining and providing guidance on logical, sequential steps NTPs should take,depending on how developed their program is.APPROVING COUNTRY WORKPLANSThe process of planning projects should be further standardized and performed consistently, andapproval of workplans should be streamlined.The PMU should, wherever possible, use an existing USAID/country MOU when establishing a TBCAP project.If multiyear projects are introduced, TB CAP and USAID should consider how this can simplify theannual approval process.IMPLEMENTING COUNTRY WORKPLANSJoint planning with PEPFAR, CDC, and other TB Partners needs to be better in a number ofcountries. Examples of how it is effectively being carried out should be shared.TB CAP should continue to provide NTPs a flexible means for financing emergency needs essentialfor the functioning of the national program.CORE AND REGIONAL PROJECTSThe board and working groups should maintain an up-to-date strategic program that prioritizes thedevelopment of core projects.Core projects requiring multiyear funding should be proposed and approved as a single project withannual adjustments.Whether national policies, guidelines, and practices are consistent with international principles shouldbe periodically checked.EVALUATION OF THE TUBERCULOSIS CONTROL ASSISTANCE PROGRAM (TB CAP) 35
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Page 4 and 5: This document (Report No. 08-001-19
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Page 8 and 9: PVOTATBTB CAPTBCTATB/HIVTREAT TBThe
Page 10 and 11: Impact on Patients and TB epidemiol
Page 12 and 13: TB CAP is a highly successful proje
Page 14 and 15: value this coordinated approach to
Page 16 and 17: Meanwhile, team members in Washingt
Page 18 and 19: while providing for annual adjustme
Page 20 and 21: C. PARTNERS AND PARTNER COORDINATIO
Page 22 and 23: The TB CAP CTO seems to have provid
Page 24 and 25: The PMU should adopt a definition o
Page 26 and 27: International Standards for Tubercu
Page 28 and 29: According to data from the PMU, the
Page 30 and 31: two weeks). There is a solid consen
Page 32 and 33: Whether national policies, guidelin
Page 34 and 35: Field observation showed a substant
Page 36 and 37: to ensure a regular supply of drugs
Page 38 and 39: Periodic visits by experienced staf
Page 40 and 41: ProportionFigure 4. TB patients Tes
Page 42 and 43: The Compendium of Indicators is oft
Page 44 and 45: TB CAP should intensify its efforts
Page 48 and 49: TB CAP needs more capacity and meth
Page 50 and 51: TB CAP should develop a strategy to
Page 52 and 53: (CTO) resides in GH/HIDN in Washing
Page 54 and 55: - Integrate TB control efforts with
Page 56 and 57: How has TB CAP met the intermediate
Page 58 and 59: Team Planning MeetingA team plannin
Page 60 and 61: Other Skills: The following general
Page 62 and 63: . Develop a work plan, which will i
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Page 70 and 71: March 19, SurabayaVisit to Puskesma
Page 72 and 73: April 1, Team 2Travel to Kachia LGA
Page 76 and 77: DateThursday, April 2, 2009Intervie
Page 80 and 81: Country Organization Name PositionI
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Page 90 and 91: Country Organization Name PositionU
Page 94 and 95: TreatmentDrugsM&EMDRNumber of suspe
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Evaluation of the Tuberculosis Control Assistance Program (TB CAP)

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