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BACKUP Health
General orientation and guidelines for Project Mode applications
Overview
This paper, which sets out the purpose of BACKUP Health (referred to herein as BACKUP), is for organisations and institutions that are
considering applying for technical support on a range of Global Fund processes at the country level. It describes the type of technical
support BACKUP offers, who is eligible and how to access this support.
BACKUP’s aim is to enable government and civil society partners to apply for and use Global Fund money, and to implement measures for
controlling HIV, tuberculosis and malaria more effectively and sustainably. In its support measures, BACKUP seeks to increase the
integration into the wider health system of the country-level governance, management and implementation of programmes financed by
the Global Fund.
Flexibility, transparency and a partner-oriented focus based on demand characterise BACKUP’s approach. The programme advises and
trains a wide range of partners, such as national coordinating committees, Global Fund grant recipients and networks of people, in how to
manage activities and how to administer funds and material resources with full transparency.
The programme’s work centres on developing capacities in three intervention areas: Country Coordinating Mechanisms, Health Systems
Strengthening, and Grant Management. In all three intervention areas, community involvement (which includes civil society and
particularly key populations), human rights and gender aspects are considered as cross-cutting issues for promoting the meaningful
engagement of all actors in Global Fund processes.
This document examines all key aspects and requirements and is, therefore, essential reading for all those considering applying to BACKUP
for support.
Table of contents
BACKUP Health’s intervention areas................................................................................................................................................................................................. 2
Country Coordinating Mechanisms ..............................................................................................................................................................................................2
Health Systems Strengthening/Building Resilient and Sustainable Systems for Health...............................................................................................2
Grant Management............................................................................................................................................................................................................................3
BACKUP Health’s cross-cutting themes........................................................................................................................................................................................... 3
What modalities of support does BACKUP Health provide?....................................................................................................................................................... 4
1. Project Mode ..................................................................................................................................................................................................................................4
2. Consultancy Mode – Intervention Areas ................................................................................................................................................................................5
3. Consultancy Mode – Flexible Support.....................................................................................................................................................................................5
Application process for the Project Mode........................................................................................................................................................................................ 5
Eligibility...............................................................................................................................................................................................................................................5
How to apply.......................................................................................................................................................................................................................................6
Application and review process .....................................................................................................................................................................................................7
Contracting..........................................................................................................................................................................................................................................8
Monitoring and evaluation, and reporting..................................................................................................................................................................................8
Contact ....................................................................................................................................................................................................................................................... 9
2
BACKUP Health’s intervention areas
Country Coordinating Mechanisms
Detailed information: BACKUP intervention area: Country Coordinating Mechanism (pdf, 147 KB)
The steering and oversight of Global Fund grants is crucial to guarantee the effective and efficient use of funds. Country Coordinating
Mechanisms (CCMs) fulfil this central function and additionally ensure national ownership and participatory decision-making in the
development of proposals to the Global Fund. To be able to apply for Global Fund grants, CCMs must comply with six eligibility
requirements concerning good governance. BACKUP’s support for Country Coordinating Mechanisms includes technical cooperation
interventions such as conducting Eligibility and Performance Assessments, preparing and implementing improvement plans, and
strengthening the overall performance of CCMs and their secretariats. BACKUP also promotes the active engagement of civil society in
CCM processes.
The aim of all these interventions is to enable CCMs to better fulfil their role of steering the application for grants and providing adequate
support to the principal recipients implementing grants. Furthermore, BACKUP is supporting CCMs in their efforts to enhance health sector
coordination and to integrate their activities more consistently.
List of eligible countries, intervention area CCM
Sub-Saharan Africa Asia LAC
Burkina Faso
Burundi
Ethiopia
Ghana
Guinea
Kenya
Liberia
Malawi
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sierra Leone
Tanzania
Nepal Guatemala
Peru
EECA
Armenia
Kosovo
Kyrgyzstan
Uzbekistan
Health Systems Strengthening/Building Resilient and Sustainable Systems for Health
Detailed information: BACKUP intervention area: Health Systems Strengthening/ Building Resilient and Sustainable Systems for Health
(pdf, 148 KB)
More than one-third of Global Fund investments go into helping countries build resilient and sustainable systems for health that
strengthen their ability to protect citizens from all diseases and to better respond to outbreaks. To ensure that Global Fund investments in
health systems have the biggest impact possible, BACKUP provides technical assistance in the area of health systems strengthening.
