Preparing for the nfm+crg 12th dec 2013

1. Introduction to the new funding model Key features and implementation December 10, 2013

2. 5 things to know What is the new funding model? CCM Eligibility Standards Community System Strengthening, gender equality, human rights Engaging in the Country Dialogue Next steps

3. Bigger impact Predictable funding Ambitious vision Flexible timing More streamlined Principles of the new funding model Principles of the new funding model

4. National strategic plans (NSPs): T he basis for Global Fund funding National strategic plan* Robust NSP* NSP Assessment Concept Note w ith prioritized programmatic gaps Before assessment Epi analysis & program review Grant funds may be reprogrammed to support NSP development, especially data strengthening. * o r investment case

5. Gives predictability to countries on funding they can expect Provides for the prioritized expression of needs Indicative & incentive funding Indicative funding A special reserve of funding accessibe on a competitive basis. Will be awarded to applications that demonstrate the greatest potential for high impact with additional funds Encourages ambitious requests based on national strategic plans Incentive funding

6. Structure of the concept note 6 Section 2: CCM Eligibility Requirements 1 & 2 Section 3: Country context and response Overall funding landscape, additionality of resources requested & financial sustainability Section 1: Summary information about the request Section 6: implementation arrangements and risk assessment The funding request, including a programmatic gap analysis & the modular template Section 4: Section 5: Essential info & process Content

7. New funding model cycle and timing 2 nd GAC Concept Note 2-3 months Grant Making 1.5-3 months Board TRP GAC Ongoing Country Dialogue National Strategic Plan/ Investment Case Grant Implementation 3 years Countries can apply anytime in 2014-2016 – identify now when funds are needed for each disease Grant funds can be for 3 years beyond grant signature (sign by end of 2016)

8. 5 things to know What is the new funding model? CCM Eligibility Standards Community System Strengthening, gender equality, human rights Engaging in the Country Dialogue Next steps

9. All CCMs will be expected to meet minimum standards by January 2015 Minimum Standards will be compulsory at grant signing as of January 1, 2015 Minimum Standards express the Global Fund’s expectations of CCM performance Review CCM performance against the Minimum Standards (to determine TA needs) Complete an annual self-assessment Choose a TA provider to support the assessment and develop an action plan Implement the action plan Minimum Standards enforced 2014 Benchmarking January 1, 2015 2013  

10. M inimum standards for CCM eligibility 1 2 3 4 5 6 Develop, publish and follow a policy to manage conflict of interest that applies to all CCM members, across all CCM functions Ensure representation of non-governmental members through transparent and documented processes Document the representation of affected communities Overseeing program implementation and having an oversight plan Open and transparent PR selection process Transparent and inclusive concept note development process 3 to 6 monitored on going basis 1 and 2 assessed at CN submission

11. 5 things to know What is the new funding model? CCM Eligibility Standards Community System Strengthening, gender equality, human rights Engaging in the Country Dialogue Next steps

12. Human rights, gender, CSS interventions are part of the health response, and included in grants Health is improved Critical enablers Strengthen health systems ( HSS ) Strengthen community systems ( CSS ) Protect and promote human rights Fund programs that strengthen response for women and girls Address needs of MSM , transgender people, sex workers Strengthen linkages between RMNCH and HIV, TB, and malaria services 2 1 3 4 5 6 Health services are Available Sustainable High quality Accessible to all Respect rights/ enabling environment Output Impact

13. Countries must identify human rights barriers to access D iscrimination Fear of arrest for criminalized key populations Forced sterilization Gender inequality Migrants lack ID cards Lack of legal aid Police abuse No right to register an NGO Prison overcrowding Denial that key pops exist

14. Human rights interventions for Global Fund grants Interventions Use a rights-based approach to health services Consult with key populations for HIV, TB and malaria P ut the person at the center, tailor services to their needs, integrate services with local community platforms Package to remove legal barriers to access Legal environment assessment L aw and policy reform Legal literacy L egal aid services Rights training for officials, health workers, and police Community-level monitoring Policy advocacy and social accountability Examples In South Africa, prisoner support groups monitor and advocate on treatment access Myanmar networks of PLHIV and key populations monitor local cases of medical discrimination against PLHIV and TB patients, and work with a national law reform working group to change the laws In Kenya, KELIN provides legal aid to women living with HIV who lose their inheritance rights In Indonesia, LBH Masyarakat trains people who inject drugs as community paralegals for peers These programs give new entry points for testing and treatment, boost adherence, and empower communities to advocate for prevention, treatment and high-quality care.

