REQUEST FOR APPLICATIONS. Sub-grants for Civil Society Organisations (CSOs) USAID Defeat TB Project

Transcription

1 REQUEST FOR APPLICATIONS Sub-grants for Civil Society Organisations (CSOs) USAID Defeat TB Project RFA SOLICITATION NUMBER: FY18-RFA DATE OF ISSUE: 22nd February 2018 DEADLINE FOR QUESTIONS: 2 nd March 2018, 5:00 PM (EAT) DEADLINE FOR SUBMISSIONS: 23 rd March 2018, 12:00 PM (EAT) Issuance of this RFA does not constitute a commitment on the part of URC nor does it commit URC or the US Government to pay for costs incurred in the submission of a proposal. Furthermore, URC reserves the right to reject any and all submissions, or to award a grant without further discussion or negotiations if it is considered to be in the best interests of the project and URC. 1

2 Subject: Request for Applications FY18-RFA USAID Defeat TB Sub-grants for Civil Society Organisations (CSOs) Issue date: 22 nd February 2018 Closing date: 23 rd March 2018, 12:00 PM (EAT) Dear Applicants: The USAID Defeat TB project (Defeat TB) is a five-year project ( ) that aims to increase TB case notification, case detection and treatment outcomes through health system strengthening with the aim of ending the tuberculosis (TB) epidemic in Uganda. The project is a consortium led by University Research Co., LLC (URC) in partnership with Infectious Diseases Institute (IDI) and The AIDS Support Organization (TASO) and is funded by the United States Government (USG) under the President s Emergency Plan for AIDS Relief (PEPFAR). Defeat TB has four main implementation result areas: increase screening and detection of all forms of tuberculosis in infants, children, adolescents, and adults at facility and community levels; initiate and complete treatment for all patients diagnosed with all forms of TB; ensure strong community systems to support the continuum of TB prevention, screening, diagnosis, care, and treatment; and enhance leadership and technical capacity of the TB program at national and subnational levels to effectively guide and manage implementation of TB control activities. Defeat TB is working in collaboration with the Ministry of Health of Uganda (MOH) and National Tuberculosis and Leprosy Program (NTLP) to strengthen TB coordination structures at national and sub-national levels. The project is providing direct service delivery support to i) drug resistant TB treatment sites in non-usaid supported regions in Uganda namely: Mulago National Referral Hospital TB unit, Arua, Soroti, Hoima, Masaka, Mubende and Fortportal Regional Referral Hospitals and their DOT sites, and to ii) the districts of Kampala, Wakiso and Mukono. Additionally, Defeat TB will collaborate with regional mechanisms to provide technical assistance to Mbarara, Kabale, Lira, Gulu, Iganga, Mbale, Kitgum, Matany and any additional site in USAID supported regions. Defeat TB is committed to build capacity across all multi-sectoral levels involved in TB control to ensure effective support and delivery of comprehensive TB services. Civil Society Organizations (CSOs) are able to reach remote and marginalized communities and can play a particularly important role in achieving the project s objectives. Defeat TB intends to provide grants to CSOs to implement community-based TB activities including: 1) Conduct community awareness on TB for stigma reduction; 2) Identify TB survivors to act as community TB champions and provide peer psychosocial support; 3) Support TB treatment adherence through establishing peer support groups, selection and training of treatment supporters to: i) encourage and observe daily intake of drugs (DOT), ii) update the patient treatment card daily, iii) refer patient to health facility if patient s condition worsens or patient experiences side effects, iv) contact the CSO or health facility when patient s medicines are running low, v) remind patient to visit the health unit for follow up sputum tests at the end of 2 nd month of treatment and at the beginning of 5th and 6th months of treatment, vi) remind patients of their clinic appointments; 4) Follow up TB patients who miss their clinic appointments; 5) Participate in TB prevention: i) educate patient families on TB infection control, ii) screen contacts of index TB patients for TB symptoms, iii) refer presumptive TB patients for evaluation at the health facilities and link TB patients to economic support services in the community. The granting process will be competitive and open to CSOs of different types including nongovernmental organizations (NGOs), faith-based organizations (FBOs), community based organizations (CBOs), private-sector health facilities and academic organizations. Announcements for the application will be posted in newspapers and online. 2

3 To this effect, Defeat TB seeks applications from interested and capable local CSOs to implement activities/interventions that will contribute to improved awareness for TB, case finding, referral and treatment adherence in target communities. CSOs are expected to utilize available data and information related to the stipulated scope of work to identify and implement evidence-based, innovative interventions/activities that contribute to reduction of TB prevalence in the country. Defeat TB will accept applications that address community-based TB activities listed above. Specific instructions on the application requirements follow. Applicants must submit questions by only to by 5:00 PM (EAT) on 2 nd March Applications must be received by the closing date and time indicated at the top of this cover letter. Applications should be submitted in hard copy (4) and electronic copy (1). Applications received after 12:00 PM (EAT) on 23 rd March 2018 will not be considered. Detailed submission instructions are provided in section 6 of this document. USAID Defeat TB Plot 40 Ntinda II Road, Naguru, Kampala - Uganda P.O. Box 28745, Kampala - Uganda Tel (Off): (256) (0) proposals@defeat-tb.urc-chs.com 3

