Tobacco Control in Africa - TCA

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.

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.

A grant of US$ 8,540.407 to the African Capacity Building Foundation

As we kept looking for more details about the $32 million grant awarded by the Gates Foundation, we found out the amount awarded to ACBF at the end of text posted on their website under the title Why Africa needs antitobacco interventions, dated June 1, 2015: $8.5+ million. It does not specify what are the 'target countries' nor how the global amount is divided among the programs nor how much goes to its administration.

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)

 

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.

Susan Desmond-Hellman: The Gates Foundation needs more transparency

The Chronicle of Philanthropy tells us about a talk delivered by Susan Desnond-Hellman where shew mentions the need for more transparency and listening to feedback. We wish this would not be only wishful thinking as far as the grants awarded by the Gatews Foundation to promote tobacco control in Africa are concerned.  but a very small part of the Foundation's activity but why should they be exempt of the transparency requirement?

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...

Bloomberg/CTFK: Grants awarded country by country (updated 2007- July 2014). Who got what?

Grants awarded by Bloomberg Initiative/CTFK, country by country and year by year (as of July 28, 2014). What do you think? Is this an equal distribution? Are there 'favorites'?

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.

Bloomberg Initiative/CTFK: Grants 2007-2014. Who got what.

Grants awarded by Bloomberg Initiative/CTFK, country by country and year by year (as of July 28, 2014). What do you think?

Bloomberg Initiative: The search function of "what we fund' still broken

10 days after we signaled that the search function was broken, it still is!

RDC: a website for the Alliance Congolaise pour le Contrôle du Tabac

Considering the technical issues of the new ACCT site (click for instance on the presentation or nos projets sections), one wonders why they did not choose to use existing ready to use blog platforms like Blogspot or Wordpress along with a Facebook page instead of trying (and failing for now) to master Joomla. There is also a spelling problem with the position of the e and u in accueil/welcome. Easy to fix :) All our best wishes.

Bloomberg Initiative 2014: 4 grants to DRC, Kenya, Ghana, Uganda.

The Bloomberg Initiative has funded 4 projects in Africa since the beginning of 2014, in DRC ($80K), Kenya ($60K), Uganda ($18K), Ghana ($20K) for a total of $178K. All are linked to support passing legislation or implementing existing regulations.

DRC: a $79,965 Bloomberg Initiative grant to promote Tobacco Control Legislation

From a recent visit to the Bloomberg Initiative website we found out that the Alliance Congolaise De Contrôle Du Tabac was awarded a one year grant of $80K to promote tobacco control legislation.

Chronology of Bloomberg Initiative grants for African Countries 2007-2013

The total of the grants allocated in 7 years (2007-2013) by the Bloomberg Initiative as of December 22, 2013 amounts to $ 6.313.409. The average is $901.915 per year.

2 year CTFK's grant for 7 Francophone countries (2014-2015)

Revisiting the grants database we discover this $300.000 grant awarded in July 2013 to the Association pour la défense des Droits des Consommateurs involving 7 countries: Chad, Niger, Burkina, Cote D’Ivoire, Guinea, Mauritania, and Burundi.

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.

Jeff Raikes about Philanthropy, Technology, Transparency and Teamwork.

Here is the whole text of the conference given by Jeff Raikes on June 5, 2012. Read it all and especially the parts at the end devoted to Transparency and Teamwork. I have reproduced the text below for 'safekeeping' because my experience has been that sometimes links were broken, texts were deleted and the original material was lost. Yes this also happened on the website of the Gates Foundation and for information about the tobacco control grants. 

 

Jeff Raikes: Technology, Transparency and Teamwork.

Surfing on line on the theme of transparency in relation with the ongoing selection process at the Gates Foundation I found this conference given in June 2012 in Belfast by Jeff Raikes (the soon to be leaving CEO of the Gates Foundation). As often he talks eloquently about the need for transparency and also says:“We need to go beyond grantees and partners, to the critics and dissenters of our approaches.” As a dissenter I cannot agree more but is such an attitude implemented now? What about testing it for real in the decision making of the Foundation of how the promotion of tobacco control in Africa should be organized? See below for a more recent comment by Jeff Raikes from an interview published on Humanosphere.