List of eligible countries, intervention area HSS / RSSH
Sub-Saharan Africa Asia EECA
Burkina Faso
Cameroon
Guinea
Kenya
Liberia
Malawi
Mozambique
Sierra Leone
South Africa
Tanzania
Zambia
Bangladesh
Cambodia
Nepal
Pakistan
Kyrgyzstan
Tadzhikistan
Ukraine
Uzbekistan
3
Grant Management
Detailed information: BACKUP intervention area: Grant Management (pdf, 130 KB)
Global Fund grants, from their disbursement to the implementation and delivery of actual services, involve a multitude of stakeholders. As
such, successful grant management is key for ensuring the most effective use of Global Fund money. If countries are to put the money they
acquire from the Global Fund to effective use, they first need to develop a range of expertise, from good financial management to service
organisation. BACKUP’s grant management support comprises technical assistance/cooperation on developing risk management capacities
(such as implementing risk mitigation plans) as well as on monitoring and evaluation, financial management, reporting, oversight, good
governance, and advocacy for the rights and needs of key populations. These interventions help to maximise the impact of Global Fund
grants, to ensure projects are implemented in accordance with contractual terms and conditions, and to reduce risks such as the
misappropriation of funds.
List of eligible countries, intervention area GM *
Sub-Saharan Africa MENA Asia
Burundi
Congo (DRC)
Côte d’Ivoire
Guinea
Cameroon
Ethiopia
Kenya
Liberia
Malawi
Mozambique
Niger
Nigeria
Sierra Leone
Tanzania
Uganda
Zimbabwe
Mauritania Bangladesh
Cambodia
Indonesia
Nepal
Pakistan
EECA
Kyrgyzstan
Tadzhikistan
Ukraine
Uzbekistan
* Applications from regional principal recipients are only possible, if at least one target country
of their grant is eligible for BACKUP support in this intervention area.
BACKUP Health’s cross-cutting themes
Community Systems Strengthening
The stigma and discrimination associated with disease can create barriers that make it more difficult to prevent further infections and
provide care and support. Civil society organisations (CSOs), such as those supporting people living with HIV and AIDS,1 often represent
those most vulnerable to discrimination.BACKUP therefore regards its support as being related to human rights and the creation of
empowering environments, especially for marginalised and/or criminalised groups.
The Global Fund integrates civil society in its processes by: encouraging/ensuring the latter’s participation in CCMs as principal recipients,
sub-recipients or sub-sub-recipients (reinforced through dual-track financing); advocacy; and membership of the Global Fund board.
BACKUP interventions aim at strengthening civil society participation in these Global Fund processes and related functions. In particular,
BACKUP supports CSOs to analyse, formulate and communicate the health-related needs of the people they represent, to actively engage
in CCMs, country dialogues or relevant national working groups, and to point out opportunities for improving Global Fund processes.
Furthermore, BACKUP contributes to fostering demand for quality services by strengthening community systems and thus enables the
community to play a greater role in service design, delivery, monitoring and evaluation. As communities form the basis of a health system,
their improved capacity to engage in Global Fund processes will have benefits for the community and district health committees and
services that go beyond the scope of the three target diseases.
The Global Fund’s approach to Community Systems Strengthening (CSS) focuses on capacity building, partnership building and ensuring
sustainability. The goal of CSS as defined in the Global Fund’s CSS Framework is to achieve improved health outcomes by developing the
role of communities, CBOs and key affected populations. BACKUP strongly supports this CSS Framework and employs the Global Fund’s
definition of “key affected populations” to refer to vulnerable/ key populations. It is expected that the situation of these populations will
improve if their interests are adequately represented and considered within Global Fund processes.
Key affected populations (KAP), people or communities are those who are most vulnerable to and affected by conditions such as malaria,
tuberculosis and HIV. They are the most often marginalised and have the greatest difficulty achieving their rights to health. KAP include
children, youth and adults affected by specific diseases such as HIV, tuberculosis or malaria; women and girls; men who have sex with
men; injecting and other drug users; sex workers; people living in poverty; street children and out-of-school youth; prisoners; migrants
and migrant labourers; people in conflict and post-conflict situations; refugees and displaced persons.2
1 This was formally adopted as a principle at the 1994 Paris AIDS Summit, where 42 countries declared the greater involvement of people
living with HIV/AIDS to be critical to ethical and effective responses to the epidemic.
