Guidance for the management of technical support to the ...

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Guidance for the management of Guidance for the management of technical support to the development technical support to the development of HIV proposals to Global Fund Round of HIV proposals to Global Fund Round 8 Call for Proposals 8 Call for Proposals FOR INTERNAL USE BY UN STAFF ONLY

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Guidance for the management ofGuidance for the management of

technical support to the developmenttechnical support to the development

of HIV proposals to Global Fund Roundof HIV proposals to Global Fund Round

8 Call for Proposals8 Call for Proposals

FOR INTERNAL USE BY UN STAFF ONLY

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A.A. INTRODUCTION TO THE GUIDANCE PACKAGEINTRODUCTION TO THE GUIDANCE PACKAGE

1.1. Rationale for guidance packageRationale for guidance package

The Global Fund presents an opportunity for countries to access large funding, required to scale up

their response towards universal access to HIV prevention, treatment, care and support. However, the

success rate for HIV proposals to the Global Fund has remained the same across several Rounds, with

about 40% of the proposals submitted being approved for funding. During Rounds 6 and 7 the success

rate of TB and Malaria proposals increased considerably, largely as a result of sound technical support

to proposal development.

The Global Fund Technical Review Panel (TRP), identified a number of weaknesses, which are

common in proposals not approved for Round 7. These applied also to previous Rounds 3-6 and can be

summarised as follows:

• The narrative description of the program was inadequate. There was insufficient, unclear or

questionable information on one or more of the following: the rationale, the strategic approach, the

objectives, the activities, the indicators, the targets and the expected outcomes;

• The budget information was inaccurate, questionable and/or not sufficiently detailed;

• The proposal did not demonstrate complementarity or additionality. It was not clear how the program

related or added to existing programs, including programs funded by the Global Fund through

earlier grants;

• The proposal did not contain a good situation (i.e., gap) analysis.1

Currently Global Fund grants account for only 20 percent of the funding for the global response to

HIV/AIDS. The TRP and the Global Fund Secretariat, in their report at the 16 th Board meeting, pointed

out that if the full potential of the increased funding (expected to be about US $ 9.7 billion for the period

2008-2010) is to be realized, and if countries are to rely on this source for their large needs, the

predictability of attaining the grants must be improved. In order to do this, the support provided must

be more focused and strengthened 2.

Past experience has shown that timely, focused and sound technical support to countries for proposal

development has resulted in successful proposals. The development of this guidance package is one of

the steps that UNAIDS has taken to strengthen its support to the proposal development process and

thereby contribute to increasing the number of HIV proposals approved for funding by the Global Fund.

2.2. The purpose of this guidance packageThe purpose of this guidance package

This package is designed to provide practical guidance to the UNAIDS Country Coordinators (UCC),

the Joint UN teams on AIDS, and the UNAIDS Regional Support Teams (RST), to help them to more

effectively meet the support needs of countries during proposal development. The guidance package

takes the UCCs/Joint teams through the proposal development process, indicates their roles and the

points of entry for support as well as the kind of support countries would need to enable them to submit

quality proposals and to meet the eligibility criteria. The guidance document includes background

documents on the Global Funds policies, eligibility criteria and lessons learnt, as well as key tools to

1 As summarized in The Aidspan Guide to Round 8 Applications to the Global Fund Volume 1: Getting a Head Start

2 Report of the Technical Review Panel and the Secretariat on Round 7 Proposals, November 2007

www.theglobalfund.org/en/files/boardmeeting16/GF-BM16-05-TRP_Report_Round7.pdf

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provide support to the proposal development process to assure the technical quality of the proposals.

This is an internal document and is not intended to be used as a guide by the CCM for proposal

development or to replace other guidelines.

3.3. Guiding principles for the provision of support to proposal developmentGuiding principles for the provision of support to proposal development

The development of proposals for submission to the Global Fund should be guided by the same

principles as for the development and implementation of evidence-informed, comprehensive HIV

prevention treatment and care programs:

• Know the epidemic, its drivers and the current response in the country: This would enable the

prioritization of thematic areas, the scaling up of proven appropriate and effective HIV prevention,

and care measures, and the identification of funding gaps;

• Pay special attention to human rights: In particular the rights of people living with AIDS, gender

equity, the special needs of sexual minorities, and equity of access to information and services

should be assured;

• Ensure country ownership: UCCs, Joint teams, and RSTs should promote a country led proposal

development process in which external technical assistance is provided within the framework of

national processes and in consultation with local stakeholders.

