ACTIVITY REPORT France s indirect contribution to the Global Fund to Fight Aids, Tuberculosis and Malaria

Transcription

1 ACTIVITY REPORT France s indirect contribution to the Global Fund to Fight Aids, and Malaria

2 5 % Initiative ACTIVITY REPORT % Initiative ACTIVITY REPORT CONTENTS Abbreviations and acronyms foreword Editorial 5 % Initiative countries The 5 % Initiative, france s indirect contribution to the global fund Technical expertise the core of the 5 % Initiative Channel 1 technical expertise missions Channel 2 : initial project selection Perspectives Annex 1 - List of approved channel 1 missions Annex 2 - Budget Credit : Global Fund / Nana Kofi Acquah 2 3

3 5 % Initiative ACTIVITY REPORT % Initiative ACTIVITY REPORT ABBREVIATIONS AND ACRONYMS FOREWORD AFD CICID NAC FEI GF GIZ GMS IDU JURTA MAE French Development Agency / Agence Française de développement Country Coordinating Mechanism Interministerial committee for international cooperation and development / Comité interministériel de la coopération internationale et du développement National AIDS Council France Expertise Internationale Global Fund to fight AIDS, tuberculosis malaria German Society for International Cooperation / Deutsche Gesellschaft für Internationale Zusammenarbeit Grant Management Solutions Injected Drug User Joint United Nations Regional Team on AIDS French Ministry of Foreign Affairs MDG MSM NACP NFM NMCP NTCP ODA PLHIV PR SR TFM UNITAID USAID WHO ZSP Millennium Development Goals Men who have Sex with Men National Aids Control Programme New Funding Model National Malaria Control Programme National Control Programme Official Development Assistance People Living With HIV Principal Recipient Sub-Recipient Transitional Funding Mechanism International Drug Purchase Facility United States Agency for International Development World Health Organisation Priority Solidarity Zone It is with both pleasure and pride that I provide the introduction to this first report on the activities of the 5 % Initiative on AIDS, and Malaria in my new post as Ambassador for the fight against and communicable diseases. It is an innovative approach that already has some striking results to its credit. Thanks to the combined efforts of all concerned, in the beneficiary countries and in Paris, the 5 % Initiative is acknowledged as a major vector for French commitment to control the great pandemics. It has arrived at the right time, just when the Global Fund is implementing its new funding model, and it is the wish of all of us to contribute to an optimal sanitary impact for our programmes. We all understand that the strengthening of health systems will be crucial. The 5 % Initiative is a new instrument for solidarity in the French-speaking community. It is innovative in several ways. It acts as an interface between multilateral and bilateral assistance. Its underlying philosophy is to provide a response to demand that matches need as closely as possible : governments and civil society are at the heart of the process ; the manner in which programmes are implemented and their duration are as flexible as possible. Channel 2, which is unique in the field of international technical expertise, has opened up totally new prospects for solid partnerships between French-speaking stakeholders. The foundation of 5 % Initiative is the excellence of French-speaking expertise, which is put to good use for the major international actors in the health sphere. As a brand new public body, France Expertise Internationale has been fully up to the task in what is a worthy programme. I wish to express sincere thanks to its teams for the remarkable work that has been done. Its successes are also owed to the network of regional health cooperation counsellors who work daily to ensure that programmes unfold satisfactorily, as well as to the communities of scientific bodies and non-profit associations engaged in involved in the fight against the three diseases. At a time when scientific progress is definitely slowing the spread of the pandemics, we must continue more than ever to be innovative in our programmes. We need to ensure that in the coming months the 5 % approach becomes even more effective through meticulous feedback from projects and wide dissemination of good practice. Philippe Meunier Ambassador for the fight against HIV and communicable diseases 4 5

4 5 % Initiative ACTIVITY REPORT % Initiative ACTIVITY REPORT EDITORIAL As a public international cooperation agency answering to the French Ministry of Foreign Affairs, FEI has been acting as an operator for over 1 years in fields relating to the Millennium Development Goals, governance, stability & security and post-crisis situations. FEI s core task in this context is to help provide solutions to the major challenges of globalisation by promoting and disseminating expertise, skills, talent and know-how. In this context, the fight against the major pandemics is quite clearly among the most crucial challenges to face international solidarity and cooperation. At the request of the Ministry of Foreign Affairs, FEI focused on the issues, and launched the 5 % Initiative towards the end of 211. The 5 % Initiative started in 212 and was soon up and running : - More than 5 expert missions were approved to help 22 countries in Africa and Southeast Asia, representing over 5,5 days of expertise ( Channel 1). - A complete funding process was defined in less than eight months, from the partner consultation phase to ensure concerted definition of funding priorities right up to the selection of projects (Initiative Channel 2). - A 1-strong dedicated team at FEI headquarters has been set up to manage the 5 % Initiative and act as a secretariat for the Steering Committee. In accordance with Steering Committee decisions and working in close conjunction with the Global Fund Secretariat, FEI endeavours to ensure that the 5 % Initiative is guided by core principles of French official development assistance : - Ownership of the assistance : the 5 % Initiative is a mechanism whose core task is to respond to requests from countries, and for that reason all of its procedures are aimed at ensuring beneficiaries ownership of the relevant activities as far as possible. - Innovation for effective assistance : this scheme enables France to enhance its support for the Global Fund, to which, as the world s second biggest donor, its contributions stand at 2.6 billion since the Fund s origins. In 212, the Initiative helped build capacity for 19 Principal Recipients and sub-beneficiaries. The operational research projects it finances will notably enable France to contribute to stronger evaluation mechanisms for malaria control programmes in five countries. - Priority for French-speaking countries, for the poorest countries and for vulnerable population groups. In December 212, three-quarters of funding for 5 % Initiative missions and projects was committed for countries with priority for French ODA 1, most in French-speaking Africa. In providing expertise and funding projects, the 5 % Initiative has already committed over 3.2 m to assisting responses to the three diseases by countries with the most vulnerable population groups : injected drug users and men who have sex with men, as well as migrants, the disabled and children. - Mobilisation and effective use of French-speaking expert networks with selection based on criteria of merit and transparency, in addition to setting up a robust system for monitoring and evaluation the quality of the expertise and the outcomes of the activities conducted. Transparency and accountability for use of the funds provided and the outcomes produced are an integral part of FEI s mandate. The intention of the present Report, like the dedicated 5 % Initiative website : is to contribute to that. In the name of the whole FEI team, allow me to hope that you will find this first Activity Report interesting reading. Cyrille Pierre General Manager, FEI 1. Countries with priority for French official development assistance : Benin, Burkina Faso, Burundi, Central African Republic, Chad, Comoros, Democratic Republic of Congo, Djibouti, Ghana, Guinea Conakry,, Mali, Mauritania,, Senegal, 6 Togo and Afghanistan, Haiti, Burma and the Palestinian Territories. 7

5 5 % Initiative ACTIVITY REPORT % Initiative ACTIVITY REPORT % INITIATIVE COUNTRIES Secretariat of the 5 % Initiative 22 countries 51 COUNTRIES ARE ELIGIBLE FOR THE 5 % INITIATIVE : The core target comprises countries with priority for French ODA, i.e. Benin, Burkina Faso, Burundi, Central African Republic, Chad, Comoros, Democratic Republic of Congo, Djibouti, Ghana, Guinea Conakry,, Mali, Mauritania,, Senegal, Togo (per the CICID decision of 31 July 213), and countries in crisis exit situations : Afghanistan, Haiti, Burma and the Palestinian Territories. All countries with member or observer status in the Organisation Internationale de la Francophonie (OIF) and benefiting from ODA are also eligible. benefited from expert missions in 212 (Channel 1). Channel 2 projects short-listed in 212 cover 19 countries MauritaniA MALI SnEgal GuinEA-Conakry chad ThaIlande 51 countries Sierra Leone IVORY COAST Burkina- Faso Togo benin DRC Vietnam LAOS LIST OF ELIGIBLE COUNTRIES CameroOn rwanda Cambodia AFGHANISTAN ALBANIA EGYPT EQUATORIAL GUINEA NIGER PALESTINIAN TERRITORIES Gabon Burundi ARMENIA BENIN GABON GEORGIA REPUBLIC OF CONGO REPUBLIC OF MAURITIUS Congo ComorOs BOSNIA-HERZEGOVINA BURKINA-FASO GHANA GUINEA-BISSAU RWANDA SÃO TOMÉ AND PRÍNCIPE BURUNDI GUINEA-CONAKRY SAINT LUCIA CAMBODIA HAITI SENEGAL CAMEROON IVORY COAST SERBIA CAPE VERDE LAOS THAILAND CENTRAL AFRICAN LEBANON THE FORMER YUGOSLAV REPUBLIC CHAD MADAGAS MALI REPUBLIC OF MACEDONIA TOGO ELIGIBLE COUNTRIES COMOROS MAURITANIA TUNISIA DEMOCRATIC REPUBLIC OF CONGO MOLDAVIA MONTENEGRO UKRAINE URUGUAY PRIORITY COUNTRIES DJIBOUTI DOMINICA MOROCCO MOZAMBIQUE VANUATU VIETNAM CHANNEL 1 DOMINICAN REPUBLIC MYANMAR Channel 2 8 9

