From: Ketevan Goginashvili
Sent: 30 January, 2020 09:22
To: 'David Gzirishvili (CGC)'
Subject: RE: FF-up on Immunization and family planning exp. that were missing in your accounts

From: David Gzirishvili (CGC) [mailto:D.Gzirishvili@curatioconsulting.com]
Sent: 28 January, 2020 14:36
To: Ketevan Goginashvili
Subject: FW: FF-up on Immunization and family planning exp. that were missing in your accounts

From: David Gzirishvili (CGC)
Sent: Tuesday, January 28, 2020 11:34
To: EIGO, Natalja
Cc: XU, Ke ; TOURE, Hapsatou ; Baktygul Akkazieva (WHO)
Subject: RE: FF-up on Immunization and family planning exp. that were missing in your accounts

From: EIGO, Natalja <eigon@who.int>
Sent: Tuesday, January 28, 2020 11:22
To: David Gzirishvili (CGC) <D.Gzirishvili@curatioconsulting.com>
Cc: XU, Ke <xuk@who.int>; TOURE, Hapsatou <toureh@who.int>; Baktygul Akkazieva (WHO) <akkazievab@who.int>
Subject: RE: FF-up on Immunization and family planning exp. that were missing in your accounts

From: David Gzirishvili (CGC) <D.Gzirishvili@curatioconsulting.com>
Sent: Tuesday, January 28, 2020 9:30 AM
To: EIGO, Natalja <eigon@who.int>
Cc: XU, Ke <xuk@who.int>; TOURE, Hapsatou <toureh@who.int>; AKKAZIEVA, Baktygul <akkazievab@who.int>
Subject: RE: FF-up on Immunization and family planning exp. that were missing in your accounts

From: EIGO, Natalja <eigon@who.int>
Sent: Tuesday, January 28, 2020 09:10
To: David Gzirishvili (CGC) <D.Gzirishvili@curatioconsulting.com>
Cc: XU, Ke <xuk@who.int>; TOURE, Hapsatou <toureh@who.int>; Baktygul Akkazieva (WHO) <akkazievab@who.int>
Subject: RE: FF-up on Immunization and family planning exp. that were missing in your accounts

From: David Gzirishvili (CGC) <D.Gzirishvili@curatioconsulting.com>
Sent: Friday, January 24, 2020 3:52 PM
To: EIGO, Natalja <eigon@who.int>
Cc: XU, Ke <xuk@who.int>; TOURE, Hapsatou <toureh@who.int>; AKKAZIEVA, Baktygul <akkazievab@who.int>
Subject: RE: FF-up on Immunization and family planning exp. that were missing in your accounts

From: EIGO, Natalja <eigon@who.int>
Sent: Friday, January 24, 2020 14:44
To: David Gzirishvili (CGC) <D.Gzirishvili@curatioconsulting.com>
Cc: XU, Ke <xuk@who.int>; TOURE, Hapsatou <toureh@who.int>
Subject: RE: FF-up on Immunization and family planning exp. that were missing in your accounts

From: David Gzirishvili (CGC) <D.Gzirishvili@curatioconsulting.com>
Sent: Thursday, January 23, 2020 2:39 PM
To: EIGO, Natalja <eigon@who.int>
Cc: XU, Ke <xuk@who.int>
Subject: RE: FF-up on Immunization and family planning exp. that were missing in your accounts

From: EIGO, Natalja <eigon@who.int>
Sent: Thursday, January 23, 2020 14:37
To: David Gzirishvili (CGC) <D.Gzirishvili@curatioconsulting.com>
Cc: XU, Ke <xuk@who.int>
Subject: RE: FF-up on Immunization and family planning exp. that were missing in your accounts

From: David Gzirishvili (CGC) <D.Gzirishvili@curatioconsulting.com>
Sent: Thursday, January 23, 2020 2:28 PM
To: EIGO, Natalja <eigon@who.int>
Cc: XU, Ke <xuk@who.int>; TOURE, Hapsatou <toureh@who.int>
Subject: RE: FF-up on Immunization and family planning exp. that were missing in your accounts

From: EIGO, Natalja <eigon@who.int>
Sent: Thursday, January 23, 2020 14:10
To: David Gzirishvili (CGC) <D.Gzirishvili@curatioconsulting.com>
Cc: XU, Ke <xuk@who.int>; TOURE, Hapsatou <toureh@who.int>
Subject: RE: FF-up on Immunization and family planning exp. that were missing in your accounts

From: David Gzirishvili (CGC) <D.Gzirishvili@curatioconsulting.com>
Sent: Thursday, January 23, 2020 11:15 AM
To: TOURE, Hapsatou <toureh@who.int>
Cc: XU, Ke <xuk@who.int>; EIGO, Natalja <eigon@who.int>
Subject: RE: FF-up on Immunization and family planning exp. that were missing in your accounts

From: TOURE, Hapsatou <toureh@who.int>
Sent: Thursday, January 23, 2020 11:12
To: David Gzirishvili (CGC) <D.Gzirishvili@curatioconsulting.com>
Cc: XU, Ke <xuk@who.int>; EIGO, Natalja <eigon@who.int>
Subject: Re: FF-up on Immunization and family planning exp. that were missing in your accounts

Dear Hapsa,

 

You see the latest version of pstudy files in the folders I shared.

