Tobacco Control in Africa - TCA

Who will get funded by CTFK in 2018?

We got a look in May at the ongoing grants awarded by CTFK and most of them were going to end in mid-2018 or earlier (see below). We had missed a grant awarded to Chad's Health Ministry (also see below with no $ amount declared). What's next for all those groups and projects? What happened to the STOP project?

Who will get funded by CTFK in 2018?

We got a look in May at the ongoing grants awarded by CTFK and most of them were going to end in mid-2018 or earlier (see below). We had missed a grant awarded to Chad's Health Ministry (also see below with no $ amount declared). What's next for all those groups and projects?

Is the Bloomberg Initiative-Campaign forTobacco-Free-Kids still funding projects in Africa?

According to their map of grants, as visited today, they are not. Or they just need to update the map? Or they don't care sharing this information any more? We asked them repeatedly about it. To no avail. Yet.

The first official press release about the meeting in Harare

What do you learn from this press release? Anything specific? Anything new? The participants, although no detail is provided about them by Dr Thomas Munthali, are probably tobacco control veterans, with years of activism and funding. Maybe ulterior press releases will tell us a bit more about this meeting and how the Gates Foundation millions are used? Maybe not.

News from the Democratic Republic of Congo

Visiting the site of the Alliance Congolaise pour le Controle du Tabac (AACT) there is one post devoted to the launch of a smokefree environment campaign  (in French) that mentions at the end the planning of an international meeting that would take place in October 7/9 in Kinshasa, financed by the Gates Foundation and involving about 100 people from 22 African countries. Is that really necessary/useful? How much is that going to cost? The front page of the site still has a typo about the French word for 'welcome"...

Gates Foundation grant of $4.6 million to the CDC Foundation for tobacco control surveys

We found the information on the CDC Foundation blog, in a post dated December 10 2014.

$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)

 

November 24-25: Coordination for effective Tobacco Control in Africa, in Harare.

I found this by chance while doublechecking the information provided on the Gates Foundation site. There is still no mention of the amount of the grant awarded to the ABCF which is strange as usually (apparently) they disclose the amount involved. It was on the site of ABCF. Is this meeting really necessary? How transparent is it going to be? How much will it cost? For what results? What do all the other local/national advocates really think? What chance do they have to be heard? Who is in charge of the project at ABCF?

November 24- 25     

Coordination for effective Tobacco Control in Africa 

Harare, Zimbabwe

The tobacco control partner coordination meeting will be held in Harare at the African Capacity Building Foundation (ACBF) secretariat on 24th to 25th November 2014. Three institutions namely; ACBF, WHO (AFRO and Headquarters) and the Campaign for Tobacco Free Kids (CTFK) will meet to discuss how to improve coordination for Tobacco Control in Africa under the Bill and Melinda Gates Foundation funding for Africa.

What are foundations for?

A critical analysis of the role of 'Big Philanthropy' and democracy. By Gara LaMarche in Democracy.

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...

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.

Veteran's Day: what about looking back at the most recent battles in the tobacco war and discussing about the future?

As you can see from the most recent posts I have started to look at what happened in the past, especially since 2007/2008 when philanthropists Bloomberg and Gates provided millions of dollars that changed the face of tobacco control and I am wondering about what's next, especially, very concretely what is the Gates Foundation going to decide as they look for an organization to promote tobacco control in Africa for the next 3 years. I have a feeling of déja vu and fait accompli while at the very same time hoping for a change, a new practice in the process of grant management, engaging the whole community, including potential 'dissenters'. Making this wish I am only taking the word of CEO Jeff Raikes when he described his '3Ts priorities' in the speech he gave in Belfast in June 2012.
I have a few ideas about encouraging everybody to pitch in, share their personal evaluation of what happened since 2007/08 and offer suggestions/wishes for the next 3 years. Stay tuned.

