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Concept Note development and modular tools

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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 analysis Modular tool Lessons leaned

3 New funding model cycle
GAC Concept Note Grant Making Board TRP Ongoing Country Dialogue National Strategic Plan/ Investment Case Grant Implementation Let’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 note 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’’

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 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 Very 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
Section Country Context 1 Funding landscape, Additionality and Sustainability 2 Core tables CCM Eligibility & endorsement Supporting documents + Funding request to the Global Fund 3 Implementation arrangement and risk assessment 4 .

7 Country context Country Disease, Health and Community Systems context
Section 1 Country context 1.1 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 Country Disease, Health and Community Systems context 1.2 National Disease Strategic Plans Provide information based on current NSP(s) Key goals, objectives and priority program areas Implementation to date, main outcomes and impact achieved Linkage to national health strategy Processes for reviewing and revising the response based on outcomes achieved and lessons learned 1.3 Joint programming for TB and HIV Plan for Joint planning and alignment of TB and HIV Strategies, Policies and Interventions Barriers that need to be addressed in the alignment process

8 Funding landscape, additionality and sustainability
Section 2 Funding landscape, additionality and sustainability 2.1 Overall Funding Landscape for upcoming implementation period 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. 2.2 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 Financial gap analysis and counterpart financing Table 1 Counterpart Financing Requirement

9 Funding request to the Global Fund
Section 3 Funding request to the Global Fund Programm- atic Gap Table 2 3.1 Complete 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. 3.2 Provide 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 interventions Describe the expected impact and outcomes. 3.3 Modular Template Table 3 3.4 Focus 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 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 Exact amount of existing funds included in a consolidated funding request will depend on the implementation start date.

11 Implementation arrangement and risk assessment
Section 4 Implementation arrangement and risk assessment Overview of implementation arrangements Include dual-track financing Describe coordination among implementers Identify any anticipated challenges 1 Information on the implementation capacity of PRs and risk mitigation measures to program delivery Include an implementation arrangement diagram (not required at concept note submission) 2 For each PR, complete the ‘minimum standards for implementers’ assessment 3 Describe current or anticipated risks to program delivery and/or PR performance, including the proposed mitigation measures 4

12 Core tables & templates in a standard concept note
Financial Gap Analysis & Counterpart Financing Table* Programmatic Gap Table(s) CCM Eligibility Requirements** 1 2 Modular Template List of Abbreviations and Annexes CCM Endorsement of Concept Note** 3 4 * 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 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

15 Programmatic gap table - example
Programmatic Gap Table (Per Priority Intervention) - (create 3-6 programmatic gap tables as needed) Priority Module  TB care and prevention Selected coverage indicator Number of notified cases of all forms of TB Current National Coverage 6000 Year 1 Year 2 Year 3 Comments/ Assumptions Insert year of latest results 60% 2015 2016 2017 Current Estimated Country Need A. Total estimated population in need/ at risk #  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  10 Programmatic Gap E. Expected annual gap in meeting the need: A - (C+D)  5000 3000  50 30 F. Targets to be financed by indicative funding  2000 2000  20 20 G. Coverage from indicative, existing Global Fund and other resources: F+(C+D)  8000  9000  70 90 H. Targets to be financed by above indicative funding 1000 10 I. Total coverage (indicative+ above indicative+ existing GF grants+ other resources)  90 100

16 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

17 Example: TB modules and interventions
Impact/outcome indicators Coverage/output indicators Work-plan tracking measures Disease/HSS Modules Interventions Activities (not standardized) Cost Inputs TB TB Care and Prevention Case detection and diagnosis Smear microcopy Product cost Treatment Training of health workers Transportation HIV MDR-TB Prevention Baseline clinical assessment Storage TB/HIV TB/HIV Engaging all care providers .... Procurement agent fee Malaria Program Management Procurement of FLD, microscopes Quality assurance Community TB care delivery HSS M&E Key Populations 17

18 Measurement framework

19 Modular tool – should be submitted online

20 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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