6 5 % Initiative ACTIVITY REPORT % Initiative ACTIVITY REPORT THE 5 % INITIATIVE, FRANCE S INDIRECT CONTRIBUTION TO THE GLOBAL FUND Mission : To meet the need for technical expertise in French-speaking countries in order to assist the latter in the design, implementation and monitoring & evaluation of Global Fund grants. Objectives : To build capacity in beneficiary countries and enhance the sanitary impact of programmes. The 5 % Initiative is an innovative method of providing bilateral support, and represents a strengthening of France s commitment to the Global Fund and a reaffirmation of France s priorities for official development assistance with regard to the application of grants. Implemented by FEI under the oversight of the French Ministry of Foreign Affairs and a pluralistic Steering Committee, the 5 % Initiative makes use of two mutually complementary forms of action. FORMS OF ACTION ADOPTED BY THE 5 % INITIATIVE Channel 1 : short-term mobilisation of expertise This Channel is available throughout the year and is focused exclusively on requests from actors in the eligible countries (, Principal Recipients and sub-beneficiaries of grants, or other national actors fighting the diseases). Requests must be submitted to the SCAC (Service de coopération et d action culturelle / Department of cooperation and cultural action) at the French Embassy in the country using the format provided on the 5 % Initiative website. Missions may be conducted in any thematic area that complements Global Fund grants over a maximum duration of 12 months. From December 211 to December 212, 53 expert missions were approved for a total amount of 5.5 m. Channel 2 : project funding Each year, two calls for proposals enable projects to be funded on a competitive basis in thematic areas defined as being of priority importance for more robust implementation and monitoring of Global Fund grants. At a consultation workshop attended by partners from over 2 countries, four priority themes were defined : Governance, Health System Strengthening, Procurement and Supply Management and Operational Research. As a result of the calls for proposals in 212, 14 projects were approved for total funding of 14.2 m. THERE ARE 3 MUTUALLY COMPLEMENTARY STRATEGIC THRUSTS TO 5 % INITIATIVE ACTION : Support for beneficiary countries in employing, monitoring and evaluating grants with a view to : smoothing the grant deployment process by mobilising expertise rapidly to resolve obstacles to the granting of funds or to meet conditions imposed by the Global Fund for the release of grants, Breakdown of budget committed by component - Channel % 36 % 19 % 3 % Cross-Cutting/HSS Malaria HIV Key dates for the 5 % Initiative October 21 : The announcement of this new form of contribution from France at the Pledging Conference for the Third Replenishment of the Global Fund to fight AIDS, and Malaria. 18 November 211 : Signing of a grant agreement between the French Ministry of Foreign Affairs and FEI for the implementation of the 5 % Initiative. 13 December 211 : First meeting of the Initiative s Steering Committee February 212 : Consultation seminar held to define the thematic priorities for Channel 2 funding. 2 March 212 : Signing of a declaration of intent on the 5 % Initiative between the Ministry of Foreign Affairs and the Global Fund. 27 April 212 : Publication of the first calls for proposals. 18 October 212 : First meeting of the shortlist committee for Channel 2 projects. building capacity and strengthening systems : - For the implementation of activities and programmatic and financial management of grants : 21 Channel 1 missions helped strengthen 17 Principal Recipients and sub-beneficiaries in 212. In the case of Channel 2, 6 projects to strengthen systems and build capacity for healthcare personnel were approved, for a total amount of 6.5 m. - For enhanced management of the procurement and supply of medical commodities : 12 Channel 1 missions helped reinforce the various stages in the management cycle for procurement and supply and the pharmaceutical arrangements in 18 countries. This thematic area is covered by a special Channel 2 funding cycle in For enhanced monitoring, evaluation and operational research : 11 missions built extra capacity for 9 beneficiaries in terms of programme monitoring and evaluation. Two monitoring & evaluation projects and six operational research projects were approved for a total amount of 7.6 m. Strengthening grant governance and access to finance : Support to s : The Country Coordinating Mechanisms in 6 countries were assisted in 212 by means of seven 5 % Initiative Channel 1 missions (governance and strategic monitoring of grants). Strategies and access to funding : In 212 the 5 % Initiative assisted in 6 negotiations or requests for funding (Phase 2 and Transitional Funding Mechanism), as well as acting ahead of and in support of those requests, helping to draft 4 national strategic documents. Strengthening the role and capabilities of civil society : Channel 1 missions assisted 5 organisations in the civil societies of 4 beneficiary countries. In addition, the strengthening of the role of civil society is among the objectives of the 213 calls for proposals for Channel 2 projects. Alignment with French ODA priorities : 75 % of funding for 5 % Initiative missions and projects has been committed for 13 of the 14 countries with priority for French ODA 2. THE KEY FACTORS FOR THE SUCCESS OF THE 5 % INITIATIVE Ownership of the support : a focus on requests and partnership-based approaches Under Channel 1 of the Initiative expertise missions are deployed only if requested by the beneficiary in order to ensure their ownership and thereby their effectiveness. An agreement signed between FEI and the beneficiary ensures that the responsibilities of each are formalised in the context of mission performance. France Expertise Internationale (FEI) As an industrial and commercial public agency operating under the oversight of the French Ministry of Foreign Affairs, FEI provides engineering and project management services for fund donors and bilateral and multilateral clients. FEI programmes cover a range of topics that is broad and diverse : democratic governance ; assistance in defining and implementing public policy in areas relating to Millennium Development Goals and poverty reduction ; sustainable development and stability (environment, prevention, security and safety) ; programmes in post-crisis situations and civilian crisis management. FEI is also involved in the research and technology sector. 212 : Turnover : 28.2 million A portfolio of 179 projects 21,185 man-days of expertise in over 6 countries A 6-strong headquarters team Global geographical coverage Under Channel 2, all projects submitted must be conducted in partnership with organisations in the beneficiary country. The relevant and genuine character of such partnerships, plus the beneficiary s ownership of the project, are important criteria when evaluating projects. The responsiveness of the mechanism Between December 211 and December 212, 53 missions were approved under Channel 1 of the Initiative, and of those 9 % are now ongoing or have been completed. In the case of Channel 2, the first projects were short-listed in October 212, i.e. 8 months after the consultation seminar produced a definition of the thematic priorities. The first projects started less than a year after this seminar. Broad mobilisation of French-speaking expertise actors and networks The foundation of success for the 5 % Initiative is broadlybased ownership and participation by French-speaking networks : the involvement of Embassies, notably including Regional Health Cooperation Counsellors responsible for drafting a notice of opportunity on the relevance of of each Channel 1 request and on Channel 2 projects, use of partners based in the relevant countries (e.g. non-profit associations, research institutes), and organisations in the non-profit association sector or the private sector for the provision of expertise (14 organisations have joined the 5 % Network ). 2. In accordance with the CICID decision of 31 July 213, France will concentrate at least half of its grant funding on 16 priority countries. 1 11

7 5 % Initiative ACTIVITY REPORT % Initiative ACTIVITY REPORT Pluralistic management Membership of the Initiative s Steering Committee comprises actors from the public sector and non-profit associations involved in the fight against the three diseases. Meeting once a fortnight, the Committee pronounces on Channel 1 requests for expertise and the policy focuses of the 5 % Initiative. Once a year, meeting as the Shortlist Committee in the presence of observers, it rules on proposals for Channel 2 projects. Under the chairmanship of the MAE Sub-directorate for Health, Food security and Human Development, the following are members : - The Ambassador for the fight against HIV/AIDS and communicable diseases (MAE), - The MAE Programmes and Network Department, - The French Development Agency (AFD), - The French Ministry for Social Affairs and Health, - ESTHER, - The French Red Cross, - Two French NGOs : AIDES and Solthis (Sidaction and Solidarité Sida acting as deputies). tiative under GIZ management), the United States (USAID, which also notably supervises the GMS programme) and France (MAE and FEI). This group works with support from the Global Fund Secretariat on improving the coordination of activities by systematically exchanging information, conducting joint activities and sharing tools. Multilaterally, coordination mechanisms have been implemented with UNAIDS (in Geneva, and with the West and Central Africa support team office, also including the JURTA coordinating group), the Stop TB partnership, the Roll Back Malaria (RBM) partnership and WHO. Status of beneficiaries Channel % 23 % 47 % 21 % Formation of a dedicated team : Other SR PR To provide backup for implementation and secretarial functions for the 5 % Initiative, FEI has formed a dedicated team in the Department of Operations and Development. Department of Operations and Development Alexandre Gronier Project Managers Dehbia KROUK, Central African region Adeline LAUTISSIER, Asia region Thierry RAMOS East and North Africa region Anne-Gaëlle ROLLAND, West Africa region Stéphanie TCHIOMBIANO, West Africa region FEI General Manager cyrille pierre 5 % Initiative Mission Director Audrey Giret Finance & Administration Department Support staff André DUCHENE, Finance & Administration Manager Néra KHAMVONGSA, Project Assistant Solène de MONTMARIN, Communications Officer Nicolas PAZERY, Monitoring & Evaluation Manager Under the supervision of a Mission Director, this team is responsible for the following : Close collaboration with the Global Fund Secretariat and Technical and Financial Partners The 5 % Initiative has worked in close conjunction with the Global Fund Secretariat from the outset. Specifically, the feedback of the Global Fund portfolio managers is sought for each application for expertise request under Channel 1, as it is for Channel 2 projects. The Global Fund Secretariat also participates as an observer in meetings of the Channel 2 Shortlist Committee. In addition to daily contacts between teams, coordination is provided by briefing meetings in Geneva or Paris and the execution of joint missions in priority countries for the Initiative. Coordination mechanisms have also been put in place with the Technical and Financial Partners. At bilateral level, a coordinating group has been set up with membership from the three countries running technical expertise programmes to support Global Fund grants : Germany (the BACKUP ini- - Steering Committee secretarial functions. - Preparation and implementation of Channel 1 missions. - Preparation of calls for Channel 2 projects, oversight of the evaluation process, negotiation and signing of grant agreements with project promoters, plus monitoring and evaluation. - Financial and administrative management for the Initiative. - Organisation of Initiative events. - Initiative communication activities and documentation. - Monitoring and evaluation of the Initiative and drafting annual activity reports. Breakdown of budget committed by thematic area Channel ( 5,5 m) 8 % 14 % 25 % 9 % 13 % 31 % Healthcare Management capacity Governance (inc. NSP) Access to funding Sanitary information system Health products Credit : Global Fund / John Rae 12 13