15. Community System Strengthening (CSS) is defined as an approach that promotes the development of informed, capable and coordinated communities, community-based organizations, groups, networks and structures. Four kinds of interventions the Global Fund will support: Community-level monitoring for accountability Policy advocacy for social accountability   Social mobilization, building community linkages, collaboration and coordination Institutional capacity building, planning and leadership development in the community sector Community-led service provision now fully integrated into health service modules Community System Strengthening interventions

16. All programs should be gender-responsive Take into account the different needs and vulnerabilities of women and men, girls and boys because of existing gender norms Reduce women’s and girls’ barriers to access to prevention, treatment and care, especially by addressing specific needs of women and girls living with diseases Address disproportionate burdens of care and support on women and the elderly Address gender-based violence, early or forced marriage , lack of access to education , etc. Collect and report with sex-disaggregated data for monitoring and evaluation Include programs that are linked with RMNCH services , for easier access and integrated health services for women and girls

17. 5 things to know What is the new funding model? CCM Eligibility Standards Community System Strengthening, gender equality, human rights Engaging in the Country Dialogue Next steps

18. Countries consult key groups to analyze epidemic and draft concept note Inclusive country dialogue Plan key events Involve the right groups Include them in national processes and country dialogue Find ways for them to provide input that is listened to A B What you can do now Grants with activities helping key affected populations access services Result C D

19. Questions to answer in the Concept Note About the epidemic: Who are the key affected populations with low access to prevention and treatment? What are the contributing factors to this inequity? What is the health and community systems context, and any constraints? Are there human rights and gender equality barriers that affect access to services? What are the 3-6 priority interventions for which funding is requested? Program Split: How much funding is requested for each intervention? About implementation: What are the proposed implementation arrangements ? Who are the nominated principal recipients and sub-recipients? How will they coordinate? How will reps of women’s organizations, people living with the three diseases and other key populations actively participate in the implementation of this funding request ? What are the anticipated risks to the program ? Countries cannot complete the concept note without the knowledge that comes from key populations and civil society .

20. Countries should consider these groups for country dialogue In-country organizations CCM members Ministry of Health Ministry of Finance Ministry of Gender/Women Ministry of Justice, Ministry of Interior, Parliamentary committee on health National disease bodies, e.g., national AIDS council National human rights institutions Civil society, e.g., Aids Alliance, faith-based organizations, legal and human rights groups Other funders and implementers PEPFAR, PMI, USAID, CDC EU members (e.g., DfiD , GIZ, French) AusAid HIVOS European Commission, staff at embassy human rights/development programs Private foundations, such as Levi Strauss Foundation, Global Fund for Women, depending on context Non-public sector implementers (e.g., FBOs) World Bank Global technical partners UNAIDS Stop TB partnership Roll Back Malaria partnership WHO UNDP, OHCHR, UNFPA, ILO, UNHCR, UNICEF, depending on country context Open Society Foundations Regional and international networks of KAPs Regional and international human rights groups HIV People living with HIV Men who have sex with men Transgender persons People who inject drugs Sex workers (male, female, and transgender) Women and girls Youth Other, such as people with disabilities, ethnic minorities, depending on country context TB People who work in settings that facilitate TB transmission Prisoners Migrants Refugees Indigenous peoples People living with HIV People who use drugs Other, such as labor unions, depending on country context Malaria Refugees Migrants Community health workers/ volunteers working on MNCH Other, such as indigenous peoples, depending on country context

21. Develop an engagement plan Some example ideas are below Who should be involved In what should they be involved How to engage them When key events will occur Government Civil society Technical partners Other funders Key affected populations People living with the disease National strategic plan development Epi analysis & program reviews Concept note writing Country dialogue Grant making Through caucuses In safe spaces Through lead representative Draft concept note sent for TRP review Date when new funds are needed Concept note submission (target date) At national conferences In writing group Major meetings and consultations TRP / GAC input received

