Organization Contact Information |
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Focal Point Contact Information |
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Stop TB Partner Information |
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| How did you hear about the Stop TB Partnership: |
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| Why do you wish join the Stop TB Partnership: |
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| What TB activity\ies are you mainly involved in: |
Advocacy, communication and social mobilization Health Promotion Media Patient-led activities and social mobilization Political and national advocacy TB education and awareness raising
Funding Advocacy Capacity Building for partner initiatives Drugs procurement / distribution Health system strengthening Research TB control
Manufacture of TB products 1st line adult drugs 1st line paediatric drugs 2nd line drugs Diagnostics
Research Basic research Drugs Epidemiological Health Economics Research Health systems, services and policy research MDR-TB New diagnostics Operational Research TB/HIV Vaccines
TB Healthcare Services Community Care Diagnostics/Laboratories DOTS Expansion Drug Provision Emergency Relief MDR-TB TB/HIV Workplace services
Technical Assistance Advocacy Drug Procurement Frontline TB Services/ Programme Implementation (operational: treatment and diagnostics) Global Fund application Human Resources training (Drs, nurses, researchers, NGOs) Partnership building Research |
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The Seven Stop TB Partnership Working Groups provide a focus for coordinated action. Each of the Working Groups have independent governance mechanisms, but are working under the umbrella of the Stop TB Partnership. We would strongly encourage all partners to participate in the Working Group most relevant to their area of work. For more information on the Working Groups, please click here. |
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| Which Working Group(s) will you participate in: |
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| Which country are you based in: |
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| Which country/ies do you do operate in: |
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| Which WHO region is the main focus of your work: |
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| Are you a member of a Stop TB national partnership: |
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Please declare any interests that could constitute a real, potential, or apparent conflict of interest with respect to the Global Partnership to Stop TB.
Conflict of interest means that the prospective member has a financial or other interest that could unduly influence the prospective member's involvement in Stop TB.
An apparent conflict of interest is a financial or other interest that would not necessarily influence the prospective member but could result in the prospective member's objectivity and independence being questioned by others.
A potential conflict of interest is a financial or other interest that any reasonable person could be uncertain whether or not should be reported.
The existence of an appreciable real, potential, or apparent conflict of interest will ordinarily not be used as a criterion to determine membership in the Global Partnership to Stop TB. However, in the case of specific Partnership projects and activities, the Executive Secretary may review the information submitted to assess whether there is an appreciable real, potential, or apparent conflict of interest. A member will be informed if it is felt that the declared interests may disallow participation in a specific project or activity. Members will have the right to appeal to the Coordinating Board for reconsideration.
Information disclosed on this form will not be made available to anyone other than the Executive Secretary of the Global Partnership to Stop TB or his designee.
Declaration of interests
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I have read and agree to the Partnership Policy. |
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