8 5 % Initiative ACTIVITY REPORT % Initiative ACTIVITY REPORT TECHNICAL EXPERTISE THE CORE OF THE 5 % INITIATIVE The private sector, non-profit associations, the public and hospital sector, research networks and individual consultants the 5 % Initiative can call on a wide diversity of networks of French-speaking technical experts in the fields of health and programme management with a view to providing a high-quality response that matches the needs of beneficiary countries. SELECTION OF THE BEST EXPERTISE To get the most out of these diverse, mutually complementary networks and provide each beneficiary with the best expertise, FEI has set up a system based on competition and transparency. Any individual expert, irrespective of his or her nationality, can respond to a call for applications. To do so, the expert must be registered in the health sector in the FEI CV database : Number of days expert assistance approved per component Channel % 33 % 14 % 31 % Malaria HIV THE 5 % NETWORK The 5 % network was set up in order to ensure the availability of the best expertise for Channel 1 missions, based on a fast processing system for the calls for applications (timeframe two weeks). Membership of the network is embodied in a frame agreement signed with FEI. Participation in the 5 % Initiative Network is open to all legal entities (public bodies, private organisations, non-profit associations, etc.) based in France, in French-speaking countries or countries eligible for the 5 % Initiative. A call for declarations of interest is made to enable the latter to apply to join the network and demonstrate their capacity for financial management and their ability to provide expertise in the relevant fields : control of HIV, tuberculosis and malaria, health system strengthening, impact measurement and evaluation in the public health sphere, as well assistance for grant management and monitoring & evaluation in the health sector. A further call for declarations of interest will be made in ORGANISATIONS ARE MEMBERS OF THE 5 % NETWORK : Channel 1 missions approved by the Steering Committee lead to calls for applications from individual experts and members of a network of partners, the 5 % Network. Selection is based on the quality of experts professional profiles, which are submitted to the beneficiary for approval. CHANNEL 1 EXPERTISE IN FIGURES : - 53 Channel 1 missions approved in 211 and 212, representing 129 expert appointments published calls for applications % of posts appointed went to individual consultants and 34 % to 5 % Network organisations. 3-6 grant agreements were signed with organisations specifically requested by beneficiaries (on an actual cost reimbursement basis). - Of the 11 experts appointed to the 129 posts : 85 % were international experts (including 3 % nationals of beneficiary countries), and 15 % national consultants ; 33 % were women. COMPETITION BETWEEN ORGANISATIONS AND INDIVIDUAL EXPERTS? The initial evaluation is based on experts CVs or even on the proposed methodologies when these have been requested by FEI. In order to avoid penalising 5 % Network organisations, which must inevitably factor in extra costs compared with individual candidates, their added-value in terms of management, monitoring and quality control is taken into account in the financial assessment of each submission. LONG-TERM SUPPORT FOR PARTNERSHIPS In certain cases a beneficiary of expertise can ask in its request to receive expertise from a specific organisation. Such a choice needs to be justified by that organisation s capacity to provide expertise and by a history of cooperation between the organisations. This option of specifying a particular organisation is available only for non-profit organisations, which are reimbursed in accordance with the actual cost of the expertise provided. The absence of competitive award arrangements must be validated by the Steering Committee in all cases. COORDINATING AND ASSISTING THE PROVISION OF EXPERTISE : THE ROLE OF FEI Expertise is provided in all cases by FEI either directly in the case of individual consultants, through 5 % Network partners or organisations specified by the beneficiary. The project managers of the FEI 5 % Initiative team are responsible for preparing the mission : drafting the terms of reference in conjunction with the beneficiary, coordinating with the manager of the Global Fund portfolio, briefings and discussions with the Technical and Financial Partners, the Embassy and regional health cooperation counsellors, and framing the parameters relating to the logistics and timetable. Project managers discuss all aspects of the mission with the experts (background, methodology, expected outcomes, etc.). And lastly, the FEI team monitors the expert mission, analyses the quality of the deliverables and evaluates the mission. 3. The 5 % Network was set up in stages in

9 5 % Initiative ACTIVITY REPORT % Initiative ACTIVITY REPORT CHANNEL 1 TECHNICAL EXPERTISE MISSIONS DECEMBER 211 TO 31 DECEMBER 212 Reference for epidemiological and budget data : Global Fund (213) and UNAIDS (212) WEST AFRICA BURKINA FASO Support in drawing up requests for extension to Phase 2 of Round 8 tuberculosis Burkina Faso receives Round 8 grant funding for enhancement of tuberculosis control. The entrusted joint implementation of this grant to a Principal Recipient in the public-sector system, PADS (Programme d appui au développement sanitaire / Sanitary Development Support Programme) and a civil society organisation, PAMAC (Programme d Appui au Monde Associatif et Communautaire / Support Programme for Associations and Community-based Organisations). At the request of the Principal Recipients, two experts assisted them in drawing up their Phase 2 submission. In addition to the application form, redefinition of the action plan and the budget for Phase 2, this supporting expertise also notably led to the definition of a more suitable performance framework compliant with the latest WHO recommendations. The Global Fund approved the renewal of the grant for three further years. In 212 a capacity-building mission for strategic monitoring was also approved for implementation in 213. Support for the renewal of the Global Fund grant Guinea received a Round 9 grant from 1 October 21 for a period of five years. Access to this funding was all the more important given that the Global Fund provides 9 % of all finance for the control of tuberculosis in Guinea. During the negotiations for the extension to Phase 2, the National Control Programme (NTCP), the Principal Recipient of the grant, approached the 5 % Initiative for technical expertise. Two further missions were conducted in Guinea to support the NTCP with this process. The first related to aspects linked to the budgeting of the new action plan. Subsequently, following the Global Fund s rejection of the application submitted by Guinea, a second mission was organised to assist the Guinean partners in drawing up the complete document set for renewal of the funding : application form, performance framework, monitoring & evaluation plan, budget and procurement and supply management plan. This support enabled the NTCP to submit a revised application for grant renewal that was more coherent and compliant with Global Fund guidelines, and the funding was approved. Also : a mission to assist the NAC in performing Round 1 grant activities was approved and will be implemented in 213. GUINEA IVORY COAST Support for negotiating and managing Global Fund grants As the only country in the sub-region to be included in the High Impact portfolio in the context of Global Fund reform, Côte d Ivoire has become a priority country for efforts to control the three pandemics, largely because of its HIV-related context and political instability in recent years, which has led to interruptions in the national response to the pandemics. Côte d Ivoire also evidences a worrying incidence of tuberculosis : with 26, new cases detected in 212 (6 % the contagious form of the disease) and a rate of TB/HIV co-infection of 26 %, tuberculosis remains a major public health problem in that country. Côte d Ivoire receives funding from the Global Fund under consolidated Rounds 6 and 9 for the component. Implementation of Phase I (1 July December 212) was carried out by two Principal Recipients : the National Control Programme in the public sector (USD8.8m) and Caritas CI, in the communitybased sector (USD2.6m). Caritas CI has become the very first community organisation in the country to be a Principal Recipient of a Global Fund grant against tuberculosis. A technical expert in the management of Global Fund grants performed a number of missions for the 5 % Initiative in 212 in order to back-up Caritas CI in negotiating and executing the grant agreement as well as in selecting small and medium-sized organisations, the equivalents of sub-beneficiaries. The first part of this technical expertise facilitated the execution of the grant agreement in January 213. Support for capacity building The context in Mali has been particularly difficult in recent years due to the suspension of certain grants from the Global Fund following investigations by the Office of the Inspector General over the period February 21 to February 211. With a view to preparing the gradual resumption of Global Fund finance for control of tuberculosis, technical expertise was requested by the National Control Programme. Two experts, medical specialists in public health, were assigned to the new NTCP team to strengthen its organisation and help ensure the resumption of activities. The mission provided support in drawing up a new strategic plan for tuberculosis control for the years and a number of key documents : the technical assistance plan, the guide to supervision of activities on the ground and the shortcourse treatment protocol for multiresistant tuberculosis. Support for the management and community deployment of Global Fund grants One of the particular features of the fight against AIDS in Mali is the dynamic character of civil society. Its involvement is especially important where the provision of care to patients is concerned since two-thirds of all sufferers receiving ARV treatment are in the care of non-profit organizations. Associations of HIV-positive patients play an essential part in the overall provision of care to patients and the Mali Network of People Living with HIV/AIDS (RMAP+) has for many years been among the most highly organised and active bodies of this kind in West Africa. Indeed, Mali is one of the rare African countries to have elected a representative of those living with HIV/AIDS as the head of its. RMAP+, created in 25, has set itself the target of improving the socioeconomic conditions of people living with HIV/AIDS and facilitating their access to care. The structure of RMAP+ is that of a network of associations and it currently has 49 member bodies across the whole of the country. MALI 16 17

