PROPOSAL FORM - ZANZIBAR SIXTH CALL FOR PROPOSALS PROPOSAL TITLE: JOINT ACCELERATED ACCESS TO HIV AND AIDS INITIATIVES (PREVENTION, TREATMENT, CARE AND SUPPORT) IN ZANZIBAR (JAHAZI)
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
i
PROPOSAL SECTIONS FOR COMPLETION BY APPLICANTS page 1.
Proposal Overview ....................................................................................... 1
2.
Eligibility ....................................................................................................... 3
3.
Applicant & Proposal Endorsement 3A: Applicant Type ................................................................................... 9 3B: Proposal Endorsement..................................................................... 18
4.
Component Section...................................................24 and/or 50 and/or 76
5.
Component Budget...................................................40 and/or 66 and/or 92
ATTACHMENTS TO THE PROPOSAL FORM FOR COMPLETION BY APPLICANTS A.
Targets and Indicators Table (Complete as separate table for each component)
B.
Preliminary Procurement List of Drugs and Health Products
A list of all annexes to be attached to the Proposal Form by the applicant can be found at the end of sections 3 and 5 the Proposal Form OTHER REFERENCE DOCUMENTS FOR APPLICANTS (These and other documents are available at http://www.theglobalfund.org/en/apply/call6/documents/) Country Coordinating Mechanisms:
The Global Fund’s Revised Guidelines on the Purpose, Structure and Composition of Country Coordinating Mechanisms and Requirements for Grant Eligibility (CCM Guidelines)
Monitoring and Evaluation:
Multi-Agency ‘Monitoring and Evaluation Toolkit’, Second Edition, January 2006 (M&E Toolkit)
Procurement and Supply Management:
The Global Fund’s “Guide to Writing a Procurement and Supply Management Plan” (PSM Guide)
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
ii
How to use this form 1.
Before you start - Ensure that you have all documents that accompany this form: • The Guidelines for Proposals (Sixth Call for Proposals) • A complete copy of this Proposal Form • The Attachments to this Proposal Form.
2.
Please read the accompanying Guidelines for Proposals before filling out this Proposal Form.
3.
For detailed information on how to use the electronic version of the Proposal Form, please see Attachment 4 to the Guidelines for Proposals.
4.
In this Proposal Form further guidance for completing specific sections is also included in the Form itself, printed in blue italics. Where appropriate, indications are given as to the approximate length of the answer. Please try to respect these indications.
5.
To avoid duplication of effort, we recommend you to make maximum use of existing information (e.g., program documents written for other donors/funding agencies).
6.
Complete the Checklists at the end of sections 3 and 5 of the Proposal Form to ensure that you are sending a fully completed proposal.
7.
Attach all documents requested throughout the Proposal Form.
8.
Consult our “Frequently Asked Questions” link: http://www.theglobalfund.org/en/apply/call6/
Please note that any information submitted to the Global Fund may be made publicly available.
WHAT IS DIFFERENT COMPARED TO ROUND 5? The main difference compared to the Round 5 Proposal Form is that Health Systems Strengthening is no longer a separate component. It is important to recognize that applicants can still apply for funding for health systems strengthening activities by including such activities in the specific disease components. In other respects the Round 6 Proposal Form is similar to the Round 5 Proposal Form, and changes have mainly been made for the purpose of improved clarity and presentation.
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
iii
1 Proposal Overview 1.1
General information on proposal
Applicant Name
GLOBAL FUND COUNTRY COORDINATING MECHANISM ZANZIBAR
Country/countries
ZANZIBAR - UNITED REPUBLIC OF TANZANIA
Applicant Type Please tick one of the boxes below, to indicate the type of applicant. For more information, please refer to the Guidelines for Proposals, section 1.1 and 3A. National Country Coordinating Mechanism Sub-national Country Coordinating Mechanism Regional Coordinating Mechanism (including small island developing states) Regional Organization Non-Country Coordinating Mechanism Applicant Proposal component(s) and title(s) Please tick the appropriate box or boxes below, to indicate components included within your proposal. Also specify the title for each proposal component chosen. For more information, please refer to the Guidelines for Proposals, section 1.1. Component X
Title
HIV/AIDS1
JOINT ACCELERATED ACCESS TO HIV AND AIDS INITIATIVES (PREVENTION, CARE AND TREATMENT) IN ZANZIBAR (JAHAZI)
Tuberculosis1 Malaria Currency in which the Proposal is submitted Please tick the appropriate box. Please note that all financial amounts appearing in the proposal should be denominated in the selected currency only. US$ Euro
1
In contexts where HIV/AIDS is driving the tuberculosis epidemic, HIV/AIDS and/or tuberculosis components should include collaborative tuberculosis/HIV activities. Different tuberculosis and HIV/AIDS activities are recommended for different epidemic states; for further information see the ‘WHO Interim policy on collaborative TB/HIV activities,’ available at http://www.who.int/tb/publications/tbhiv_interim_policy/en/.
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
1
1 Proposal Overview 1.2
Proposal funding summary per component Funds requested for each component (i.e. HIV/AIDS, tuberculosis and/or malaria) in table 1.2 below must be the same as the totals of the corresponding component budget in table 5.1.
Table 1.2 – Total funding summary Component HIV/AIDS
Year 1
Year 2
Year 3
Year 4
Year 5
Total
1,832,103
2,014,517
1,647,565
1,582,809
1,736,048
8,813,042.00
Tuberculosis
0
0
0
0
0
Malaria
0
0
0
0
0
Total
1.3
Total funds requested (Euro / US$)
1,832,103
2,014,517
1,647,565
1,582,809
1,736,048
8,813,042.00
Previous Global Fund grants
Table 1.3 – Previous Global Fund grants Component
Previous grants Rounds
Current Amount* (US$)
HIV/AIDS
(R2)
2,302,637
Tuberculosis
(R3)
959,482
Malaria
(R1&4)
10,740,052
HSS/Other
Not applicable
* Aggregate all past grants, including approved but as yet unsigned amounts. These amounts should include Phase 2 where this has been approved/signed. For more detailed information, see the Guidelines for Proposals, section 1.3.
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
2
2 Eligibility Only those Proposals that meet the Global Fund’s eligibility criteria will be reviewed by the Technical Review Panel. Eligibility is a multi-step process that depends on the income level of the country (or countries) applying for funding and, in some cases, disease burden. Please read through this section carefully and consult the Guidelines for Proposals, section 2, for further guidance on the steps to be followed by each applicant. 2.1
Technical eligibility
2.1.1 Country income level Please tick the appropriate box in the table below. For proposals from multiple countries, complete the referenced information separately for each country (see the Guidelines for Proposals, section 2.1). Country/countries
ZANZIBAR – United Republic of TANZANIA
Low-income
Complete section 2.2 only
Lower-middle income
Upper-middle income
Complete sections 2.1.2, 2.1.3 and 2.2
Complete sections 2.1.2, 1.2.3, 2.1.4 and 2.2
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
3
2 Eligibility 2.1.2 Counterpart financing and greater reliance on domestic resources Please enter information on counterpart financing in table 2.1.2 below if the country(ies) listed above are classified as Lower-middle income or Upper-middle income. Non-CCM Applicants do not have to fulfill the counterpart financing requirement. The table should be filled in for each component included in this proposal. For definitions and details of counterpart financing requirements, see the Guidelines for Proposals, section 2.1.2. Important note: The field “Total requested from the Global Fund” in table 2.1.2 below should equal the request in section 5 and table 5.1 for each corresponding component. Table 2.1.2 – Counterpart financing (Euro / US$) Component
Financing sources
Total requested from the Global Fund (A) [from table 5.1]
HIV/AIDS
Year 1
0
Year 2
0
Year 3 estimate
0
Year 4 estimate
0
Year 5 estimate
0
Counterpart financing (B) [linked to the disease control program] Counterpart financing as a percentage of total financing: [B/(A+B)] x 100 = %
!Zero Divide
!Zero Divide
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
!Zero Divide
!Zero Divide
!Zero Divide
4
2 Eligibility Table 2.1.2 – Counterpart financing continued (Euro / US$) Component
Financing sources
Total requested from the Global Fund (A) [from table 5.1]
Tuberculosis
Counterpart financing (B) [linked to the disease control program] Counterpart financing as a percentage of total financing: [B/(A+B)] x 100 = %
Year 1
0
!Zero Divide
Year 2
0
Year 3 estimate
0
Year 4 estimate
0
Year 5 estimate
0
!Zero Divide
!Zero Divide
!Zero Divide
!Zero Divide
Year 2
Year 3 estimate
Year 4 estimate
Year 5 estimate
Table 2.1.2 – Counterpart financing continued (Euro / US$) Component
Financing sources
Total requested from the Global Fund (A) [from table 5.1]
Malaria
Year 1
0
0
0
0
0
Counterpart financing (B) [linked to the disease control program] Counterpart financing as a percentage of total financing: [B/(A+B)] x 100 = %
!Zero Divide
!Zero Divide
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
!Zero Divide
!Zero Divide
!Zero Divide
5
2 Eligibility 2.1.3 Focus on poor or vulnerable populations All proposals from Lower-middle income and Upper-middle income countries must demonstrate a focus on poor or vulnerable population groups. Proposals may focus on both population groups but must focus on at least one of the two groups. Complete this section in respect of each component. Describe which poor and/or vulnerable population groups your proposal is targeting; why and how these populations groups have been identified; how they were involved in proposal development and planning; and how they will be involved in implementing the proposal (Maximum half a page per component). Not applicable.
