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Concept Note development and modular tools

TBTEAM Annual Meeting, 18-19 June, 2014

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Outline

Concept note development Elements of the concept note Programmatic gap analysis Modular tool Lessons leaned

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New funding model cycle

2nd

GAC

Concept Note Grant Making

Board

TRP

GAC

Ongoing Country Dialogue

National Strategic Plan/

Investment Case

Grant Implementation

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• Principal document for TRP and GAC reviews and grant-making purposes

• Output from country dialogue, reflective of an inclusive multi-stakeholder process

• Encourages robust and ambitious funding request

• Funding request based on the national strategic plan

• Captures “full expression of demand’’

The concept note

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Concept note outlines the reasons for Global Fund investment:

•Describes a strategy, supported by technical data that shows why this approach will be effective

•Presents a country’s prioritized needs within a broader context, guided by a national health strategy and a NSP

•Represents voices of key populations and other stakeholders in the country

•Describes how implementation can maximize the impact of the investment

What is the importance of a concept note?

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• Core tables

• CCM Eligibility & endorsement

• Supporting documents

Country Context

Funding landscape, Additionality and Sustainability

Section

+

Funding request to the Global Fund

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3

Implementation arrangement and risk assessment

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4

Overview of the structure of the standard concept note

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Country Disease, Health and Community Systems context

Current and evolving epidemiology of the disease, and any significant geographic variations

Define constraints and barriers to an appropriate response Community system constraints Health system constraints Human rights barriers Key populations with disproportionately low access to services

Provide information based on current NSP(s) Key goals, objectives and priority program areasImplementation to date, main outcomes and impact achievedLinkage to national health strategyProcesses for reviewing and revising the response based on outcomes achieved and lessons learned

National Disease Strategic Plans

Country context1.1

1.2

Section

1Section

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Plan for Joint planning and alignment of TB and HIV Strategies, Policies and Interventions Barriers that need to be addressed in the alignment process

Joint programming for TB and HIV

1.3

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Funding landscape, additionality and sustainability

Section

2Section

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Counterpart Financing Requirement

Describe: -availability of funds for and source of such funding (government and/or donor) for the program. -How the proposed Global Fund investment has leveraged other donor resources-For program areas that have significant gaps, planned actions to address these gaps.

Complete the Financial Gap Analysis and Counterpart Financing Table -Compliance with counterpart financing requirements and planned actions to reach compliance-Government’s willingness-to-pay commitments and how they will be tracked and reported-assessment of the completeness and reliability of financial data reported including assumptions used and caveats with the figures

Overall Funding Landscape for upcoming implementation period

2.1

2.2

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Funding request to the Global FundSection

3Section

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Detail the request for funding and how the investment is strategically targeted to achieve impact and strengthen health systems.

Complete a programmatic gap table detailing the quantifiable priority modules within applicant’s funding.

Complete the modular template: link the selected module intervention to goals and objectives, and associated indicators, targets and cost.

Explain the rational for prioritization of modules and interventions

Describe the expected impact and outcomes.

Provide strategic overview of funding request including both the proposed investment of the allocation and above allocation amount.

3.1

3.2

3.3

Focus on key populations and/or highest-impact interventions – LMI and UMIC

3.4

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In the concept note:

•Full expression of demand captured at a higher level based on a coasted national strategy

•Applicant will determine which program elements of their full expression of demand should be in their request above the allocation

In the concept note:

•Full expression of demand captured at a higher level based on a coasted national strategy

•Applicant will determine which program elements of their full expression of demand should be in their request above the allocation

Applicants encouraged to apply for their full

expression of demand

Concept note will capture the full expression of demand

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Implementation arrangement and risk assessment

Section

4Section

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Information on the implementation capacity of PRs and risk mitigation measures to program delivery

Overview of implementation arrangements- Include dual-track financing- Describe coordination among implementers- Identify any anticipated challenges

Include an implementation arrangement diagram (not required at concept note submission)

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For each PR, complete the ‘minimum standards for implementers’ assessment