22. The new funding model: Entry points for civil society, key populations National Strategic Plan Concept Note Country dialogue Determine / approve adjusted funding amount Grant-making Technical Review Panel Board approval 2. Using evidence, h elp government identify barriers to services, and good programs that should be scaled up Ensure your representatives are included in country dialogue Grant Approval Committee CCM, domestic civil society and KPs review evidence, identify gaps and priorities 3. Advocate for representation in writing group to create concept note Review the concept note!, ensure interventions to achieve impact 5 . Identify the detailed activities necessary to achieve impact 6. Identify implementers most appropriate to deliver the activities and ensure imapct 1. Key populations, women’s networks, human rights , CBOs: Caucus and strategize Have data to show need not being met 4. Review guidance from TRP on impact, targets and indicators the grant should focus upon

23. Experience-sharing International HIV/AIDS Alliance linking organizations are a Principal Recipient in 10 grants and sub-recipient in 17 grants Some thoughts on early pilot of the new funding model

24. Small group discussion Best example of involvement in Global Fund processes Worst case example of involvement in Global Fund processes What do you see as barriers to getting critical interventions into grants? What should the Global Fund and partners do?

25. When there are challenges… Challenges What to do Denial “There are no MSM, transgender people, sex workers, people who inject drugs, refugees, migrants, people with disabilities… here” Gather evidence – anecdotes, reports, testimony Ask technical partners (UN agencies, WHO) and regional networks to help push back Escalate to Fund Portfolio Manager Exclusion of key populations, women’s advocates, human rights experts from country dialogue Document what happened – who, what, where, when, how Escalate it to Fund Portfolio Manager, Regional Director or Community, Rights and Gender Department Get support from regional or global key populations networks Interventions approved in concept note are not funded in the budget Monitor the budget before, during and after grant-signing Only token representatives are in country dialogue Organize CS, build solidarity, and unite behind legitimate representatives Hold them accountable for consulting in advance and reporting back after meetings Frank discussion of human rights or other difficult topics is shut down Know what human rights treaties your country has signed and ratified – these are binding legal obligations UNAIDS says addressing human rights is essential for strategic investments – use this in your arguments GFTechnical Review Panel and Grants Approval Committee frequently ask tough questions about human rights and key populations in grant review process – make sure they know the discussions were shut down

26. 5 things to know What is the new funding model? CCM Eligibility Standards Community System Strengthening, gender equality, human rights Engaging in the Country Dialogue Next steps

27. Africa Applicants needing new funds in 2014 or early 2015 (#82 ) By region: urgency of need, noting lack of capability to meet deadlines unaided Region TB & HIV to reschedule (Dec’13 update) Funds by mid 2014 (likely will be extended to end of 2014) Funds to use in last quarter 2014 Funds to use Q1 of 2015 Southern Africa Mozambique(M) , Namibia(M), Botswana(HT), Madagascar(H), Mozambique(H), Angola(H) , Mauritania(HMT), Mauritius(H), Swaziland(T), HI Africa Ethiopia(T) , Nigeria(M), Zambia(T) , Z imbabwe(MT) Ethiopia(HM) , Gambia(H), Ghana(HT) , Kenya(M), S.Sudan (HT), Zambia(HM) , Eritrea(HMT), Cote d’Ivoire(M), DR Congo(H M T), Ghana(M), Kenya(H) , Nigeria(HT), Sudan(HMT), Tanzania(HM) , MENA Djibouti(H) , Syria(H), Morocco(HT), Somalia(HMT), Tunisia(H), West Bank/ Gaza(H), Yemen(HM), Regional(H) Central Africa Malawi(HM), Burundi(H MT ) , Burkina Faso( H M) , Congo (T), Gabon(HMT), Rwanda(M), Sierra Leone(MT), Togo(T) West Africa Cape Verde(MT), Cameroon(HT) , Guinea(M), Sao Tome(T), Senegal(M) Chad(HMT), Guinea(H), Guinea-Bissau(M) Component count (time constrained) : 13 (9) 29 (8) 40 (17)

28. How long will it take to access funds ? The new funding model launches in March, and many countries are beginning country dialogue processes now The average timing will be around 10 months from country dialogue to grant disbursements . Depending on how prepared a country is, it could take as little as 6 months or as long as 16 months to access funds. Working ahead on a strong National Strategic Plan or investment case is the best way to speed up the process.    