The African Tobacco Control Consortium

From the ACS page devoted to the Consortium. What's happening now?

How much money does ANCE (Togo) need?

Reading an updated version (9/23/2013) of an interview with the Executive Director of the Alliance Nationale des Consommateurs et de l'Environnement (ANCE), Mr Ebeh Kodjo, who is also Secretary of ATCA, and an FCA board member (until december 31, 2013) the main problem seems to be funding. Nothing new? Except that ANCE has been one of the groups that received significant funding (the last CTFK grant awarded in Dec 2012 was for $152K+ while 54K had been awarded in January 2012) so how much is now needed, what happened to the previous grants, is any detailed budget explaining where the money went-goes available? Those questions are especially important when the Gates Foundation is looking for the next organization to coordinate their tobacco control efforts in Africa and ATCA could be a candidate.

The Gates Foundation looks for an organization to support and strengthen tobacco control in Africa

This ad was posted on the site of the Center for Tobacco Control in Africa (based in Kampala). The deadline to apply is today!  November 8!  What organizations are going to apply? to serve as a strategic grant maker, capacity builder, and effectively coordinate with others working in tobacco control on the continent? Several existing (competing) groups are presently trying to do that. Strangely, once again, despite claiming to engage the whole continent the proposal is in fact much more narrow:The grantee organization will support work in 5-10 countries in Africa .
Another interesting (perplexing?) remark is Africa Tobacco control expertise is preferred but not required as a tobacco control expert could be hired as part of the investment.
What do you think? Is there any chance of a different organizing strategy being funded or are we going to see more of the same?
Duration of grant: 3 years, starting in 2014.
No budget amount if mentioned nor any mention of the capacity to operate in different languages (except English) despite the fact that the lack of French fluency has been, still is a handicap for all leading groups.

 

Additional $65,925 grant for Prevenir Association in Senegal: No Smoke Revolution!

The Prevenir Association (?) was awarded a one year grant of $65,925 in August, to 'galvanize support for the adoption of a FCTC-compliant TC bill in Senegal. They had received a two months $31,241 grant in May. We found a FaceBook account for Prevenir but the main source of information remains LISTAB (in French)although the most recent post as of today is more than two months old (end of August 2013). Maybe because the updating now takes place on their FaceBook page, with details about their most recent campaign, NoSmoke Revolution (on FaceBook as well) and advocacy efforts.

Additional grant ($67,942) for Nigeria

The Bllomber Initiative/CTFK allocated $67,942 to the Tobacco Control Foundation of Nigeria for advocacy for passage and presidential assent of the national tobacco control bill (NTCB) in Nigeria. This comes in supplement of previous 2013 grants.

$ 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?

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?

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.

Message of Ebeh Kodjo about 2011 and 2012: what is the real financial situation for ATCA and the African Consortium?

In a short email message dated December 19, Ebeh Kodjo states that "2012 will not be easy. It will be challenging, annoying, with less money and more demands." Unfortunately he does not provide any hard numbers about ATCA or the Consortium's finances for 2011 or 2012. His apparent pessimism about money seems inconsistent with the information available that seems to point toward increased resources.

From $7 million to $7,884,847: the amount of the grant awarded in 2009 by the Gates Foundation to the African Consortium has increased by 12.64%.

While the initial amount awarded in 2009 was $7 million, the amount now mentioned on the Foundation's site is $7,884,847 (+12.64%). It's good news, but how and why this increase? Does it represent the interests of the invested money?

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.

CTFK: Announcing Round 11 of the Bloomberg Initiative Grants Program

CTFK announces Round 11 of the Bloomberg Initiative Grants program. The deadline is January 23, 2012. Read below for details.