4.4. Issues for consideration prior to taking a decision to submit a proposal Issues for consideration prior to taking a decision to submit a proposal

4.1. Countries without a national costed action plan

The Global Fund’s proposal guidelines specify that the proposal be developed in the context of

the national control program for the disease(s), and refer to national priorities and recent country-

specific analysis of the strengths, weaknesses, opportunities and threats relevant to that program.

Therefore, if a country doesn’t have a national strategy with a costed action plan, then the first

step is to work with national partners on the development of the national strategy, through a

broad consultative process.

4.2. Applicants with prior Global Fund grants:

Applicants who have received funding from the Global Fund must provide evidence that previous

investments by the Global Fund are being well used by describing clearly:

• the overall existing strategy and proposed funding;

• the complementarities between the proposal and existing grants and activities to ensure that

new investments will be additional;

• the status of implementation and challenges with implementation of the existing grants;

• the actions which have been taken to overcome these challenges.

The above critical information is used as a basis to judge the absorptive capacity, feasibility and

likelihood of effective implementation of the new grant. In cases, where there is a large grant not

yet signed from the previous Round, or one recently signed but not yet disbursed at the time of

the forthcoming TRP review, the proposal is less likely to be recommended for funding. The

burden of implementing two concurrent HIV components may slow down implementation with

negative consequences for the Principal Recipient and the country.

If the country has a Global Fund-financed programme that will be completed very shortly and

decides to submit new country proposal for Rd 8, it may be opportune to develop a new proposal

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that will continue or advance the work of the grant that is nearing completion, or scaling up what

was initially a pilot project.

4.3. Re-submission of unapproved Round 6 or Round 7 proposals

A Category 3 rating usually means that the concept of the proposal is appropriate, but that the

proposal itself is weak. When considering the resubmission of a Category 3 proposal, particular

attention should be paid to the weaknesses and strengthens identified by the TRP. Applicants

must explain the adjustments made to address the weaknesses identified by the TRP.

Proposals rated Category 4 are considered inappropriate in the context of the country or region or

in need of complete redevelopment. The applicant should re-start the entire proposal

development process, avoiding the weaknesses identified by the TRP in previous rounds.

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B.B. RECOMMENDED ROLE FOR UCO, UN JOINT TEAMSRECOMMENDED ROLE FOR UCO, UN JOINT TEAMS AND RST AND RST DURING THE PROPOSAL DEVELOPMENT PROCESSDURING THE PROPOSAL DEVELOPMENT PROCESS

STEP 1:STEP 1: CCM takes decision on proposal submission in consultationCCM takes decision on proposal submission in consultation with all with all

CCM members & relevant stakeholdersCCM members & relevant stakeholders

The decision to submit a proposal should be based on the:

• income level eligibility rules;

• identified need for additional resources to implement the national strategic plan or priority actions to

move towards universal access to prevention, treatment, care and support;

• analysis of implementation of previous Global Fund Grants; and on

• the CCM/sub-CCM’s compliance with the six minimum requirements for eligibility.

ROLE OF UCO AND JOINT TEAM, WITH RST SUPPORT IN STEP 1

Provide information on new Board policies on Round 8

1. The Round 8 'Income level eligibility rules’ 3

(a) Applicants from Lower income countries do not have any technical requirements to meet.

(b) Applicants from Lower-middle income ('LMI') and/or Upper-middle income ('UMI') countries

must:

• indicate a cost sharing arrangement;

• have a prevalence rate of 5% or more among vulnerable populations;

• or have an adult prevalence rate of 1% or more, ensuring that the most affected population

and at-risk populations are reached.

2. Board policies which influence the proposal content

• Health Systems Strengthening: applicants may request funding for HSS cross-cutting

interventions, not as separate proposal or component but to be included within the disease

component in a distinct section;

• Social and gender equality: encourages the inclusion of interventions to address gender

issues and adheres to principles of equality of access to services, with a particular reference to

women, girls and sexual minorities;

• Community systems strengthening: consider the inclusion of interventions focused at

strengthening national, sub-national and community systems to increase the demand for,

access to, and the quality of services;

• Dual Track Financing: the routine inclusion of Principal Recipients from both the government

and from non-government sectors;

• Grant consolidation: authorized the consolidation of existing and new grants, if CCMs chose

to achieve simplification and cost-efficiency in managing grants, and alignment with country

systems.