2.1.4 High disease burden Proposals from Upper-middle income countries must also demonstrate that they face a very high current disease burden. Please enter such information in the section below in respect of each component. Please note that if the applicant country falls under the “small island economy” lending eligibility exception as classified by the World Bank/International Development Association, this requirement does not apply (see section C in Attachment 1 to the Guidelines for Proposals). Confirm that the country (ies) is (are) facing a very high current disease burden, as evidenced by data from WHO and UNAIDS. (Please see the Guidelines for Proposals, section 2.1.4 for more information on the definition of high disease burden.) Not applicable.
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
6
2 Eligibility 2.2
Functioning of Coordinating Mechanism To be eligible for funding, all applicants, other than Non-CCM Applicants and Regional Organizations must meet the Global Fund’s minimum requirements for Coordinating Mechanisms. For additional information regarding these requirements, see: •
The Guidelines for Proposals, section 2.2 and
•
The CCM Guidelines.
Please note that your application must provide documentation to show how the applicant meets these minimum requirements. You will be asked to re-confirm this in the Checklist at the end of section 3. 2.2.1 Broad and inclusive membership a) People living with and/or affected by the disease(s) Provide evidence of membership of people living with and/or affected by the disease(s). (This may be done by demonstrating corresponding Coordinating Mechanism membership composition and endorsement in table 3B1.2, and 3B.1.3 in section 3B of the Proposal Form.) Zanzibar has only one umbrella NGO for people living with HIV and AIDS known as ZAPHA+. The NGO has branches in both two islands (Unguja and Pemba). The society is composed of people living with the virus and who have publicly declared their HIV serostatus. Based on defined roles and tasks as outlined in the ZAPHA’s constitution, the executive chairperson and coordinator are mandated to represent the society in official settings and other related platform. Also these representatives have been nominated by their institution to represent them in the Zanzibar GFCCM The composition of GFCCM entails members from an association of People Living with HIV and AIDS known as ZAPHA+. Two of the executive members from ZAPHA+ form part of Zanzibar GFCCM. these are: a) Ms. Consolata John- Chairperson ZAPHA+ b)
Mr. Seif Juma
- ZAPHA+ coordinator. Please see the table 3B.1.2
c)
Also attached herein are the written confirmations of the two representatives about their sero-status (Please see the table 3B.1.2 and attached testimonies).
b) Selection of non-governmental sector representatives Provide evidence of how those Coordinating Mechanism (CM) members representing each of the non-governmental sectors (i.e. academic/educational sector, NGOs and communitybased organizations, private sector, religious and faith-based organizations, and multi/bilateral development partners in country) have been selected by their own sector(s) based on a documented, transparent process developed within their own sector. (Please summarize the process and, for each sector, attach as an annex the documents showing the sector’s transparent process for CM representative selection, and the sector’s minutes or other documentation recording the selection of their current representative. Please indicate the applicable annex number.) In ensuring that the GF CCM complies with the requirement regarding representation of
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
7
2 Eligibility non- governmental organisations, the secretariat (based at the Chief Minister’s Office) wrote a letter which requested the respective organisations (CSO, FBOs, academic institutions and private sector) to select their representatives through transparent and documentation process. The organisations then sent letters and submit the names of the representative selected together with the minutes of the meeting that the selections were made (Annex 1). As for multilateral and bilateral organisations they are being represented by their heads or program officers. GFCCM membership is through application to the chairperson and is subject to approval by CCM members. Also attached please find and additional folder on GFCCM member nomination proceedings (supplementary annex A).
2.2.2 Documented procedures for the management of conflicts of interest Where the Chair and/or Vice-Chair of the Coordinating Mechanism are from the same entity as the nominated Principal Recipient(s) in this proposal, describe and provide evidence of the applicant’s documented conflict of interest policy to mitigate any actual or potential conflicts of interest arising in regard to the applicant’s operations or responsibilities. (Please summarize and attach the policy as an annex. Please indicate the applicable annex number.) The Chair and the Co-Chair are not drawn from the same entity with PR. 2.2.3 Documented and transparent processes of the Coordinating Mechanism As part of the eligibility screening process for proposals, the Global Fund will review supporting documentation setting out the CCM’s proposal development process, the submission and review process, the nomination process for Principal Recipient(s), as well as the minutes of the meeting where the CCM decided on the elements to be included in the proposal and made the decision about the Principal Recipient(s) for this proposal. Please describe and provide evidence of the CCM’s documented, transparent and established: a) Process to solicit submissions for possible integration into this proposal. (Please summarize and attach documentation as an annex and indicate the applicable annex number.) Submissions for possible integration into this proposal started by taking under consideration comments from TPR committee on GF Round 5 application. Potential stakeholders (public and private) were contacted and requested to express their interest in GF Round 6 application. A joint platform was developed for this application. Also, the GFCCM gave a general guidance to revisit and guide the Round sic application process stressing the need to effectively use GF Round 5 proposal as guiding document for this Round. The process of designing R6 Proposal entailed reviewing the GFRound5 Proposal and consulting partners/stakeholders to reconfirm their intention in participating in program implementation including selection of service delivery areas which they are interested to work on. Letters of intentions and minutes of the consultation meeting are attached in Annex 2. b) Process to review submissions received by the CCM for possible integration into this proposal. (Please summarize and attach documentation as an annex and indicate the applicable annex number.) The development of GFR6 proposal emanates from the formulation of the ZNSP. The ZNSP has been formulated through a wide process of inclusion and involvement of various key actors on HIV arena in Zanzibar. The process of formulating GFR6 was blessed by the GFCCM where the formulation process was determined by GFCCM members (which involves both public; CSO and private members). The
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
8
2 Eligibility platform agreed that a multisectoral meeting be held to review the GFR5 proposal and redefine areas of focus for the new application. Among the defined objectives and goals during the stakeholders meeting included a rapid situation analysis which aimed at revisiting the GFR5 problem analysis (tree) and do the updates based on invested interventions to address the HIV epidemic in Zanzibar. Key solutions relating to defined problems were developed and key actors (public, private and CSO) actively identified areas where they fit best based on institutional capacity and areas of comparative advantages The process is based on a multi-sectoral participative approach developing the country-coordinated partnership around common goals, objectives, and strategies. Through iterative rounds of stakeholder consultation and work sessions, potential implementing partners from all sectors, including technical support agencies, develop consensus on the common design, the common management & coordination plan, and their individual contributions to implementation. The process has three phases: Phase Phase 1: Theme definition and partnership identification
Phase 2: Design forum
Phase 3: Detailed planning and proposal preparation
Submission
Activities 1. GFCCM agrees on theme and basic strategy (with great emphasis on reviewing GFR5 application ) 2. Potential implementing partners were identified, technical resources sought, logistics organized and mobilized. 3. Collect background information 1. Potential implementing partners attended a five days design forum supported by technical resource persons, with full time Technical assistance from the UN system (WHO/UNFPA/UNICEF etc) and a national consultant from HealthScope-Tanzania. 2. Problems analysis was re-evaluated. 3. The stakeholders workshop defined the goals, objectives, strategies, indicators of the proposal, identify their institutional roles, identify scope of resources needed, follow up tasks 1. Proposal development group (15 members from various institutions) including some implementing partners, technical resource persons and lead facilitators complete detailed planning for the proposal 2. Consultative meeting with Implementing partners during the proposal formulation on areas of capacity and budgeting. 3. Consultative meeting with development partners (DANIDA, CONSENUT etc). 4. Consultative meetings with key implementing CSOs and private hospitals 5. Finance staff develop budget 6. Drug logistics experts develop forecasts, write PSM Plan, calculate quantities needed 7. Indicators and targets defined 8. Writing completed 9. Inputs from international consultants ( 2 from WHO ) –(10/07/2006); 24/07/2006 & 01/08/2006 10. Draft reviewed by partners 1. Draft reviewed, approved by GFCCM 2. Final changes 3. Submission by the deadline