4 TABLE OF CONTENTS Contents TABLE OF CONTENTS... 4 LIST OF ACRONYMS BACKGROUND GRANT SCOPE Statement of Purpose Geographic Scope Funding Period of Performance Technical Scope and Anticipated Results Sub-grant Solicitation Additional Guidance Selection of Sub-grants Results MONITORING AND REPORTING REQUIREMENTS Monitoring, Evaluation and Learning Plan Reporting Requirements Performance Indicators ELIGIBILITY CRITERIA Other Relevant Criteria APPLICATION OVERVIEW Submission Timeline Application Instructions Technical Proposal Cost Proposal Selection Process and Evaluation Scoring of Applications

5 6.3.2 Approval and Award Annex 1: Technical Resources Annex 2: Contact Screening Targets by Location Annex 3: Budget Proposal Instructions Annex 4: Past Performance Form Annex 5: URC Uganda per-diem lodging...22 Annex 6: Allowable USD funding support for Government of Uganda Entities and staff..23 Annex 7: Certifications and Representation

6 LIST OF ACRONYMS AMELP CB-DOTS CBO CHEW CLF CSO DOTS DR-TB DS-TB EP FBO HIV ICF ICT IDI IP MoH NTLP NTPS NGO NICRA PEPFAR PPP PBC PCD RFA SMART TASO TB TSR URC USAID USG VHT WHO Activity Monitoring, Evaluation, and Learning Plan Community-Based Directly-Observed Therapy Short course Community Based Organization Community Health Extension Worker Community Linkage Facilitator Civil Society Organization Directly Observed Therapy Short Course Drug Resistant TB (including Multi-Drug Resistant (MDR) TB) Drug Susceptible TB Extra-pulmonary TB Faith-based Organization Human Immunodeficiency Virus Intensified TB Case Finding Information and Communication Technology Infectious Diseases Institute Implementing Partner Ministry of Health National Tuberculosis and Leprosy Control Program National TB Prevalence Survey Non-governmental Organization Negotiated Indirect Cost Rate Agreement President s Emergency Plan for AIDS Relief Public-Private Partnership Pulmonary Bacteriologically Confirmed Pulmonary Clinically Diagnosed TB Request for Applications Specific, Measurable, Achievable, Realistic, Time-bound The AIDS Support Organization Tuberculosis Treatment Success Rate University Research Company, Co. LLC United States Agency for International Development United States Government Village Health Teams World Health Organization 6

7 1.0 BACKGROUND Tuberculosis (TB) is still a major cause of illness and death worldwide. The World Health Organization (WHO) 2017 Global Tuberculosis Report cited Uganda among 30 countries in the world with a high tuberculosis (TB)/HIV burden, despite the multiple efforts by the Uganda Ministry of Health (MoH) and donor agencies to control TB [1]. The 2014/2015 to 2019/2020 national TB strategic plan focused on improving TB case detection, diagnosis, and treatment outcomes at community and facility levels [2]. In 2014/2015 Uganda carried out a population-based survey of TB disease prevalence which estimated a TB prevalence of 253/100,000 (95% CI: ) and TB incidence of 234/100,000 (95% CI: ) [3]. About 89,000 individuals are infected with TB every year of which approximately 40,000 TB cases are being missed. The survey also found that the most missed cases were among the age group. TB is more prevalent in urban area, but is also prevalent in rural areas. It is 4 times more prevalent among men than women. Contrary to what the public perceives about TB, the prevalence of the disease among HIV negative individuals was more than that of their HIV positive counterparts. Further, the survey found that people with presumed TB had poor health seeking behavior and this was mainly because these individuals simply ignored their illness or self-treated. The U.S. Government believes that National TB programs must involve affected communities and actively partner with civil society organizations and private stakeholders if they are to reach their potential [USG Global TB Strategy ]. Using strong coalitions with CSOs and communities is one of the principles of WHO s End TB strategy. However, this is greatly hampered by TB-associated stigma affecting the whole continuum of TB care and control. Defeat TB intends to work with CSOs to achieve one of the NTLP s strategic goals of empowering communities to demand and utilize TB services. The program will mainly work in the three urban districts of Kampala, Wakiso, and Mukono where the prevalence of TB is high. The population in these districts is highly mobile and presents unique features that influence access to TB services and adherence to treatment, such as limited engagement of the community and private sector in TB control interventions, presence of crowded poorly ventilated slum dwellings, supply chain constraints, lack of patient support and tracking mechanisms, suboptimal laboratory function, and a large knowledge and skill gap in health workers due to high provider attrition. Stigma is also rampant in urban communities. TB service delivery continues to be significantly affected by gender-related obstacles, weak public-private partnerships, challenges in steady supply of TB commodities, and high staff turnover leading to skill gaps. This highlights the need to adapt and develop new gender driven strategies for TB management and control. There is evidence to show that low treatment success rate (TSR) is due to low coverage of communitybased DOTS (CB-DOTS), which is hindered by weak community structures (especially in urban settings), lack of unique patient identifiers/tracking mechanisms, and mobile urban/rural populations. Defeat TB will engage CSOs to work with family members of index TB cases, volunteers, former TB patients to: carry out intensified case finding using low-cost innovative mechanisms; support treatment completion by providing Directly-Observed Treatment Short Course (DOTS) to TB patients in their homes and track patients that interrupt treatment; and link experienced supervisors at the facility level to community teams. Using collaborative efforts involving communities, regional implementing partners (IPs), the NTLP, and The Global Fund, DR-TB patients will be encouraged with adherence enhancers in the form of transport and food. The Defeat TB project will support a couple of CSOs to pilot/evaluate community/home-based DR-TB DOT where patients will be referred to community DOT supporters after completing the intensive phase of treatment. The Defeat TB consortium will engage CSOs to implement community programs that lead to reduced TB-related stigma, while increasing the awareness of TB and develop strong community structures over time. Key components of the strategy include integrated patient-centered care and prevention approaches guided by bold policies and supportive systems that encourage community engagement. 7

