The Access to Health Fund Narrative Proposal Template

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The Access to Health Fund 2019-2023 Narrative Proposal Template

Key messages Refer to the CfP Guidance Note Word limits for each session Not more than 22 pages Mail to accesstohealth@unops.org if any questions Refer to Q&A link Deadline:13 th August 2018 (Monday) 13.00 (1.00 pm) (Myanmar Standard Time)

Ten Sections 1.Organization Information 6. Summary Budget for fiver years 2.Coverage area 7. Health for All (Community System Strengthening) Approach 3. Area(s) of National HSS 8. Monitoring and Evaluation 4.Proposed approach 9. Staffing 5. Anticipated cumulative results over 2019-2020 and 2019-2023 10. Other information

Ref: Guidance Note [1] Applicants are encouraged to apply in a consortium (group) of organizations, so that the organizations respective strengths complement each other. If applying as a consortium/group, the Proposal should identify a Lead Organization who will be in charge of managing funds and reporting back to the Access to Health Fund on behalf of the consortium. The Lead Organization will undergo a capacity assessment before the grant can be signed; the assessment covers humanresource management, financial and procurement capacity (when relevant), monitoring and evaluation, and experience in project management. The assessment also comes to ascertain that the Lead organization has the ability and authority to receive funding from UNOPS in Myanmar. [2] Organizations applying as a consortium/group will submit: Consortium s structure, lines of authority, contractual relationships, decisionmaking process, and roles and responsibilities of each partner (maximum two pages) A fund-flow diagram helping to visualize how funds will flow all the way from Access to Health to beneficiaries.

Ref: Guidance Note [3] Applicants are requested to submit projects for up to five years. The Access to Health Fund will be funding only the first two years of the program, with funding for the next three years to be confirmed during 2020. [4] In this Call for Proposals, Health Systems Strengthening (HSS) has two different meanings: - It is expected that every service-delivery grant in States and Regions will include aspects of health systems strengthening. Funding for these HSS activities will be included under the proposed service-delivery programs; - National Health Systems Strengthening investments refer to six programmatic areas supported at central-level. These areas are listed in the table under Section 4.c. below.

1. Organization Information Name of organisation Contact name Address in Myanmar Telephone E-mail Proposed Project title If applying together with other organizations [1]: List of all applicants Lead organization Proposed Project duration [3] Note: Please attach a short document clarifying the consortium s structure [2] From: DD/MM/YYYY (not earlier than 1 January 2019) To: DD/MM/YYYY If applying for National Health Systems Strengthening funding, tick this box [4] Note: please skip directly to Section 3 if applying only for National HSS funding

2. Coverage areas 2.1. Mark with X the one geographical grouping covered [see note 5] 1. Rakhine and Chin 2. Kachin and Shan 3. Kayah, Kayin, and Mon 4. Yangon [5] 1. Each application is for one geographical grouping only or for National Health Systems Strengthening. 2. Applicants will fill one separate Proposal Template for each of the geographical groupings and one separate template for National Health Systems Strengthening 3. Each proposal can contain activities across all thematic areas.

2. Coverage area cont.. 2.2 States and townships covered [see note 6]: States covered in this proposal Name of Townships [6] When applying for MNCH services in a given State, applicants are encouraged to include in their proposal all the Townships currently covered under the 3MDG Fund (see a list of these Townships in the Annex). The Proposal can also include additional townships. 2.3 Number of Townships and villages covered Total number of townships covered 2019 2020 2021 2022 2023 Total Total number of villages covered

MNCH Nutrition SRHR Drug Use_ HR Drug Use_ SRHR Health in Prisons MDR TB TB Malaria 2. Coverage area cont.. 2.4 Mark with X the thematic areas covered under proposed States and Regions [see note 7]: Rakhine Chin Kachin Shan North Shan South Shan East Kayah Kayin Mon Yangon Coverage Area [7] Welcome to apply in States they have not previously worked in; however, it is required to apply only for activities for which they have previous experience. In other words: - An organization that has not worked in Shan can apply for a grant in Shan; - However, an organization that has no experience in MNCH should not apply for an MNCH grant.

3. Area(s) of National HSS Sexual and Reproductive Health and Rights: Policy implementation and coordination Harm Reduction: Policy Reform Health in Prisons: SOP and Service Delivery Capacity Building for Ethnic Health Organizations Human Resource for Health Midwifery and Medical Education

4. Proposed Approach (maximum five pages or 2,500 words) 4.1 Please describe the situation that the program proposes to tackle Note: Please attach any relevant needs assessments or evaluations, if available. 4.2 Please describe proposed interventions and explain: -How proposed service-delivery grants are best suited to reaching the specified targetgroup -How the proposed national HSS grant will help strengthen relevant systems 4.3 Please describe how the proposed program contributes to the National Health Plan and/or National Strategic Plans

4. Proposed Approach cont.. 4.4 If this application is submitted by only one organization, pleases justify the choice of applying individually Note: If this is a consortium/group application, please leave this question blank 4.5 Please describe the organization(s) capacity to implement proposed activities [see note 8] [8] Need to demonstrate they have the resources and capacities to carry out proposed activities. During the selection process, capacity and due diligence assessments will be conducted by the Fund Management Office.