2 The Global Fund, Community Systems Strengthening Framework, August 2011.
4
Human rights
A human-rights-based approach to health and to addressing HIV, tuberculosis and malaria means integrating human rights norms and
principles into the design, implementation, monitoring, and evaluation of disease programmes. These principles include human dignity,
non-discrimination, transparency and accountability. A human-rights-based approach also means empowering vulnerable groups and key
populations, ensuring their participation in decision-making processes that concern them, as well as incorporating accountability
mechanisms they can access.
The Global Fund’s funding model strongly recommends applicants to incorporate human rights programming in their concept notes. GIZ’s
2013 Practitioner’s Tool for Health and Human Rights3 illustrates how programmes can strengthen their orientation towards human rights.
Gender
Programmes with a gender-oriented approach contribute to gender equality and support equity in health and health care. In so doing, they
protect human rights and contribute to the attainment of universal access and the Millennium Development Goals. BACKUP therefore
requests all partner organisations to consider ways to include gender-sensitive and/or gender-transformative activities in their proposals
and to further consider gender equality within their organisation. Proposals coming under one of the three BACKUP intervention areas that
seek to deliver more gender-sensitive or gender-transformative Global Fund programmes are especially welcomed.
It is important to note that ‘gender’ not only focuses on the status of women. BACKUP considers gender to be a cross-cutting issue that
includes not just men and women, but also gender and sexual minorities. This includes men who have sex with men (MSM), bisexuals,
lesbian women and gay men, transgender and intersex persons, among others.4
The Global Fund has adopted a Gender Equality Strategy5 that outlines how it is taking gender into consideration and what it expects of its
applicants. At the country level, the Global Fund expects CCMs to strive to achieve gender parity in its membership and leadership, to
adequately address gender in programme development and concept note submissions by conducting extensive and mandatory gender
analysis, and to ensure gender-sensitive monitoring and evaluation with sex-disaggregated data. BACKUP’s involvement in the process
seeks to ensure that programmes are, as a minimum, gender sensitive6 and, if possible, gender transformative.7
What modalities of support does BACKUP Health provide?
1. Project Mode
For this mode, applications should propose small to medium-size projects for one or more of the three intervention areas mentioned
above. The projects should aim to support, for example, the country dialogue, application process, grant negotiation and/or
implementation and governance of Global-Fund-financed activities and programmes. The applicant/delivery body must be registered as a
legal entity under national law.
BACKUP will determine grant amounts based on:
• the financial management and implementation capacities of applicants;
• the content, scope and complexity of projects.
The Project Mode requires a proposal including a log frame setting out the project purpose, outputs, indicators, activities, time frame, and
budget. All contributions, whether provided by the applicant or other partners, must be clearly indicated.
Eligible countries: Those included in the relevant country list for each BACKUP intervention area
Duration: April 2016 to March 2018
Budget: Up to EUR 100,000 per contract (exception: up to EUR 200,000 per contract for the HSS intervention area)
3 Practitioners’ Tool: Health and Human Rights, 2013 http://health.bmz.de/what_we_do/Human-rights-and-
Gender/Good_practices_and_tools/Praticioners_Tool_Health_and_Human_Rights/index.jsp
4 ‘Transgender’ is an inclusive term to describe people who have gender identities, expressions or behaviours not traditionally associated
with their birth sex. ‘Intersex’ refers to persons born with atypical genital or reproductive anatomy who usually identify as male or female,
although some may change their gender identity in the course of their development. For more details, visit
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2377288
5 The Global Fund’s Gender Equality Strategy is available at
http://www.theglobalfund.org/documents/publications/other/Publication_GenderEqualityStrategy_ActionPlan_en
6 This includes activities that recognise and respond to the different needs and constraints of individuals based on their gender and
sexuality. They do little to change the larger contextual issues that lie at the root of gender inequities.