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
Timing 3 weeks before proposal development
5 days workshop
Five weeks. Full time work for core team, part time participation by other technical resource persons and implementing partners
5 days
9
2 Eligibility Proposal Design Forum Invitations to the Design Forum were based on the participating multi-sectoral stakeholders in the Zanzibar National Strategic Framework and the Health Sector Strategy for HIV/AIDS, and known implementing agencies and interested civil society organizations. During the design forum, the following problem and solution diagrams were developed. Partners then began the process of identifying their roles and contributions within the common solution framework. Please see supplementary attachment folder on summary of intervention area selection with CSO
c) Process to nominate the Principal Recipient(s) and oversee program implementation. (Please summarize and attach documentation as an annex and indicate the applicable annex number.) Requirements of the Global Fund, RGoZ Procedures and the performance of the Principal Recipients for Round 1,2,3,4 were reviewed in consultation with ZAC, ZACP, Ministry of Finance, Chief Minister’s Office and the Local Funding Agent. Coordination tasks and oversight responsibilities were defined during the design forum with multi sectoral partners and then refined in subsequent work sessions. The design of coordination and program management also took into account the arrangements and experiences for Round 2. HIV and AIDS Program as well as PR performance as reflected in the assessment report by Local Funding Agency. (LFA Report- Annex 7). Taking in account the size of Zanzibar and the capacity of the key acting implementing institutions , the routine organisation culture in Zanzibar on proposal formulation entails conducting a multisectoral stakeholders meeting where all potential and interested partners (registered) are invited to the meeting and plan for the best way forward to formulate an intended proposal. For HIV/TB/Malaria issues the Zanzibar GFCCM serves as an important platform to deliberate such issues. The GFCCM meeting held on st the 21 of June served as a crucial entry point for GFR6 proposal formulations. Based on comparative coordination experience, good track record and areas of mandates, only two institutions were identified to be PR. These institutions have wider coverage base and are directly linked in the process of realizing national and international indicators (ZGRPS, vision 2020 and MDGs). These institutions are : 1. Zanzibar AIDS Control Programme: before the formulation of the AIDS commission, ZACP was the hub for the national HIV interventions in Zanzibar. The formulation of the AIDS Commission has legally defined ZACP as ZAC secretariat with key role of providing technical backup to ZAC. Moreover, the ZACP has been mandated to steer the health related HIV and AIDS intervention, oversees policy formulation and ensure access to quality services to all Zanzibaris. They are bitterly positioned to provide technical assistance and coordinate Health related interventions in both public and private health care settings. Concurrently, the programme has operated and facilitated support with other sectors (public and non-public) in realising HIV interventions and of recent more focus to Health related interventions in Zanzibar. 2. The Zanzibar AIDS Commission: has legal mandate to coordinate the national response in Zanzibar and is pivotal in the implementation of three ones principles in the isles. ZAC has successfully orchestrated the CSO and other non-health sectors in the fight against HIV and AIDS in Zanzibar. The commission has positively acted as principal recipient in GFR2 and with other multi-donor funds that address HIV interventions in various settings. Also the Commission has smoothly facilitated the capacity enhancement schemes of various actors (public; private and CSO alike) with remarkable success. Worth noting is the fact that none of other Stakeholders (public, private and CSO or the bilateral) did officially request to be among the key PR. In acknowledging the above (1&2) the PR were proposed and submitted for review and endorsement in the GFCCM. The final review and endorsement of the PRs was made during the GFCCM Proposal review meeting on th 27 July 2006. The same arguments during the selection of the PRs for R5 were used to select the PR for R6. None of the non-government implementing partner now established on Zanzibar has the capacity
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
10
2 Eligibility required to fulfill the role of Principal Recipient (PR). Also existing acts provides legal mandates for the identifed PRs to serve as so. Therefore, since this is a health focused project, it was decided that the Ministry of Health and Social Welfare would be the PR for the public sectors while the Zanzibar AIDS Commission, in its role of a multi-sectoral coordinator, was selected as PR for the non-government interventions ( particularly support services and other non-health intervention that require to be captured within the national M&E framework). These nominations were included in the first draft of the proposal reviewed by the technical committee of the GF-CCM and endorsed in the final version submitted to the th GF-CCM on 27 July 2006. (See attached minutes of the Zanzibar GF-CCM – Annex 8, 9.)
d) Process to ensure the input of a broad range of stakeholders, including CCM members and non-CCM members, in the proposal development process and grant oversight process. (Please summarize and attach documentation as an annex and indicate the applicable annex number.) Participatory analytical gap identification process using existing data was largely used to define gaps, potential areas of focus for this application aiming at integrating the epidemic dynamics. The main areas of focus for this proposal were selected by the GFCCM based upon the findings from HIV and AIDS situation and response analysis, the Zanzibar National Strategic Plan, the Zanzibar Health Sector Strategy for HIV and AIDS and GFRound5 TRP comments. The development process included relevant implementing partners in Zanzibar and development partners (Annex 5, 6.) The selected themes represent the most major gaps in the national response, gaps which significantly block progress in combating and mitigating the epidemic and the epidemiological pattern in the country. Submissions for possible integration into the proposal were solicited through the proposal design process. The need to re-submit the fifth proposal after reviewing it as per the GF guidelines and comments was approved by the GFCCM in its meeting which was conducted on Wednesday 21st th June 2006 (Annex 9). All relevant implementing institutions for HIV/AIDS and TB prevention, treatment, care and support as well as those dealing with, Substance users (especially IDUs) and MVCs on Zanzibar (Public, NGOs, FBOs, Private sector) were invited to participate in the Stakeholders workshop held between 3-8th July 2006 to review the proposal. The review also involved additional potential support partners with the specialised skills from the UN system (both from Tanzania Mainland and Geneva) and the representatives of the Association of people living with HIV and AIDS (ZAPHA+) and other HIV fighting CSOs (Annex 5, 6). The first draft of the Proposal was submitted not only to CCM but also to relevant non – CCM members for their inputs and additional guidance (Annex 8).
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
11
3A Applicant Type This section contains information on the applicant. Please see the Guidelines for Proposals, section 3A, for more information regarding the nature of different applicants. All Coordinating Mechanism Applicants (whether national, sub-national, regional (C)CMs) and Regional Organizations must also complete section 3B of this Proposal Form and provide the documented evidence requested. Non-CCM Applicants do not complete section 3B. These applicants must fully complete section 3A.5 of this Proposal Form and provide documentation as an attachment to this proposal supporting their claim to be considered as eligible for Global Fund support outside of a Coordinating Mechanism structure. 3A.1
Applicant
Table 3A.1 – Applicant Please tick the appropriate box in the table below, and then go to the relevant section in this Proposal Form, as indicated on the right hand side of the table. National Country Coordinating Mechanism
X Complete sections 3A.2 and 3B
Sub-national Country Coordinating Mechanism
complete sections 3A.3 and 3B
Regional Coordinating Mechanism (including small island developing states)
complete sections 3A.4 and 3B
Regional Organization
Non-CCM Applicants
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
complete section 3A.5 and 3B
complete section 3A.6
12
3A Applicant Type 3A.2
National Country Coordinating Mechanism (CCM) For more information, please refer to the Guidelines for Proposals, section 3A.2, and the CCM Guidelines.
Table 3A.2 – National CCM: basic information Name of national CCM
Date of composition (yyyy/mm/dd)
ZANZIBAR GLOBAL FUND COUNTRY COORDINATING MECHANISM
2002/03/02
3A.2.1 Mode of operation Describe how the national CCM operates. In particular: • The extent to which the CCM acts as a partnership between government and other
actors in civil society, including the academic and educational sector; non-government and community-based organizations; people living with and/or affected by the diseases and the organizations that support them; the private sector; religious and faith-based organizations; and multi-/bilateral development partners in-country; and
• How it coordinates its activities with other national structures (such as National AIDS
Councils, Parliamentary Health Commissions, National Monitoring and Evaluation Offices and other key bodies).