3 Detailed information on income level eligibility to be found in ‘Completing the Proposal Form, Section 2, Guidelines for

Proposals – Round 8. The Global Fund will provide further clarification on these rules.

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Provide support to setting priorities and approaches for evidence-informed comprehensive proposal, harmonised and aligned with the national AIDS response

3. Assist the CCM in the:

• review of TRP comments on strengths & weaknesses as guidance for development of new

proposal;

• analysis of the performance and experience of any on-going grant implementation: status of

disbursement, challenges in implementation, and actions taken to overcome challenges; and

• in case of resubmission of a category 3 proposal, in the review/compilation/collection of data to

determine if priorities, strategic approach & coverage of proposal, should be revised based on

changes in epidemiological situation, absorptive capacity and funding availability since its last

submission.

4. Draw attention to/make available existing information on the epidemic, its drivers, the

programming status and coverage in the country to ascertain the extent and need to scale

up towards Universal Access:

• the policy and program documents such as national strategic plans and programs;

• reports: UN General Assembly Special Session Agreement (UNGASS), National AIDS Spending

Assessments (NASA), M&E reports from on-going programs and services;

• surveillance and research data such as the Demographic Health Survey (DHS), epidemiological

data;

• reports of stakeholder consultations for e.g., NGOs, People Living With HIV Networks, private

sector.

5. If there is insufficient information and data available for decisions on priorities, approaches

and for additional funding, consider deferring to next Round, and focus instead on:

• facilitation & coordination of joint reviews and analysis by government together with

all the other stakeholders of the national action costed plans, funding commitments and any

other donor supported plans;

• coordination with partners and facilitating situation analysis, needs and funding gap

analysis if needed;

• organising through RST, the technical support as required for this process;

• advocating that the CCM conducts this process through a participatory and inclusive

process, to ensure ownership by all the stakeholders for e.g., through a stakeholder workshop

during which joint decisions on priorities and approaches harmonised with the national AIDS

response can be taken.

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Facilitation to ensure timely planning and implementation of technical support

6. In consultation with the national leadership and in close collaboration with partners, identify

and plan for the resources required for the duration of the proposal development and the

clarification process, to avoid administrative and financial bottlenecks during the process.

Resources to be planned for include:

• support from UN Joint teams, UCOs and RSTs;

• technical expertise from consultants;

• facilities for meetings, communication and transport costs especially when proposals cover

large geographic areas or more than one country;

• translations, computing facilities, printing costs.

7. Assist in identifying the expertise required for the specific tasks and areas. Experience has

indicated that the GF proposal development requires expertise in:

• public health with strong HIV and AIDS programming expertise;

• strategic program/project design;

• health systems/institutional development, management;

• planning and budgeting;

• management of pharmaceutical & health products (previously referred to as PSM)

• monitoring & Evaluation;

• human rights and in gender sensitive approaches;

• interpreting GF guidelines and requirements, and in facilitating the proposal development

process.

Preference should be given to qualified national/regional consultants. International consultants

should have an understanding/experience of the country/region and of its absorptive and

implementation capacity.

8. Link up, through the RST, with the TSFs and the regional technical agencies, for the

identification of appropriate consultants. Assist the CCM in the development of Terms of

Reference for consultants and for proposal development teams/committees to avoid overlaps and

to ensure quality deliverables.