7 This includes activities that actively seek to build equitable social norms and structures within a broader context.
5
2. Consultancy Mode – Intervention Areas
BACKUP will offer complementary Consultancy Modes in one or more of the three intervention areas. This option excludes the stepping up
of funding of ongoing projects supported by BACKUP under the Project Mode.
The Consultancy Mode provides an opportunity to assign consultants to support CCMs, principal recipients and member organisations
(especially those from civil society) during the Global Fund country dialogue, proposal/concept note development, and grant negotiation
and/or implementation. Terms of reference must be defined in the application form.
Eligible countries: Those included in the relevant country list for each BACKUP intervention area
Duration: June 2016 to March 2018
Budget: Up to EUR 40,000 per consultancy
3. Consultancy Mode – Flexible Support
Flexible support consultancy modes offer short-term, targeted support (similar to that delivered under the intervention areas) to meet the
diverse technical support needs of Global Fund stakeholders. However, eligibility is not limited to the BACKUP intervention area country
lists, but extends to all Global Fund partner countries. The support is provided in order to overcome bottlenecks impeding the work of
Global Fund recipients and partners or threatening to block Global Fund processes. Flexible support may, for instance, be offered for:
• measures linked to any of the stages of the Global Fund process — from applying for grants to implementation, evaluation,
monitoring, and risk mitigation;
• setting the stage for the next Global Fund disbursement or funding phase — i.e. helping principal recipients to fulfil the
preconditions for disbursement.
Eligible countries: Worldwide
Duration: April 2016 to March 2018
Budget: Up to EUR 40,000 per consultancy
Application process for the Project Mode
Eligibility
Who can apply?
The following stakeholders in the Global Fund’s funding processes are eligible for BACKUP support if they fulfil the function of (a) a CCM,
(b) a CCM member or (c) a principal recipient of a Global Fund grant:
• national or regional coordinating mechanisms (e.g. HIV/AIDS councils or commissions);
• governments (e.g. ministries of health or national HIV/AIDS, tuberculosis or malaria programmes)
• national and international civil society organisations;
• private sector organisations.
Applications from regional principal recipients are only possible in the intervention area Grant Management, if at least one target country of
their grant is eligible for BACKUP support in this intervention area.
Formal eligibility requirements
The prerequisite for applicants is their commercial suitability, such as their formal registration as a legal entity under national law and, if
applicable, their registration as an NGO. Please complete and attach the self-disclosure form (Self-disclosure for the commercial suitability
review, docx, 96 KB) and also attach scanned copies of the required documents requested in this form. Applications submitted without
formal proof of eligibility will not be considered in the application process.
In cases where CCMs are not formally registered as a legal entity, they cannot usually be directly contracted by GIZ. However, these CCMs
can put forward an alternative contracting partner that is registered as a legal entity under national law. In such cases, please ensure to
provide the name and full address of the alternative contracting partner as well as scanned copies of the corresponding registration
documents.
Before submitting their proposals, applicants should secure the endorsement of the CCM of the country in which the intervention is
planned. This is important to ensure the coordination and alignment of technical support interventions.
As part of its work to assess the application, GIZ will conduct a commercial suitability review involving either the responsible GIZ country
office or external auditors.
6
How to apply
Eligible stakeholders can apply for support by submitting their completed Project Mode application form for the intervention areas of
• Country Coordinating Mechanisms (Download, pdf, 147 KB),
• Health Systems Strengthening (Download, pdf, 148 KB), and
• Grant Management (Download, pdf, 130 KB)
to backup@giz.de.
Applicants must forward a completed budget (Detailed budget – Project Mode, xlsx, 20 KB) with their application and will be provided with
confirmation of receipt. If a country is eligible for more than one intervention area (see the eligible country lists above), applications in all
the relevant intervention areas will be accepted. In this case, separate applications for each intervention area should be completed by the
same applicant. Should more than one applicant per country be interested in project support on the Health Systems Strengthening and
Grant Management intervention areas, applications will be accepted from all interested organisations. For the Country Coordinating
Mechanism intervention area, however, the application can only be submitted by CCM representatives.
Applications can be submitted between 1 October and 15 December 2015. The review and contracting process is outlined in the next
chapter and takes approximately six months from the call for proposals (October 2015) to contract development (March to May 2016).