10 5 % Initiative ACTIVITY REPORT % Initiative ACTIVITY REPORT Four of those associations, as RMAP+ Global Fund Sub-Recipients, were the focus of an expert mission funded by the 5 % Initiative and implemented by AFRICASO. The capabilities of RMAP+ teams and the associations concerned were strengthened in the areas of grant management and deployment. In 212 approval was also given to a mission to assist Arcad Sida. This comprised three capacity-building components : communication, monitoring & evaluation and financial management. This mission is being conducted in 213. MAURITANIA Training in therapeutic education for people living with Following the suspension of Global Fund grants in Mauritania for a period of two years, a service continuity plan was put in place to provide access to treatment for enrolled HIV-positive patients. The national strategy recommends that overall care provision for those living with HIV should be aimed ensuring their autonomy and participation in their own treatment. Such empowerment is possible only if HIV-positive patients undergoing ARV treatment possess the right information on their condition, the treatment they are receiving and the importance of regular observance. Despite the fact that the importance of therapeutic education has been extensively demonstrated in the scientific literature, it has hitherto been absent from the training dispensed to healthcare personnel in Mauritania. The Mauritanian authorities involved in controlling AIDS requested technical expertise with the primary purpose of assessing the knowledge and practice of healthcare personnel involved in caring for HIV-positive patients where therapeutic education is concerned. The above mission, which was conducted by the French Red Cross, also led to capacity-building for medical and paramedical personnel in four care facilities in Nouakchott, Kaedi, Kiffa and Nouadhibou, by holding a number of training sessions whose modules will be available for reuse as reference documents across Mauritania as a whole. A further mission was approved in 212 at the request of the National Executive Secretariat to Control AIDS (SENLS) in order to assist in drafting the national plan for the monitoring and evaluation of the National AIDS Control Programme and the production of the manual for financial management of Global Fund grants. Implementation is under way in 213. NIGER Support for drafting normative documents for the decentralisation of care provision for people living with Coverage of ARV needs in continues to be relatively limited (41 %). In order to achieve the goal of universal access that this country has set itself, the requirements to be met are estimated at 1, PLHIV to be enrolled over the next three years, or approximately ten new patients for ARV treatment per day over the period to end 215. This means that decentralisation is both urgent and imperative if the target is to be met. Although was one of the last countries in the sub-region to gain access to antiretroviral drugs, it is currently in an essential phase of decentralisation of care provision for HIV-positive patients across its national territory. The Ministry of Health s AIDS Control Unit (ULSS) requested technical expertise in drawing up a number of normative documents relating to overall care provision for patients, adopting three mutually complementary focuses. The 5 % Initiative expert mission provided support for the definition of an operational decentralisation plan for access to treatment, a national screening strategy and a policy for the psychosocial support of HIV-positive patients. In addition to drafting normative documentation for standardisation of practice between regions, the mission allowed the key issues arising from investment priorities in a context of limited resources to be addressed with all the partners. Diagnostic analysis of requirements s Country Coordinating Mechanism () was renewed on 22 February 212 by official order of the country s Prime Minister. Alongside this, two new committees were set up : a strategic monitoring committee and a committee for the development of proposals. It was in this context that the submitted a request for technical expertise in evaluating its capacity-building requirements. This mission for the analysis of institutional needs related to the structure, organisation and functioning of the (membership, committees and secretariat). The activities financed by grants from the Global Fund and their interfacing with national programmes to control the three pandemics were also examined, along with the monitoring of grants from a strategic standpoint and relations with the Principal Recipients. The mission highlighted the necessity of revisiting many of the procedures already in place in order to ensure their compliance with Global Fund guide-lines, improving strategic monitoring of grants and capacity-building for members. These items are a central part of a skill-building mission to be conducted in 213. Support for drafting an HIV application under the Transitional Funding Mechanism Against a backdrop of increasingly scarce resources and following the cancellation of Round 11, the Global Fund put in place a Transitional Funding Mechanism (TFM) whose purpose is to maintain activities essential to controlling the three pandemics in beneficiary countries. Following the rejection of two consecutive applications (Rounds 9 and 1) and the cancellation of Round 11, acceptance of its HIV application under the TFM was imperative for. The and CISLS (Coordination Intersectorielle de Lutte contre les IST/VIH Inter-sectoral coordination of the fight against STIs/HIV), as Principal Recipient for the HIV component, sought technical expertise in drafting the application. Three technical experts were assigned to contribute to this process : one specialist to help in drafting the application generally, another in estimating targets and defining the performance framework and the third in defining the procurement and supply management plan. One special feature of this assignment was coordination with a fourth expert assigned for the budget definition component by the BACKUP Initiative run by GIZ. One of the three technical experts was also asked to assist in responding to Global Fund requests for clarification. The funding application was approved, thus ensuring continuity of provision of essential AIDS services in

11 5 % Initiative ACTIVITY REPORT % Initiative ACTIVITY REPORT SENEGAL In Senegal, public health policy assigns a major role to epidemiological surveillance, reproductive health, STIs/AIDS and the control of endemic diseases. Malaria, which continues to be one of the primary causes of disease, is thus currently in retreat thanks to the extensive work done by the National Malaria Control Programme (NMCP) and its partners across the country. The level of HIV prevalence, which is relatively low in the general population (.7 %) and the satisfactory level of treatment provision (Senegal was the first African country to institute free provision of ARV drugs as long ago as 23) has enabled Senegal to focus its efforts on marginalised population groups, these being the hardest hit by the epidemic (18.5 % HIV prevalence among sex workers, 21.8 % among Men who have Sex with Men and 9.2 % among Injected drug users). Support for the integrated IDU care provision project As a pioneer in care provision for PLHIV in West Africa, the Strategic Plan to Control AIDS included IDUs very early on as one of the groups most exposed to HIV. En 212, the NAC wished to adjust its national care provision policy to this specific target group and its needs. A 5 % Initiative mission thus led to the finalisation of the project for a national strategy in terms of its technical (i.e. medical, social, psychosocial, legal) and financial aspects. This strategy has already been approved by the health authorities and included in the Strategic Plan to Control AIDS for , and in the Round 9 Phase II budget financed by the Global Fund following reprogramming. Support for setting up a system for the consolidation of medical monitoring data The decentralisation of PLHIV care provision has led to the accreditation of drug dispensing centres across the country. Of the facilities in which care is provided (both public-sector and community-based), 53 handle 75 % of all enrolled patients in Togo using ESOPE case monitoring software (developed by EpiConcept, at the instigation of ESTHER). The NMCP wants to able to aggregate and analyse data derived from medical monitoring at national level. A assignment conducted under the 5 % Initiative by EpiConcept has enabled evaluation and adaptation of the use of this software for all the sites involved as well as installation of the relevant software at national level. The mission is still ongoing in 213 in order to develop the program further to meet new needs identified in the course of the national evaluation and the feedback workshop organised by the main actors engaged in controlling HIV in Togo. An expert mission was also approved in 212 to assist Togo in drawing up its framing document for policy on prevention and treatment in population groups most exposed to HIV risk. Implementation is ongoing in 213. REGIONAL MISSION : ANALYSIS OF CAPACITY-BUILDING REQUIREMENTS FOR MEDICAL TESTING LABORATORIES Diagnostic analysis of NMCP capacity-building requirements Following a change of NMCP leadership, the Plan sought help from the 5 % Initiative in providing a assignment to evaluate its teams procedures and capabilities for the deployment of grants from the Global Fund. This mission led to confirmation of programme capability and identified specific requirements for the procurement route, which has led in turn in 213 to a mission to assist the National Procurement Pharmacy (PNA). Free ARV provision, which began in 28, plus financial support from the Global Fund, has allowed treatment to be provided to approximately 24, patients. With prevalence in the general adult population estimated at 3.2 %, concentrated mainly in urban and periurban areas, the epidemic is currently in the process of being stabilised. Togo is among the West African countries where the incidence of HIV infection has declined by over 25 % in the last ten years. Support for the strategic monitoring of Global Fund grants Togo is currently the beneficiary of three Global Fund grants (Round 6, consolidated Rounds 8 and 9 HIV, consolidated Rounds 9 and 11 Malaria). The Global Fund has pointed to persistent difficulties in monitoring the use of grants and Principal Recipients, and Togo s called on the 5 % Initiative to assist it in implementing a strategic monitoring system to meet its needs. A number of training and monitoring missions have thus enabled the and the various PRs to complete and to analyse dashboards for each grant and the Strategic Monitoring Committee to play its role in grant deployment to the full. TOGO BURUNDI In order to improve access to high-quality laboratory services for the prevention and treatment of HIV, tuberculosis, malaria and other infectious and early childhood diseases, seven specialists in quality assurance and laboratory diagnostics were assigned by the Fondation Mérieux to, Benin, Guinea-Conakry and Togo. This expert support provided an analysis of needs in terms of continuous training, quality assurance and epidemiological surveillance in the countries concerned. The action plan defined by the experts contributed to the expansion to these four countries of the RESAOLAB project under Fondation Mérieux management with finance from the French Development Agency (AFD) in Mali, Burkina Faso and Senegal. CENTRAL AFRICA With HIV prevalence standing at 3.6 % in the adult population and a number of active enrolled patients undergoing ARV treatment estimated at 28,, Burundi has based development of its national response to the HIV epidemic specifically on financial support from the Global Fund, which has approved approximately USD15m in HIV grants. Support for in managing ARV purchasing and inventory At the request of the National AIDS Council, the Global Fund Principal Recipient for HIV grants, the 5 % Initiative conducted a 6-month assignment aimed at making the system of management of purchases of HIV products more robust, essentially by assisting in the quantification of requirements and an analysis of what was needed for stronger system coordination. This mission also enabled conditions imposed for release of Global Fund finance to be met. 2 21

