Tobacco Control in Africa - TCA

The more things change: Annual coordination workshop for ACBF's sub-grantees in Harare, September 28 - October 2

Is it really necessary and useful to move all those people to Harare? What's the cost of such an "annual coordination workshop"? The "rationale"? The workshop aims to equip the sub-grantees with knowledge and skills in ACBF procedures for effective and efficient grant utilization and management. Funded by the Bill & Melinda  Gates Foundation, the tobacco control project advances evidence-based tobacco control policies in Africa.

The opaque transparency of the Gates Foundation

Revisiting the website of the ACBF we discover this press release from the Gates Foundation dated November 19, 2014 announcing continued support for tobacco control in Africa. BUT, while this text lists the organizations the Foundation is partnering with, it does not provide any $ figure about the budgets awarded to each of them. At the same time, Cynthia Lewis writes:
You asked for more transparency in grant making, better role clarity and coordination among partners and grant makers, and direct investment in a strategic African organization that can help build capacity.
The problem (as we see it) is that she does not provide any detailed information besides the names of the 'intermediaries". Visiting, for instance, the CTFK site we were unable (as of today) to find any reference to a grant awarded in 2015 to an African country. As for the grant awarded to ACBF, we don't know it's size nor is there much detail about how it is going.

(After some more investigating we found that the ABCF grant seems to be for $8.5M, while the grant for surveys by the CDC Foundation would be $4.6M: that still leaves $18.5M unaccounted for -how much for CTFK? how much for WHO?- and there is very little detail about how all those amounts are going to be used. We should not have to go looking : why isn't all the info given upfront? That would be real transparency).

Cynthia also mentions that: As you know, we are also supporting some social marketing and behavior change work against tobacco use in Africa as a complement to important and ongoing policy work.
Well, we don't know about that. What is it about?

CTCA Phase 2 (2015 -2017): 5 target countries

Details here

$32 million to implement tobacco control programs

The press release posted on the ACBF website is below. Details remain very sketchy on how this budget will be managed. There is reference to a communiqué by the Gates Foundation but we were unable to find it. 12 countries appear to have been selected for funding. What about the rest? How much information will be made public? The the three year and $32 million grant was announced in July 2014 on the ACBF site. ACBF nor the Gates Foundation answered our requests for more details.

ACBF & Gates Foundation partners lay groundwork for next phase of tobacco control  

       

Harare, Zimbabwe

25 Nov, 2014

The African Capacity Building Foundation (ACBF), the World Health Organization (WHO) and Campaign for Tobacco Free kids (CTFK) are advancing coordination of the Tobacco Control Project across Africa funded by the Bill and Melinda Gates Foundation. The three Gates Foundation partners met from the 24^th-25^th of November and agreed that coordination and effective implementation of tobacco control will take a prominent place in the second phase of the project.

During the two day sessions, the partners agreed on an effective mechanism for work at country level, developed a joint reporting tool and agreed to develop a monthly calendar of key activities as well as to hold regular calls to discuss their plans and progress at country and regional levels.  

The meeting served as a platform for the partners to gain a better appreciation of each organization's role in tobacco control; share work plans and deliverables as well as priority countries of focus and partners at country and regional levels.

ACBF, as the host of the first coordination meeting, recommended that the partners build their relationship for tobacco control based on trust, transparency and communication. They were also encouraged to build on each other’s comparative advantage and competence. These outcomes will ensure coordination for effective implementation of tobacco control in Africa by avoiding duplication of activities and mismanagement of resources.

Last week, the Gates Foundation officially released a communiqué announcing their commitment of more than US $32 million to support governments and Civil Society Organizations to implement tobacco control policies and programs in order to reduce tobacco use.

Under this funding, ACBF will support strategic grant-making and capacity building of the Centre for Tobacco Control in Africa,  the University of Cape Town and Civil Society Organizations (CSOs) to advance evidence-based Tobacco Control policies in Africa including tobacco taxation, advertising bans, graphic warning labels, and smoke-free environments. The CSOs will be drawn from Uganda, Kenya, Mauritania, Botswana, Ethiopia, Senegal, Nigeria, and Ghana, Niger, Benin, Gabon and the Gambia.