We have changed many things in KGZ without affecting much GFATM or UNFPA funding except 2014 year.

As to TJK there should be no noticeable changes between Natalja’s version and my versions.

 

I am happy to answer your and Natalja’s questions at any time. 😊

 

What about having coffee today? I could be available after 15:00 (I attend a meeting in Building M).

 

Cheers,

 

 

David Gzirishvili

Managing Partner

Consulting Group Curatio Sarl

Geneva, Switzerland

 

From: TOURE, Hapsatou <toureh@who.int>
Sent: Thursday, January 23, 2020 10:55
To: David Gzirishvili (CGC) <D.Gzirishvili@curatioconsulting.com>
Cc: Baktygul Akkazieva (WHO) <akkazievab@who.int>; XU, Ke <xuk@who.int>; EIGO, Natalja <eigon@who.int>
Subject: RE: FF-up on Immunization and family planning exp. that were missing in your accounts

 

Thank you David ! See my answers/comments below in your text.

Best, H.

 

 

From: David Gzirishvili (CGC) <D.Gzirishvili@curatioconsulting.com>
Sent: Thursday, January 23, 2020 10:47
To: TOURE, Hapsatou <toureh@who.int>
Cc: AKKAZIEVA, Baktygul <akkazievab@who.int>; XU, Ke <xuk@who.int>; EIGO, Natalja <eigon@who.int>
Subject: RE: FF-up on Immunization and family planning exp. that were missing in your accounts

 

Dear Hapsa,

 

All information available to the countries (being it UNFPA supply, or GFATM support) were reflected in the latest version of PT studies. You can access KGZ ptstudy files here, and TJK ptstudy files here.

HT : Those are versions from Dec 30^th  I can see ? Will sit with Natalja to make sure we are all on the same page. Then revert to you if anything remains unclear (sorry…J). And when it comes to Armenia ?

 

Please be aware that UNFPA data may not be fully reflected. We noticed that some UNFPA support comes for GFATM projects, so we used either UNFPA or GFATM figures to avoid double-counting.

HT: yes that’s exactly what is recommended. Great. But how did you decide in the end to whom to attribute them (you said either to one or the other)?

 

PS. I wonder if GFATM can share more disaggregated (by intervention) data next time instead of giving module by module expenditures – it cannot be coded accurately, you know that.

HT: still discussing with them… will keep you posted.

 

All the best,

Thanks for the swift reply+++

H.

 

David Gzirishvili

Managing Partner

Consulting Group Curatio Sarl

Geneva, Switzerland

 

From: TOURE, Hapsatou <toureh@who.int>
Sent: Thursday, January 23, 2020 10:27
To: David Gzirishvili (CGC) <D.Gzirishvili@curatioconsulting.com>
Cc: Baktygul Akkazieva (WHO) <akkazievab@who.int>; XU, Ke <xuk@who.int>; EIGO, Natalja <eigon@who.int>
Subject: FF-up on Immunization and family planning exp. that were missing in your accounts

 

Dear David,

 

Belated happy new year ! Hope all is fine on your end.

 

Following up on the below for immunization and family planning expenditures in Tajikistan and Kyrgyzstan. Did you get a chance to review your tables/keys so that they are reflected in the accounts?

 

If not (yet), could you kindly share the underlying data as you suggested below? Sorry but we need to address this and the sooner the better – would be unfortunate to miss the window of opportunity of Q1 to adjust the estimates in GHED.

 

I can give you a call early next week if that helps grasping what am saying.

Best,

H.

 

PS: Armenia should I directly reach out to Anastas ?  

 

From: David Gzirishvili (CGC) <D.Gzirishvili@curatioconsulting.com>
Sent: Tuesday, November 5, 2019 18:30
To: TOURE, Hapsatou <toureh@who.int>
Cc: AKKAZIEVA, Baktygul <akkazievab@who.int>; XU, Ke <xuk@who.int>; ARANGUREN GARCIA, Maria Jackelin <arangurenm@who.int>; EIGO, Natalja <eigon@who.int>
Subject: RE: HA EURO: Donor data

 

Dear Hapsa,

Thank you for sharing UNFPA estimates. I think we already reviewed 2017 procurements to avoid double-counting in Tajikistan and Kyrgyzstan where they supply commodities for the GF supported projects (thus, respective expenditures already captured in pt study for both countries). However, we will double-check this issue.

