Kenya County-level TB Planning & Budgeting Capacity Building Plan

The plan seeks to summarize the proposed approach and modules for training TB coordinators in planning and budgeting processes to effectively mobilize and manage funds for TB. The PBCBP implementation approach was co-created across a broad consortium, including representatives from NTLD-P, TB coordinators, and technical partners. The implementation will take place in three phases, with the first two phases including 5-10 counties and 15-25 counties respectively, and phase three including a nationwide, ongoing scale-up. Phase one and two counties will be selected based on key criteria including TB coordinator buy-in, future county involvement in budgeting capacity building efforts for other vertical programs, prior county involvement in PBCBP design, and resource mobilization performance indicators. Target participants will be TB coordinators, with other county department of health officials invited to participate in trainings, progress meetings, and technical support sessions in order to support TB coordinators in their planning and budgeting efforts. Through a blend of in-person and virtual supportive supervision, NTLD-P will oversee smooth implementation of each PBCBP phase. The PBCBP training modules are informed by prior program-based budgeting (PBB) training materials developed by the USAID-funded Health Policy Plus (HP+) project and Kenya School of Government (KSG). Each training module will be its own PowerPoint slide deck intended for classroom-based learning. The training modules include: Planning & Budgeting Process, Priority Setting, Resource Tracking, Budget Advocacy & Resource Mobilization, and Capstone Practicum. Kenya's National Tuberculosis, Leprosy and Lung Disease Program (NTLD-P) aims to increase domestic financial resources for TB through county government budgets. An NTLD-P-led assessment conducted in 2023 revealed both significant opportunities for increasing fiscal space for TB at the county level, and fundamental gaps in planning and budgeting training needed to effectively engage in the county government planning and budgeting processes. The country faces a massive and expanding TB funding gap, with financial resources committed to the National Tuberculosis, Leprosy and Lung Disease Program's (NTLD-P) TB National Strategic Plan (NSP) 2019-2023 representing approximately 50 percent of the resource requirement. The NSP 2023/24-2027/28 identifies county government budgets as an important potential source of increased financial resources for TB, given the considerable increase in public revenues at this level following devolution in 2010. TB coordinators have a critical role in financial and programmatic oversight and accountability, and their capacity to engage in planning and budgeting processes is essential for effective mobilization and management of funds for TB. The PBCBP aims to equip TB coordinators with the necessary skills and knowledge to effectively engage in planning and budgeting processes, and to mobilize and manage funds for TB at the county level. The PBCBP will be implemented in three phases, with the first two phases including 5-10 counties and 15-25 counties respectively, and phase three including a nationwide, ongoing scale-up. The training modules will be developed and implemented in each phase, with a blend of in-person and virtual supportive supervision to oversee smooth implementation. The PBCBP aims to equip TB coordinators with the necessary skills and knowledge to effectively engage in planning and budgeting processes, and to mobilize and manage funds for TB at the county level.