About the new tobacco control law in Gabon

Gabonese advocate Thanguy NZUE OBAME has shared with us copies of the new tobacco control law, Loi 006/2013 enacted on August 21 2013, about the new tobacco control policies in Gabon ('portant instauration des mesures antitabac en République Gabonaise"). Below are a few immediate comments but a more complete analysis will take more time. Here is the post published on the FCTC site on November 13.

Let us do the numbers for the last seven years (2007-2013)

As it's grey and cold today I have decided to look at the relevant numbers for the grants awarded to promote tobacco control in Africa during the period 2007 to November 2013. I mostly computed the data for the grants awarded by CTFK for the Bloomberg Initiative, comparing them with the grants awarded by the Gates Foundation.

What audience for the nosmoke revolution clips?

Visiting the youtube channel of the Nosmoke Revolution advocacy campaign one can see that the most viewed of the 9 videos (apparently) is the spot by model LISSA (Mame Diarra THIAM) with 12000+ views (see her on FB). All the other videos have on average a few hundreds views but for the rappers with a few thousands (but on 2 months instead of only one)

$ 84,962 for an Anglophone Lawyers Seminar in Addis Ababa

Recent grant noted on the Bloomberg Initiative website: $84,962 for The Ethiopian Public Health Association (EPHA) to support a 5-day Seminar for English-speaking African lawyers in Addis Ababa on the FCTC and the drafting and implementation of effective tobacco control legislation.

Workshop for journalists in Ouagadougou

Sylviane Ratte continues to travel around the African continent. The journalists invited to this workhop in Ouagadougou seem happy but how many articles or radio programs did they produce, for what investment? Is this a cost effective way to produce tobacco control content in the media? What about paying them directly to produce content? How much is spent on travel and hospitality that could be invested in writing stipends?

Fabrice EBEH's presentation in Dakar (May 15) during the What future for tobacco control in Africa meeting.

Below is the summary of the presentation of Fabrice EBEH (in French 'Rapport Consultation ONG') with our translation (in English) of the main points (in yellow) with our comments (in light blue). Considering the content of Rachel Kitonyo's presentation all does not seem as well as Fabrice's summary seems to imply.

Rachel Kitonyo's presentation in Dakar (May 15) during the What future for tobacco control in Africa meeting, including our comments and questions

What to retain of Rachel's presentation (as it is summarized below in French -as the report in only available in French for now- with our partial translation in English of what we consider the key points, colored in yellow with our comments in italics and colored in pale blue).
As diplomatic and vague as the presentation is summarized, it does raise a significant number of issues about how the program was/is managed. How can the apparently badly needed changes be implemented? Or is everything going to remain the same?

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)?

Feedback remains a keyword for Bill Gates

Feedback remains a keyword for Bill Gates, here in this opinion for the Wall Street Journal. But how does it apply (if it does) to the tobacco control grants? Here the comment from Humanosphere.

The budget awarded by the Gates Foundation to ACS-Consortium increases again

When we last looked at the budget (in December 2011) it was $7.8788.847. As of today it is $8.015.471, an increase of $130.624.

Still no detailed information about how this grant is used.

Evaluation of the tobacco control programs in Africa?

A meeting has taken place in Atlanta at the end of October to look into evaluating tobacco control programs in Africa? Quis custodiet ipsos custodies? Any guarantee of an independent process? ie not having the funders and the people receiving the money self-evaluating themselves? Any hint of the creation of objective benchmarks and a simple scorecard like the one adopted for the EU in 2007?

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.

Honest Feedback, Advocating for transparency, 2007-2011

This is an updated version of the first two editions, with a slightly different subtitle and new cover pictures. Available via Blurb.com and as an e-book via Amazon-Kindle. It focuses on the need for public transparency (and accountability) as a condition to get real feedback and to improve the overall performance in the management of the grants awarded by the Gates Foundation and the Bloomberg Initiative to promote tobacco control in Africa.

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).

About the Gates Foundation

This interesting article by Caroline Preston in The Chronicle of Philanthropy.