Key tools and resources for Step 1Key tools and resources for Step 1

Round 8 ‘Fact Sheet’ information

• What is ‘The Global Fund’s strategic approach to Health Strengthening’

• What is ‘The Global Fund’s Round 8 approach to encouraging gender sensitive proposals’

• What is ‘ Dual Track Financing’

• What is ‘Community Systems Strengthening’

• What is ‘Grant Consolidation’

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Tools for strategic planning & assessment:

UNAIDS. “Guide to the Strategic Planning Process for a National Response to HIV/AIDS”, 1998,

Geneva, Switzerland

http://data.unaids.org/Publications/IRC-pub01/JC268-StratPlan2_en.pdf

UNAIDS. “Country Harmonization and Alignment Tool (CHAT),” 2007, Geneva, Switzerland

http://data.unaids.org/pub/Report/2007/jc1321_chat_en.pdf

ASAP: HIV/AIDS Strategic Self-Assessment Tool (SAT) A Guideline for the Evaluation HIV/AIDS

Strategies and Action Plans, 2007

http://siteresources.worldbank.org/INTHIVAIDS/Resources/375798-

1151090631807/SelfAssessmentGuidelinesv9Nov07.pdf

UNAIDS Practical Guidelines for Intensifying HIV Prevention: Towards Universal Access, 2006

http://data.unaids.org/pub/Manual/2007/jc1274-practguidelines_en.pdf

‘Analysing capacity for HIV/AIDS - A tool for community and faith-based organisations’, International

HIV/AIDS Alliance, 2004

www.aidsalliance.org/ngosupport

‘NGO capacity analysis – A toolkit for assessing and building capacities for high quality response to

HIV/AIDS’, International HIV/AIDS Alliancewww.aidsalliance.org/ngosupport

Guidelines

“The Aidspan Guide to Round 8 Applications to the Global Fund." Volume 1http://aidspan.org/documents/guides/aidspan-round-8-applying-guide-volume-1-en.pdf

“Accelerating Action: A technical support guide to develop capacity and to benefit from global health

financing”. GTZ BACKUP Initiative. 2007.

http://www.backup-link.de/

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STEP 2:STEP 2: Ensure that the CCM meets the CCM eligibility criteria forEnsure that the CCM meets the CCM eligibility criteria for submission submission

of proposal of proposal

The TRP, in its report to the Board, strongly encourages all potential applicants to work with partners in

Round 8 … ‘to fully understand the minimum requirements for eligibility, including the minimum

level of documentation that is required to demonstrate compliance with those requirements. In

this connection, the TRP emphasized ‘the importance of technical assistance also being provided in

respect of the eligibility sections of the Proposal Form, by reason that technically sound proposals are

not able to be further considered by the TRP if the applicant cannot sufficiently demonstrate compliance

with the minimum requirements for applicant eligibility at the time of proposal submission’ 4

ROLE OF UCO AND JOINT TEAM, WITH RST SUPPORT IN STEP 2

1. Ensure that the CCM and the relevant stakeholders have access to CCM guidelines and to

clarifications of the CCM eligibility criteria.

2. If CCM in the country does not meet the eligibility criteria, the UCO with RST support and in

collaboration with partners, should take immediate measures to make available technical expertise

in partnership building, in institutional development, governance and in participatory processes to

enable the CCM to meet the eligibility criteria.

3. Draw attention to the Board recommendations related to assuring the inclusion of members with

knowledge and experience in important cross-cutting issues of health systems strengthening and

gender issues. If the CCM is not able to do this, then it should be assisted to find the relevant

expertise beyond the CCM in these areas. 4. Coordinate with other stakeholders to ensure that the CCM submits, along with the proposal, the

required documentation to demonstrate compliance with the requirements.

5. Remind the CCM about the CCM funding support available from the Global Fund Secretariat.

Experience has indicated that with a well functioning CCM Secretariat, providing timely

administrative support, has been extremely useful during the development process and for

documentation of the process.

Key tools and resources for Step 2Key tools and resources for Step 2

CCM requirements

www.theglobalfund.org/en/apply/mechanisms/guidelines/

Clarifications on CCM Requirements – Round 8

www.theglobalfund.org/en/apply/mechanisms/guidelines/

4 Report of the Technical Review Panel and the Secretariat on Round 7 Proposals, November 2007

(www.theglobalfund.org/en/files/boardmeeting16/GF-BM16-05-TRP_Report_Round7.pdf

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Revised Guidelines on the Purpose, Structure and Composition of Country Coordinating Mechanisms

and Requirements for Grant Eligibility

www.theglobalfund.org/en/apply/mechanisms/guidelines/

Guidelines for CCM funding

www.theglobalfund.org/en/apply/mechanisms/guidelines/

“The Aidspan Guide to Building and Running an effective CCM” – Second Edition, September 2007

www.aidspan.org/guides

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STEP 3: STEP 3: EEstablish the proposal development processstablish the proposal development process

ROLE OF UCO AND JOINT TEAM, WITH RST SUPPORT IN STEP 3

1. Provide guidance to/organize technical support for the timely establishment of a transparent,

inclusive and participatory proposal development process as outlined in the Checklist for the

proposal development process.