12 5 % Initiative ACTIVITY REPORT % Initiative ACTIVITY REPORT ANSS capacity-building The 5 % Initiative conducted, working through Coalition plus and Sidaction, a mission for diagnostic analysis of the ANSS (Association Nationale de Soutien aux Séropositifs et malades du Sida / National association for the support of People living with HIV and AIDS sufferers), a body that monitors the medical cases of 7,337 PLHIV, including 4,13 undergoing ARV treatment, which represents 15 % of ARV coverage in Burundi. The results of this exploratory analysis led to the launch in 213 of a capacity-building mission for the organisation in support of its role as sub-beneficiary. A capacity-building mission in the area of monitoring & evaluation was also approved in 212 for the. This mission is ongoing in 213. Support for financial management and contract award procedures In order to allow resumption of operations under the HIV and grants while awaiting a contractual arrangement with a trustee agency for fund management, a condition to be met for the signing of Phase 2, an interim trustee was put in place by the 5 % Initiative for 6 months with the Principal Recipients at the s request, in order to put the management tools for finance, accounting and contract award in place. This support was supplemented by an additional four-month assignment to strengthen the financial tools for internal control and satisfactory implementation of Global Fund procedures. CHAD Support for the decentralisation of care provision for tuberculosis in Yaoundé Care provision for tuberculosis in Cameroon has improved significantly over the period 25 to 29, with the number of correctly treated tuberculosis sufferers rising from 13,5 to 19,6 (+45 %). This improvement was made possible by support from the Global Fund through deployment of tuberculosis grants, including that currently in progress (CMR-91-G9-T), which covers the period with the objective of achieving a rate of therapeutic success of 85 % at national level, compared with the current figure of 78 %. However, the limited decentralisation of access to treatment (4 % of patients are treated at the main hospitals in Yaoundé and Douala) has a negative impact on continuity of treatment since the travelling distances involved lead to a large number of patients dropping out or being transferred elsewhere. In the case of Yaoundé this resulted in a rate of therapeutic success of 74 % in 211, a figure below the national average, due to the high percentages of drop-outs and transfers, cases for which the medical outcome is unknown. At the request of the NMCP, the 5 % Initiative organised an assignment to define for Yaoundé a plan for the decentralisation of treatment provision for the disease accompanied by training sessions. Its purpose is to reduce the percentage of patients dropping out of the system or being transferred elsewhere, to ensure more robust monitoring of activities and thereby improve cure rates. That plan is currently in operation and has notably resolved the logjam at Janot Hospital (3 % of patients have been referred to other sites for treatment). CAMEROON CENTRAL AFRICAN REPUBLIC Support for tuberculosis control Evaluation of the grant (CAF-911-G9-T) in 211 underscored the need to restore its former level of performance, reorganise diagnostic and treatment services, and strengthen care personnel training in screening and treating tuberculosis in all its forms (adult, paediatric, multiresistant and HIV/TB co-infection). Mandatory preconditions for disbursement have been imposed by the Global Fund. The 5 % Initiative organised four missions for the NTCP throughout 212 as part of an overall programme support process. Those assignments, notably conducted with experts from the International Union Against and Lung Disease, were aimed not only at assisting the NTCP in the areas of coordination, organisation and monitoring & evaluation, but also to facilitate the updating of the main normative documents and the training of healthcare personnel. These technical support missions allowed operations to be resumed, in addition to a substantial upgrading in the grant performance level from B2 to B1. Two further short-term missions assisted the in monitoring grants and supported implementation of the PMTCT component of the Global Fund Round 7 HIV grant. RWANDA REGIONAL MISSION : Support for extension of the grant to Phase 2 Rwanda has received a Global Fund grant for the implementation of its Strategic Control Plan for a total amount of USD41m. prevalence in Rwanda is estimated at 1.2 %. A mission conducted by the 5 % Initiative provided support to the in drawing up its request for Phase 2 extension of the grant. The Global Fund gave its unconditional approval for this finance, in the amount of USD24m. STRENGTHENING THE QUALITY ASSURANCE SYSTEM OF THE CENTRAL PURCHASING ORGANISATION Although the funding allocated to purchasing pharmaceutical commodities has increased, the central purchasing quality assurance systems need to be reinforced in order to guarantee the quality of pharmaceutical commodities. With a view to the long-term viability of national procurement systems and establishing an overview of the difficulties currently encountered by the central medical stores of Burkina Faso, Burundi, Cameroon, Mali, Mauritania, Chad and Togo, overview assessments of their quality assurance systems have been carried out at the request of the African association of central medical stores for essential drugs (ACAME). A workshop for the final report back to the Chief Executives of the central medical stores was held on December 212 in Ouagadougou. This led to the validation of the experts observations and proposals for strategic and technical policy directions, in order to implement possible projects to strengthen the organisations concerned

13 5 % Initiative ACTIVITY REPORT % Initiative ACTIVITY REPORT REGIONAL MISSION : QUALITY CONTROL AND PHARMACOVIGILANCE The Member States of CEMAC (Economic and Monetary Community of Central Africa) are reliant on OCEAC (Organization of Coordination for the fight against Endemic Diseases in Central Africa) which is specialised in public health issues. In order to consolidate the implementation of a Common Pharmaceutical Policy (CPC) compliant with Global Fund standards, at the request of OCEAC the 5 % Initiative has funded the definition of multi-country projects for the promotion of quality control and pharmacovigilance in Gabon, Chad,, Congo, Cameroon and Equatorial Guinea. The aim of the projects is to set up a viable, ongoing system for the protection of patients, and they have been designed on the basis of a proposed model for the application of systematic organisation of sampling and quality control to pharmaceuticals, in addition to a model for pharmacovigilance at regional level derived from information gathered for each country and patient treatment facility supported by the Global Fund. A mission to conduct a diagnostic analysis of the organisation and capabilities of Mad AIDS resulted in the definition of recommendations to assist the organisation in its role as Global Fund sub-beneficiary. This analysis led on in 213 to a 5 % Initiative capacity-building mission for the association with a focus on grant management and monitoring & evaluation. Capacity-building for the central purchasing organisation The association of central medical stores for essential medical drugs and equipment (SALAMA) has been assisted in the areas of purchasing and inventory management and quality assurance in connection with the Ministry of Health s programme of action for the integration of health commodities. Where procurement and supply management is concerned, technical Support was provided for quantification, in addition to a training course for pharmacists. The mission also helped to define a quality scale in conjunction with the Technical Committee in charge of evaluating pharmaceutical issues. SOUTH-EAST ASIA SOUTHERN AFRICA Malaria is a major public health issue in. The country has adopted an ambitious strategy for controlling the pandemic and for this purpose currently receives grants from the three funding rounds (R4RCC grant renewal process, Round 7, National Strategy Application), amounting to a cumulative total of approximately USD16m. Where HIV is concerned, low prevalence (around.4 % of the adult population) should be put in the context of the spread of the epidemic on the island. Shortages in ARV supply are also frequent and ARV coverage very limited. Studies of the impact of malaria control measures The National Malaria Control Programme (NMCP) wished the 5 % Initiative to conduct a study to evaluate the impact of the various measures applied with finance from the Global Fund. This innovative, multidisciplinary study (combining entomology, epidemiological parasitology and the social sciences) was carried out throughout 212 by teams from the Institut Pasteur in. It led to identification of what were the most effective measures, in line with more stringent demands defined by the Global Fund grant performance framework. Support for actors controlling HIV Technical assistance was provided to the National AIDS Council, the Principal Recipient of the Global Fund and the national network of PLHIV care associations, Mad AIDS, which became a Global Fund sub-beneficiary in 212. The National AIDS Council was assisted by the NGO Solthis for the provision of medical care and the management of HIV products against the backdrop of concentration of the epidemic combined with a wide viral diversity in the patients being treated in facilities. MADAGAS CAMBODIA Five countries in South- East Asia are eligible to the 5 % Initiative : Cambodia, Laos, Thailand, Vietnam, as OIF Member States, and Myanmar as a country in pos-crisis exit situations. Since 23 the Global Fund has approved in its last ten funding rounds nearly 6 grants for a total amount of more than a billion US dollars for these five Southeast Asian countries for the distribution of over ten million mosquito nets, and ensuring that over 13, individuals receive antiretroviral treatment and nearly 15, patients treatment for tuberculosis. Nevertheless, many challenges are still to be overcome, notably with regard to ARV coverage, resistance to treatment, access to prevention and care for vulnerable population groups and civil society involvement. In 212, six missions were implemented with the support of the 5 % Initiative to support Global Fund funded, in three countries in the sub-region, covering various areas such governance, technical aspects such as malaria diagnosis, and support in analysing and evaluating case management strategies. Capacity-building in operational research and in malaria diagnostic techniques In a context in which resistance is emerging to Artemisinin-based combination therapies, Cambodia developed in 29 a strategy for the elimination of malaria, based notably on the deployment of village health volunteers and the distribution of insecticide treated mosquito nets. In this context, the 5 % Initiative supported the implementation of training sessions targeting laboratory technicians, including training of trainers on biological malaria diagnostic. Eight malaria and laboratory specialists were mobilised in order to enhance the capabilities of laboratory technicians in Phnom Penh and in the provinces with respect to quality assurance and methods for the biological diagnosis of malaria. In addition, a clinician was assigned to assist in the development of research protocols and their application in Cambodia