8 Successful implementation of CB-DOTS is a major results theme area for Defeat TB, and CSOs that will eventually work with the project, will be required to: Conduct community awareness on TB for stigma reduction Identify TB survivors to act as community TB champions and provide peer psychosocial support Support TB treatment adherence through establishing peer support groups, selection and training of treatment supporters to: o Encourage and observe daily intake of drugs (DOT) o Update the patient treatment card daily o Refer patient to health facility if patient s condition worsens or patient experiences side effects o Contact the CSO or health facility when patient s medicines are running low o Remind patient to visit the health unit for follow up sputum tests at the end of 2 nd month of treatment and at the beginning of 5th and 6th months of treatment o Remind patients of their clinic appointments Follow up TB patients who miss their clinic appointments Participate in TB prevention: o Educate patient families on TB infection control o Screen contacts of index TB patients for TB symptoms o Refer presumptive TB patients for evaluation at the health facilities and link TB patients to economic support services in the community Defeat TB will work with CSOs to streamline implementation approaches to become more urban and youth friendly, and male/gender sensitive with the aim of maximizing TB service delivery among these populations. The Defeat TB project through CSOs will work with the newly commissioned Community Health Extension Workers (CHEWs) to sensitize the community on TB symptoms and where to access TB testing and treatment services. They will also be essential in overcoming barriers to effective treatment such as transport costs, reduce treatment interruption, and increase treatment response monitoring as well as patient and family engagement to prevent further transmission. This model will be implemented in the three districts of Kampala, Wakiso & Mukono. 2.0 GRANT SCOPE 2.1 Statement of Purpose Defeat TB project is implemented by University Research Co, LLC (URC), and partners The AIDS Support Organization (TASO), and the Infectious Diseases Institute (IDI). The project is committed to partnering with and funding CSOs to implement innovative, low-cost interventions to address challenges in TB screening, detection, diagnosis, and treatment, including TB-related stigma, as first steps to long-lasting and scalable solutions for reducing Uganda s TB burden. This Request for Applications (RFA) is announcing URC and Defeat TB s intention to fund a limited number of CSOs to implement interventions/activities under the project in order to increase access, demand for and utilization of TB services and strengthen community systems to support the continuum of TB prevention, screening, diagnosis, care, and treatment. 2.2 Geographic Scope Sub-grants will be provided to CSOs to implement community TB control activities in any one or more of the locations within the districts of Kampala, Wakiso and Mukono. See Annex 2 for specific locations. 8

9 2.3 Funding Award amounts are dependent on the specific relevant characteristics of the district and administrative area, and will range between UGX 72M 144M (USD $20,000 - $40,000). See details in Annex 2. Applicants with potential to implement interventions in multiple locations may be awarded if the Grants Selection Committee determines that the proposed interventions and approaches are both beneficial and feasible within the time frame. 2.4 Period of Performance Applications must include activities with an initial period of performance of one (1) year. 2.5 Technical Scope and Anticipated Results Specific objectives for the CSO grants are to: 1. Increase the level of community awareness & demand for TB services 2. Increase case finding for TB in the districts of Kampala, Wakiso and Mukono by 20% by May Improve average treatment success rates for TB patients in Kampala, Wakiso and Mukono from 85%, 75% & 73% respectively to 90%, 80% and 78% by May The proposed activities will contribute to the following outcomes: Increased number of eligible individuals screened for TB at the community and facility levels. Eligible individuals are defined as any person with a history of cough, with or without sputum. Increased number of detected cases of DS-TB, DR-TB, and TB/HIV coinfection among the estimated cases Increased number of eligible individuals screened for DR-TB. The eligible individuals are defined as any TB patient that has defaulted from TB treatment, failed on TB treatment or relapsed TB disease, as well as close contacts of DR-TB patients. Proposed activities funded under the grant include but are not limited to the following: 1. Sensitize communities about TB symptoms, treatment options, and prevention o Conduct health education sessions on TB at homesteads & neighbourhoods of TB patients o Conduct awareness talks targeting men and youth o Disseminate TB messages at hot spots & congregate settings such as refugee settlements, prisons, slums, labour camps, schools and fishing villages 2. Distribute TB information, education, and communication (IEC) materials to: o Homesteads & neighbourhoods of TB patients o Prisons, slums, labour camps, schools and other congregate settings o Youth & men s groups 3. Screen household & close workplace/social contacts of smear positive TB patients (including contacts of children with TB) for signs and symptoms of TB using intensified case finding (ICF) forms or a mobile application at homesteads, residential institutions & workplaces of TB patients 4. Conduct targeted TB screening at congregate settings - slums, prisons, etc. 5. Collect specimens from households & close workplace contacts of TB patients and deliver them to a TB diagnostic unit for testing 6. Promptly refer or escort contacts of TB patient to a TB diagnostic unit for evaluation (+ chest x-ray) 7. Trace TB patients that missed their clinic appointments, are lost or newly tested TB positive, but have not returned to receive their results 9