29. Get connected Country Coordinating Mechanism Fund Portfolio Manager (on country page of Global Fund website), country teams, regional team directors Community, Rights and Gender Department Other key populations, women’s networks – to caucus, identify priorities, gather evidence, and prepare    

30. Your questions...

31. Minimum Standards for PRs PR demonstrates effective management structures and planning PR has the capacity & systems for effective management & oversight of SRs Data-collection capacity and tools are in place to monitor program performance Functional routine reporting system with reasonable coverage to report program performance CCM actively oversees the implementation of the grant, & intervenes where appropriate 1 2 No conflict-of-interest for the selection of the PR(s ) & SRs Program implementation plan provided in the funding request is sound 3 4 Internal control system of PR is effective to prevent & detect misuse or fraud The financial management system of the PR is effective & accurate 5 6 Central & regional warehousing have capacity, & aligned with good storage practices Distribution systems & transportation arrangements are efficient to ensure secure and continued supply 7 8 9 10 11 12 * Please refer to Appendix 4 of the Transition Manual for full text and descriptions of the Global Fund’s Minimum Standards for Implementers Implementers have capacity to comply with quality requirements & monitor product quality throughout the in-country supply chain 5 The Global Fund will now expect grant implementers to meet 12 minimum standards 

32. Approach to regional applications: two-step process 32 Submission of EOI Review of EOI Concept Note Submission Review of Concept Note If eligible Step 1 Step 2 All regional applicants must submit an expression of interest (EOI) before developing a CN A review of EOI will take place to determine: eligibility; strategic focus and regional impact; potential indicative amounts Only eligible and strategically focused applications can submit a CN Two submission windows: one in 2014 and one 2015

33. Countries coming to access funding for HIV in 2014 Scheduled for Early 2014 Scheduled for Late 2014 African Anglophone Countries Botswana Ethiopia Gambia Ghana Iraq Malawi Mozambique Somalia South Sudan Sudan Swaziland Tanzania West Bank and Gaza Strip Yemen Zambia South Africa Angola Egypt Eritrea Kenya Lesotho Liberia Multicountry Mid.East - N.Africa (MENAHRA) Nigeria Rwanda Syria Uganda Mauritius African Francophone Countries Burkina Faso Djibouti Tunisia Congo (Democratic Republic) Benin Burundi Cameroon Cape Verde Chad Guinea Guinea-Bissau Mauritania Morocco Niger Senegal Gabon

34. Countries coming to access funding for TB in 2014 Scheduled for Early 2014 Scheduled for Late 2014 African Anglophone Countries Botswana Ghana South Sudan Sudan Swaziland West Bank and Gaza Strip Zambia Zimbabwe South Africa Sierra Leone Egypt Eritrea Gambia Kenya Lesotho Nigeria Rwanda Somalia Syria Tanzania Uganda Yemen African Francophone Countries Burundi Mauritania Sao Tome and Principe Togo Congo (Democratic Republic) Benin Burkina Faso Cape Verde Chad Congo Côte d'Ivoire Djibouti Guinea-Bissau Mali Morocco Gabon Madagascar

35. Countries coming to access funding for Malaria in 2014 Scheduled for Early 2014 Scheduled for Late 2014 African Anglophone Countries Angola Ethiopia Iraq Kenya Malawi Mozambique Namibia Rwanda South Sudan Sudan Tanzania (United Republic) Uganda Yemen Zambia Zimbabwe Eritrea Ghana Nigeria Swaziland African Francophone Countries Burkina Faso Cameroon Côte d'Ivoire Guinea Sao Tome and Principe Senegal Congo (Democratic Republic) Benin Burundi Cape Verde Chad Congo Guinea-Bissau Mauritania Niger Gabon Comoros