14 5 % Initiative ACTIVITY REPORT % Initiative ACTIVITY REPORT Support to governance, grant monitoring, and procurement and supply management LAOS Since the first round of Global Fund grants, the Country Coordinating Mechanism () in Laos has provided strategic monitoring for several grants representing together over USD 1 million. Two experts were mobilized to support the Lao in line with the recommendations issued in 211 by the Office of the Inspector General, highlighting a limited civil society involvement in the governance mechanisms. As part of a more general reform of its governance, launched at the beginning of 212, and in close coordination with USAID and GMS, these two specialists helped in forming and leading working groups, in particular for the civil society constituency, in the development of Terms of Reference for the various sectors and the organisation of elections for the civil society sector. In addition, given the difficulties encountered by the system for procurement and distribution of drugs and other medical products in Laos, which has been faced for a number years now with major risks with regard to treatment access and continuity (such as in 212 in the most recent epidemic of malaria in the south of the country), two expert pharmacists and logisticians were assigned by the 5 % Initiative to work with the Principal Recipient and the sub-beneficiaries in charge of procurement and distribution of medical supplies for control of the three pandemics. Diagnostic analysis of requirements and an action plan developed by these specialists resulted in the reprogramming of a Global Fund grant and the formulation by the relevant actors of a long-term project for data management and enhancement of the capabilities of local pharmacists and logisticians. THAILANDE Capacity-building in statistics and cohort data analysis to improve the therapeutic management of children and adults infected with HIV. With nearly 2, patients receiving ARV treatment in the country, a large quantity of data has been collected through research programmes and in routine. In this context, individual clinical and laboratory data collected have already helped to answer important questions regarding the therapeutic management of patients. However, some issues require the use of more complex statistical methods for which the support of additional expertise is necessary, notably with regard to tolerance, adherence, resistance, co-infection and cancer risk. In order to help define the causes of long-term complications that are still poorly understood, five expert epidemiologists were assigned to the Medical Science Faculty of Chiang Mai University in Thailand to train more than thirty young statisticians and public health students in the advanced methods of statistical analysis required to analyze available data. Credit : Global Fund / John Rae 26 27

15 5 % Initiative ACTIVITY REPORT % Initiative ACTIVITY REPORT CHANNEL 2 : INITIAL PROJECT SELECTION CONSULTATION FOR THE DEFINITION OF CHANNEL 2 THEMATIC AREAS In February 212 a consultation seminar organised by MAE and FEI brought together actors from over twenty countries to establish common proposals for priority thematic areas for the 5 % Initiative in 212 and 213. The discussions at this seminar gave a voice to eligible countries for identification of their most urgent needs. Working in four separate workshops, the participants had an opportunity to exchange views and consult mutually on their own experience in managing and executing programmes, their priority requirements, available input of French-speaking expertise, the outcome being the emergence of common proposals for priority thematic areas for funding : Governance, Procurement and Supply Management, Health System Strengthening and Operational Research. Those proposals were then discussed in the Steering Committee in order to prepare the applicable terms of reference for the calls for projects. THE PROCESS FOR CALLS FOR CHANNEL 2 PROJECTS : PUBLICATION OF THE CALL FOR PROPOSALS Project proposals received Verification of their admissibility (FEI) External evaluation of projects Pre-selection (Pre-selection Committee) Finalisation of project documentation in partnership with FEI Signing of a grant agreement PROJECT LAUNCH SELECTION OF PROJECTS BASED ON A COMPETITIVE MECHANISM OF CALLS FOR PROJECTS The two calls for projects under the headings Health System Strengthening and Operational Research were published in April with a submission deadline set at 1 July 212. These calls were aimed at funding the following : - Health system strengthening projects aimed at enhancing tools and skills for the monitoring & evaluation of programmes financed by Global Fund. - Health system strengthening projects aimed at health personnel s capacity development, building or maintaining at local level (decentralised, devolved, community-based, etc.). - Operational research projects aimed at improving services and strategies for the control of the three pandemics, with a focus on capacity-building for local actors. Proposals for 117 projects were received and 88 were deemed admissible for evaluation. Each project deemed admissible underwent three separate evaluations : two by independent evaluators and one by a member of the secretariat team (FEI). Following these evaluations, the Pre-selection Committee met on 18 October 212 to consider the projects deemed admissible for evaluation. Chaired by the Ministry of Foreign Affairs (Development and Global Public Goods Directorate, Food Security and Human Development), membership of the committee included members of the 5 % Initiative Steering Committee, with the exception of those with a conflict of interests relating to one of the thematic areas covered by the calls for projects (these members took part neither in the proceedings of the Shortlist Committee nor in the selection of the independent assessors). The external project evaluators and two representatives of the Global Fund to control Aids, and Malaria attended as observers. Secretarial duties were performed by FEI. The Committee pre-selected eight Health System Strengthening projects and six Operational Research projects (two of which were initially placed on the reserve list). 14 PROJECTS PRESELECTED TOTALLING 14 m The projects, more than half of which are regional in scope, cover 2 countries, including 14 of the 17 with priority for French official development assistance (Benin, Burkina Faso, Burundi, Central African Republic, Chad, Democratic Republic of Congo, Guinea,, Mali, Mauritania,, Rwanda, Senegal, and Togo) and six countries with member or observer status in the Organisation Internationale de la Francophonie (Cambodia, Cameroon, Ivory Coast, Laos, Thailand and Vietnam). The projects are focused on HIV (6 projects), malaria (6 projects), tuberculosis (1 project) or on the three pandemics (1 project). [picture caption :] The Channel 2 consultation seminar Paris, February PROJECTS PRESELECTED UNDER THE HEADING HEALTH SYSTEM STRENGTHENING Training in overall care provision for paediatric HIV infections in French-speaking Africa Benin, Burkina Faso, Burundi,, Chad Mali,, Senegal and Togo A project implemented by ESTHER (as lead organization) in partnership with the HIA (Hôpital d Instruction des Armées / Army Training Hospital, Benin), the Hubert K. Maga National University Hospital (Benin), CHUP-Charles de Gaulle university hospital, Ouagadougou, (Burkina Faso), CHU Yalgado Ouédraogo University Hospital (Burkina Faso), Kamenge University Hospital (Burundi), Gabriel Touré University Hospital (Mali), Niamey National Hospital (), Paediatric Complex (), Albert Royer Children s Hospital (Senegal), Ndjamena Hospital for Mothers and Children (Chad) and Tokoin University Hospital (Togo). Project to support the coordination of monitoring & evaluation activities and the strengthening of the national system for HIV monitoring & evaluation A project implemented by CISLS (Coordination Intersectorielle de Lutte contre les IST / HIV Inter-sectoral coordination of the fight against STIs / HIV). Dialogue seminar of Channel 2 - Paris February

16 5 % Initiative ACTIVITY REPORT % Initiative ACTIVITY REPORT Breakdown of Channel 2 funding by pandemic in 212 (Total : 14.2 m) 1 % 38 % 52 % Malaria HIV Improvement in the quality of surveillance of resistance to anti-malarial drugs in West Africa Benin, Burkina Faso, Guinea, Mali,, Senegal and Togo A project implemented by Sheik Anta Diop University in Dakar (UCAD, as lead organization), in partnership with the Cotonou entomological research centre (CREC), Hubert K. Maga National University Hospital (CNHU Benin), the National Centre for Malaria Research and Training (CNRFP, Burkina Faso), the Institute for Health Science Research (Muraz Centre, Burkina Faso), the Jean Senecal National Centre for Rural Health Training and Research, Maferinyah (CN- FRSR Guinea), the Malaria Research & Training Centre (MRTC, Mali), the Medical and Sanitary Research Centre (CERMES, ), IRD Senegal, Ministry of Health / Laboratory Division (Togo), Institut Pasteur, Paris, Descartes University Lyon I, the School of Advanced Public Health Studies (EHESP) in Rennes, and the National Malaria Research Centre. Capacity-building in health logistics for staff involved in conducting malaria and AIDS control programmes Burkina Faso A project implemented by Institut Bioforce Développement (as lead organization) in partnership with the Burkina Faso Ministry of Health (Directorate-General for Pharmacy, Medical Drugs and Laboratories). Project ACCESS : inclusive HIV services for universal access! Senegal A project implemented by Handicap International (as lead organization) in partnership with SWAA Senegal (Society for Women and Aids in Africa). Support to continuous, tutorship-based HIV-AIDS training for healthcare personnel Democratic Republic of Congo A project implemented by the French Red Cross (as lead organization) in partnership with the National AIDS Control Programme. Optimisation of arrangements for remote helping relationships through capacity-building directed at healthcare professionals and development of their activities and core tasks Benin, Burkina Faso, Burundi, Mali, and Togo A project implemented by Santé Info Solidarité (SIS, as lead organization) in partnership with non-profit organizations : CéRADIS (Benin), AFAFSI (Burkina Faso), SWAA (Burundi), Boukoky Centre () and Espoir Vie Togo (EVTTogo). Local capacity-building for the performance and monitoring of activities for medical care provision for HIV Guinea and A project implemented by Solthis (as lead organization) in partnership with s Ministry of Health (ULSS, Unité de Lutte Sectorielle contre le Sida / Sectoral AIDS control unit), CISLS (Cellule Intersectorielle de Lutte contre le Sida / Inter-sectoral AIDS control unit), UNAIDS, Ministry of Health / PNPCSP de Guinea (Programme National de Prise en Charge Sanitaire et de Prévention des IST / VIH / National Programme for the Care and Prevention of STIs / HIV), SE / CNLS Guinea (Executive Secretariat of the National AIDS Council) and UNAIDS Guinea. 6 PROJECTS PRESELECTED UNDER THE HEADING OPERATIONAL RESEARCH PALEVALUT a project for the operational evaluation of integrated measures against malaria Benin, Cameroon, Ivory Coast, and A project implemented by Institut Pasteur, (as lead organization), in partnership with CLIP (Centre de Lutte intégrée contre le Malaria / Centre for integrated malaria control measures) in Benin, Institut Pierre Richet (IPR) in Côte d Ivoire, the Centre Pasteur in Cameroon (CPC), the Medical and Sanitary Research Centre (CERMES) in and the French Institute for Research and Development (IRD)- UMR224-MIVEGEC. Towards malaria elimination : effective strategies against transmission. The new challenges in South East Asia Cambodia, Laos, Thailand and Vietnam A project implemented by the Faculty of Tropical Medicine at the University of Mahidol in Thailand (MORU / SMRU, as lead organization), in partnership with the Institut Pasteur in Cambodia, Mahosot Hospital in Laos and the Hospital for Tropical Diseases (HTD / OCRU) in Vietnam. Evaluation of malaria vector resistance to insecticides in Laos and capacity-building in medical entomology Laos and Thailand A project implemented by the Institut Pasteur in Laos (as lead organization) in partnership with the French Institute for Research and Development (IRD), the Laos Centre for Malariology, Parasitology and Entomology (CMPE) and the Kasetsart University in Thailand. A new protocol for the treatment of multiresistant tuberculosis Benin, Burkina Faso, Burundi, Cameroon,, DRC, Ivory Coast, and Rwanda A project implemented by the International Union Against and Lung Disease in partnership with the NTCPs in Benin, Burkina Faso, Burundi, Cameroon, Côte d Ivoire,,, DRC and Rwanda. Breakdown of Channel 2 funding by Call for Proposals in 212 (Total : 14,2 m) 62 % 38 % Health System Strengthening Operational research Updating malaria data in three epidemiological facies Mauritania A project implemented by the French Institute for Research and Development (IRD, as lead organization) in partnership with IRBA (Institut de Recherche Biomédicale des Armées / Armed Forces Biomedical Research Institute) and the Science and Technology Faculty at the University of Nouakchott. Improvement in malaria control programme monitoring and evaluation Democratic Republic of Congo A project implemented by the Congolese Centre for Culture, Training and Development (CECFOR) in partnership with the National Institute for Biomedical Research (INRB), UMR- MD3 Aix-Marseille University. 3 31