(For example, address topics including decision-making mechanisms and rules, constituency consultation processes, the structure and key focus of any sub-committees, frequency of meetings, implementation oversight processes, etc. The recommended length of response is a maximum of one page. Please provide terms of reference, statutes, by-laws or other governance documentation relevant to the CCM, and a diagram setting out the interrelationships between all key actors in the country as an annex to this proposal. Please indicate the applicable annex number.) The GF-CCM Zanzibar is chaired by the Principal Secretary of the Chief Minister’s Office and cochaired by the Principal Secretary of the Ministry of Finance and Economic Affairs (MOFEA). It has a secretariat which is stationed at the Chief Ministers office ; an executive committee comprised of all members of GF-CCM and three technical committees each comprised of four members representatives from HIV and AIDS, TB and Malaria (Annex 10, 11, 12). Functions and responsibility of the GF-CCM Zanzibar include the co-ordination, review and approval of proposals submitted from its local partners. It also functions as a platform for partnership and networking development. The GF-CCM ensures broad and full involvement of NGOs, CSOs private sector and academic institutions that prevails in the country . The CCM is the overall body responsible for coordinating perfomace monitoring and guidance for multisectoral implementation of HIV and AIDS , TB and malaria in Zanzibar. The executive committee meets quarterly and the technical committees meet twice in a quarter. GFCCM membership is through application to the secretariat and subject to approval by GFCCM members.
After completing this section, complete section 3B.1.
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
13
3A Applicant Type 3A.3
Sub-national Country Coordinating Mechanism For more information, please refer to the Guidelines for Proposals, section 3A.3, and the CCM Guidelines.
Table 3A.3 – Sub-national CCM: basic information Name of sub-national CCM
Date of composition (yyyy/mm/dd)
Not Applicable 3A.3.1 Mode of operation Describe how the sub-national CCM operates. In particular: • The extent to which the sub-national CCM acts as a partnership between government and
other actors in civil society, including the academic and educational sector; non-government and community-based organizations; people living with and/or affected by the diseases and the organizations that support them; the private sector; religious and faith-based organizations; multi-/bilateral development partners in-country; and
• How it coordinates its activities with other national structures (such as National AIDS
Councils, Parliamentary Health Commissions, National Monitoring and Evaluation Offices and other key bodies).
(For example, address topics including decision-making mechanisms and rules, constituency consultation processes, the structure and key focus of any sub-committees, frequency of meetings, implementation oversight processes, etc. The recommended length of response is a maximum of one page. Please provide terms of reference, statutes, by-laws or other governance documentation relevant to the sub-national CCM, and a diagram setting out the interrelationships between all key actors as an annex to this proposal. Please indicate the appropriate annex number.) Not applicaple 3A.3.2 Rationale a) Explain why a sub-national CCM has been chosen. (Maximum of half a page.) Not applicable b) Describe how this proposal is consistent with and complements the national strategy for responding to the disease and/or the national CCM plans. (Maximum of half a page.) Not Applicable
After completing this section, complete section 3B.1.
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
14
3A Applicant Type 3A.4
Regional Coordinating Mechanism (including small island developing states)
For more information, please refer to the Guidelines for Proposals, section 3A.4, and the CCM Guidelines. Table 3A.4 – Regional Coordinating Mechanism: basic information Name of regional Coordinating Mechanism (RCM)
Date of composition (yyyy/mm/dd)
Not Applicable 3A.4.1 Mode of operation Describe how the RCM operates. In particular: • The extent to which the RCM acts as a partnership between government and other actors
in civil society, including the academic and educational sector; non-government and community-based organizations; people living with and/or affected by the diseases and the organizations that support them; the private sector; religious and faith-based organizations; multi-/bilateral development partners in-country; and
• How it coordinates its activities with the national structures of the countries that are
included in the proposal (such as national AIDS councils, national CCMs, or the national strategies of small island developing states who do not have their own national CCM or other national coordinating body.)
• The RCM’s governance structure and processes, and how the implementation strategy and
timelines have taken into account the regional context, including the need to coordinate between multiple entities.
(For example, address topics including decision-making mechanisms and rules, constituency consultation processes, the structure and key focus of any sub-committees, frequency of meetings, implementation oversight processes, etc. The recommended length of response is a maximum of one page. Please provide terms of reference, statutes, by-laws or other governance documentation relevant to the RCM, and a diagram setting out the interrelationships between key actors across the included countries as an annex to this proposal. Please indicate the appropriate annex number.) Not Applicable. 3A.4.2 Rationale a) Explain why a RCM approach has been chosen. (Maximum of half a page.) Not Applicable b) Describe how this proposal is consistent with and complements the national strategies of countries included and/or the national CCM plans. (Maximum of half a page.) Not Applicable c) Provide details of how this proposal will achieve cross-border or multi-country outcomes that would not be possible with only national approaches. (Maximum of half a page.) Not Applicable
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
15
3A Applicant Type d) Explain how the RCM represents a natural collection of countries and describe what measures will be taken to maximize operational efficiencies in administrative processes of the RCM. (Maximum of half a page.)
After completing this section, complete section 3B.1.
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
16
3A Applicant Type 3A.5
Regional Organizations (including Intergovernmental Organizations and International Non-Government Organizations) For more information, please refer to the Guidelines for Proposals, section 3A.5.
Table 3A.5 – Regional Organization: basic information Name of Regional Organization
Sector represented by the Regional Organization
3A.5.1 Mode of operation In addition to answering the sections below, Regional Organizations should provide, as additional annexes to this proposal documentation describing the organization, such as: • Statutes, by-laws of organization (official registration papers); and • A summary of the main sources and amounts of funding. Describe how the Regional Organization operates. In particular: • The manner in which the Regional Organization gives effect to the principles of inclusiveness
and multi-sector consultation and partnership in the development and implementation of regional cross-border projects; and
• The coverage and past experience of the Regional Organization’s operations.
(Maximum of half a page.)
3A.5.2 Rationale a) Explain why a Regional Organization has been chosen and the added value of the proposed regional approach beyond the national response of individual countries. (For example, address cross-border or regional issues. Maximum of half a page.)
b) Describe how this regional proposal is consistent with and complements the national plans for responding to the disease of each country involved. (Maximum of half a page.)
c) Provide details of how this proposal will achieve cross-border or multi-country outcomes that would not be possible with only national approaches. (Maximum of half a page.)
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
17
3A Applicant Type d) Explain how the Regional Organization represents a natural collection of countries and describe what measures will be taken to maximize operational efficiencies in administrative processes. (Maximum of half a page.)
After completing this section, complete section 3B.2.
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
18
3A Applicant Type 3A.6
Non-CCM Applicants Non-CCM proposals are only eligible for funding under exceptional circumstances listed in section 3A.6.2 below. For more information, please refer to the Guidelines for Proposals, section 3A.6. In addition to answering the sections below, all Non-CCM proposals should include as annexes additional documentation describing the organization, such as: statutes and by-laws of organization (official registration papers) or other governance documents, documents evidencing the key governance arrangements of the organization; a summary of the organization, including background and history, scope of work, past and current activities; and a summary of the main sources and amounts of existing funding.
Table 3A.6 – Non-CCM Applicant: basic information Name of Non-CCM Applicant Street address Primary contact
Secondary contact
Name Title Organization Mailing address Telephone Fax E-mail address
Indicate the type of your sector (tick appropriate box): Academic/educational sector Government NGOs/community-based organizations People living with and/or affected by HIV/AIDS, tuberculosis and/or malaria Private sector Religious/faith-based organizations Multilateral and bilateral development partners in country Other (please specify):
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
19
3A Applicant Type 3A.6.2 Rationale for applying outside a Coordinating Mechanism a) Non-CCM proposals are only eligible if they satisfactorily explain that they originate from one of the following: i) Countries without legitimate governments; ii) Countries in conflict, facing natural disasters, or in complex emergency situations (which will be identified by the Global Fund through reference to international declarations such as those of the United Nations Office for the Coordination of Humanitarian Affairs [OCHA]); or iii) Countries that suppress, or have not established partnerships with civil society and NGOs. Describe which of the above conditions apply to this proposal. (Maximum of two pages. Please refer to the Guidelines for Proposals, section 3A.6.2 for further information.)
b) Describe your organizations attempts to include this proposal in the relevant CCM’s final approved country proposal and the responses, if any, from the CCM. (Maximum of one page. Please provide documentary evidence of these attempts and any response from the CCM (national, sub-national or regional) as an annex to the proposal.)