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Describe current or anticipated risks to program delivery and/or PR performance, including the proposed mitigation measures

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Core tables & templates in a standard concept note

Programmatic Gap Table(s)

Modular Template

Financial GapAnalysis &

Counterpart Financing Table*

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Tables

List of Abbreviations and Annexes

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CCM Eligibility Requirements**

CCM Endorsement of Concept Note**

Templates

* Not applicable to stand-alone HSS or applications from Regional Organizations, Regional Coordinating Mechanisms and Non-CCMs** Not applicable to applications from Regional Organizations and Non-CCMs

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Financial Gap Analysis & Counterpart Financing Table

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Programmatic gap analysis

• Programmatic gap table provides a comprehensive picture of the key gaps which form the basis of prioritization of the funding request

• Include programmatic gap analysis for three to six priority modules within the applicant’s funding request

• Coverage levels for the priority modules selected should be consistent with the coverage targets in section D of the modular template

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Programmatic gap table - example Programmatic Gap Table (Per Priority Intervention) - (create 3-6 programmatic gap tables as needed)

Priority Module TB care and preventionSelected coverage indicator Number of notified cases of all forms of TB Current National Coverage 6000 Year 1 Year 2 Year 3 Comments/

AssumptionsInsert year of latest results 60% 2015 2016 2017

Current Estimated Country NeedA. Total estimated population in need/ at risk #  10000 10000 10000  WHO estimate

B. Country targets (from National Strategic Plan)#  7000 8000 9000  % 70  80 90   

Country need already covered

C. Country need planned to be covered by domestic & other sources#  4000 5000 7000  domestic contribution

increases annually

%  40 50 70  

D. Country need already covered by existing Global Fund grants#  1000 0 0  %  10      

Programmatic Gap

E. Expected annual gap in meeting the need: A - (C+D)#  5000 5000 3000  

%  50 50 30  

F. Targets to be financed by indicative funding#  2000 3000 2000  %  20 30 20  

G. Coverage from indicative, existing Global Fund and other resources: F+(C+D)

#  7000  8000  9000  

%  70 80 90  

H. Targets to be financed by above indicative funding#  2000 1000 1000  

%  20 10 10  

I. Total coverage (indicative+ above indicative+ existing GF grants+ other resources)

#  9000 9000 10000  

%  90 90 100  

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The modular approach

The modular approach is a framework used to structure the information that defines a grant

It runs throughout a grant's lifecycle, providing consistency at each stage

• During the concept note stage, a funding request is defined by selecting a set of interventions per module to align with national strategy

• During the grant making stage, each approved intervention is further defined by identifying and describing the required sets of activities

• During grant implementation, progress of each intervention is monitored as laid out in the prior stages

Program level

Module

Intervention

Activity and cost

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Example: TB modules and interventions

Quality assurance

Procurement agent fee

TB

HIV

TB/HIV

TB Care and Prevention

MDR-TB

TB/HIV

Case detection and diagnosis

Treatment

Prevention

Smear microcopy

Training of health workers

Baseline clinical assessment

Procurement of FLD, microscopes

Program Management

Engaging all care providers

Community TB care delivery

Cost Inputs

Product cost

Transportation

Storage

Malaria

Activities (not standardized)InterventionsModulesDisease/HSS

....

Impact/outcome indicators

Impact/outcome indicators

Coverage/output indicators

Coverage/output indicators

Work-plan tracking measures

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HSS M&E Key Populations

Measurement framework

Modular tool – should be submitted onlinehttp://www.theglobalfund.org/en/fundingmodel/single/applicationmaterial/

Lessons and suggestions• Start the NFM process as early as possible • Several of the process that inform CN could be done

concurrently and with CN development• Most of the tools are new – but instructions are available and

worth reading before completing them• Ensure that figures are consistent – NSP, programmatic gap

table, modular tool, narratives• “tell the story” – process and contents, quality• Make a strong and evidence-based case for funding – allocation

and above allocation• Experience so far in developing single CN and joint

programming for TB and HIV is promising

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http://www.theglobalfund.org/en/fundingmodel/support/infonotes