1. 12. Role of national and international technical and funding partners in the implementation of aDSM
Multi-partner training package on active TB drug safety monitoring and management (aDSM)
July 2016

2. Objectives of the presentation By the end of this presentation, the participant is expected to be able to:
Identify key areas in the implementation of aDSM in which partner support would be of help
Match the strengths of particular partners (technical, advocacy and funding) with specific gaps

3. Key steps in aDSM implementation
Create a national coordinating mechanism for aDSM
Develop a plan for aDSM
Define management and supervision roles and responsibilities
Create standard data collection materials
Train staff on the collection of data
Define schedules and routes for data collection and reporting
Consolidate aDSM data electronically
Develop capacity for signal detection and causality assessment
PARTNER SUPPORT

4. Create a national coordinating mechanism for aDSM
Provide technical advice (could be members on the coordinating mechanism, depending on setting)
Facilitate discussions and advocate for appropriate visibility of the national coordinating mechanism in the public sector hierarchy
Invite aDSM experts from other countries to share experiences

5. Develop a plan for aDSM Facilitate discussions
Share technical expertise in terms of project management (e.g. development of the plan and budget, strategy, indicators, etc.)
Share templates or examples from other settings
Support the writing of the plan (technical, funding)

6. Define management and supervision roles and responsibilities
Share templates or examples from other settings
Act in some of the roles and take on some responsibilities (e.g. if a partner is supporting a treatment intervention in an administrative area then they can support aDSM in that setting)

7. Create standard data collection materials
Share technical expertise (e.g. expert review of the paper or electronic forms used in the country)
Share templates, examples from other countries
Help draft standard operation procedures, adapt data collection tools
Ensure that any tools developed by a partner in a country are in conformity with the requirements for local and international reporting

8. Train staff on the collection of data
Facilitate the organisation of training at different levels (e.g. national, regional, district, health facility, private sector)
Share technical expertise (e.g. pedagogical advisor support)
Share curriculum, case studies and other materials
Train the “national trainers”
Provide funding & venues for training activities
Develop training materials

9. Define schedules and routes for data collection and reporting
Facilitate discussions
Share examples and lessons learnt from other settings
Support the collection of data and reporting to national and global level
Updating the methods as knowledge advances

10. Consolidate aDSM data electronically
Technical support in adaptation of existing system (or implementation of new system)
Help on revising systems to allow reporting

11. Develop capacity for signal detection and causality assessment
Role for partners?
Facilitate discussions
Organize dedicated training on signal detection (methods, stats) and causality assessment

12. Conclusions
Technical partners could play an important catalytic role to help national TB programmes implement the changes required to introduce aDSM
In addition to the technical expertise, advocacy and facilitation of discussion, given the relative novelty of aDSM agencies and donors may need to provide funds to enable key activities in the short term (e.g. to train, hire consultants, undertake some of the clinical tests, modify information systems)
In the maintenance phase and long term, partners could play a role to ensure supervision, completeness of reporting and updating the methods and human resource development