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Introducing the New Global Support Framework for the Management of MDR-TB
Dear partners,
On the eve of the start of the new global support framework, we are writing to you, as the
stakeholders who have participated in the process, with an update on the progress achieved in the
transition to the new framework. As you know, the new global framework is the result of an
inclusive and iterative process undertaken over the past 20 months by all the key stakeholders
supporting the expansion of MDR-TB services and care. The framework was endorsed by the Stop TB
Partnership’s (STP) Coordinating Board in April 2011, and by the World Health Organization’s
Strategic and Advisory Group for Tuberculosis (STAG-TB) in June 2011. Both support the start of the
new framework tomorrow, 1st July 2011.
We are pleased to report that regional Green Light Committees (rGLCs) have been established for
the Americas and Europe. Arrangements to host their respective Secretariats have been finalised in
the WHO EURO office and are under way in the WHO AMRO office. Establishment of the global GLC
(gGLC) and the Western Pacific rGLC, and the selection of their members, are in the final stages of
confirmation. Regarding the global GLC (gGLC), a representative from each of the three rGLCs, who
will serve on the gGLC, is currently being nominated by the respective rGLC. Further details are
provided below.
However, you should also be aware that WHO and STAG were informed last week by the Global
Fund Secretariat that the Global Fund would like to develop contracts with regional GLC entities and
the funding is likely to be commensurate with services that will be provided, rather than a flat
fee/lump sum that is currently used. We have therefore requested clarification from the Global Fund
regarding the risk of any possible reduction in support to the GLC components at regional or global
levels, which might impact the structures in the new framework.
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