2. Draw attention to the minimum requirements related to proposal development, different approaches

and lessons learnt from other successful proposals.

3. In view of the Board decision to include relevant measures to strengthen community systems, make

special effort to facilitate the participation of community groups and ensure their access to

technical support.

4. Provide assistance in the documentation of the proposal development process and ensure that this

is submitted along with the proposal.

Key tools and resources for Step 3Key tools and resources for Step 3

Checklist for Proposal Development Process

Requirements related to proposal development, different approaches and lessons learnt

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STEP 4:STEP 4: Design, write the proposal and complete the applicationDesign, write the proposal and complete the application formform

As outlined in the Checklist for the proposal development process, once the transparent and

inclusive proposal development process has been established, the next steps include the drafting of

proposal components, sharing the drafts with the relevant stakeholders and all CCM members. The

draft proposal is then reviewed for technical soundness, finalized and endorsed by the CCM for

submission to the Global Fund.

ROLE OF UCO AND JOINT TEAM, WITH RST SUPPORT IN STEP 4

1. Recommend to the CCM to use as guidance for the development of the proposal, the Criteria for

TRP review of proposals which includes Soundness of approach; Feasibility, Potential for

sustainability. More details of each of these criteria can be found in Annex 2, Guidelines for

Proposals - Round 8.

2. Ensure that the proposal development teams/committees have access to TRP comments on

previous proposals and assist them in the analyses of these comments. It is critical that the UCC

reviews with the CCM, the stakeholders and the proposal development teams the document on

Strengths and weaknesses identified by the TRP from Rounds 3 to 7 and examples of successful

proposals.

3. Remind the proposal development teams to describe the experience to date with existing grants

and to outline the complementarities between the new proposal and existing grants and activities to

explain how requested funding will be additional.

4. Facilitate the availability of expertise on Health Systems Strengthening (HSS) and institutional

development from WHO to:

• improve the understanding of what HSS is and is not;

• to assist in the development of HSS interventions to address fundamental constraints to the

organization, planning and financing of the systems required to deliver services.

Remind the CCM that applicants have to provide evidence of the involvement of relevant HSS

stakeholders in the CCM – including at least one non-government in-country representative with a

focus on HSS and one government representative with responsibility for HSS planning.

5. Emphasize addressing stigma and discrimination as a barrier to access to services and ensure

that appropriate attention is paid to gender and equality in access to services across the

proposal. Encourage the establishment of some core principles to guide the CCM and the proposal

development teams, and to include specific actions, targets and indicators in these cross-cutting

areas.

6. Technical assistance plans to address gaps in technical and management capacity needed for

grant implementation can be funded from the approved Global Fund grant. The UCO with support

from RST should assist the CCM and the stakeholders in this critical area, particularly in

• collating existing information on/ identifying technical and management needs;

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• developing a technical and management support plan for the duration of the life cycle of

the grant i.e. from the time of Board approval through the clarification and proposal refinement

phase, grant implementation & for phase two application;

• ensuring that both, short-term capacity building measures as well as long term needs for health

systems strengthening are included in the plan;

• preparing the budget for the plan, which should include: total costs of all consultants (short and

long term), field visits and other costs related to program planning, supervision and

administration (including management of sub-recipient relationships, M&E, PSM). The plan

needs to specify how this technical support will be procured and delivered in a timely manner to

meet the needs of the implementers;

• identifying the technical support providers, where possible through the TSFs etc.;

• including a quality assurance process for the technical support provided.