If this Non-CCM proposal originates from a country in which no CCM exists (for example, a small island developing state), please also complete section 3A.6.3. 3A.6.3 Consistency with national policies Describe how this proposal is consistent with, and complements, national policies and strategies (or, if appropriate, why this proposal is not consistent with national policy). (Maximum of one page. Provide evidence (e.g., letters of support) from relevant national authorities in an annex to the proposal.)
After completing this section, complete section 4.
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
20
3B Proposal Endorsement 3B.1
Coordinating Mechanism membership and endorsement: All national, sub-national and regional Coordinating Mechanisms must complete this section. Regional Organizations must complete section 3B.2.
National/Sub-national/Regional Coordinating Mechanisms 3B.1.1 Leadership of Coordinating Mechanism Table 3B.1.1 – National/Sub-national/Regional (C)CM leadership information (not applicable to Non-CCM and Regional Organization applicants) Chair
Vice Chair
Name
Mr. Ali Rajab Juma
Mr. Khamis Mussa
Title
Principal Secretary
Principal Secretary
Organization
Chief Minister' s Office
Ministry of Finance and Economic Affairs
Mailing address
P.O.BOX 239, Zanzibar
P.O.BOX 1154, Zanzibar
Telephone
(255)024-223-0806 +255 777 411342
(255)777-435369
Fax
(255)024-223-2788
(255)-24-2236656
E-mail address
[email protected]
[email protected]
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
21
3B Proposal Endorsement 3B.1.2 Membership information Please note that to be eligible for funding, national/sub-national/regional Coordinating Mechanisms must demonstrate evidence of membership of people living with and/or affected by the diseases. It is recommended that the membership of the CCM comprise a minimum of 40% representation from non-governmental sectors. For more information on this, see the Guidelines for Proposals section 3B.1, and the CCM Guidelines. The table below must be completed for each national/sub-national/regional Coordinating Mechanism member, and the table will therefore need to be extended to cover numerous members. Use the “Add_Member” button in the standard toolbar. Under “Type”, please specify which sector the CCM member represents: academic/educational; government; non-governmental and community-based organizations; people living with HIV/AIDS, tuberculosis and/or malaria; the private sector; religious/faith-based organizations; or multi-/bilateral development partners in country. Table 3B.1.2 – National/sub-national/regional (C)CM member information National/Sub-national/Regional (C)CM member details Member 1 Agency/organization
Ministry of Health and Social Welfare
Type
Public sector
Name of representative
Dr. Moh' d Saleh Jidawi
CCM member since
Title in agency/organization
Principal Secretary
Fax
E-mail address
[email protected]
Telephone
Main role in the Coordinating Mechanism and the proposal development (proposal preparation, technical input, component coordinator, financial input, review, other)
Website
2006 +255 24 2232605 +255-777-410-954 +255 24 2230189 P.O.Box 236
Technical input, policy guidleines; review and endorsement
Mailing address
Mnazi Mmoja Zanzibar Tanzania
Member 2 Agency/organization
Ministry of Labor,Youth Development, Women and
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
Website
22
3B Proposal Endorsement Children Type
Public sector
Name of representative
Mr. Khalid Salum Mohamed
CCM member since
2006
Title in agency/organization
Principal Secretary
Fax
+255 24 2236371
E-mail address
[email protected]
Telephone
+255 24 2236371
Main role in the Coordinating Mechanism and the proposal development (proposal preparation, technical input, component coordinator, financial input, review, other)
P.O.Box 884 Technical input, review, policy guideline and endorsement
Mailing address
Mwanakwerekwe Zanzibar Tanzania
Member 3 Agency/organization
Zanzibar AIDS Commission (ZAC)
Type
Public sector
Name of representative Title in agency/organization E-mail address
Main role in the Coordinating Mechanism and the proposal development (proposal preparation, technical input, component coordinator, financial input, review, other)
Website
www.zacaids.com
Mrs. Asha A. Abdulla
CCM member since
2002
Executive Director
Fax
+255 24 2231152
Telephone
+ 255 777 423165
[email protected] [email protected]
P.O.Box 2820 Component coordinator, Technical input, financial input and review
Mailing address
Shangani - Stone Town Zanzibar Tanzania
Member 4 Agency/organization
Zanzibar AIDS Control Program (ZACP)
Type
Public sector
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
Website
23
3B Proposal Endorsement Name of representative
Dr. Mohammed Dahoma
CCM member since
2002
Title in agency/organization
Program Manager
Fax
+255 24 223 4044
E-mail address Main role in the Coordinating Mechanism and the proposal development (proposal preparation, technical input, component coordinator, financial input, review, other)
[email protected] [email protected]
Telephone
+255 777 461870 +255 24 2234044 P.O.Box 1300
Technical input, component coordinator, system guidance & input review
Mailing address
Mnazi Mmoja Zanzibar Tanzania
Member 5 Agency/organization
Malaria Control Program
Type
Public sector
Name of representative
Mr. Abdullah S. Ali
CCM member since
2002
Title in agency/organization
Program Manager
Fax
+255 24 2231152
E-mail address
Abdullahsuleimanali@yah oo.com
Telephone
+255 24 2234970
Main role in the Coordinating Mechanism and the proposal development (proposal preparation, technical input, component coordinator, financial input, review, other)
Website
P.O.Box 236 Technical input, component coordination and system guidance.
Mailing address
Mwanakwerekwe Zanzibar Tanzania
Member 6 Agency/organization
TB and Leprosy Program
Type
Public sector
Name of representative
Dr. Juma Muhsin
CCM member since
2002
Title in agency/organization
Program Manager
Fax
+255 24 2231973
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
Website
24
3B Proposal Endorsement E-mail address Main role in the Coordinating Mechanism and the proposal development (proposal preparation, technical input, component coordinator, financial input, review, other)
[email protected]
Telephone
+255 24 2231417 P.O.Box 236
Technical input, component coordination and system guidance
Mailing address
Mnazi Mmoja Zanzibar Tanzania
Member 7 Agency/organization
Mufti' s Office
Type
Public sector
Name of representative
Mr.Shibli Makame
CCM member since
2002
Title in agency/organization
HIV/AIDS Focal Person
Fax
255 024 2233788
Telephone
255 024 2231024
E-mail address Main role in the Coordinating Mechanism and the proposal development (proposal preparation, technical input, component coordinator, financial input, review, other)
Website
P.O.Box 2479 Review
Mailing address
Migombani Zanzibar Tanzania
Member 8 Agency/organization
Catholic Church
Type
Faith Based Organization
Name of representative
Fr. Evaristus Mushi
CCM member since
Title in agency/organization
Priest
Fax
E-mail address Main role in the Coordinating Mechanism and the proposal development (proposal preparation, technical input, component coordinator,
Review
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
Website
2002
Telephone
+255 24 2232442
Mailing address
P.O.Box 2820 Minara Miwili- Stone Town Zanzibar
25
3B Proposal Endorsement financial input, review, other)
Tanzania
Member 9 Agency/organization
Anglican church of Tanzania
Type
Faith Based Organization
Name of representative
Mr. John Eyobo
CCM member since
2002
Title in agency/organization
Principal Secretary
Fax
+255 24 22336772
E-mail address
[email protected] Telephone om
Main role in the Coordinating Mechanism and the proposal development (proposal preparation, technical input, component coordinator, financial input, review, other)
Website
+225 713 428 763 P.O.Box 5
Review
Mailing address
Mkunazini Zanzibar Tanzania
Member 10 Agency/organization
WAKF Commission
Type
Public sector
Name of representative
Mr. Khamis Abdulhamid
CCM member since
2002
Title in agency/organization
Executive Secretary
Fax
+255 24 223 1400
E-mail address
[email protected]
Telephone
+255 24 233 2788
Main role in the Coordinating Mechanism and the proposal development (proposal preparation, technical input, component coordinator, financial input, review, other)
Website
P.O.Box 4092 Technical input, review
Mailing address
Shangani Stone town Zanzibar Tanzania
Member 11 Agency/organization
World Health Organization
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
Website
26
3B Proposal Endorsement Type
Multi/bilateral development partner
Name of representative
Dr. Innuse NoorMahomed
CCM member since
2006
Title in agency/organization
Liaison Officer
Fax
+255 24 2239540
E-mail address
[email protected] ho.int
Telephone
+255 24 233 2505
Main role in the Coordinating Mechanism and the proposal development (proposal preparation, technical input, component coordinator, financial input, review, other)
P.O.Box2828 Technical input, policy advise (international policies) and system guidance
Mailing address
Shangani Stone town Zanzibar Tanzania
Member 12 Agency/organization
ZAYEDESA
Type
Non Governental and Community Based Organisation
Name of representative
Ms Lucy Majaliwa
CCM member since
2002
Title in agency/organization
Secretary
Fax
+255 244 223 8520
E-mail address
[email protected]
Telephone
+255 744 360 941
Main role in the Coordinating Mechanism and the proposal development (proposal preparation, technical input, component coordinator, financial input, review, other)
Website
P.O.Box 2331 Technical input, review and endorsement
Mailing address
Mazizini Zanzibar Tanzania
Member 13 Agency/organization
ZAPHA+
Type
People Living with HIV/AIDS
Name of representative
Ms. Consolata John
CCM member since
2005
Title in agency/organization
Chairperson
Fax
???