I could not promise about Armenia, but we definitely will dive deeper into the issues related to DIS.2.3 and DIS.1.7 for KGZ and TJK:

·        DIS.2.3: Two main reasons come to my mind:

o   To my best knowledge, there family planning services in both countries are integrated into PHC or other levels of care, i.e. there are no stand-alone facilities specialised in family planning. Therefore, expenditures you mentioned (direct such as labour, or indirect ones, such as space or utilities) cannot be tracked fully by health care facility or health care function (and therefore, cannot be linked to HP and HC codes respectively, except few cases, at best). Therefore, I am not surprised you cannot see domestic financing of shared costs while some of family planning-related commodities (direct costs) financed from external sources are easily trackable.

o   When it comes to general outpatient care, we do not have credible information on the consumption by disease and we use epidemiology (prevalence and incidence of diseases) as a proxy for the distribution of outpatient care expenditures by diseases.  I assume the routine medical statistics is not sensitive enough to DIS.2.3 related health conditions; thus, DIS.2.3 is underrepresented in epidemiological tables.

·        DIS.1.7: Immunisation services are fully integrated into PHC and maternity homes, so it means other than HC.6.2 that covers immunisation related supply chain and logistics, and surveillance, it is impossible to track shared costs (financed from domestic sources). As to commodities, the situation differs by the countries:

o   TJK: UNICEF and JICA have been financing even commodities (so-called “traditional vaccines” usually covered from the state budget in most poor countries globally) instead of the Government while the TJK government spent most of its funds on co-financing expensive Gavi supported vaccines (increasing allocation to 1.5 mln US$). I can recall the same strange pattern of financing in Laos… or/and Sudan.

o   KGZ: The Government has been paying for all traditional vaccines, and I hope this is properly reflected in the MOH budget breakdown. However, considering the fact that the total cost of BCG, or OPV or Dt (i.e. traditional vaccines) financed 100% from the state budget is much less than the cost of PCV, HPV, Penta or MR), I don’t find it surprising that external funds prevail in DIS.1.7 financing.

o   Our team has been working on costing and financial sustainability of immunisation in TJK and KGZ for 15 years, and we can share with you as much as details as needed.

We plan to conduct another round of in-country consultations both in TJK and KGZ in December, so we will share your concerns with the country teams and respective the WHO COs and double-check the accuracy of our estimations of immunisation related expenditures (by the financing schemes and its revenue sources). We are also very interested in dwelling on the possibilities of refining the SHA methodology for better tracking non-commodity immunisation expenditures (to replace current financial sections of JRF with very questionable credibility).

All the best,

 

 

 

David Gzirishvili

Managing Partner

Consulting Group Curatio Sarl

Geneva, Switzerland

 

From: TOURE, Hapsatou <toureh@who.int>
Sent: Tuesday, November 5, 2019 17:50
To: David Gzirishvili (CGC) <D.Gzirishvili@curatioconsulting.com>
Cc: Baktygul Akkazieva (WHO) <akkazievab@who.int>; XU, Ke <xuk@who.int>; ARANGUREN GARCIA, Maria Jackelin <arangurenm@who.int>; EIGO, Natalja <eigon@who.int>
Subject: RE: HA EURO: Donor data

 

Dear David,

 

Reviewing the disease estimates, for some countries we found very low values (extremely low ones) for DIS.2.3 from domestic public sources (FS.1 + FS.3). Sometimes even a null value. Given that it is highly unlikely that government does not at least pay for salaries of the health personnel delivering services for family planning I am kindly asking that you please check the data for Armenia, Kyrgyzstan and Tajikistan. I have done the detailed review for these specifically, just raising it as a potential issue. While we’re on this this could you also do the same for immunization expenditures (HC.6.2 x domestic public sources)? The rationale being the same.

 

Then coming to EXT (FS.2 + FS.7) for family planning, kindly see attached a dataset downloaded from UNFPA website. These are procurement data handled via UNFPA’s platform – please note that the buyer can be the government, it is not systematically a foreign entity.

 

Please do me a favor and double check the estimates given these 2 comments (there should be some govt spending on HR as a minimum, and run a comparison of this excel to your data).

 

Best,

H.

 

 

Ps: immunization I do not have a detailed dataset from Gavi despite asking several times, so we have to live with the disbursement file downloadable from their website.

