1. CAMBODIA Application to the Global Fund New Funding Model Tom Hiatt Global TBTEAM meeting June 2014

2. Logical steps Reviews 2011-12 Plan 2013-14 Concept note 2014 Prevalence survey, Joint program review National plan + Country dialogue Concept note + Country dialogue

3. Prevalence survey – 2011 Showed significant impact from control efforts since 2002 survey. Limitation of current tools – Only 30% of cases are symptomatic. – Only 30% of cases are smear-positive. Elderly are underdetected.

4. Joint TB Programme Review – 2012 Identified health and community system constraints Key Affected Populations (KAP) identified – People living with HIV, TB contacts including children, elderly, prisoners, migrants, pregnant women, diabetics

5. National strategic plan revision Ongoing Country Dialogue Field visits; in-depth reviews 2013 Sub-Technical Working Group Meetings (TB Interagency Coordination Committee) Consultative workshop in Feb 2014 Joint Assessment of National Strategies (JANS Tool)

6. Concept note Ongoing Country Dialogue Focus Group Discussions – Key Affected Populations in select provinces In-depth interviews – Village Health Support Groups, Health Centre Management Committees, NGOs, Government Health Staff and others Thematic Group Meetings – Cambodia Coordination Committee, Technical Partners & Implementing agencies National Consultative Workshop: May 2014

7. Concept note Focus Group Discussions

8. Concept note National consultative workshop

9. Concept Note Strategic interventions Case finding among high risk groups using fast- track mechanisms – Community/facility based transport systems to overcome barriers to access TB services GeneXpert machines with automated SMS technology for rapid and quality diagnosis – reduce turnaround time for results from 19 to 5 days to initiate early treatment Enablers to MDR patients and care givers

10. Concept Note Selected Modules & Cost Core Modules – TB care and prevention (US$ 9.3m) – TB/HIV (US$ 133,000) – MDR-TB (US$ 1.9m) Support Modules – Health information system and M&E (US$ 1.6m) – Community Systems Strengthening (USD 7.9m) – Program Management (US$ 7.9m) Total=US$ 29m, submitted June 15 2014

11. Thank you