Partnering process:
exploration
Elisabetta Minelli, Global Stop TB Partnership
Kefas Samson, Stop TB Swaziland
Subrat Mohanty, Partnership for Tuberculosis Care and Control, India
Wasiq Khan, EMRO Stop TB Partnership
www.stoptb.org/countries/partnerships/
Partnering process
• Systematization - 32 national stop TB
partnerships and other partnering
initiatives
• Contextualization – Need to be adapted
to the local context
• Tailored technical assistance needed!
(www.stoptb.org/national_partnerships)
Partnering process
Building a vision
(Needs, challenges,
resources, opportunities)
Can obstacles be
addressed?
Identification and
dialogue among
potential partners
(motivation, commitment)
Mapping resources
(identifying cash and
non-cash resources)
Preparing a plan
of activities with
roles and resources
C
O
R
EXPLORATORY WORKSHOP
E
Process:
1 - Exploration
2 - Building
3 - Maintenance
Institutionalization:
building structures and
mechanisms to maintain
commitment and ensure
continuity
Partnering agreement
Agreement on
core principles,
goals and objectives
G
Roles
R
Leadership
O
Mandates in
specific areas
Review
the partnership
(process, outputs,
outcomes).
Corrective actions
Monitoring &
evaluation
of effectiveness and
impact - outputs and
outcomes
Implementation
(once resources are in
place to work on
specific deliverables)
U
Partnership
management
(core structure)
FORMAL LAUNCH
P
Initial partners
Institutions:
- Ministry of Health / NTP
- WHO
Advocates and service providers:
- nongovernmental organizations
- community based organizations
- faith based organizations
- private sector
Act as broker/facilitator of the partnering process or hire
an external broker/facilitator for this task
Prerequisites
•
Initial partners are committed to
work in close coordination with the
NTP and NTP is willing to be
involved.
•
The objectives of the national TB
plan provide the basis to establish a
collaboration with various partners.
•
Other ongoing forms of
collaboration/coordination are
identified, contacted and involved
(build upon).
Partnership exploration component
BUILDING A COMMON VISION
IDENTIFICATION and DIALOGUE with PARTNERS
MAPPING RESOURCES
EXPLORATORY WORKSHOP
Building a common vision
1. Why do we want to work
together?
2. Why do we think a
partnership could be
useful?
3. Where we want to get?
PARTNERSHIP HAS A CLEAR VISION AND
ADDED VALUE
See tool 1
Why do we want to work together?
• TB control requires the joint
action of more actors
• NTP and multiple actors
currently deal with TB control
• NTP and other actors gain
from recognizing the role that
others play towards a
common vision: a world free
of TB
Could a partnership be useful?
External
Internal
+
-
Strengths:
Weaknesses:
• Coordination and common strategy
• Multi-sectoral participation
• Increased resources
(human/financial)
• Active leadership
• Inadequate partnering process experience
• Uneasiness to work with different sectors
• Competition among different interests
• Vision, goal and objectives not agreed upon
Opportunities:
Threats:
• International funding mechanisms
support partnerships
• ACSM keeps TB on agenda and
empowers communities
• Social change – institutional reform
• Local social/political/economic environment
• Inability to access external resources
SWOT ANALYSIS
ADDED VALUE
Where do we want to go?
• Vision: a country free of tuberculosis.
• Goal: to strengthen TB prevention, care
and control in a country.
• Objective:
− To contribute to the implementation of the
national strategic plan to control TB by
harnessing the contribution of all
stakeholders, including health service
providers.
Partnership exploration components
BUILDING A VISION
IDENTIFICATION and DIALOGUE with PARTNERS
MAPPING RESOURCES
EXPLORATORY WORKSHOP
Identification and dialogue
with partners
Who do we want to work with?
• Old partners (usual
suspects)
• New partners
See tool 2
CORE GROUP OF INTERESTED PARTNERS
Relevant partners
INTERNAT.