10 8. Visit contacts of TB patients and inform them of their test/evaluation results and/or subsequent management plan 9. Follow up laboratory negative presumptive TB patients and refer them for subsequent clinical evaluation 10. Counsel patients to adhere to treatment; monitor adherence to TB treatment by reviewing the TB treatment card record and the TB medicine blisters. 11. Map & develop directory of congregate institutions, small drug shops, private clinics & pharmacies, and community, institutional, cultural, religious & other leaders. Develop & submit contact list of CHEWs, VHTs, CSO volunteers, sub-county health workers, expert patients /TB survivors, treatment supporters and health unit TB focal persons 12. Collect sputum and refer patients for follow up tests at 2, 5 and 6 months 13. Collaborate with health facilities and maintain contact lists for all facilities, VHTs and the community leaders such as local councils 3.0 GRANT CRITERIA 3.1 Sub-grant Solicitation Defeat TB is soliciting applications from CSOs that will propose innovative and low-cost interventions to empower communities in the three districts of Kampala, Wakiso and Mukono to demand for and utilize TB services. The granting process will be competitive and open to CSOs of different types including nongovernmental organizations (NGOs), faith-based organizations (FBOs), community based organizations (CBOs), private-sector health facilities and academic organizations. Solicitations will be posted in newspapers, online, and other public venues. The applications must outline specific, measurable, achievable, relevant, and time-bound (SMART) objectives and cost-effective interventions with measurable outputs that are in line with the key outcomes above. Applications must clearly describe which of the above activities (listed under section 2.5) applicants are proposing to implement, substantiated by a description of the applicant s capacity to implement them. Applicants are not required to implement all the activities, and may also propose to implement activities that are not listed but are relevant and feasible in order to achieve the stated outcomes. 3.2 Additional Guidance The following items will not be eligible for funding: 1. Purchase of major commodities for program support or distribution 2. Construction, rehabilitation, or infrastructure activities 3. Commodities and services for support of police or other law enforcement activities 4. Activities restricted by US federal government regulations 3.3 Selection of Sub-grants A grants selection committee will be convened consisting of representatives from the District Health Office and the Defeat TB project who will review applications based on strict criteria focused on technical expertise of proposed interventions, geographic coverage, organizational capacity, and cost reasonableness. Key parameters that CSOs should highlight in their applications include: Technical/programmatic capacity 10

11 Operations and management systems, highlighting prior relevant work in the past performance form (see Annex 4) Available resources in the form of infrastructure, human resources, and available assets to implement the proposed interventions Relationships with community, local and civic leaders Cost reasonableness 3.4 Results Applicants are expected to submit proposals that have the potential for clear and measurable results. Proposals should be cost-effective and sustainable, with clear measurements to demonstrate how the interventions/activities will strengthen community systems for increased access to, demand for and utilization of TB health services. 4.0 MONITORING AND REPORTING REQUIREMENTS 4.1 Monitoring, Evaluation and Learning Plan Monitoring and evaluation is crucial for the successful implementation of the Defeat TB project activities conducted by CSOs. The project will ensure that: Sub-grantees meet the legal requirements of Uganda and the URC/USAID agreement; proposed activities and implementation strategies align with the set objectives; all Sub-grantees address financial and compliance matters; and all preobligation requirements are met before award. Technical advisors will monitor and provide support to Sub-grantees through monthly visits which will, in-turn, assist Sub-grantees to realize the intended objectives. 4.2 Reporting Requirements All grantees are expected to monitor results of their interventions/activities through data collection and submission of regular reports/deliverables to Defeat TB. Grantees must meet monitoring and reporting requirements in a timely and complete manner. Selected sub-grantees will be invited to an orientation workshop in which specific instructions for accountability and deliverable requirements will be outlined. Payment terms based on FAAs will be discussed. Examples of milestones that may be required, as part of the deliverable schedule for the FAA, include quarterly reports and a final report. Periodic field visits will be conducted by Defeat TB to monitor project implementation and to verify reporting information submitted by the applicant. 4.3 Performance Indicators CSOs working with the Defeat TB project will contribute to the expected indicators listed below disaggregated by age, sex, high risk group, & other categorizes required by the project: Performance Indicators Number of all patients (PBC, PCD, EP, and DR) assigned to a CSO by TB service provider/community linkage facilitator (new and continuing). Number of all patients (PBC, PCD, EP, and DR) assigned to a CSO by TB service provider/community linkage facilitator (new and continuing) whose contacts are traced and screened. Total Screened 11

