Antecedentes

The Global Fund to Fight AIDS, TB, and malaria is an innovative public-private partnership that has played a crucial role in the world's efforts to respond successfully to HIV, TB and malaria. Thus far, the Global Fund has raised over US$22 billion to co-finance large-scale prevention, treatment and care programs in 150 countries. These investments have generated impressive results, contributing significantly to global progress towards MDG6.

• Supporting implementation of Global Fund grants;
• Developing the capacity of national entities to implement grants and putting in place transition arrangements for national entities to take over the management of Global Fund programs, as soon as circumstances allow; and
• Strengthening policy and program quality of Global Fund-related work, both at country and global levels;
  Since May 2012, UNDP has been serving as Principal Recipient for Global Fund programmes in 29 countries facing exceptional situations. There are a range of situations where UNDP is called upon to serve as temporary PR, including:
• Countries where the Global Fund has assessed the proposed national PRs as significantly lacking capacity in one or more of the required management areas, and as unable to develop or mobilize the necessary technical capacities during a reasonable period within the lifetime of the grant;
• Countries emerging from long periods of conflict and with extremely weak central administration often combined with other concerns about governance and implementation capacity;
• Countries facing political upheaval, or longer-term complex political situations that  jeopardize the ability of Governments and national NGOs to implement Global Fund  grants.
  UNDP is requested to step in as an interim Principal Recipient, by the Country Coordinating Mechanism and the Global Fund, in situations where no suitable national entity has been identified to take on that role. UNDP then implements the grant, to the greatest extent possible, with national entities serving as Sub-Recipients, while at the same time their capacity and systems are strengthened to take over the Principal Recipient role as soon as circumstances permit.

South Sudan, the youngest nation in the world, attained its independence less than three years ago (9thJuly 2011) after more than two decades of intensive civil war, and violent episodes dating back to half a century. Public services in South Sudan are still poor in many parts of the country and most are provided by NGOs and international aid agencies. TB control is implemented in the context of weak health system and poor health infrastructure. According to South Sudan health facility mapping conducted from 2009-2011, about three quarters of health facilities in the country are in poor state requiring renovation and a third of them need total reconstruction.

Since the middle of December 2013 South Sudan has been gripped by violence which has escalated into fighting across significant portions of the country. Over half a million people have fled their homes, including 494,000 people displaced inside South Sudan and 86,100 in neighbouring countries. Some 67,400 people are sheltered in UN bases. In Juba, up to 80 per cent of displaced people in the UN bases are women and children. This has significantly affected movement of staff and hence implementation of TB services.

South Sudan has some of the lowest socio-economic indicators in the world. The country has one of the highest Maternal Mortality rate (2054/100,000 live births) and under 5 year’s mortality (135/1000 live births). More than 90% of population lives on less than a dollar a day. WHO Global Report 2013 estimate the TB burden for South Sudan to be 146/100,000 population and the case detection of all forms of TB at 53%. Female to Male notification ratio for smear positive is 1:2.
TB is a priority disease and among the major causes of mortality and morbidity in the country. The second national strategic plan for TB Control (2015-2019) is currently undergoing review process which started in March 2014. TB control in the country is coordinated by the National TB Programme (NTP) which was formed in 2006 at central level and later expanded to state level in 2010. TB control activities at county level have not yet been established. TB services are provided by the government in collaboration with Non-Governmental Organizations (NGOs), following a 3 tier system of Hospitals, Primary Health Care Centres (PHCC) and Primary Health Care Units (PHCU). NGOs play an important role in TB control in South Sudan.

Deberes y responsabilidades

Working with the NTP, UNDP country office will recruit international TB consultant to facilitate the ToT. The following is a summary of the scope of work.

• Conduct 10 days ToT for mid level NTP staff;
• Develop a cascade plan for rolling out lower level TB trainings using South Sudan NTP training manual;
• Submit a completed mission report. ToT conducted;
• Cascade training plan developed;
• Completed mission report submitted to NTP and PR.

Key Results Expected: