Presentation on theme: "Concept Note development and modular tools"— Presentation transcript:
1 Concept Note development and modular tools TBTEAM Annual Meeting, June, 2014
2 Outline Concept note development Elements of the concept note Programmatic gap analysisModular toolLessons leaned
3 New funding model cycle GACConcept NoteGrant MakingBoardTRPOngoing Country DialogueNationalStrategic Plan/Investment CaseGrant ImplementationLet’s begin by looking at the cycle of the new funding model and the overall timings.It starts with your National Strategic Plan, which underpins the funding request. It is very important that this is as robust as possible, and considers interventions that take into account sub-national epidemiological data and data for key affected populations.The Secretariat the communicates the funding allocation. After receiving the allocation amount the CCM can start developing the funding proposal, which is called the ‘concept note’.In the concept note the CCM will be expected to present a funding request that is based on a coasted plan with prioritized interventions flowing from the national strategic plan, with up front risk and capacity assessments. The concept note must be developed using an inclusive ‘country dialogue’ process, with the input of a broad range of stakeholders, including key affected populations and people living with the disease.The Global Fund Country Team will be engaged with the CCM over the duration of country dialogue, and will present the concept note to the Technical Review Panel, an independent body that assesses the quality of the proposal and recommends what interventions to fund. Once the concept note has been approved by the TRP it is presented at the Grant Approval Committee, which sets the level of approved funding for grant-making.One of the big changes in the new funding model is that grant-making occurs prior to Board approval. Grant making will be a short window, where the implementation plans that have been agreed at the TRP are finalized with the principal recipient. Once the grant is disbursement-ready it is presented to the Board for approval. The grant life has now been extended to 3 years.Some key points to highlight:You can come to the Global Fund when it best suits you, with allocated funds being held in reserve for you until you apply. Funds from the allocation can be used beyond 2016, for a 3 year period after the grant is signed.Concept notes for different diseases or HSS can be submitted at different times, (although for countries with a high TB/HIV co-infection rates a joint TB/HIV proposal should be submitted.)
4 The concept notePrincipal document for TRP and GAC reviews and grant-making purposesOutput from country dialogue, reflective of an inclusive multi-stakeholder processEncourages robust and ambitious funding requestFunding request based on the national strategic planCaptures “full expression of demand’’
5 What is the importance of a concept note? Concept note outlines the reasons for Global Fund investment:Describes a strategy, supported by technical data that shows why this approach will be effectivePresents a country’s prioritized needs within a broader context, guided by a national health strategy and a NSPRepresents voices of key populations and other stakeholders in the countryDescribes how implementation can maximize the impact of the investmentVery important to emphasize that NSP is almost always larger than the CN – so CN is a resource-constrained part of the NSP. The CN should be clear on how this optimal use of constrained resources, given the country context, was arrived at.
6 Overview of the structure of the standard concept note SectionCountry Context1Funding landscape, Additionality and Sustainability2Core tablesCCM Eligibility & endorsementSupporting documents+Funding request to the Global Fund3Implementation arrangement and risk assessment4.
7 Country context Country Disease, Health and Community Systems context Section 1Country context1.1Current and evolving epidemiology of the disease, and any significant geographic variationsDefine constraints and barriers to an appropriate responseCommunity system constraintsHealth system constraintsHuman rights barriersKey populations with disproportionately low access to servicesCountry Disease, Health and Community Systems context1.2National Disease Strategic PlansProvide 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 learned1.3Joint programming for TB and HIVPlan for Joint planning and alignment of TB and HIV Strategies, Policies and InterventionsBarriers that need to be addressed in the alignment process
8 Funding landscape, additionality and sustainability Section 2Funding landscape, additionality and sustainability2.1Overall Funding Landscape for upcoming implementation periodDescribe: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 resourcesFor program areas that have significant gaps, planned actions to address these gaps.2.2Complete the Financial Gap Analysis and Counterpart Financing TableCompliance with counterpart financing requirements and planned actions to reach complianceGovernment’s willingness-to-pay commitments and how they will be tracked and reportedassessment of the completeness and reliability of financial data reported including assumptions used and caveats with the figuresFinancial gap analysis and counterpart financingTable 1Counterpart Financing Requirement
9 Funding request to the Global Fund Section 3Funding request to the Global FundProgramm-atic GapTable 23.1Complete a programmatic gap table detailing the quantifiable priority modules within applicant’s funding.Detail the request for funding and how the investment is strategically targeted to achieve impact and strengthen health systems.3.2Provide strategic overview of funding request including both the proposed investment of the allocation and above allocation amount.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 interventionsDescribe the expected impact and outcomes.3.3Modular TemplateTable 33.4Focus on key populations and/or highest-impact interventions – LMI and UMIC
10 Concept note will capture the full expression of demand In the concept note:Full expression of demand captured at a higher level based on a coasted national strategyApplicant will determine which program elements of their full expression of demand should be in their request above the allocationApplicants encouraged to apply for their full expression of demandExact amount of existing funds included in a consolidated funding request will depend on the implementation start date.