 

From: David Gzirishvili (CGC) <D.Gzirishvili@curatioconsulting.com>
Sent: Wednesday, October 23, 2019 14:38
To: TOURE, Hapsatou <toureh@who.int>
Cc: AKKAZIEVA, Baktygul <akkazievab@who.int>; XU, Ke <xuk@who.int>; ARANGUREN GARCIA, Maria Jackelin <arangurenm@who.int>
Subject: RE: HA EURO: Donor data

 

Dear Hapsa,

Thank you so much! 😊

 

 

David Gzirishvili

Managing Partner

Consulting Group Curatio Sarl

Geneva, Switzerland

 

From: TOURE, Hapsatou <toureh@who.int>
Sent: Wednesday, October 23, 2019 16:23
To: David Gzirishvili (CGC) <D.Gzirishvili@curatioconsulting.com>
Cc: Baktygul Akkazieva (WHO) <akkazievab@who.int>; XU, Ke <xuk@who.int>; ARANGUREN GARCIA, Maria Jackelin <arangurenm@who.int>
Subject: RE: HA EURO: Donor data

 

Hi David

 

Attached data from the Global Fund. I have not got a chance to review the data, please let me know if you find anything “funny”.

 

Best,

H.

 

From: TOURE, Hapsatou
Sent: Friday, October 18, 2019 05:58
To: David Gzirishvili (CGC) <D.Gzirishvili@curatioconsulting.com>
Cc: AKKAZIEVA, Baktygul <akkazievab@who.int>; XU, Ke <xuk@who.int>; ARANGUREN GARCIA, Maria Jackelin <arangurenm@who.int>
Subject: Re: HA EURO: Donor data

 

Hi David 

 

Responding from Dubai airport where am connecting back to Geneva.

Global fund data am hearing you. Let me revert by Monday. May have a solution.

 

Best,

H

Sent from my iPhone 

On 18 Oct 2019, at 01:10, David Gzirishvili (CGC) <D.Gzirishvili@curatioconsulting.com> wrote:

Dear Hapsa,

Do you have the Global Fund data with 2017 expenditures?

We will wait for 2018 data, but GFATM expenditures in 2017 are critical for us.

Can you please help?

 

 

David Gzirishvili

Managing Partner

Consulting Group Curatio Sarl

Geneva, Switzerland

 

From: TOURE, Hapsatou <toureh@who.int>
Sent: Thursday, August 22, 2019 14:05
To: David Gzirishvili (CGC) <D.Gzirishvili@curatioconsulting.com>
Cc: Baktygul Akkazieva (WHO) <akkazievab@who.int>; XU, Ke <xuk@who.int>; ARANGUREN GARCIA, Maria Jackelin <arangurenm@who.int>
Subject: RE: HA EURO: Donor data

 

Dear David

 

I have not forgotten you. The only thing is I have yet to receive an updated file from the Global Fund. They have not shared the data with Year 2018 elements with us.

I sent a reminder, let’s see how quick we can get it from now.

 

For the others I will compile what I have and share with you.

Best,

H.

 

From: David Gzirishvili (CGC) <D.Gzirishvili@curatioconsulting.com>
Sent: Wednesday, August 21, 2019 6:51 PM
To: TOURE, Hapsatou <toureh@who.int>
Cc: AKKAZIEVA, Baktygul <akkazievab@who.int>; XU, Ke <xuk@who.int>
Subject: FW: HA EURO: Donor data

 

Dear Hapsa,

 

Just checking whether you got my previous email.

 

Can you please help us with GFATM expenditures?

 

I also discovered that Gavi actual disbursement data did not cover the entire year of 2018.  Should we use approved amounts then as a proxy of disbursements (that still is not equivalent to the amount of final consumption…)?

 

Can you please advise?

 

All the best,

 

David Gzirishvili

 

Managing Partner

Consulting Group Curatio Sarl

 

From: David Gzirishvili (CGC)
Sent: Tuesday, July 30, 2019 09:19
To: Hapsatou Toure (WHO) <toureh@who.int>
Cc: Baktygul Akkazieva (WHO BO)
Subject: HA EURO: Donor data

 

Dear Hapsa,

 

You kindly provided donor data on country support last year (e.g. EUR 2010-2016 GFATM Expenditure_As of 2018.xlsx).

 

Would it be possible to get similar data on GFATM and UNFPA country support (or any other donor)? I know where to get Gavi figures on the web.

 

All the best,

 

 

David Gzirishvili

 

Managing Partner

Consulting Group Curatio Sarl

 

Geneva, Switzerland

 

Mobile: +44 7937 978 488