Budget ceiling
For the Country Coordinating Mechanisms and Grant Management intervention areas, the maximum amount projects can be awarded is
EUR 100,000. For project applications relating to the Health Systems Strengthening intervention area, the maximum is EUR 200,000.
Project duration
Partners should plan project time frames lasting at least one year, but no more than two. Depending on the actual date the contracts are
signed, all planned activities must be implemented by 31 March 2018 at the very latest. If the contract is set to expire on 31 March 2018, a
no-cost extension will not be possible.
The technical support on offer
Projects should be designed according to beneficiaries’ needs, should be structured with clear objectives and milestones, and may for
example include training, mentoring, consultancy, peer learning visits, etc.
Questions and answers during the application period
All questions concerning your application can be addressed to backup@giz.de until 1 December 2015. All answers will be published on
the BACKUP website on a weekly basis until 8 December 2015.
7
Application and review process
Overview of the application and review process
Selection criteria
Formal selection criteria (see the section on Eligibility on page 5)
Organisational and operational requirements
The applicant body’s organisational and operational capacity to implement the proposed intervention must match the objectives and scope
of the proposed intervention.
• Capacity for implementation: The applicant is well positioned to lead and/or implement the proposed intervention. The
organisation has the status required of applicants (key stakeholder; in a position of influence and/or authority), has technical and
management capacity, and is prepared for collaboration and networking. The governance structures, past performance and capacity
of the applicant organisation are favourable to the implementation of the proposed activities.
• Sustainability: This includes both the sustainability of the supported programme component (e.g. the development of an M&E
system integrated into the national health and management information systems) and the sustainability of the support activity itself
(e.g. support to civil society organisations and CCM secretariats, particularly when the proposed intervention also covers running
costs). The latter requires the development of appropriate business plans or exit strategies.
• Assumptions and risks: The proposal outlines the assumptions and risks that could jeopardise the efficient and effective
implementation of the intervention.
Applicant selects the
intervention area1
Applicant identifies
technical support needs
1. Technical review by internal/external reviewers
including the relevant GIZ country office
2. Selection committee suggests applications for approval
Technical/financial approval
BACKUP informs the
applicant and GIZ office
Application not in line with
content or formal criteria
= Rejection
Submission of endorsed application to BACKUP
Country Coord.
Mechanisms
Health System
Strengthening
Grant
management
Application in line with content and
formal eligibility criteria
If this step is unclear, ask
BACKUP for guidance
Applicant seeks endorsement of completed
application from the CCM chair or principal recipient
Rejection
All intervention areas require
a separate application form
Exchange between BACKUP and applicant to
further specify
1. the content of the application
2. the administrative and contractual criteria
Commercial
sustainability
review
8
Selection criteria relating to content
• Intervention areas
BACKUP will support projects in three intervention areas: Health Systems Strengthening, Country Coordinating Mechanisms, and
Grant Management. Any submitted project must fall under at least one of these intervention areas.
• Cross-cutting issues
BACKUP’s cross-cutting issues (community systems strengthening, human rights, and gender) will be taken into consideration
when evaluating project applications under the BACKUP Health Project Mode. At least one of the three cross-cutting issues will
have to form an explicit part of the project proposal. The inclusion of the cross-cutting issues will have to be evident not only in the
narrative, but also in the monitoring and the budgeting of the proposal.
Contracting
If your application is approved, the GIZ department tasked with managing your contract will set out the next steps to be taken. Please be
aware that this process can take up to around four weeks.
The total budget requested must be stated in both local currency and euros. The contributions made by GIZ, the applicant and other
partners should be clearly set out. Consultancy fees should be calculated on the basis of daily rates. Make sure to use the budget template,
which contains more detailed information (Detailed budget – Project Mode, xlsx, 20 KB).
At the contracting stage, BACKUP may require you to send the original of the signed application form as well as certified copies of the
original documents relevant to the commercial suitability review. The CVs for any consultants involved in the project will also be required.
To receive the funds allocated for your project once the contract is signed, you will need to make a direct request to the GIZ contract
department, asking them to action the disbursement.
Monitoring and evaluation, and reporting
Monitoring and evaluation (M&E) serve different but complementary purposes:
• Monitoring refers to routine efforts to track and analyse the implementation of a project to assess whether the inputs, activities and
outputs are unfolding as planned.
