Latest Draft of Application for Global Fund Round 5 - AIDS

View the final draft (updated 11 June) [view]

Due to the large size of the Global Fund application form, it may be easier to view the different sections separately [please note that some of these sections are not the latest version. The latest individual sections will be online soon]:

1.1 Lower-middle-income and upper-middle-income country
1.1.1 Counterpart financing and greater reliance on domestic resources [view]
1.1.2 Poor or vulnerable populations
Describe how these populations have been identified, and how they will be involved in planning and implementing the proposal (2–3 paragraphs).[view]

1.2 CCM functioning - eligibility criteria [view]
1.2.1 Demonstrate CCM membership of people living with and /or affected by the diseases.
1.2.2 Provide evidence that CCM members representing the non-governmental sectors have been selected by their own sector(s) based on a documented, transparent process developed within each sector. [Please summarize the process and attach documentation as an annex.]
1.2.3 Describe and provide evidence of a documented and transparent process to:
a) Solicit submissions for possible integration into the proposal [please summarize and attach documentation as an annex.]
b) Review submissions for possible integration into the proposal [please summarize and attach documentation as an annex.]
c) Nominate (the) Principal Recipient(s) and oversee program implementation [please summarize and attach documentation as an annex.]

2.1 Exective Summary
2.1.1 Briefly describe the (national) disease context, existing control strategies and programs as well as program and funding gaps. Explain how the proposed interventions complement existing strategies and programs, particularly where funding from the Global Fund has been received or approved.[view]
2.1.2 Describe the overall strategy by referring to the goals, objectives and service delivery areas for each component, including expected results and associated timeframes. Specify for each component the beneficiaries and expected benefits (including target populations and their estimated number).[view]
2.1.3 If there are several components, describe any synergies expected from the combination of different components—for example, TB/HIV collaborative activities (by synergies, we mean the added value that the different components bring to each other, or how the combination of these components may have broader impact). [view]
2.1.4 Indicate whether the proposal is to scale up existing efforts or initiate new activities. Explain how lessons learned and best practices have been reflected in this proposal and describe innovative aspects to the proposal. [view]

3.1 National Country Coordinating Mechanism [view CCM]

4.3 National Program Context and Gap Analysis for this Component
4.3.1 Epidemiological and Disease-Specific Background [view]
4.3.2 Health Systems, Disease-Control Initiatives and Broader Development Frameworks [view]
4.3.3 Financial and Programmatic Gap Analysis [view]
4.3.3.1 Detail current and planned expenditures from all relevant sources, whether domestic, external or from debt relief, including previous grants from the Global Fund. [view]
4.3.3.2 Provide an estimate of the costs of meeting overall (national) goals and objectives and provide information about how this costing has been developed (e.g., costed national strategies). [view]
4.3.3.3 Provide a calculation of the gaps between the estimated costs and current and planned expenditures. [view]

4.4 Component Strategy
4.4.1.1 Provide a clear description of the program’s goal(s), objectives and service delivery areas (provide quantitative information, where possible). [view]
4.4.1.2 Describe how these goals and objectives are linked to the key problems and gaps arising from the description of the national context. Demonstrate clearly how the proposed goals fit within the overall (national) strategy and how the proposed objectives and service delivery areas relate to the goals and to each other. [view]
4.4.1.4 Provide a description of the target groups, and their inclusion during planning, implementation and evaluation of the proposal. Describe the impact that the project will have on these group(s).[view]
4.4.1.5 Provide estimates of how many of those reached are women, how many are youth, how many are living in rural areas. The estimates must be based on a serious assessment of each objective. [view]
4.4.1.6 Provide a clear and detailed description of the activities that will be implemented within each service delivery area for each objective. This should provide reviewers with a clear understanding of what activities are proposed, how these will be implemented, and by whom. [view]
4.4.1.7 Outline whether these are new interventions or existing interventions that are to be scaled up, and how they link to existing programs. [view]
4.4.2 Describe how the activities initiated and/or expanded by this proposal will be sustained at the end of the Global Fund grant period. [view]
4.4.3 Describe gender inequities regarding program management and access to the services to be delivered and how this proposal will contribute to minimizing these gender inequities (2 paragraphs). [view]
4.4.4 Describe how this proposal will contribute to reducing stigma and discrimination against people living with HIV/AIDS, tuberculosis and/or malaria, and other types of stigma and discrimination that facilitate the spread of these diseases (1–2 paragraphs). [view]
4.4.5 Describe how principles of equity will be ensured in the selection of patients to access services, particularly if the proposal includes services that will only reach a proportion of the population in need (e.g., some antiretroviral therapy programs) (1–2 paragraphs). [view]

4.5 Program and financial management
4.5.2 Describe the process by which the CCM, Sub-CCM or Regional CM nominated the Principal Recipient(s). [view]
4.5.3 Describe the relevant technical, managerial and financial capabilities for each nominated Principal Recipient. [view]
4.5.5 If yes, provide the total cost of the project and describe the performance of the nominated Principal Recipient in administering previous Global Fund grants(1–2 paragraphs). [view]
4.5.6 Describe other relevant previous experience(s) that the nominated Principal Recipient has had. [view]
4.5.7 Describe the proposed management approach and explain the rationale behind the proposed arrangements. [view]

4.6 Monitoring and Evaluation (M&E)
4.6.1 Describe how this proposal and its Monitoring and Evaluation plan complements or contributes towards existing efforts (including existing Global Fund programs) to strengthen the national Monitoring & Evaluation plan and/or relevant health information systems. [view]

4.7 Procurement and Supply Management
4.7.1 Briefly describe the organizational structure of the unit currently responsible for procurement and supply management of drugs and health products. Further indicate how it coordinates its activities with other entities such as National Drug Regulatory Authority (or quality assurance department), Ministry of Finance, Ministry of Health, distributors, etc. [view]