That's five "big' countries (Nigeria, Ethiopia, Kenya, Uganda, Ghana), two 'medium" Niger and Senegal, 5 small (Mauritania, Botswana, Benin, Gabon).

Representing ACBF were Bakary Kone and Patience Jambaya (as seen on the pictures)

 

What's left of the promotion of tobacco control in Africa by The Gates Foundation? Not much

Visiting the site of the ACBF (African Capacity Building Foundation) that was awarded a 3 year grant (amount not available) one can see that the scope of the interventions has been drastically reduced, focusing on the CTCA and the University of Cape Town. Only six countries are 'targeted': Botswana, Ethiopia, Kenya, Nigeria, Senegal and Uganda. 0 information about this grant is available on the site of the Gates Foundation (that I could find). The more it changes... It's sad to see such a waste.
The prospects don't look much better from the Bloomberg Initiative/CTFK where I have not seen any new grant recently awarded. When there is no clear strategy and no real leadership...

What's next for the CTCA?

WHO received in December 2009, $9.994.093 for a 5 year project centered around the creation of a 'hub'.
The search for the country where the 'hub' would be installed was organized by the same DC based firm that was put in charge of its design and 'independent' evaluation. The announced budget for the 'hub' was to be about $3.5 million (less than 35% of the global grant) according to the document published in April 2010. The CTCA was inaugurated on... November 1, 2011 (the director had been recruited in September 2011).
The 'first phase' of the WHO project is supposed to end, according to this document (at the bottom) in two months, in July 2014. What's next? Is the Gates Foundation going to continue its funding? at what level? for how long?

About the evaluation of the African Tobacco Control Consortium/ACS grant/project and what's next?

During a meeting a year ago in Dakar the existence of an evaluation of the ATCC/ACS grant by consultants for the Gates Foundation was mentioned but without any additional information. While we still don't know the details of the evaluation we found out, one year later, about its authors: EnCompass LLC of Washington DC, a group that also helped WHO design the Kampala based CTCA and is in charge of its evaluation (see below). As the fate of the Consortium looks uncertain, what's next? What happened to the RFQ posted in November by the Gates Foundation? Contacted, the Gates Foundation did not reply. As usual, everything remains secret.

Monitoring team thwarts tobacco industry interference in Uganda (from FCTC.org)

ATCA's Patrick Musavuli discusses tobacco industry monitoring. (c) Tih Ntiabang

From FCTC.org

A specially trained team of tobacco control advocates has prevented the tobacco industry from getting a suggested tobacco tax increase in Uganda reduced.

The Ministry of Finance had proposed increasing Uganda’s excise tax duty on cigarettes by 45.5 percent in the 2013-14 budget. When the matter was discussed in Parliament’s Finance Committee, the industry submitted a petition calling for an increase of just 11.4 percent.

Angola: CTCA organizes a 'tobacco control capacity assessment' July 15-19

From reading the CTCA site we learn that 'a tobacco control capacity assessment exercise is currently under way in Angola to help the government identify the country’sability to implement  tobacco control, based on the WHO Framework Convention on Tobacco Control (WHO FCTC).  The assessment is jointly carried out by the government of Angola with technical support from the World Health organization, ( WHO) and  the Centre for Tobacco Control in Africa  ( CTCA).

CTCA's annual performance review June 24-27

From the CTCA's site this self-congratulatory presentation of their second annual performance review that does not tell us anything specific that we did not already know but probably cost a bundle. Who cares at WHO? Nobody as nobody outside of WHO is allowed to look at the cost effectiveness of the programs. Just try to get the detailed annual budget for the CTCA or the cost of this annual performance review...