• Evaluations, by contrast, are systematic inquiries conducted episodically to determine the merit or worth of an intervention in
terms of its relevance, effectiveness, efficiency, sustainability and impact (for further details, see the OECD DAC Criteria8).
Evaluations assess the achievements of a project in relation to a set of defined objectives and provide strategic information that can
be used to improve project implementation and to inform future decisions about resource allocation. M&E needs to be an integral
part of the planning process.
In other words: Applicants are required to define the standards that will guide the performance of specific activities and need to define
indicators to measure changes (outcomes) and achievements (outputs). With regard to outcomes applicants should ask themselves: ‘At
the end of this intervention, what would we like to have changed and how do we propose to measure these changes?’ With regard to
outputs, the guiding question is: ‘In the framework of this intervention, what would we like to achieve and how do we want to measure
these achievements?’ Beyond this, applicants should also define the impact of their intervention: ‘What are the effects, i.e. long-term
changes that we expect to observe, and what might be unintended, indirect effects? How do we measure them?’
In order to combine all the information, BACKUP developed an M&E matrix that comprises the intervention’s level (in terms of outcome,
output and activity), the chosen indicators and respective milestones, the means of verification, and possible assumptions and risks
(Application form – Project Mode, docx, 62 KB). This serves to illustrate the project’s internal logic and process to both the applicant and
BACKUP. Achieved milestones can also be published in BACKUP’s newsletter, which is issued quarterly.
During the lifetime of the project, data must be collected and analysed. To do this, the applicant can draw on a range of approaches for
verifying progress made against indicators (e.g. project statistics, the Global Fund’s website and grant performance reports, annual reports),
the choice of which wholly depends on the outcome(s) sought. Alongside identifying their own indicators and collecting and analysing
relevant data, applicants should base their M&E activities for each intervention area around BACKUP’s results framework.
8 OECD Development Assistance Committee’s Criteria for Evaluating Development Assistance:
http://www.oecd.org/dac/evaluation/daccriteriaforevaluatingdevelopmentassistance.htm
9
BACKUP’s monitoring missions
BACKUP’s M&E approach involves monitoring missions to countries that have received BACKUP support in order to:
• take a critical look at the performance of the BACKUP team during the application process and at its administrative and financial
procedures;
• review the process, outputs and results of BACKUP-supported interventions at the country level;
• gather the ‘stories’ behind the data that have been collected through other BACKUP monitoring tools (e.g. reports, standardised
surveys, etc.);
• enable the BACKUP technical team to become more conversant with the realities of Global Fund technical support on the ground.
The results of the monitoring visit will be used to help BACKUP improve its strategic decision-making regarding the provision of technical
support to Global Fund processes at the country level.
Reporting system
Every six months, applicants must report on their project’s progress towards achieving the priority area(s) and other criteria set out in the
M&E matrix. Additional information like unintended positive or negative results, obstacles, lessons learned, best practices and, of course,
possibilities for sharing the results achieved should also be reported.
The means of verification will depend on the project’s M&E matrix and on the BACKUP intervention area the project falls under. For
example, projects for:
• Country Coordinating Mechanisms (Intervention area 1) could employ the Global Fund CCM performance rating, CCM Eligibility
and Performance Assessment, CCM membership list, or CCM meeting minutes;
• Health Systems Strengthening (Intervention area 2) could employ needs assessments conducted by the Global Fund, country
dialogue documentation, or concept notes;
• Grant Management (Intervention area 3) could employ the Global Fund Grant Performance Assessment approach, or the Global
Fund heat mapping/Grant Risk Assessment and Management tool;
• Gender (a cross-cutting issue) could employ gender analysis.
Reports and means of verification must be submitted in a timely manner without further invitation from BACKUP. Depending on the
payment schedule in the contract, financial reports as well as disbursement requests must also be submitted accordingly.
Contact
BACKUP Health
+49 6196 79-1599
backup@giz.de
www.giz.de/backup
As a federally owned enterprise, the Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) GmbH supports the German
Government in achieving its objectives in the field of international cooperation for sustainable development. Most of GIZ’s activities are
commissioned by the German Federal Ministry for Economic Cooperation and Development (BMZ). GIZ also operates on behalf of other
German ministries as well as German federal states and municipalities, and public and private sector clients both in Germany and abroad.