Studying tobacco control laws in Africa

Visiting the tobacco control laws website initiated by the International Legal Consortium of the Campaign for Tobacco Free Kids I find analyses of the existing legislation of a few countries (5) but not the texts themselves. Maybe local advocates could provide the original texts so everybody can access them?

Jeff Raikes: We need to hear from you

Once again, Jeff Raikes asks for honest feedback: We need to hear from you! But is he going to get it and does he listen when he receives honest but inconvenient news?

Tobacco Control in Africa: People, Politics and Politicies

Edited by Jeffrey Drope, this book (with a preface by Jeffrey's sister Jacqui) is a presentation of the ATSA project co-published by Anthem Press and IDRC. Available as hardcover via Amazon for a pricey $99. When clicking on the Amazon look inside function you can see some of the book content while it seems the whole content can be accessed and downloaded for free in a pdf format via the digital library of IDRC. Anthem Press mentions there is an e-book version but we could not find it. A French version is to be published by the Presses de l'Université Laval and IDRC under the title: La lutte contre le tabagisme en Afrique. 

What transparency and accountability for foundations?

What transparency and accountability for foundations were issues discussed in this article in the Guardian.

The answer from the European Commission about our request for information: the announced contract is not yet signed

I received yesterday an email from Mr Thomas Kirchner (see below the content). He explains that "this contract does not yet exist. It is currently under preparation and foreseen to be signed before the end of this year." Therefore there are no documents available. I remain interested in a detailed breakdown of the budget as what was provided raised a certain number of questions that have not been answered. As for an eventual commitment to detailed communication and transparency, the eventual requirements seem limited but one should wait until one can see the actual contract. Mr Kirchner concludes: "Within EuropeAid, Unit D4 (Education, Health, Research and Culture) is in charge of this contract with the WHO and will be available to assist you should you require further clarifications. The Head of Unit responsible is Elisabeth Feret."

Testing the Access to Information procedure of the European Commission

As mentioned recently, the European Commission has awarded a grant to the World Health Organization to support the implementation of the FCTC in low and middle income countries. The budget as presented on line was sketchy. According to the EU principles (article 255 of the Treaty), I filed a request for what should be the whole document via this form available on line.  Once the request is registered they are supposed to provide an answer within a delay of 15 working days: that would be around November 3d. Wait and see.

Global Integrity: governance research in Africa

This is a very interesting model. Can you imagine what it could achieve for tobacco control, that none of the present projects is doing, despite much bigger funding? Remember that you first learned about it here. Maybe some of your could be interested to be part of this project as local researchers.

Looking at the recent grant awarded by the European Commission to support the implementation of FCTC in 'lower income countries"

The European Union and the EU countries fund about half of the $9 million FCTC Secretariat budget. The Commission recently awarded WHO-FCTC a complementary grant of Euros 5.2 million. If you want to look at the details of this grant you have to go to this pdf document and scroll down to page 7 to click on the Annex B link and scroll down again. Since I am curious about how funds are allocated I did all those tedious moves. Below are some of my comments.

How difficult is it to speak truth to power at the Gates Foundation?

Seattle based blogger Tom Paulson reports about the articles devoted to the Gates Foundation published in the new issue of Alliance Magazine. He refers to Timothy Ogden's introduction that points out to the difficulty of honest feedback: under the headline Speaking truth to power, Ogden writes that it is increasingly difficult for anyone to speak truth to power at the Gates Foundation. We were surprised at the number of people who responded to our requests for submissions with some version of ‘I’d love to talk about that, but I don’t think it’s a good idea for me to comment publicly’.

Another job opening in Kampala for the WHO project of the African Tobacco Control Center

The deadline to apply for this position (12 months) as Project Officer for the African Tobacco Control Resource Center (ATCRC) is September 19. I wonder who are the Senior Project Officer and the Director mentioned in the ad. For some background about the project, this interview with Vinayak Prasad in 2010. The link to the previous ad, for a Tobacco Control Specialist with ATCRC (deadline September 15).