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
Website
27
3B Proposal Endorsement E-mail address Main role in the Coordinating Mechanism and the proposal development (proposal preparation, technical input, component coordinator, financial input, review, other)
[email protected]
Telephone
+255 713 727 444 P.O.Box 3377
Technical input, review and endorsement
Mailing address
Stone Town Zanzibar Tanzania
Member 14 Agency/organization
ZAPHA+
Type
People Living with HIV/AIDS
Name of representative
Mr. Seif Juma
CCM member since
Title in agency/organization
Coordinator
Fax
E-mail address
[email protected]
Telephone
Main role in the Coordinating Mechanism and the proposal development (proposal preparation, technical input, component coordinator, financial input, review, other)
Website
2006
+255-242230329 P.O.Box 3377
Technical input, review and endorsement
Mailing address
Stone Town Zanzibar Tanzania
Member 15 Agency/organization
Aga Khan Foundation Zanzibar
Type
Bilateral Development Partner
Name of representative
Mr. Mohamed Bhaloo
CCM member since
2002
Title in agency/organization
Chairperson
Fax
+255 24 2232277
E-mail address
[email protected]
Telephone
+255 713 224 535
Main role in the Coordinating Mechanism and the proposal development (proposal preparation, technical input, component coordinator,
Technical input, review and endorsement
Mailing address
P.O.Box 3616
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
Website
Old Dispensary Zanzibar
28
3B Proposal Endorsement financial input, review, other)
Tanzania
Member 16 Agency/organization
UNICEF
Type
Multi /bilateral Development Partner
Name of representative
Mr. Francois Rumeci
CCM member since
2002
Title in agency/organization
Resident Project Officer
Fax
+255 24 2235735
E-mail address
[email protected]
Telephone
+255 24 2231681
Main role in the Coordinating Mechanism and the proposal development (proposal preparation, technical input, component coordinator, financial input, review, other)
Website
P.O.BOX 3927 Policy guideline, system, operational & guidance.
Mailing address
Majestic Zanzibar Tanzania
Member 17 Agency/organization
UNDP
Type
Multi/Bileteral Development Partner
Name of representative
Mr. Ibrahim Koroma
Title in agency/organization
Resident Program Manager Fax
+255 24 2234718
E-mail address
[email protected]
+255 784 629151
Main role in the Coordinating Mechanism and the proposal development (proposal preparation, technical input, component coordinator, financial input, review, other)
Website
CCM member since
Telephone
2002
PO BOX 438 Policy guideline, system, operational & guidance
Mailing address
Kinazini Zanzibar Tanzania
Member 18 Agency/organization
Save the Children Fund UK
Type
International Non Government Organization
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
Website
29
3B Proposal Endorsement Name of representative
Mr. Duncan Harvey
CCM member since
2002
Title in agency/organization
Project Officer
Fax
+255 24 2234154
E-mail address
[email protected]
Telephone
+255 777 457751
Main role in the Coordinating Mechanism and the proposal development (proposal preparation, technical input, component coordinator, financial input, review, other)
PO BOX 1267 Technical input, review and endorsement
Mailing address
Majestic Zanzibar Tanzania
Member 19 Agency/organization
Ministry of Education and vocational training
Type
Public sector
Name of representative
Ms. Mshauri A. Khamis
CCM member since
2006
Title in agency/organization
HIV/AIDS Focal Person
Fax
+255 24 2332827
E-mail address
[email protected]
Telephone
+255 24 2232827
Main role in the Coordinating Mechanism and the proposal development (proposal preparation, technical input, component coordinator, financial input, review, other)
Website
P.O.Box 394 Technical input, review and endorsement
Mailing address
Shangani Zanzibar Tanzania
Member 20 Agency/organization
State University of Zanzibar - SUZA
Type
Public sector - Academic institution
Name of representative
Mr. Hassan Mohamed
CCM member since
2006
Title in agency/organization
Assistant lecturer
Fax
+255 24 2233337
Telephone
+255 24 2230724
E-mail address
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
Website
30
3B Proposal Endorsement Main role in the Coordinating Mechanism and the proposal development (proposal preparation, technical input, component coordinator, financial input, review, other)
P.O.Box 146 Technical input, review and endorsement
Mailing address
Majestic Zanzibar Tanzania
Member 21 Agency/organization
Zanzibar University Tunguu
Type
Private sector - Academic/Education Sector
Name of representative
Mr. Mtoro Almasi
CCM member since
2006
Title in agency/organization
Lecturer
Fax
(255) 24 2232642
E-mail address
[email protected]
Telephone
(255) 24 2236388
Main role in the Coordinating Mechanism and the proposal development (proposal preparation, technical input, component coordinator, financial input, review, other)
Website
P.O.BOX 2440 Technical input, review and endorsement
Mailing address
Tunguu Zanzibar Tanzania
Member 22 Agency/organization
College of Education Chukwani
Type
Private sector - Academic/Education sector
Name of representative
Mbarouk S. Salim
CCM member since
Title in agency/organization
Dean of College
Fax
E-mail address
[email protected]
Telephone
(255)024 2234102
Main role in the Coordinating Mechanism and the proposal development (proposal preparation, technical input, component coordinator,
Technical input, review and endorsement
Mailing address
P.O.Box 1933
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
Website
2006
Chukwani Zanzibar
31
3B Proposal Endorsement financial input, review, other)
Tanzania
Member 23 Agency/organization
Zanzibar NGO Cluster ZANGOC
Type
Non Governmental and Community Based Organization
Name of representative
Mr. Abdulla Ahmeid Suleiman
CCM member since
2006
Title in agency/organization
Secretary
Fax
+255 24 2230195
E-mail address
[email protected]
Telephone
+255 24 2230936
Main role in the Coordinating Mechanism and the proposal development (proposal preparation, technical input, component coordinator, financial input, review, other)
Website
P.O.Box 4738 Technical input, review and endorsement
Mailing address
Mwanakwerekwe Zanzibar Tanzania
Member 24 Agency/organization
UNFPA
Type
Multilateral UN Agency
Name of representative
Website
www.unfpa.org
Ms. Fatma G. Bilal
CCM member since
2006
Title in agency/organization
Liason Officer
Fax
+255 24 2239085
E-mail address
[email protected]
Telephone
255-777-422369
Main role in the Coordinating Mechanism and the proposal development (proposal preparation, technical input, component coordinator, financial input, review, other)
Technical input, review and endorsement
Mailing address
P.O.BOX 438 Kinazini Zanzibar Tanzania
Member 25 Agency/organisation
Chamber of Commerce, Industries and Agriculture
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
Website
32
3B Proposal Endorsement Type
Private sector
Name of Representative
Mr. Mohamed Issa Khatib
CCM Member since
Title in Agency
Director
Fax
E Mail address
[email protected]
Telephone
Main role in the Coordinating Mechanism and the proposal development (proposal preparation, technical input, component coordinator, financial input, review, other)
2006
(255) 024-223413 P.O.BOX 1704
Review
Mailing address
Muungano/Muembe Njugu Zanzibar Tanzania
Member 26 Agency/organization
Chief Minister’s Office
Type
Public sector
Name of representative
Mr. Ali Rajab Juma
CCM member since
2002
Title in agency/organization
Principal Secretary
Fax
(255) 024-223 2788
E-mail address
[email protected] om
Telephone
(255) 024-223 0806
Main role in the Coordinating Mechanism and the proposal development (proposal preparation, technical input, component coordinator, financial input, review, other)
Technical input, review, policy guideline and endorsement
Website
P.O. Box 239, Zanzibar
Member 27 Agency/organization
Ministry of Finance and Economic Affairs
Type
Public sector
Name of representative
Mr. Khamis Musa
CCM member since
2002
Title in agency/organization
Principal Secretary
Fax
(255) 024 223 6656
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
Website
33
3B Proposal Endorsement E-mail address
[email protected]
Main role in the Coordinating Mechanism and the proposal development (proposal preparation, technical input, component coordinator, financial input, review, other)
