Processes and Prospects for Implementing the TB Financing Roadmap

The document outlines five strategic initiatives (SIs) to ensure adequate funding for the National Strategic Plan's interventions while reducing overall resource requirements by increasing the efficiency of TB expenditures. The first strategic initiative, Mobilize Resources from Discretionary Government Budgets, aims to increase TB funding from national and county government sources. The foundation for this initiative is improved resource tracking, particularly at the county level. The National Tuberculosis, Leprosy, and Lung Disease Program (NTLD-P) has developed a TB Resource Tracking Tool and a TB Planning & Budgeting Capacity Building Plan to improve county TB coordinators' skills in priority-setting, resource tracking, and resource mobilization. The process for SI 1 involves training TB coordinators on priority-setting, resource tracking, and resource mobilization, using the PBCBP. TB coordinators will support NTLD-P in refining the training curriculum after each phase and submit data on their uptake of the recommended planning and budgeting approaches. NTLD-P will then use these data to report back comparative planning and budgeting scorecard results to each county, generating friendly competition. Key relationships required for SI 1 include NTLD-P, TB coordinators, and the Government of Kenya. The feasibility of reaching the SI target by FY2027/28 is scored as moderate, with a high volume of resources expected as an output. The Implementation Outlook for SI 1 is illustrated in Table 2, which shows the operational and political feasibility of attaining the target outcome and the impact on the overall likelihood of the Roadmap being successfully implemented. The TB Financing Roadmap is composed of five strategic initiatives, each with its own process summary, key relationships, and implementation outlook. The document is intended to serve as a reference for the Financing Task Team to clarify the baseline situation and target outcome for each SI, the relationships that should be forged and strengthened to increase the likelihood of each target outcome being achieved, and the operational and political feasibility of attaining each of these target outcomes. The document highlights the importance of mobilizing resources from discretionary government budgets to increase TB funding from national and county government sources. The NTLD-P has developed a TB Resource Tracking Tool and a TB Planning & Budgeting Capacity Building Plan to improve county TB coordinators' skills in priority-setting, resource tracking, and resource mobilization. The process for SI 1 involves training TB coordinators, populating the resource tracking tool, and submitting historical TB allocations and disbursements to the central level for aggregation and analysis. The TB Financing Roadmap is a critical document for the National Strategic Plan Implementation Taskforce's Financing Task Team. It outlines five strategic initiatives to ensure adequate funding for the National Strategic Plan's interventions while reducing overall resource requirements by increasing the efficiency of TB expenditures. The document highlights the importance of mobilizing resources from discretionary government budgets to increase TB funding from national and county government sources. The process for SI 1 involves training TB coordinators, populating the resource tracking tool, and submitting historical TB allocations and disbursements to the central level for aggregation and analysis. Key relationships required for SI 1 include NTLD-P, TB coordinators, and the Government of Kenya. The feasibility of reaching the SI target by FY2027/28 is scored as moderate, with a high volume of resources expected as an output. The Implementation Outlook for SI 1 is illustrated in Table 2, which shows the operational and political feasibility of attaining the target outcome and the impact on the overall likelihood of the Roadmap being successfully implemented. The document is intended to serve as a reference for the Financing Task Team to clarify the baseline situation and target outcome for each SI, the relationships that should be forged and strengthened to increase the likelihood of each target outcome being achieved, and the operational and political feasibility of attaining each of these target outcomes.