Rachel Kitonyo to leave the Consortium by June 30

Rachel Kitonyo, ATCC's Programs Director, shares this information in an email (see below) received yesterday. It raises (at least for us) a few questions as Rachel had been very instrumental in the creation and management of the Consortium. How will this departure impact the management of ATCC? That remains to be seen as well as the potential changes that could occur following the still mysterious 'evaluation' made by Gates Foundation's advisors as mentioned briefly in the report ( see page 6, only in French for now) about the May 15 meeting "What future for tobacco control in Africa" that took place in Dakar. Rachel's presentation at this meeting is summarized on page 5 and 6.

What is the management overhead for the grants awarded to promote tobacco control in Africa?

This recent article about overhead at big charities invites the question about the management overhead. For instance, what is ACS doing for their apparent very substantial share  ($1.5 million+?) of the Gates Foundation grant ($7 to 8 million)?

One more big meeting: is it the most effective strategy?

ACS + WHO Afro and all the usual main donor organizations have brought together representatives of 22 countries to share their tobacco control experience and expertise. They met for 2 days. What was achieved? At what cost? What was achieved at the various previous similar meetings? Is this the most effective strategy? When will the next meeting take place? At what cost? With what results? Beside a significant budget for travel and hospitality?

Job opening: Tobacco Control Advisor at CTCA (Makerere University in Kampala)

Read the ad and apply before November 30.

Uganda: a new $120K grant from CTFK-Bloomberg Initiative

Visiting the Bloomberg Initiative site I find that the Ugandan Ministry of Health was awarded $120K in September to develop a "national tobacco control strategic plan". See below for a few more details. As of today, according to the information available, $272.724 have been awarded in 2012 by the Initiative to 4 African projects. That's a big drop compared to the previous years. Most of the recipients are organizations that had already been funded: what about all the other groups and countries? Any support for Guinea where advocates just succeed in advancing a new Tobacco Control Act (in French) or Senegal where they keep pushing and communicating (also in French).

Grant makers and media

This article is about the situation in the US but what about the situation in Africa and more precisely what is the grant makers strategy to raise the visibility and awareness about tobacco control issues in African countries/media? Do they even have one? Shouldn't they have one considering the millions involved? Subsidiary question: who is aware of the most recent grant awarded by the Gates Foundation for innovative programs in Africa? Do you know where to look?

CTCA performance review

One more supermeeting involving plenty of dignitaries (30 "global tobacco control advocates") coming to Kampala from far away: at what cost and with what impact? Beyond the announcement (below) we have found zero substantial information about this meeting. The CTCA's site does not contain any (yet) nor the others. After this comment was posted we received a pdf document that provides a little more information, but not much. For instance, no detailed financial data are provided. Not that any of the other group is very transparent about their finances, but that would be a step in the right direction as far as transparency and public accountability are concerned.

Funding tobacco control in Africa: How much? What impact will the new $220 million grant have (or not)?

The Bloomberg Initiative received $375 million from Michael Bloomberg (in 2006 and 2008) and an additional $30 million from the Gates Foundation (as of July 2009). That's a total of (about) $405 million from 2007 to 2011 (5 years). That's about $81 million per year, divided between 5 entities (CTFK, The Union, The World Lung Foundation, the CDC Foundation and The Johns Hopkins School of Public Health).

The new 4 year grant of $220 million represent $55 million per year (without -for now- any additional funding from the Gates Foundation since the $18 million grant that had been mentioned in July 2011 has not been confirmed)

Looking back at 2011

A subjective selection of significant posts among the 160 published in 2011 (+ 40 in French on Vers une Afrique Sans Tabac). Sorry but no systematic links (too long to do).

Uganda: Inauguration of the CTCA

Visiting the site of the Tobacco Free Initiative about the inauguration of the Center for Tobacco Control in Africa on November 1, we find this link to the presentation given by Cynthia Lewis,  senior program officer for the Gates Foundation.

CTCA: The Center for Tobacco Control in Africa visited by IDRC

IDRC would be considering a partnership with CTCA.