Technical input, review, policy guideline and endorsement
Telephone
(255)-777 435 369
P.O. Box 1154, Zanzibar
3B.1.3 National/Sub-national/Regional (C)CM endorsement of proposal Coordinating Mechanism members must endorse the proposal. Limited exceptions are described in the Guidelines for Proposals in section 3B.1.3. Please note that the original (not photocopied, scanned or faxed) signatures of the CCM members should be provided in table 3B.1.3. The minutes of the CCM meetings at which the proposal was developed and endorsed must be attached as an annex to this proposal. The entire proposal, including the signature page and minutes, must be received by the Global Fund Secretariat before the deadline for submitting proposals. Applicant name
GLOBAL FUND COUNTRY COORDINATING MECHANISM ZANZIBAR
Country/countries
ZANZIBAR- United Republic of Tanzania
”Each of the undersigned, hereby certify that s/he has reviewed the final proposal and supports it.” Table 3B.1.3 – National/sub-national/regional (C)CM endorsement of proposal Agency/organization
Name of representative
Title
Chief Minister' s Office
Mr. Ali Rajab Juma
Principal Secretary
Ministry of Finance and Economic Affairs
Mr. Khamis Mussa
Principal Secretary
Ministry of Health and Social Welfare
Dr. Moh’d Jidawi
Principal Secretary
Ministry of Labour, Development of Youth, Women and Children
Mr. Khalid Salum Mohamed
Principal Secretary
Zanzibar AIDS Commission
Mrs. Asha A. Abdulla
Executive Director
Zanzibar AIDS Control Program
Dr. Mohammed Dahoma
Manager
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
Date (yyyy/mm/dd)
Signature
34
3B Proposal Endorsement Malaria Control Program
Mr. Abdalla S. Ali
Program Manager
TB and Leprosy Program
Dr. Juma Muhsin
Program Manager
Mufti’s Office
Mr. Shibli Makame
HIV/AIDS Focal person
Catholic Church
Fr. Evaristus Mushi
Priest
Anglican Church
Mr. John Eyobo
Principal Secretary
Wakf Commission
Mr. Khamis Abdulhamid
Executive Secretary
World Health Organisation
Dr. Innuse Noormahomed
Liason Officer/PHA
ZAYEDESA
Ms. Lucy Majaliwa
Secretary
ZAPHA+
Ms. Consolata John
Chairperson
ZAPHA+
Mr. Seif Juma
Coordinator
Agakhan Foundation Zanzibar
Mr. Mohamed Bhaloo.
Chairman
UNICEF
Mr. Francois Rumeci
Resident Project Officer
UNDP
Mr. Ibrahim Koroma
Resident Program Manager
Save the Children UK
Mr. Duncan Harvey
Project Officer
Ministry o Education and Vocational Training
Ms. Mgeni Ferouz
Deputy Principal Secretary
State University Zanzibar (SUZA)
Mr. Hassan Mohamed
Assistant lecturer
Zanzibar University Chukwani
Mr. Mbarouk S. Salim
Lecturer
College of Education
Mr. Mohammed Z. Baraka
Dean of College
ZANGOC
Mr. Abdallah Ahmeid Suleiman
Secretary
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
35
3B Proposal Endorsement UNFPA
Ms. Fatma G. Bilal
Liason Officer
Chamber of Commerce, Industries and Agriculture
Mr. Mohamed Issa Khatib
Director
For sub-national and regional Coordinating Mechanisms only, the Chair and the Vice Chair of the national CCM of each country must also endorse the proposal. Please refer to the Guidelines for Proposals, section 3B.1.3. List below each of the national CCMs that have agreed to this proposal and provide documented evidence of this endorsement. Table 3B.1.3b – Sub-national or regional (C)CM proposal endorsement by national CCMs Country
Name of CCM
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
Annex number
36
3B Proposal Endorsement 3B.2
Regional Organization contact information and proposal endorsement:
3B.2.1 Regional Organization contact information Please provide full contact details for two persons; this is necessary to ensure fast and responsive communication. Table 3B.2.1 – Regional Organizations: contact information Primary contact
Secondary contact
Name Title Organization Mailing address Telephone Fax E-mail address
3B.2.2 National CCM endorsement of Regional Organization proposal: Please note that Regional Organizations must receive the agreement of the national CCM membership of each country in which they wish to work. List below each of the national CCMs that have agreed to this proposal and provide documented evidence of this endorsement. (If no national CCM exists in a country included in the proposal, include evidence of support from relevant national authorities.) Table 3B.2.2 – Regional Organization proposal endorsement by national CCMs Country
Name of CCM
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
Annex number
37
LIST OF ANNEXES TO BE ATTACHED TO PROPOSAL The table below provides a list of the various annexes that should be attached to the proposal. Please complete this checklist to ensure that everything has been included. Please also indicate the applicable annex numbers on the right hand side of the table.
Relevant item on the Proposal Form
Description of the information required in the Annex
Name/Number given to annex in application
Section 2: Eligibility Coordinating Mechanisms only: 2.. 21 b)
Comprehensive documentation on processes used to select non-governmental sector representatives of the Coordinating Mechanism.
- Non governmental Institutions nomination letters (Annex 1)
2.2.2
Documented procedures for the management of potential Conflicts of Interest between the Principal Recipient(s) and the Chair or Vice Chair of the Coordinating Mechanism.
Not applicable (Chair and Co Chair are from different entities
Documentation describing the transparent processes to: - Letters of Intent by CSOs (Annex 6)
2.2.3 a
- Solicit submissions for possible integration into the proposal.
2.2.3 b
- Review submissions for possible integration into -Minutes of second consultative the proposal. meeting with CSOs (Annex 6)
- Minutes of consultations meeting with CSOs (Annex 2)
- Minutes of the GF CCM meeting to review the proposal 2.2.3 c
- Select and nominate the Principal Recipient (such (Annexes 8, 9) as the minutes of the CCM meeting at which the - LFA Assessment report of the PR(s) was/were nominated). PR (for phase II Funding) (Annex 7) -Minutes of the GF CCM meeting (Annex 9)
2.2.3 d
- Ensure the input of a broad range of stakeholders in the proposal development process and grant oversight process.
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
Invitation letter to various stakeholders (Annex 4) - Proceedings of the GF R6 Proposal (Minutes of meetings with stakeholders, GF consultative meetings) (Annexes 5,6)
38
LIST OF ANNEXES TO BE ATTACHED TO PROPOSAL Relevant item on the Proposal Form
Description of the information required in the Annex
Name/Number given to annex in application
Section 3A: Applicant Type Coordinating Mechanisms: 3A.2.1, 3A.3.1 or 3A.4.1
Documents that describe how the national/subnational or regional Coordinating Mechanism operates (terms of reference, statutes, by-laws or other governance documentation and a diagram setting out the interrelationships between all key actors)
CCM TOR (Annex 10) Diagram setting out the relationship between all key actors (Annex 11) Request for Technical assistance for CCM (Annex 12)
Regional Organizations: 3A.5.1
Documents that describe the organization such as statutes, by-laws (official registration papers) and a summary of the main sources and amounts of funding.
Non-CCM Applicants:
3A.6
Documentation describing the organization such as statutes and by-laws (official registration papers) or other governance documents, documents evidencing the key governance arrangements of the organization, a summary of the organization, including background and history, scope of work, past and current activities, and a summary of the main sources and amounts of funding.
3A.6.2 b
Documentary evidence of any attempts to include the proposal in the relevant CCM’s final approved country proposal and any response from the CCM.
3A.6.3 (if from country where no CCM exists)
Provide evidence from relevant national authorities that the proposal is consistent with national policies and strategies.
Section 3B: Proposal Endorsement 3B.1.3 (Coordinating Mechanisms)
Minutes of the meeting at which the proposal was developed and endorsed. For Sub-CCMs and RCMs, documented evidence that national CCM(s) have agreed to proposal.
3B.2.2 (Regional Organization)
Documented evidence that the national CCMs have agreed to proposal.