CTFK awards a $300K grant to the Association pour la Défense des Droits des Consommateurs (ADC) to promote tobacco control in 5 French speaking countries

The $300K grant is awarded to the Association pour la Défense des Droits des Consommateurs (ADC) based in Ndjamena (Chad). The countries involved are Chad, Niger, Burkina, Guinea and Mauritania. It looks like a continuation of a previous grant awarded in 2009 (until July 2011) to the same group to work in Chad, Niger, Burkina and Ivory Coast. As far as we know no report has been made public about what was achieved with the previous grant and how it was managed. Not much is available online about ADC. We found this article and the cyber-interview of Daouda ElDadj Adam by Pascal Bogui, published in 2007 on Pascal's blog (both documents in French).

Rethoric Versus Reality: the best and worst of aid agency practices

This is a very interesting and worrying report (pdf format). It nails many UN agencies as performing very poorly as far as transparency, accountability and administrative costs are concerned. Too bad the Aid Watch blog is closing down.

American Cancer Society awarded $451,720 by the Gates Foundation (in October 2010)

Visiting the site of the Gates Foundation, I discover that the American Cancer Society was awarded in October 2010 a grant of $451,720, apparently relative to tobacco control in Africa. My guess is it was used (in part?) to fund the conference in Johannesburg. Was that a wise investment considering the Consortium (managed by ACS for $300K per year, $1.5 million total for 5 years) now tells us there is not enough money available to work with all African countries?

Tanzania: what future for tobacco control advocates?

This recent portrait of leading advocate Lutgard Kagaruki in the Tanzania Daily News raises the question of the future of local tobacco control advocacy when their international funding disappears (in this case funding from the Bloomberg Initiative). The article provides no answer.

Why it matters that donors evaluate their work

From the Chronicle of Philanthropy at the Annual Global Philanthropy Forum Conference.

ATCA's commitment to transparency and accountability

ATCA's commitment to transparency and accountability is part of its constitution (pdf), starting with a mention in the section 4.6 devoted to Principles and Values (p.6): b) transparency c) accountability.
That translates into obligations that are detailed below.

IDRC: Accountability Tools for Policy Research

IDRC has funded this interesting project by One World Trust. It is about improving accountability and transparency. How much or how little IDRC implements those goals is debatable. 

Indicators for a transparent management scorecard

Following up on the need for more transparency (and accountability) that has been at the core of this blog, I have listed 10 indicators that I believe would be helpful to assess how organizations are performing. Here they are:

1. Names, bios of the staff and contact email (program, project managers, all staff involved)
2. Detailed annual report explaining the activities
3. Detailed annual operational budget (easy to find and providing key info, see below)
4. Budget for staff and consultants (staff administrative costs)
5. Budget for travel and hospitality (including monthly update and yearly detailed list)
6. Transparency blog providing regular detailed information about the progress of each program/project/grant
7. Open selection process for grant applications (all applications available)
8. Transparency requirement for grantees and sub-grantees (including the 7 first items of this scorecard)
9. Establishment of a benchmark scorecard (baseline) for the project, updated yearly to allow evaluation
10. Willingness to answer questions and provide information (for big institutions, Access to Information person and procedure)

What do you think the score is for each organization involved in promoting tobacco control in Africa?

 

Scorecards and the importance of counting for transparency, accountability, fairness and effectiveness: tools for the Gates Foundation?

The governance and development blog of the Worldbank refers in this post to this very interesting document  (pdf) about the importance of counting and budget transparency, something that does not apply to tobacco control grants to Sub-Sahara Africa.

World Health Organization accountability profile as assessed by One World Trust in 2006

What has changed since this 2006 report?
Source: One World Trust

Day 1 of the ATSA meeting in Johannesburg - on Cancerblogs

The blog of the ACS has this post of the first day of the ATSA meeting.