12 No. of TB close contacts (household, work mates, school mates, neighbors, other social networks) screened for TB using ICF in the reporting period No. of presumptive TB cases identified who were referred/sample sent for TB investigations No. of referred presumptive TB cases/samples tested. No. of close contacts diagnosed with DS-TB No. of close contacts diagnosed with DR-TB No. of close contacts diagnosed with TB registered in the unit TB register or DR-TB register No. of close contacts diagnosed with TB initiated on TB or DR-TB treatment in the reporting period Presumptive TB cases # Referred for TB test # of Samples Collected Referrals Tested Samples Tested Cases from Referrals Cases from Samples Cases from Referrals Cases from Samples TB Unit register DR-TB register DS-TB treatment DR-TB treatment Number of patients assigned to CSO enrolled and monitored for community based/ family based DOT (new and continuing). Total # of patients assigned to CSO lost to follow-up in the reporting period # of lost to follow up traced back to care by CSO Number of infectious TB patients assigned to CSO with documented sputum smear results at the end of 2 months and 5 months of treatment. Number of clinically diagnosed TB patients assigned to CSO documented as treatment completed in the unit TB register Indicators for TB screening outreach in targeted high-risk populations and zones Number of integrated TB screening and sensitization outreaches conducted in the reporting period. No. of people reached with TB and HIV messages screened for TB in the reporting period No. of presumptive TB cases identified who were referred/sample sent for TB investigations No. of referred presumptive TB cases/samples tested. No. of referred presumptive TB cases with DS-TB No. of people diagnosed with DR-TB No. of people diagnosed with TB registered in the unit TB register or DR-TB register No. of people diagnosed with TB initiated on TB or DR-TB treatment in the reporting period No. of TB patients that participate in the stigma index assessment Total Screened Presumptive TB cases identified # Referred for TB test # of Samples Collected Referrals Tested Samples Tested Cases from Referrals Cases from Samples Cases from Referrals Cases from Samples TB Unit register DR-TB register DS-TB treatment DR-TB treatment 12

13 No. of patients that report discrimination secondary to their TB ailment 5.0 ELIGIBILITY CRITERIA Applications from a wide variety of CSOs may be eligible for award under this RFA. Examples of eligible CSOs include: Local Non-Governmental Organisations (NGOs) Local Faith-Based Organisations (FBOs) Community Based Organisations (CBOs) Prospective applicants should demonstrate ability to manage donor funding and capacity for accountability and program implementation. To receive a grant, a CSO must meet the following eligibility criteria: Be a legally registered CSO recognized under the laws of Uganda (copy of a valid registration certificate) Provide a copy of the organizational chart Provide a list of past performances, including previous work for USAID related projects if applicable Have familiarity with the Ugandan health system Provide evidence of active community involvement and activities Have demonstrated capacity to implement, and monitor activities and fulfil reporting and documentation requirements Have demonstrated capacity to manage grant funds, and evidence of a bank account (copy of bank reconciliation) Possess an audited financial statement/audit report for the last one year Possess ability and willingness to work collaboratively with Defeat TB and partner staff 5.1 Other Relevant Criteria Other relevant and highly desirable criteria for achieving the intended results outlined in this RFA include: 1. Evidence of working with key populations such as PLHIV, healthcare workers, migrant and mobile populations, prisoners, slum dwellers, refugees, school-going children, and contacts of index TB cases 2. Evidence of use of innovative, low-cost ICT technologies during implementation of previous interventions 3. Evidence of working with youth, male gender and hard to reach communities (islands) 4. Evidence of funding for other community interventions 5. Evidence of working in TB hot spot sub counties 13

14 6.0 APPLICATION OVERVIEW 6.1 Submission Timeline The proposed timeline for the application and selection process is as follows: Activity Date 1. Release of RFA 22 February Deadline for submission of questions 2 March Deadline for receipt of full applications 23 March Award date 18 May 2018 All applications must be in English, using Times New Roman font, regular, size 12, with pages numbered consecutively. Questions must be submitted no later than 5:00 PM (EAT) on 2 nd March 2018 to: proposals@defeattb.urc-chs.com Please submit one (1) electronic application to proposals@defeat-tb.urc-chs.com and four (4) hard copies to the following address: USAID Defeat TB Plot 40 Ntinda II Road, Naguru, Kampala - Uganda P.O. Box 28745, Kampala - Uganda Applications must be received no later than 12:00 PM (EAT) on 23 March Applications that are late, incomplete, or over the page limit will not be considered. Successful applicants must obtain a valid DUNS number and provide it to URC. Requirements for obtaining a DUNS number can be found here: Application Instructions Two proposals are expected including a technical proposal not exceeding 20-pages and a 5-page cost proposal Technical Proposal Technical proposals should be written in the English language using Microsoft Word in Times New Roman font style and font size 12 for the main text. Applicants who wish to apply for more than one location must submit one technical proposal per location. Please be sure that the location being applied for is clearly identified on the application. The technical proposal should be written according to the format described below: Cover page (1 page) Executive summary (1 page) Table of contents (1 page) List of acronyms (1 page) Proposal o Introduction (1 page) o Background (1/2 page) o Organisation history and capacity (1/2 page) 14