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
39
LIST OF ANNEXES TO BE ATTACHED TO PROPOSAL Relevant item on the Proposal Form
Description of the information required in the Annex
Name/Number given to annex in application
Other documents relevant to sections 1-3 attached by applicant: ZNSP on HIV/AIDS, Draft National HIV/AIDS Policy, HSSP, M&E Framework and Guidelines others refer to R5 Proposal, ZAC Act, ZSGRP
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
Annexes 13-30
40
4 Component Section HIV/AIDS PLEASE NOTE THAT THIS SECTION AND THE NEXT MUST BE COMPLETED FOR EACH COMPONENT. Thus, for example, if the proposal targets three components, sections 4 and 5 must be completed three times. For more information on the requirements of this section, please refer to the Guidelines for Proposals, section 4. 4.1
Indicate the estimated start time and duration of the component Please take note of the timing of proposal approval by the Board of the Global Fund (described on the cover page of the Proposal Form). The aim is to sign all grants and commence disbursement of funds within six months of Board approval. Approved proposals must be signed and have a start date within 12 months of Board approval.
Table 4.1.1 – Proposal start time and duration
Month and year: 4.2
From (yyyy/mm)
To (yyyy/mm)
2007/07
2012/06.
Contact persons for questions regarding this component
Please provide full contact details for two persons; this is necessary to ensure fast and responsive communication. These persons need to be readily accessible for technical or administrative clarification purposes, for a time period of approximately six months after the submission of the proposal. Table 4.2 – Component contact persons Primary contact
Secondary contact
Name
Ms. Asha Abdulla
Dr. Mohammed J. U. Dahoma
Title
Executive Director
Program Manager
Organization
Zanzibar AIDS Commission
Zanzibar AIDS Control Program/MOHSW
Mailing address
P.O. Box 2820, Zanzibar, Tanzania
P.O.Box 1300, Zanzibar
+ 255 24 223 1152
+ 255 24 223 4044
+ 255 777 423165
+ 255- 777 461 870
Fax
+ 255 24 223 1152
+ 255 24 223 4044
E-mail address
[email protected]
Telephone
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
[email protected] [email protected]
41
4 Component Section HIV/AIDS 4.3
Component executive summary
4.3.1 Executive summary Describe the overall strategy of the proposal component, by referring to the goals, objectives and main activities, including expected results and associated timeframes. Specify the beneficiaries and expected benefits (including target populations and their estimated number). (Please include quantitative information where possible. Maximum of one page.) Zanzibar consists of two main islands, Unguja and Pemba, and several other smaller islands some of which are uninhabited. Zanzibar is located in the Indian ocean, about 30 kilometers off the east coast of Africa between latitude 5 and 7 degrees south of the equator. Zanzibar has a population of around one million people with a population growth rate of 3.1% and a population density of 370 people per square kilometre. With prevalence estimates of less than 1%, the 20-year old HIV epidemic in Zanzibar has progressed relatively slowly, compared to mainland Tanzania where national HIV prevalence is estimated at 7.0%. However, a much higher proportion of HIV infection in Zanzibar is recorded among injecting drug users at 26.2%, TB and STI patients, at 25.5% and 5.6%, respectively. A high proportion of sexually-transmitted infections (60%) occur among married couples. Zanzibar has documented a concentrated type of HIV epidemic since the identification of the index case in 1986. HIV prevalence in urban areas is significantly higher compared with that observed in rural areas. Women, especially those in the age group 15-49 years, have higher HIV infection rates (0.9%) than men (0.2%) in the same age group. About 9000 Zanzibaris are estimated to be living with HIV/AIDS. Condom use is low and therefore unprotected sex with non-regular partners is common in Zanzibar. In one survey it was found that only 23% of men and 15% of women reported to have used a condom at their last higher risk sex. Generally, youth do not perceive themselves to be at risk of contracting HIV, for example in Pemba, 78% of youths perceives condoms as socially unacceptable because of religious beliefs and social values and norms. Other risk behaviours observed and practiced include commercial sex, men having sex with men, and population mobility. Gender imbalance is another factor in Zanzibar that influences the high HIV/AIDS prevalence among women. Gender related factors include; early and arranged marriage, multiple sexual partners, extremely limited decision making power among women on sexuality and health services use. The Zanzibar Global Fund CCM is proposing a five year (2007-2012) project in the HIV/AIDS component titled: Joint Accelerated HIV and AIDS Initiatives in Zanzibar (JAHAZI). Based on the current situation as described above, the proposed JAHAZI project has three goals, namely, (1) Reduced new HIV infections among Zanzibaris with special focus on MARPs, (2) Increased survival for HIV infected and HIV/TB coinfected Zanzibaris, and (3) Strengthened partnership for coordinated HIV, AIDS and TB national response in Zanzibar. The target groups for GF Round Six proposal are: Women of reproductive age, most at risk populations (MARPs) including sex workers, men who have sex with men, and injecting drug users. In order to achieve the stated goals and objectives, the project proposes the following strategies: advocacy for and condom promotion, counselling and HIV testing, increasing access to and use of quality and coordinated anti retroviral treatment, home based care, and strengthening the capacity of ZAC and ZACP in order to coordinate the national multi-sector response to HIV, AIDS and Tuberculosis. For the five year project period, the Zanzibar GFCCM is requesting US$ 8,631,042 to implement various but coordinated activities. Implementation of activities will be through joint efforts and collaboration between the government, CSOs, CBOs and the private sector with technical assistance from bilateral and multilateral agencies based in Zanzibar, Tanzania mainland and abroad.
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
42
4 Component Section HIV/AIDS 4.3.2 Synergies If the proposal covers more than one component, describe any synergies expected from the combination of different components—for example, TB/HIV collaborative activities. (By synergies, we mean the added value that the different components bring to each other, or how the combination of these components may have broader impact.) The focus of this proposal is on one component i.e. HIV and AIDS. However, the project proposes one service delivery area on HIV and TB collaboration. There are beneficial synergies expected from this collaboration. It is expected that through this collaboration there will be early detection of HIV infection among TB patients and similarly there will be early detection of TB infection among people with HIV infection. With an integrated and collaborative approach to manage HIV and TB, the resultant benefit to the Zanzibari people will be a streamlined referral mechanism between HIV and AIDS care and treatment and TB treatment services. Collaboration therefore will add value to improved compliance and adherence to care, treatment services to patients for the two conditions. Further, collaboration will strengthen joint efforts in the management of drug reactions and side effects. The proposal also includes activities for strengthening and harmonizing M&E frameworks for HIV, AIDS and TB. These activities will further strengthen the national M&E framework with advantages of integrating registers, reporting formats, and therefore less paper work for service providers. Less paper work will free up time for quality services and analysis of and action on data collected. The application intends to reach and scale up integrated laboratory services to track and monitor resistance development. Concurrently, this collaboration also intends to scale up HRH capacities and contribute to strengthen the Health sector M&E framework.
4.4
National program context for this component The information below helps reviewers understand the disease context, and which problems the proposal will address. Therefore, historical, current and projected data on the epidemiological situation, diseasecontrol strategies and broader development frameworks need to be clearly documented. Please refer to the Guidelines for Proposals, section 4.4.
4.4.1 Indicate whether you have any of the following documents (tick appropriate box), and if so, please attach them as an annex to the Proposal Form: National Disease Specific Strategic Plan
National Disease Specific Budget or Costing
National Monitoring and Evaluation Plan (health sector, disease specific or other)
Other document relevant to the national disease program context (e.g. the latest disease surveillance report) Please specify: 1. ANC surveillance report-2005 2. Epidemiology of HIV among substance users in Zanzibar-2006 3. A study on Gender facilitating factors To HIV and AIDS in Zanzibar. -2005
Prop_R6_EAf_CCMZanzH36727_PF-REVISED_26Aug06_(TRP).doc
43
4 Component Section HIV/AIDS 4.4.2 Epidemiological and disease-specific background Describe, and provide the latest data on, the stage and type of epidemic and its dynamics (including breakdown by age, gender, population group and geographical location, wherever possible), the most affected population groups, and data on drug resistance, where relevant. With respect to malaria components, also include a map detailing the geographical distribution of the malaria problem and corresponding control measures already approved and in use. Information on drug resistance is of specific relevance if the proposal includes anti-malarial drugs or insecticides. In the case of TB components, indicate, in addition, the treatment regimes in use or to be used and the reasons for their use. Epidemiological background: Summary of Key epidemiological issues: 1. 2. 3. 4. 5.
First HIV index case identified in 1986. General HIV population prevalence