PRIVATE
PUBLIC
Ministry of Health
National TB programme
Public health services
Other ministries (education, social welfare, labour)
CIVIL SOCIETY
Nongovernmental organizations
Faith-based organizations
Community-based organizations
PUBLIC
CIVIL
SOCIETY
PRIVATE/CORPORATE
Private health care providers
Corporate business – corporate social responsibility
Media
MULTILATERAL/BILATERAL ORGANIZATIONS
UN - WHO
Bilateral donors
Dialogue
You want to find out:
• Motivation and commitment to a partnership
approach
• Sharing of the proposed vision, goal and
objectives
• Contribution to the partnership given its specific
identity (information/resources/
competences/skills)
• Possible complementarities and synergies with
what the other partners would do
Partnership exploration components
BUILDING A VISION
IDENTIFICATION and DIALOGUE with PARTNERS
MAPPING RESOURCES
EXPLORATORY WORKSHOP
Mapping resources
Who, what, where, with what resources?
RESOURCE MAP
See tool 3
Mapping resources
1.
Consider the national TB plan and identify the services
requested
2.
Collect information on services already provided by
prospective partners (activities, competences, resources)
3.
Summarize all collected information in a summary sheet
that matches the information on prospective partners
against the national TB plan and different geographic
areas
NTP PLAN
SUMMARY
SHEET
Form to collect information on services already
provided by partners
Name of prospective Partner:
Location / Region:
SERVICES (ACTIVITIES,
COMPETENCES, RESOURCES)
CORE DOTS SERVICES
Service
Provided
(tick √ )
Gap/Challenge
Service that could be
provided if additional
support availed
Identify TB suspects
Collect sputum samples
Do smear microscopy
√
(example)
Old monocular microscope
Only one lab technician
available and therefore
tests conducted twice a
week
(example)
Higher quality direct
microscopy on a daily basis
Summary sheet on task/partner/geographic area
Service
Core DOTS
services
Service/ Tasks
Region 1
Region 2
Region 3
Identify TB suspects
Partner 1
Partner 2
Partner 3
Collect sputum samples
Partner 1
Partner 2
Gap
Partner 3
Do smear microscopy
Partner 1
Partner 3
Gap
Partner 2
Gap
Gap
Gap
Training health staff on
interpersonal
communication and
counseling
Partner 4
Partner 4
Partner 4
Capacity building for
treatment
supporters/volunteers
Partner 4
Partner 4
Constraint
…
ACSM
Conduct advocacy
activities
Budget centres
($) budget centre
Building a vision
(Needs, challenges,
resources, opportunities)
Can obstacles be
addressed?
Identification and
dialogue among
potential partners
(motivation, commitment)
Mapping resources
(identifying cash and
non-cash resources)
Preparing a plan
of activities with
roles and resources
EXPLORATORY WORKSHOP ($)
Process:
1 - Exploration
2 - Building
3 - Maintenance
Institutionalization:
building structures and
mechanisms to maintain
commitment and ensure
continuity
Partnering agreement
Agreement on
core principles,
goals and objectives
Roles
Leadership
Mandates in
specific areas
Review
the partnership
(process, outputs,
outcomes).
Corrective actions
Monitoring &
evaluation
of effectiveness and
impact - outputs and
outcomes
Implementation
(once resources are in
place to work on
specific deliverables)
Partnership
management
(core structure)
Questions for discussion
In your experience,
• Is there a need for a national partnership? Any example.
• What could be the relationship between NTP and
partnership? Any example.
• Are there similar existing forms of collaboration? Any
example. How would you integrate the existing forms of
collaboration into a national partnership and why?
• How to initiate a national partnership? Country case
studies.
• Who could be the initial partners of a national partnership?
Any example.
SWOT analysis, Swaziland
Mapping exercise, Swaziland
GEOGRAPHICAL REGION AND PARTNER PROVIDING SERVICE
ACTIVITY
according to
NTP
plan/GFTAM
proposal
MBABANE
MANZINI
HHOHHO
LUBOMBO
SHISELWENI
Identify TB
suspects
Baylor;
Caritas
FLAS; PSI; TASC;
Anglican Church;
Caritas; Seventh
Day Adventist
FLAS;
Anglican
Church;
Caritas;
Seventh Day
Adventist
Good
Sheperd;
Anglican
Church;
Caritas;
Seventh Day
Adventist
Anglican
Church;
Caritas;
Seventh Day
Adventist
Collect sputum
samples
Baylor;
Caritas
Caritas
Caritas
Good
Sheperd;
Caritas
Caritas
Do smear
microscopy
Baylor
Good Sheperd
Diagnose TB
Baylor
Good Sheperd