4. Proposed Approach cont.. 4.6 Please explain how the program will ensure coordination (and avoid overlap) with other relevant actors [see note 9] Note: If available, please attach a detailed mapping of relevant existing health interventions in the selected location. If not available, please provide a high-level outline of the same, to the best of your knowledge, and describe the approaches the project will take to ensure coordination and/or ensure flexibility to adjust if any duplication is identified. [9] Overlap or duplication of activities must be avoided; applications must describe and present an understanding of other Donors/Partners programming (local and international NGOs, EHOs, UN agencies, etc.) and describe how planning and implementation will be managed to avoid overlap and duplication.overlap or duplication of activities must be avoided.

4. Proposed Approach cont.. 4.7 Please describe the involvement of the community/beneficiaries in project design, implementation and evaluation 4.8 Please describe how project activities will be integrated [see note 10] [10] The Access to Health Fund aims to fund integrated interventions i.e. interventions which (when possible) address more than one need, and provide more than one service, to target communities. Whenever feasible and relevant, integration of health care services at service-delivery level (including at village-level through Village-Based Health Workers) should be included. See section 6.i. for more information.

Ref: Guidance Note [11] Please enter indicators from the logframe, including those required (as applicable) and other proposed indicators. Note: the indicators submitted by applicants as part of the Proposal-submission process will represent only a subset of grant indicators; further indicators will be included (and the targets set) during the grant negotiation process with selected implementing partners.

5. Anticipated cumulative results over 2019-2020 and 2019-2023 5.1 Please summarize the program logframe into the following table Thematic Area Proposed Indicators [see note 11] Note: several indicators can be included for each area Anticipated cumulative results 2019-2020 Anticipated cumulative results 2019-2023 MNCH Nutrition SRHR Drug Use / Harm Reduction Health in Prisons MDR TB TB Malaria Health Systems Strengthening

5. Anticipated cumulative results cont. 5.2 If applying for National HSS funding, please fill in the following table: Proposed HSS area Sexual and Reproductive Health and Rights: Policy implementation and coordination Harm Reduction: Policy Reform Health in Prisons: Policy and SOP Proposed Indicators [see note 11] Note: several indicators can be included for each area Anticipated cumulative results 2019-2020 Anticipated cumulative results 2019-2023 Capacity Building for Ethnic Health Organizations Human Resource for Health Midwifery and Medical Education

Ref: Guidance Note [12] Notes regarding the budget: - The table in Section 4.c. below provides an overview of funding envelopes (total available amounts) allocated to geographic and thematic areas. These envelopes should be considered as ceilings.. - This initial Call for Proposals will fund the first two years (2019-2020) of programs spanning up to five years; funding-extensions will be awarded on a case-by-case basis during the course of 2020 but the Fund reserves the right to stop programs after the initial two years when doing so would make sense. - In 6.2., applicants should indicate how proposed activities will be complemented by support from other sources of funding.

6. Summary budget for five years [see note 12] 6.1 Please summarize your proposed Budget (from Budget Template) into the following table: Thematic Area 2019 2020 2021 2022 2023 Total MNCH Nutrition SRHR Drug Use / Harm Reduction Health in Prisons TB/ MDR TB Malaria Health Systems Strengthening TOTAL 6.2 Please provide below any useful information on the budget (Maximum half a page or 250 words)

7.Health for All (Community System Strengthening) Approach 7.1 Briefly explain your organization s Do No Harm and Conflict Sensitivity approach in the design, planning, and implementation of the project. (Maximum half a page or 250 words) 7.2 Briefly explain how the proposed program will ensure that service-providers are being held accountable by communities Note: Relevant documents can be attached (Maximum half a page or 250 words) 7.3 Please describe how the program ensures sensitivity to gender, social inclusion, and disability. Note: Relevant documents can be attached (Maximum half a page or 250 words)

8.Monitoring and Evaluation 8.1 Please describe the monitoring system used to gather, manage and report data, and how data will be analyzed and used as evidence in decision making. Please describe how the program will be evaluated. (Maximum one page or 500 words) 8.2 Please outline the most relevant lessons from the implementation of similar projects and how they influence the proposed approach. (Maximum half a page or 250 words)

9. Staffing 9.1 Please describe the proposed program s staffing plans for key positions Note: Please attach an organogram Position title Role description Full/part time (%) Already recruited? (Y/N)

10. Organization s Experience and Capacity 10.1 Please outline the organization s experience in managing similar programs in Myanmar (and ideally in the State(s) covered by this application.) Note: if no relevant experience in Myanmar, please outline experience from other countries. (Maximum half a page or 250 words) 10.2 Please outline how your organization prevents sexual exploitation and abuse and safeguards beneficiaries. Note: please attach the organization s Code of Conduct, and details on how staff is kept informed and compliant with the Code. (Maximum half a page or 250 words)

10. Organization s Experience and Capacity..cont 10.3 (For international organization only) Please outline the program s transition plan, including handover to local organizations by the end of 2023. [see note 13] (Maximum one page or 500 words) [13] In textbox 10.3, applicants should outline (for example) the planned reduction over time of international staff numbers, or the reduction in service-delivery unit costs towards local costs. Please also explain the approach to handing over the activities to the MOHS or other relevant actors.

10. Organization s Experience and Capacity..cont 10.4 Other information

10. Organization s Experience and Capacity..cont 10.4 Other information

10.Organization s Experience and Capacity..cont 10.5 Please use the space below to outline any other important information about your organization, your application, or any other relevant fact (Maximum two pages or 1,000 words)

Attachment Organogram Organization s Code of Conduct If consortium/group, please submit as Annex (max 2 pages) (refer to guidance note-2) Other attachment-(if relevant) Needs assessment, evaluations Detailed mapping of relevant interventions Accountability under HFA (CSS) Gender, social inclusion and disability under HFA (CSS)

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