17 5 % Initiative ACTIVITY REPORT % Initiative ACTIVITY REPORT PERSPECTIVES The 5 % Initiative will see further strengthening in 213 on a number of fronts : GENDER AND DISEASE C CONTROL Because gender issues are central to control HIV, tuberculosis and malaria, and women continue to play an insufficient role in the expertise provided, in 213 France Expertise Internationale will be laying the foundations for a gender-focused approach for the 5 % Initiative through Channel 2 projects under the Governance heading. COMMUNICATION : MAXIMUM OUTREACH TO NATIONAL ACTORS COORDINATION On the basis of coordination mechanisms developed in 212, the emphasis will be maintained on coordination with the Global Fund Secretariat, initiatives for bilateral technical support and multilateral organisations. In particular, a tool for the sharing of information on expert missions developed by the Global Fund Secretariat with the help of bilateral partners will help enhance transparency and coordination between partners and within the countries concerned. MONITORING & EVALUATION : SUPPORT, EVALUATION, GUIDANCE In order to supplement and strengthen the mechanisms for monitoring Channel 1 expertise missions, ambitious monitoring & evaluation arrangements will be put in place in 213. The objectives : to ensure simultaneous monitoring and evaluation of the outcomes of expert missions, the quality of the expertise mobilised and Channel 2 projects. Ultimately, those arrangements must enable the impact of the 5 % Initiative on Global Fund grants to be evaluated, and tools for capitalisation and guidance of expertise to be developed. As a supplement for the website and to communicate specifically on procedures and the whole range of activities embraced by the 5 % Initiative, communication actions and vehicles will be developed to target countries and experts. In particular, communication will be directed at raising awareness of the opportunities offered by the 5 % Initiative for civil society in the countries of the South, as well as eligible countries that have not yet benefited from its support. DEVELOPMENT OF PARTNERSHIPS AND NETWORKS OF EXPERTS Targeted communication and a relaunch of the call for declarations of interest in membership of the 5 % Network will be aimed at the development of partnerships with organisations involved in controlling the pandemics, in both public and private sectors and in both France and beneficiary countries, as well as expanding the role of experts from the South in the scheme. Looking beyond the mobilisation of technical expertise, the team at France Expertise Internationale will continue their ongoing development of actions to foster contacts and coordination with all stakeholders involved in the fight against the three diseases. Credit : Global Fund / John Rae 32 33

18 5 Initiative % 5 % ACTIVITY RAPPORT REPORT D ACTIVITé % Initiative ACTIVITY REPORT Annexes : 1. List of approved Channel 1 missions List of approved 5 Channel 1 missions REF MISSION OBJECTIVE COUNTRY BENEFICIARY MAIN FOCUS 2. Budget INI11 Support for care provision for tuberculosis in children 211 NTCP 12INI12 Support for care provision for multiresistant tuberculosis NTCP 12INI13 NTCP Support from the International Union Against and Lung Disease NTCP 12INI14 capacity-building mission 12INI15 Technical Expertise for the National Centre of Parasitology, Entomology and Malaria Control Cambodia CNM Malaria 12INI16 Strengthening Country Coordinating Mechanisms Laos 12INI17 Capacity-building for the SALAMA central purchasing organisation SALAMA 12INI19 Study of the impact of Global Fund programmes NMCP Malaria 12INI11 Analysis of the determinants for access to diagnosis of plasmodial infections, anti-malaria treatment and preventive measures NMCP Malaria 12INI111 Strengthening of the quality assurance system applied by central pharmaceutical purchasing organisations Regional (Burkina Faso, Burundi, Cameroon, Mali, Mauritania, Togo, Chad) ACAME 6. National Center of Parasitology, Entomology and Malaria Control 5. Not including cancelled missions 34 35

19 5 % Initiative ACTIVITY REPORT % Initiative ACTIVITY REPORT REF MISSION OBJECTIVE COUNTRY BENEFICIARY MAIN FOCUS REF MISSION OBJECTIVE COUNTRY BENEFICIARY MAIN FOCUS INI112 Short-term technical expertise for the HIV information system and procurement Sierra Leone NAS 12INI137 Support in evaluating the system for procurement and distribution of medical drugs and products Laos MoH 12INI113 Technical Support in drawing up a Transitional Funding Mechanism (TFM) application for the HIV component 12INI138 Support in implementing Phase II of Round 7 by developing strategy and framing documents ULSS 12INI114 Technical and organisational expertise for the integrated care provision programme for Injected Drug Users Senegal NAC 12INI139 Support in the provision of training in the statistical analysis of data Thailand Faculty of Associated Medical Sciences 12INI115 12INI117 12INI118 12INI119 12INI12 Technical Support for the implementation of quality control and pharmacovigilance in the Economic and Monetary Community of Central Africa (CEMAC) subregion Definition of the project for CTA establishment Strengthening of the procurement and supply management system Technical expertise for PMTCT Strengthening of programmatic and financial management and development of a framework for technical monitoring & evaluation and impact measurement Regional (Cameroon, Guinea, Gabon, Congo,, Chad) Burundi Mali OCEAC NAC SEP / NAC NAC AD-SIDA 12INI14 12INI141 12INI142 12INI143 12INI144 Support in defining the NACP national monitoring & evaluation plan and revision of the Procedural Manual Capacity-building for civil society (RMAP+ and partners) in implementing Round 8 HIV component grants Capacity-building for Cambodian expertise in the laboratory and social sciences domain for the evaluation of the efficacy of second-line treatments in patients undergoing ARV treatment Diagnostic analysis of requirements Support for the optimisation of therapeutic care provision and strengthening the system for management of procurement and supply of HIV-related commodities Mauritania Mali Cambodia SENLS RMAP+ NCHADS NAC 12INI121 Expertise in analysing requirements for the definition of a project for a laboratory network in West Africa (RESAOLAB) Regional (, Benin, Guinea, Togo, Mali, Burkina Faso, Senegal) Ministry of Public Health, 12INI145 12INI146 Support for PR financial management of HIV grants Support in drafting grant renewal documents Chad Congo FOSAP Malaria 12INI122 Capacity-building for the National Control Programme Mali NTCP 12INI147 Support to the Burundi in managing Global Fund grants Burundi 12INI123 12INI124 12INI125 Mission in support of the participation of civil society in the Technical Expertise for the submission of the application for extension to Grant Round 8 Phase 2 component Capacity-building for the NTCP for deployment of the FMstp CAF-911-G9-T grant Laos Burkina Faso PADS and PAMAC NTCP 12INI148 12INI149 12INI15 12INI151 Support for the submission of clarifications to the TFM Diagnostic analysis mission Support for the NAC in implementing Round 1 Capacity-building for public health service laboratories and pharmacies through Expertise for the department of public and private healthcare facilities Burundi Guinea Comoros ANSS NAC DNS 12INI126 Expertise for the decentralisation of tuberculosis care provision in Yaoundé Cameroon NTCP 12INI152 Evaluation of Phase 1 and preparation of the application for extension to Phase 2 of the Guinea Conakry TB grant Guinea NTCP 12INI127 12INI128 12INI129 12INI13 Expertise in drafting an application for the extension of the grant to Phase 2 under consolidated Rounds 9 and 5 Diagnostic analysis of capacity-building requirements Diagnostic analysis of capacity-building requirements Technical Expertise in evaluating Phase 1 of the RWN-T- MoH grant, drafting of the application for extension to Phase 2 and the transitional funding application Guinea Senegal Rwanda NTCP MAD AIDS NMCP HIV/AIDS Malaria 12INI153 12INI156 12INI158 12INI159 Capacity-building for the Burkina Faso with regard to the strategic monitoring of Global Fund grants Training in the therapeutic education of patients Support in drafting a framing document for prevention and care provision policy on the population groups most exposed to HIV risk in Togo Technical evaluation of the National Drug Quality Control Laboratory Burkina Faso Mauritania Togo Guinea SENLS NAC National Drug Quality Control Laboratory 12INI132 Support in implementing a system for the consolidation of medical monitoring data at national level (ESOPE) Togo NACP 12INI133 Support to the Togo in managing Global Fund grants Togo 12INI134 Technical Expertise in managing Global Fund grants Côte d Ivoire ITAS CI 12INI135 Interim trusteeship Chad FOSAP 12INI136 Diagnostic analysis of PSM-MIS Chad CLNS 36 37