15 o o o o o o o o o o Project description (1/2 page) Project goal, objectives and intervention strategies (1/2 page) Technical approach to proposed interventions detailing the what, why, how, where, when for each proposed activity (4 pages) Expected outputs and outcomes in form of an Activity Monitoring, Evaluation, and Learning Plan (AMELP) (2 pages) A community engagement plan (1/2 page) A quality improvement plan (1/2 page) A dissemination plan of the findings locally and internationally (1/2 page) One-year work plan in Gantt chart form (1 page) References (1 page) Curriculum vitae of key program staff (maximum 3 pages each) The application must include the following as annexes to the proposal (if applying for more than one location, the below only need to be submitted once). o o o o o o o o o Risk mitigation plan Letter of intent by applicant Letter of support by current/former partnering organizations Letter of support by Resident District Commissioners (RDCs) Recommendations from past donors List of past performances and reports from past or current projects (use template in Annex 4) Organizational chart Copy of certificate of registration to work in Uganda A bank statement and audited financial statements The applications are encouraged to: 1. Demonstrate creative and innovative approaches to the proposed activities 2. Be explicit how the approaches are to be implemented 3. Include use of gender and youth transformative interventions 4. Demonstrate sustainability of the proposed interventions 5. Indicate specific roles of various personnel (e.g., community linkage facilitators, CHEWs, VHTs) to conduct proposed activities Cost Proposal The Cost Proposal must be submitted in a separate document in Microsoft Excel format (with formulas) at the time the Technical Proposal is submitted, but sent in a separate (for electronic submissions) and in a separate envelope (for hard copy submissions). The applicant must propose a line item budget submitted according to the instructions in Annex 3 of this RFA. A budget template will be provided upon request. The detailed budget, once negotiated and approved, will be the Awardee s budget for managing the project. A budget narrative in a Microsoft Word or searchable PDF document should accompany the Excel portion of the Cost Proposal. The budget narrative should include a description of costs and how they were determined or calculated, for each line item in the budget. Applicants should review and confirm that all amounts and formulas are correct. Budgets should be in Ugandan Shillings (Ug Shs) with a TOTAL column in US dollars using the exchange rate of 3,600 UGX to 1 USD. The budget narrative should not exceed 2 pages. 15

16 Applicants who wish to apply for more than one location must submit one cost proposal and one budget narrative per location. Certifications and Representations detailed in Annex 7 should be completed, signed, and submitted with the Cost Proposal. The applicant should submit a Negotiated Indirect Cost Rate Agreement (NICRA), if applicable, or other documentation to support indirect cost rates. If the applicant does not have a NICRA, they have the option to select the de minimis 10% rate. See Annex 3 for more information. Applicants must remain in compliance with US Government regulations regarding allowable expenses. 6.3 Selection Process and Evaluation To be successful, an application will be expected to meet these basic criteria: Exhibit a creative approach to achieve desired results with respect to TB awareness, detection, referral and treatment adherence Demonstrate potential for a significant and sustainable impact in addressing key TB challenges in respective location(s) Show how the activity may be scaled up or replicated Demonstrate the ability to achieve concrete and measurable results Scoring of Applications The Sub-grant applications will be scored based on the following criteria: A) Administrative Compliance Organisation s physical address/location within the respective district and details of the contact person (Name, Title, Telephone Number and ) A copy of a valid registration certificate (from the National NGO Board for NGOs/FBOs and from Districts for CBOs/FBOs). Where applicable, a license from local authorities, e.g., a Town Council, or Municipality to conduct business. Full adherence to requirements stipulated under section 5.0 above. B) Technical Design (35 points) Technical/innovative approach to strengthen community structures and systems is clearly articulated and presents a thorough understanding of evidence-based innovative approaches and how to operationalize this work in the respective location(s). Approach shows insight into district culture and alignment with Government of Uganda and USAID priorities. Demonstration of capacity for community systems strengthening with focus on stipulated key outcomes that contribute to Defeat TB s project goal Technical, economic, and social feasibility of approach, including clarity of plans for replicating and/or scaling up the activity; additionally, the readiness of the proposed activity for immediate implementation Innovative ways of engaging communities to participate in TB control activities. Sustainability of approach, including involvement of local partners, districts and communities Potential for impact on key populations and marginalized groups, including the extent to which activities demonstrate an understanding of gender, youth and equity concerns and genderbased barriers to accessing services within the respective location(s) Project Management (20 points) Organisational capacity, including demonstrating that the organisation has the size and scope to handle proposed community systems strengthening interventions/activities 16

17 Characteristics of proposed partners (if applicable) and appropriateness of designated activities Feasibility of described approaches for managing implementation of community systems strengthening interventions/activities Effective use of personnel Institutional Capacity and Past Performance (20 points) Demonstrated capacity, both administratively and technically, to implement the proposed community systems strengthening interventions/activities and report on results. C) Cost Reasonableness (25 points) Reasonableness and appropriateness of stated costs, compared with the approach laid out in the technical proposal Established understanding of current costs in Uganda, reflected in the budget narrative by a description of how costs were calculated Approval and Award Submission of an application does not guarantee an award. The selection committee will review all applications that comply with the eligibility criteria. The recommendation or selection of an application for an award does not guarantee the award. Defeat TB must be fully satisfied that the applicant is able to perform the activities laid out in the application and to monitor them in accordance with US Government standards. The applicant must also complete any other necessary arrangements pre-award. Selected applications will be submitted to USAID for final approval Rejection of Applications Applications that deviate from the stated requirements will be automatically rejected by the submission system and these include: Late submission of applications after the submission deadline date and time Incomplete applications Applications that do not adhere to the proposal formats above 17

