1. 1 Overview of the NFM and LFA Service Requirements LFA M&E Training February 2014

2. 2 Session objectives 1. Key features and implementation 2. Preparing for the New Funding Model 3. Focus Areas 4. LFA service requirements

3. 3 Bigger impact: focus on countries with the highest disease burden and lowest ability to pay, while keeping the portfolio global Predictable funding: process and financing levels become more predictable, with higher success rate of applications Ambitious vision: ability to elicit full expressions of demand and reward ambition Flexible timing: in line with country schedules, context, and priorities More streamlined: for both implementers and the Global Fund Principles of the new funding model Principles of the new funding model

4. 4 How does the new model differ from the previous model? Passive role by the Secretariat in influencing investments More active portfolio management to optimize impact Low predictability: timing of Rounds, success rates and available funds Engagement by Global Fund Country Teams in country dialogue and concept note development Cumbersome undifferentiated process to grant signing with different delays Disbursement-ready grants with differentiated approach Timelines largely defined by the Global Fund Hands-off Secretariat role prior to Board approval Timelines largely defined by each country High predictability: timing, success rates, indicative funding range From previous model To new funding model

5. 5 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

6. 6 Program split 6 Information/ Review $ HIV $ TB $ MAL Overall indicative funding for country x Breakdown by disease component for information only HSS investment differentiated by Band Proposed amount(s) reviewed / approved by the Global Fund CCM discusses and submits proposed split Country Team and CCM discuss country split during Country Dialogue

7. 7 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 available 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

8. 8 UQD Concept note review process Above indicative Indicative funding Incentive UQD Carried forward (potentially funded from “new” resources) Indicative funding Technically unsound Signed into grant (serviced from “existing” resources) TRP approved

9. 9 Structure of the concept note 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

10. 10 Modular approach framework 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

11. 11 Five areas to prepare for the new funding model Plan ahead Strengthen national strategies Involve key groups Improve data Ensure CCM and PR will be able to do the work 1 2 3 4 5

12. How long will it take to access funds? 2 months1 month 1.5 months * Country can move more rapidly because it has: Up-to-date and costed national strategic plan or investment case with agreed priorities CCM is able to rapidly coordinate stakeholders PRs are well performing 2 months1 month 2 months * 3 months1 month 3 months * NSP development 8 months 6 months 10 months 16 months 4 months Concept note writing TRP and GAC review Grant making Time from dialogue to 1 st disbursement Pre-CN development country dialogue From Board approval to 1 st disbursement 1 month Country may need moderate amount of time to: Conduct country dialogue to agree on priorities and consult stakeholders But has well performing CCM and PRs Country may need significant time to: Develop clear strategy or viable extension plan through grant period Strengthen capacity for PR Reach agreement with the CCM 1 month Accelerated Average Long 1 Note: TRP reviews will be scheduled to accommodate the most programs. If there is no TRP scheduled in the month the Concept Note is submitted, the “TRP and GAC review” stage may take longer, up to 3 months * This is the anticipated average scenario – it may take longer in some countries. 12

13. 13 Submission dates 2014-2016 JanFebMarAprMayJunJulAugSepOctNovDec JanFebMarAprMayJunJulAugSepOctNovDecJanFebMarAprMayJunJulAugSepOctNovDec 1234 5678 9 2014 2015 2016 TRP # Submission deadline on 15 th of the month TRP review meeting (approx.) TRP Submission deadline for EoI (regionals only) EoI 1

14. 14 Five areas to prepare for the new funding model Plan ahead Strengthen national strategies Involve key groups Improve data Ensure CCM and PR will be able to do the work 1 2 3 4 5

15. 15 National strategic plans (NSPs): The basis for Global Fund funding 2 National strategic plan* Robust NSP* NSP Assessment Concept Note with prioritized programmatic gaps Before assessment Epi analysis & program review Grant funds may be reprogrammed to support NSP development, especially data strengthening. * or investment case

16. 16 The new funding model puts increased focus on NSPs Concept Note Incentive funding: Countries with robust national strategies and high impact, well-performing programs can compete for additional funds. Indicative funding Incentive funding Robust NSP/investment case 2 A strong NSP/investment case allows a greater possibility of incentive funding