11 Implementation arrangement and risk assessment Section 4Implementation arrangement and risk assessmentOverview of implementation arrangementsInclude dual-track financingDescribe coordination among implementersIdentify any anticipated challenges1Information on the implementation capacity of PRs and risk mitigation measures to program deliveryInclude an implementation arrangement diagram (not required at concept note submission)2For each PR, complete the ‘minimum standards for implementers’ assessment3Describe current or anticipated risks to program delivery and/or PR performance, including the proposed mitigation measures4
12 Core tables & templates in a standard concept note Financial GapAnalysis & Counterpart Financing Table*Programmatic Gap Table(s)CCM Eligibility Requirements**12Modular TemplateList of Abbreviations and AnnexesCCM Endorsementof Concept Note**34* 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
13 Financial Gap Analysis & Counterpart Financing Table
14 Programmatic gap analysis Programmatic gap table provides a comprehensive picture of the key gaps which form the basis of prioritization of the funding requestInclude programmatic gap analysis for three to six priority modules within the applicant’s funding requestCoverage levels for the priority modules selected should be consistent with the coverage targets in section D of the modular template
15 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 indicatorNumber of notified cases of all forms of TBCurrent National Coverage6000Year 1Year 2Year 3Comments/ AssumptionsInsert year of latest results60%201520162017Current Estimated Country NeedA. Total estimated population in need/ at risk# 1000010000 WHO estimateB. Country targets (from National Strategic Plan) 700080009000%70 8090 Country need already coveredC. Country need planned to be covered by domestic & other sources 400050007000 domestic contribution increases annually 405070D. Country need already covered by existing Global Fund grants 1000 10Programmatic GapE. Expected annual gap in meeting the need: A - (C+D) 50003000 5030F. Targets to be financed by indicative funding 20002000 2020G. Coverage from indicative, existing Global Fund and other resources: F+(C+D) 8000 9000 7090H. Targets to be financed by above indicative funding100010I. Total coverage (indicative+ above indicative+ existing GF grants+ other resources) 90100
16 The modular approachThe modular approach is a framework used to structure the information that defines a grantIt runs throughout a grant's lifecycle, providing consistency at each stageDuring the concept note stage, a funding request is defined by selecting a set of interventions per module to align with national strategyDuring the grant making stage, each approved intervention is further defined by identifying and describing the required sets of activitiesDuring grant implementation, progress of each intervention is monitored as laid out in the prior stagesProgram levelModuleInterventionActivity and cost
17 Example: TB modules and interventions Impact/outcome indicatorsCoverage/output indicatorsWork-plan tracking measuresDisease/HSSModulesInterventionsActivities (not standardized)Cost InputsTBTB Care and PreventionCase detection and diagnosisSmear microcopyProduct costTreatmentTraining of health workersTransportationHIVMDR-TBPreventionBaseline clinical assessmentStorageTB/HIVTB/HIVEngaging all care providers....Procurement agent feeMalariaProgram ManagementProcurement of FLD, microscopesQuality assuranceCommunity TB care deliveryHSSM&EKey Populations17
20 Lessons and suggestions Start the NFM process as early as possibleSeveral of the process that inform CN could be done concurrently and with CN developmentMost of the tools are new – but instructions are available and worth reading before completing themEnsure that figures are consistent – NSP, programmatic gap table, modular tool, narratives“tell the story” – process and contents, qualityMake a strong and evidence-based case for funding – allocation and above allocationExperience so far in developing single CN and joint programming for TB and HIV is promising