18 Annex 1: Technical Resources The following technical resources may provide useful context and information for proposals: 1. WHO Global tuberculosis report June 2017 Revised National Strategic Plan Ministry of Health health.go.ug/download/file/fid/ The Uganda National Tuberculosis Prevalence Survey, health.go.ug/.../uganda-national-tuberculosis-prevalence-survey survey 4. Uganda National Guidelines for Tuberculosis - Ministry of Health health.go.ug/download/file/fid/ 5. TB/HIV and Multi-drug Resistant TB Sustain Uganda sustainuganda.org/content/tbhiv-and-multi-drug-resistant-tb 6. WHO Tuberculosis (TB) - World Health Organization 7. WHO WHO guidelines on tuberculosis 8. Stop TB Partnership Annual Reports Resources Publications Annual Report - Stop TB Partnership 18

19 Annex 2: Contact Screening Targets by Location The table below highlights the different contact screening targets for each CSO per location (division/sub-county). Applicants may apply to more than one location where they have a presence. District Location Name Location Number Contact screening targets CSO allocation per location(s) Kampala Central Division 1 3,019 one CSO Kampala Kawempe Division 2 4,625 one CSO Kampala Makindye Division 3 2,050 one CSO Kampala Nakawa Division 4 2,482 one CSO Kampala Rubaga Division 5 2,907 one CSO Total Kampala 15,083 Mukono Nabbale Subcounty one CSO Mukono Mukono Central Division one CSO Mukono Nakisunga Subcounty one CSO Mukono Ntenjeru Subcounty 162 Total Mukono 1,440 Wakiso Wakiso Town Council Wakiso Wakiso S/c Wakiso Kakiri Subcounty 344 Wakiso Nansana Wakiso Nabweru 97 Wakiso Entebbe Division A one CSO 598 one CSO Wakiso Entebbe Division A Subcounty Wakiso Kira Town Council one CSO Wakiso Nangabo Subcounty one CSO Wakiso Ssabagabo-Makindye Subcounty Wakiso Katabi Subcounty Wakiso Ssisa Subcounty 232 Total Wakiso 3, one CSO one CSO GRAND TOTAL 20,311 up to 14 CSOs 19

20 Annex 3: Budget Proposal Instructions 1. Provide a budget in both US dollars and Uganda Shillings in EXCEL format. A budget template will be provided upon request. Please be sure to review and confirm that all amounts and formulas are correct and in both US dollars and Ugandan Shillings. 2. Provide a detailed line item budget in US dollars and Ugandan Shillings in EXCEL format as follows: Personnel: Please list each person separately, including their title/position. The personnel line item must clearly indicate a person s salary or daily rate and their anticipated level of effort (LOE) by year. Benefits: Benefits are additional personnel costs that are either required by local law or are provided according to common practice and your organization s written policies applicable to all staff. Examples include mandatory contributions to National Social Security Fund (NSSF) and Insurance (accidents and health). Travel: Please include all costs for travel to be charged under this sub-grant including lodging, and M&IE. Per diem rates must be consistent with URC Uganda Per-diem and Lodging Policy (November 2017) provided in Annex 5 and Allowable USG Funding support for GOU entities and staff (December 2016) provided in Annex 6. Other Direct Costs and Equipment: Other direct costs of the program include bank fees, printing costs, postage, and telecommunications costs related to completion of the activities detailed in this RFA. The cost proposal should clearly specify what equipment is to be procured under the proposed activities. Indirect Costs: An applicant may use the de minimis rate of 10% to cover indirect charges (e.g. overhead, which includes rent, utilities, communication, etc.). If the applicant has an Indirect Cost Rate percentage, please include how the indirect rates were determined. 20

21 Annex 4: Past Performance Form 1. DONOR AWARD YEAR AMOUNT (UGX) PURPOSE

22 ANNEX L: UGANDA LOCAL PER DIEM POLICY EFFECTIVE DATE: NOVEMBER 1, ) URC EMPLOYEE AND CONSULTANTS PERDIEM RATE: URC employees and consultants are eligible to receive per diem for official travel away from the official duty station exceeding twelve (12) hours. Per diem is composed of two parts M&IE (meals and incidental expenses) and Lodging. M&IE is intended to cover meals, snacks, laundry, personal phone calls, transportation to/from dinner and other personal expenses which may arise during a business trip. M&IE is broken down by the US Government in the following way: 15% of rate is for breakfast 25% of rate is for lunch 40% of rate is for dinner 20% of rate for incidentals expenses M&IE Application Travel is Your allowance is More than 12 hours by less than 24 hours 75% of the applicable M&IE rate for each calendar day you are in travel status 24 hours or more Departure Day 75% of the applicable M&IE rate Full Travel Days 100% of the applicable M&IE rate Last Day of Travel 75% of the applicable M&IE rate Lodging is intended to cover the actual cost of a hotel room. Per-diem Rate The current per diem rate for URC employee based in Uganda is as follows: M&IE Safari Day Allowance Lodging 100,000 UGX/day 25,000 UGX/day Please see below the maximum lodging rates. For any rates exceeding the lodging rates below, please obtain Chief of Party approval. Lodging rates should not exceed the maximum prescribed in the Department of State Standardized Regulations (DSSR). Lodging maximums are subject to change based on exchange rate fluctuations and changes in the DSSR rates.