17. 17 Five areas to prepare for the new funding model Plan ahead Strengthen national strategies Involve key groups Improve data Ensure CCM and PR will be able to do the work 1 2 3 4 5

18. 18 Involve key groups now so that concept note approval and grant making is smoother 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 3

19. 19 Five areas to prepare for the new funding model Plan ahead Strengthen national strategies Involve key groups Improve data Ensure CCM and PR will be able to do the work 1 2 3 4 5

20. 20 Know your epidemic to target resources effectively Appropriate assessments and reviews to feed into NSPs and concept note submission 4 Joint assessment of DQ & systems Identification of key data gaps Quantification of investment needs Strategic investment in data systems Review of epidemiology and impact for KAPs at subnational level Before the development of a Concept Note and as part of country dialogue Identifies data limitations and required actions Ambitious yet realistic goals and SMART objectives Prioritizes gaps for funds available Costed plan Measurable indicators, clear sources of info and means of verification Joint reviews with a particular focus on epidemiological impact & progress Recommendations to inform a revision or development of new NSP Map programmatic and financial gaps Surveillance Systems and Data Quality assessment Epi analysisProgram Review National Strategic Plan (NSP) Global Fund application

21. 21 Five areas to prepare for the new funding model Plan ahead Strengthen national strategies Involve key groups Improve data Ensure CCM and PR will be able to do the work 1 2 3 4 5

22. 22 All CCM 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 5 2013

23. 23 Minimum 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 5 1 and 2 assessed at CN submission

24. 24 Minimum standards for PRs The PR demonstrates effective management structures and planning The PR has the capacity and systems for effective management and oversight of sub-recipients (and relevant sub-sub-recipients) Implementers have capacity to comply with quality requirements and to monitor product quality throughout the in-country supply chain 1 2 The internal control system of the Principal Recipient is effective to prevent and detect misuse or fraud The financial management system of the Principal Recipient is effective and accurate 3 4 Central and regional warehouse have capacity, and have good storage practices to ensure adequate condition, integrity and security of health products The distribution systems and transportation arrangements are efficient to ensure continued and secured supply of health products to avoid treatment disruptions 5 6 Data-collection capacity and tools are in place to monitor program performance A functional routine reporting system with reasonable coverage is in place to report program performance timely and accurately 7 8 9 5 The Global Fund will now expect grant implementers to meet 9 minimum standards

25. 25 1. HSS - options for requesting under NFM 1.Developing Concept Notes for eligible diseases without cross-cutting HSS (HSS formerly known as disease-specific HSS is still allowed) 2.Including HSS module(s) under one or more disease Concept Notes 3.Developing a separate HSS Concept Note for a stand-alone HSS grant 4.Developing a consolidated Concept Note by including eligible diseases and HSS under one funding request

26. 26 In 2012, 1.1 million (13%) of 8.6 million people who developed TB worldwide were HIV- positive. In the same year, 1.3 million died from TB, of which 320, 000 were people living with HIV. The highest rates of TB and HIV co-infection are in Africa, where 43 percent of TB patients had a positive HIV test result in 2012 2. Joint TB and HIV applications Countries with high co-infection rates of TB and HIV shall submit a single concept note that presents integrated and joint programming for the two diseases (GF/SIIC09/DP6) Recognizing the importance of core TB-HIV collaboration services, the Board’s Strategy, Investment and Impact Committee decided that:

27. 27 3. Regional applications: two-step process Submission of EOI Review of EOI Concept Note Submission Review of Concept Note If eligible Step 1Step 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

28. 28 M&E service requirements during the grant lifecycle 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 LFA engagement, as observes as requested by CT Capacity Assessment Tool (CAT) Modular Tool M&E Plan Exceptional Cases Required

29. 29 Service requirements details During Concept Note development Verification of the Concept Note Grant Making No LFA engagement Except in exceptional cases (attend a specific meeting as observers) as determined by CT and based on clear ToRs with a defined outcome/product LFA engagement required Capacity Assessment Tool (comprehensive assessment of all capacity and system requirements) LFA engagement tailored to CT needs, examples include SR assessment Key strategic investment meetings CCM eligibility or participation of KAP LFA engagement required Finalize the Capacity Assessment Tool Modular Tool Review M&E Plan

30. 30 Questions?