20 5 % Initiative ACTIVITY REPORT % Initiative ACTIVITY REPORT BUDGET Maximum budgets per mission and project are committed by the Steering Committee. The budget set out below presents allocations validated by the Steering Committee and expenditure incurred in 212 (note that most Channel 1 missions are ongoing in 213, and their budget was not entirely disbursed in 212). Where the budget for a mission has not been completely disbursed on completion of the mission the funds may be reallocated by the Steering Committee. The management expenses of the 5 % Initiative are accounted for annually on the basis of the amounts committed by the Steering Committee. Those costs cover several years of operation. CODE CHANNEL 1 12INI112 12INI113 EXPENDITURE Short-term technical Expertise for the HIV information system and procurement Expertise in drawing up a Transitional Funding Mechanism (TFM) application for the HIV component COUNTRY Sierra Leone DATE OF APPROVAL BY THE STEERING COMMITTEE 19/1/212 19/1/212 BUDGET VALIDATED BY THE STEERING COMMITTEE ( ) BUDGET EXPENDITURE IN 212 ( ) CODE CHANNEL 1 12INI11 12INI12 EXPENDITURE Expertise for care provision for tuberculosis in children Expertise for care provision for multiresistant tuberculosis COUNTRY DATE OF APPROVAL BY THE STEERING COMMITTEE 22/12/11 22/12/11 BUDGET VALIDATED BY THE STEERING COMMITTEE ( ) BUDGET EXPENDITURE IN 212 ( ) INI114 12INI115 12INI116 12INI117 Technical and organisational Expertise for the integrated care provision programme for Injected Drug Users Expertise for the implementation of quality control and pharmacovigilance in the Economic and Monetary Community of Central Africa (CEMAC) sub-region Capacity-building for CTA management (cancelled) Definition of the project for CTA establishment Senegal Regional 19/1/212 19/1/212 19/1/212 19/1/ INI13 NTCP Expertise from the International Union Against and Lung Disease 22/12/ INI118 Strengthening of the procurement and supply management system Burundi 21/6/ INI14 capacity-building mission 22/12/ INI119 Preparation of a technical expertise mission for PMTCT 19/1/ INI15 12INI16 12INI17 Technical Support for the National Centre of Parasitology, Entomology and Malaria Control Mission to strengthen Country Coordinating Mechanisms Capacity-building for the SALAMA central purchasing organisation Cambodia Laos 22/12/11 22/12/11 22/12/ INI12 12INI121 Strengthening of programmatic and financial management and development of a framework for technical monitoring & evaluation and impact measurement Support in analysing requirements for the definition of a project for a laboratory network in West Africa (RESAOLAB) Mali Regional 16/2/212 16/2/ INI18 12INI19 12INI11 12INI111 CHANNEL 2 Mission to strengthen the (cancelled) Study of the impact of Global Fund programmes Analysis of the determinants for access to diagnosis of plasmodial infections, anti-malaria treatment and preventive measures Strengthening of the quality assurance system applied by central pharmaceutical purchasing organisations Regional 22/12/11 22/12/11 22/12/11 22/12/ INI122 12INI123 12INI124 12INI125 12INI126 Capacity-building for the National Control Programme Mission to expand the participation of civil society in the Technical expertise for the submission of the application for extension to Grant Round 8 Phase 2 component Capacity-building for the NTCP for deployment of the FMstp CAF-911-G9-T grant Support for decentralisation - NTCP Mali Laos Burkina Faso Cameroon 16/2/212 15/3/212 21/3/212 15/3/212 5/4/ INI21 «Channel 2» consultation workshop INI127 Support in drafting an application for the extension of the grant to Phase 2 under consolidated Rounds 9 and 5 Guinea 5/4/ INI128 Diagnostic analysis of capacity-building requirements 5/4/ Coordination expenses (communication) INI129 12INI13 Diagnostic analysis of capacity-building requirements Technical Expertise for Senegal Rwanda 21/3/212 23/5/ Management expenses (7.5 % of sums committed) INI132 Support in implementing a system for the consolidation of medical monitoring data at national level (ESOPE) Togo 12/7/ TOTAL

21 5 % Initiative ACTIVITY REPORT % Initiative ACTIVITY REPORT CODE EXPENDITURE COUNTRY DATE OF APPROVAL BY THE STEERING COMMITTEE BUDGET VALIDATED BY THE STEERING COMMITTEE ( ) BUDGET EXPENDITURE IN 212 ( ) CODE EXPENDITURE COUNTRY DATE OF APPROVAL BY THE STEERING COMMITTEE BUDGET VALIDATED BY THE STEERING COMMITTEE ( ) BUDGET EXPENDITURE IN 212 ( ) 12INI133 Improvement of governance in the deployment of GF projects (dashboard implementation, training in monitoring & evaluation) Togo 12/7/ CHANNEL INI134 12INI135 12INI136 12INI137 12INI138 12INI139 Technical Expertise in managing Caritas Global Fund grants Provision of technical Expertise for an interim trustee Diagnostic analysis of PSM-MIS Support in evaluating the system for procurement and distribution of drugs and medical products Support in implementing Phase II of Round 7 by developing strategy and framing documents Support in the provision of training in the statistical analysis of data Côte d Ivoire Chad Chad Laos Thailand 3/8/212 21/6/212 21/6/212 3/8/212 12/7/212 12/7/ INI22 12INI23 12INI24 12INI25 Network for training in comprehensive care provision for paediatric HIV infections in French-speaking Africa Project for expertise in the coordination of monitoring and evaluation activities and the strengthening of national arrangements for monitoring and evaluation of HIV/AIDS in Improvement of the quality of resistance surveillance in West Africa Capacity-building in health logistics for personnel involved in the implementation of malaria and AIDS control programmes in Burkina Faso Regional Regional Burkina Faso 14/11/212 14/11/212 14/11/212 14/11/ INI14 Support in defining the NACP national monitoring & evaluation plan Mauritania 12/7/ INI26 Project ACCESS : Inclusion of the disabled in HIV care provision Senegal 14/11/ INI141 12INI142 12INI143 12INI144 12INI145 12INI146 Capacity-building for civil society (RMAP+ and partners) in implementing Round 8 HIV component grants Capacity-building for Cambodian expertise in the laboratory and social sciences domain for evaluation of the efficacy of second-line treatments in patients undergoing ARV treatment Diagnostic analysis of requirements Support for the national AIDS control programme to optimise the provision of medical care and to strengthen the procurement and supply management system for HIV-related commodities in a context typified by a particular epidemic profile Support for PR financial management of HIV grants Support in drafting grant renewal documents Mali Cambodia Chad Congo 3/8/212 8/11/212 3/8/212 3/7/212 3/8/212 27/9/ INI27 12INI28 12INI29 12INI21 12INI212 12INI213 Support for continuous, tutorship-based HIV/AIDS training for care personnel in the Democratic Republic of Congo Optimisation of remote helping relationship schemes in West and Central Africa (listening call lines) Local capacity-building project for the implementation and monitoring of medical care provision activities for HIV/AIDS by Solthis Project PALEVALUT - Operational evaluation of integrated malaria control measures Evaluation of resistance to malaria vector insecticides in Laos and capacity-building in medical entomology A multicentric study of short-course treatment for patients suffering from multiresistant tuberculosis DRC Regional and Guinea Regional Laos Regional 14/11/212 14/11/212 14/11/212 14/11/212 14/11/212 14/11/ INI147 12INI148 Support to the Burundi in managing Global Fund grants Support for the submission of clarifications to the TFM Burundi 8/11/212 4/1/ INI2 12INI2 Expenditure incurred in the 212 call for projects Evaluation and audit costs for 212 Channel 2 projects INI149 Diagnostic analysis mission Burundi 8/11/ INI15 Support for the NAC in implementing Round 1 Guinea 3/8/ INI151 12INI152 12INI153 Capacity-building for public health service laboratories and pharmacies through expertise for the department of public and private healthcare facilities (DESPP) Evaluation of Phase 1 and preparation of the application for extension to Phase 2 of the Guinea Conakry TB grant Capacity-building for the Burkina Faso with regard to the strategic monitoring of Global Fund grants Comoros Guinea Burkina Faso 8/11/212 8/11/212 8/11/ Coordination, communication and monitoring expenses Management expenses (7,5 %) TOTAL INI156 12INI158 12INI159 Training in the therapeutic education of patients Drafting a framing document for prevention and care provision policy on the population groups most exposed to HIV risk Technical evaluation of the National Drug Quality Control Laboratory Mauritania Togo Guinea 6/12/212 6/12/212 6/12/ Funding for Channel 2 projects committed from unused balances remaining from previously committed funding 12INI211 12INI214 Towards malaria elimination : effective strategies against transmission. The new challenges in South East Asia PROJECT CECFOR/Monkolé hospital centre Asia Regional DRC 14/11/212 14/11/ INI215 Updating malaria data for three epidemiological configurations in Mauritania by IRD Mauritania 14/11/ INI2 Evaluation and audit costs for 212 Channel 2 projects - Supplement 14/11/ TOTAL FUNDING FROM UNUSED BALANCES

22 5 % Initiative ACTIVITY REPORT % Initiative ACTIVITY REPORT CREDITS Photo credits : Global Fund to fight Aids, and Malaria Cover : John Rae Translation : Alan Waite Layout design : Printing : Cap Impression CONTACT US Send postal mail to : Initiative 5 % France Expertise Internationale 45 rue Linois Paris Put any questions by to : initiative5pc.fei@diplomatie.gouv.fr or by telephone : Credit : Global Fund / Mia Collis 42 43

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