23 City Entebbe Fort Portal Gulu Jinja Kampala Mbale Other Lodging Maximum 200,000 UGX 200,000 UGX 170,000 UGX 200,000 UGX 450,000 UGX 200,000 UGX 150,000 UGX Calculation Following submission and approval of the Site Visit Approval or Activity Approval, a travel advance will be given to all employees in the estimated amount for the duration of the trip. Following the trip, the actual expenses will be calculated in accordance to the rules listed below. Following the trip, each employee must fill in a Travel Expense Statement (see Appendix 3) detailing the expenses for that trip. The actual expenses (including other work-related expenses below) will be subtracted from the advance. If the advance is more than actual expenses, the employee must return the balance. If the actual expenses are more than the advance, URC will reimburse the difference upon approval of the Travel Expense Statement. M&IE is calculated according to the following rules: M&IE is provided to staff for any trips away from the office of 12 hours or more. Traveler receives 75% of M&IE rate on the days of travel, specifically the day they leave home and return home, irrespective of the time they have left or returned. For Uganda, this means 75,000UGX on travel days. If a meal (breakfast, lunch, or dinner) is included in a meeting, training, workshop, conference or other event, that meal will be deducted at the percentage listed above. A project cannot pay an employee twice for one meal by paying per diem and covering lunch. Please note that this is true across any projects that are paid for by the USG. For example, on days where lunch is provided at a learning session, employees will receive their per diem LESS 25,000UGX (25% 100,000UGX). This holds true if an employee attends - another project s event and is provided lunch. If you are traveling and having a meal paid on the same day, there will be two deductions. For instance, on the last day of a learning session, you receive lunch and are returning home. In this case, the base rate will be 75% or 75,000UGX for a travel day, then an additional 25% of the total rate is deducted, or 25,000UGX, so the total amount received for that day will be UGX 50,000. Safari day allowance is provided to staff for field trips away from the duty office/station (city/ town) for more than 6 hours in which lunch is not provided by URC or another partner organization. Lodging is intended for employees who work and spend a night outside their workstation and shall be done as below;

24 The Organization shall establish formal agreements for Lodging/ accommodation for her employees while on duty in all the places/ regions in Uganda, except where it is proved unnecessary or impossible, then, such a request must be approved by the Chief of Party. The procurement process of the lodging/ accommodation facilities shall be centrally controlled by the organization to avoid cash transactions by employees, and all the payment shall be made by the central office either by check or direct bank transactions. The procurement department shall carry out strategic negotiations to ensure the best services at a good price. The facilities must be evaluated before agreements are formalized to ensure all hotels meet the following minimum conditions such as below; 1. Costs/ prices that are competitive and within the organization s budget, and such entities must be able to transact through check or bank transactions. 2. Clean, decent facilities with minimal noise interruptions. 3. Distinguished ability to demonstrate people handling. 4. Hotels that offer clean and spacious rooms for facilities and to allow staff make use of the working tables while in the field 5. Hotels that offer adequate security to guest vehicles and to an extent, staff property. 6. Clean hotel sanitation facilities, ease of accessibility and availability of parking space 7. Good meals prepared in a hygienically acceptable kitchen. (Quality in their service) 8. Internet services or and secretarial bureau Upon the approval of the activity trip, the administration personnel in charge of accommodation shall arrange and book for the employees. The employee shall receive the accommodation/lodging invoices clearly filled and signed by the vendor and staff member submitting the Travel Expense Statement and hand them in to the person in charge of booking accommodation at office. The admin personnel receiving the invoices of accommodation shall verify the details there in and submit them to finance for payment. If the employee is working in areas where no formal lodging agreement is established, he/she will seek approval of the Chief of Party prior paying cash. 2) NON-URC STAFF (GoU) PERDIEM, TRANSPORTATION AND FACILITATION RATES: This will be paid based on the USAID Mission instructions and allowed rates 3) NON-URC STAFF PERDIEM, TRANSPORATION AND FACILITATION RATES: Please refer to URC policies and procedures.

25 4) SPECIAL CIRCUMSTANCES: Per diem: The above per diem rate for Non-URC staff includes lodging rate as well (for travel over 12 hours). However, in certain circumstances when lodging is not available within the maximum set forth in this policy and the participation of the non-urc staff is essential for the project success, the Chief of Party will need to provide approval. Lodging and M&IE rates should not exceed the maximum set forth in the Department of State Standardized Regulations (DSSR). 5) TRANSPORTATION REFUND TO URC AND NON URC STAFF: Transport refunds to URC staff, participants, ministry official, coaches are dealt with as below: For participants using public means, the public rates would be used. For coaches who used their own vehicles, transport reimbursement would be based on total distance covered otherwise known as mileage. Coaches who don t have personal cars Ministry Officials, transport refund would be reimbursed In the event when URC staff uses his/her own car. This requires prior approval from supervisor/cop Actual rate UGX929/km/car Submission of log sheet is MUST. It should cover starting and ending km (odometer), and vehicle number plate URC will arrange it based on the request by URC staff Based on actual rate of diesel or petrol 1litter/ 7km distance N.B. The Average passenger Vehicle of up to 7 seats consumes 1 liter for every 7 Kms. Fuel receipts MUST be provided in this case. For GoU officials, please refer to the Uganda Mission Directive on payments for GoU staff.

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