7. During the proposal writing phase, provide guidance/technical expertise for the development of

an evidence-based, comprehensive HIV prevention and AIDS care proposal:

• prepare a comprehensive description of the current situation in the country and a sound

analysis of the gaps in programme delivery and in funding;

• ensure that the proposal demonstrates complementarity and additionality i.e.it builds on

existing activities, or national plans, and/or on earlier programmes;

• based on the focus of the proposal to be submitted, make sure that programmatic approaches

in specific service delivery areas are consistent with international norms, standards, and best

practices;

• ensure that the strategic approach is well-structured and clearly written; the detailed work plan

has clearly defined objectives linked to activities; the indicators proposed are consistent with

the main activities, harmonized with national plans and drawn from national lists of indicators

wherever possible ;

• assure the completeness and accuracy of budgets and the development of well structured

budgeted M&E , PSM and technical support plans and the submission of all these work plans

with the proposal;

• develop and respond to comments, clarifications and recommendations made by the TRP in

earlier rounds of funding;

• make sure that each section of the proposal is completed and all required documentation

accompanies the proposal;

8. Liaise with the RST to set up either an in country or regional independent panel/experts to review

the draft proposal for technical soundness and provide inputs towards its finalization. The

Proposed Terms of Reference for independent review of draft proposals, included in Key tools and

resources, can be adapted based on the focus of the proposal.

9. Provide any support necessary to the review, finalization, approval and timely submission of the

proposal by the CCM.

Key tools and resources for Step 4Key tools and resources for Step 4

Criteria for TRP review of proposals

Strengths and weaknesses identified by the TRP from Rounds 3 to 7 and examples of successful

proposals

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Essential technical information for proposal writing:

Please refer to the online technical guidance notes: http://www.who.int/hiv/pub/toolkits/GF-Round8/en/index1.html

WHO's health systems strategy at: http://www.who.int/healthsystems/strategy/en/

The World Bank's revised health systems strengthening strategy, released 1 May 2007 entitled 'Healthy

Development – the World Bank Strategy for Health, Nutrition and Population Results, 24 April 2007

http://newsletters.worldbank.org/external/default/main?

menuPK=571347&theSitePK=571341&pagePK=64133601&contentMDK=21160699&piPK=64129599

“The Aidspan Guide to Round 8 Applications to the Global Fund - Volume 2: The Applications Process

and the Proposal Form”

www.aidspan.org/guides

Terms of Reference for independent review of draft proposals

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STEP 5:STEP 5: Identify and nominate the Principal Recipients and Sub-Identify and nominate the Principal Recipients and Sub-Recipients Recipients

CCM Eligibility criteria

• CCMs are required to put in place and maintain a transparent, documented process to nominate

the Principal Recipient.

• The Secretariat will, as part of the proposal screening process, review the documentation setting

out the nomination process and the minutes of the CCM meeting on the nomination of one or more

Principal Recipients (PRs).

ROLE OF UCO AND JOINT TEAM, WITH RST SUPPORT IN STEP 5

1.Nominating the PR is one of the critical functions of the CCM. UCO/Joint teams can support the

development of the transparent inclusive process for PR and sub-recipient nomination process, the

documentation of the process and its submission with the proposal.

2.The UCO, Joint Team with support from the RST can assist in the organisation of technical support to

strengthen the capacity of PRs, particularly those nominated for the first time. Technical support is

often required immediately after grant approval, prior to grant signing, in developing workplans and

in setting up management systems for M&E, PSM, and in financial management.

3.UN agencies interested to be sub-recipients should not be involved in the nomination process to

avoid Conflict of Interest.

Key tools and resources for Step 5Key tools and resources for Step 5

Examples of PR selection process and lessons learnt

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STEP 6:STEP 6: After the (conditional) approval by the GF Board, the CCMAfter the (conditional) approval by the GF Board, the CCM may be may be

requested to respond to clarifications requested by TRPrequested to respond to clarifications requested by TRP

Proposals approved as:

Category 1: The applicant must clarify and finalize the proposals within four weeks of notice to the

country.

Category 2: The applicant is given six weeks to provide an initial detailed response. A further three

months is allowed from the date of receipt of the Global Fund of this response to obtain

the final TRP approval should further clarifications be requested.

ROLE OF UCO AND JOINT TEAM, WITH RST SUPPORT IN STEP 6

1. It is critical for the CCM to review the questions raised by the TRP and to provide clarifications to

the TRP within the set deadline. The UCO can play a proactive role to ensure the timely availability

of technical support to the CCM to respond adequately to the clarifications and to make the

necessary changes in the proposal.

2. Provide support for the timely submission of the clarification to the Global Fund Secretariat.