These include the governments of other countries, the European Commission, the United Nations, and the World Bank. GIZ’s registered
offices are in Bonn and Eschborn. The German BACKUP Initiative is funded by BMZ.
Published by Deutsche Gesellschaft für
Internationale Zusammenarbeit (GIZ) GmbH
Registered offices Bonn and Eschborn, Germany
BACKUP Health
Dag-Hammarskjöld-Weg 1-5
65760 Eschborn, Germany
+49 (0)6196 79-1599
backup@giz.de
www.giz.de/backup
As at October 2015
GIZ is responsible for the content of this publication.
On behalf of Federal Ministry for Economic
Cooperation and Development (BMZ)
Division Health and population policy
Addresses of BMZ Bonn BMZ Berlin
the BMZ offices Dahlmannstraße 4 Stresemannstraße 94
53113 Bonn, Germany 10963 Berlin, Germany
+49 (0)228 99 535-0 +49 (0)30 18 535-0
poststelle@bmz.bund.de
www.bmz.de

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GIZ Call for Proposals for BACKUP Health: The Three Grant Programs

  • 1. 1 Published by: BACKUP Health General orientation and guidelines for Project Mode applications Overview This paper, which sets out the purpose of BACKUP Health (referred to herein as BACKUP), is for organisations and institutions that are considering applying for technical support on a range of Global Fund processes at the country level. It describes the type of technical support BACKUP offers, who is eligible and how to access this support. BACKUP’s aim is to enable government and civil society partners to apply for and use Global Fund money, and to implement measures for controlling HIV, tuberculosis and malaria more effectively and sustainably. In its support measures, BACKUP seeks to increase the integration into the wider health system of the country-level governance, management and implementation of programmes financed by the Global Fund. Flexibility, transparency and a partner-oriented focus based on demand characterise BACKUP’s approach. The programme advises and trains a wide range of partners, such as national coordinating committees, Global Fund grant recipients and networks of people, in how to manage activities and how to administer funds and material resources with full transparency. The programme’s work centres on developing capacities in three intervention areas: Country Coordinating Mechanisms, Health Systems Strengthening, and Grant Management. In all three intervention areas, community involvement (which includes civil society and particularly key populations), human rights and gender aspects are considered as cross-cutting issues for promoting the meaningful engagement of all actors in Global Fund processes. This document examines all key aspects and requirements and is, therefore, essential reading for all those considering applying to BACKUP for support. Table of contents BACKUP Health’s intervention areas................................................................................................................................................................................................. 2 Country Coordinating Mechanisms ..............................................................................................................................................................................................2 Health Systems Strengthening/Building Resilient and Sustainable Systems for Health...............................................................................................2 Grant Management............................................................................................................................................................................................................................3 BACKUP Health’s cross-cutting themes........................................................................................................................................................................................... 3 What modalities of support does BACKUP Health provide?....................................................................................................................................................... 4 1. Project Mode ..................................................................................................................................................................................................................................4 2. Consultancy Mode – Intervention Areas ................................................................................................................................................................................5 3. Consultancy Mode – Flexible Support.....................................................................................................................................................................................5 Application process for the Project Mode........................................................................................................................................................................................ 5 Eligibility...............................................................................................................................................................................................................................................5 How to apply.......................................................................................................................................................................................................................................6 Application and review process .....................................................................................................................................................................................................7 Contracting..........................................................................................................................................................................................................................................8 Monitoring and evaluation, and reporting..................................................................................................................................................................................8 Contact ....................................................................................................................................................................................................................................................... 9
  • 2. 2 BACKUP Health’s intervention areas Country Coordinating Mechanisms Detailed information: BACKUP intervention area: Country Coordinating Mechanism (pdf, 147 KB) The steering and oversight of Global Fund grants is crucial to guarantee the effective and efficient use of funds. Country Coordinating Mechanisms (CCMs) fulfil this central function and additionally ensure national ownership and participatory decision-making in the development of proposals to the Global Fund. To be able to apply for Global Fund grants, CCMs must comply with six eligibility requirements concerning good governance. BACKUP’s support for Country Coordinating Mechanisms includes technical cooperation interventions such as conducting Eligibility and Performance Assessments, preparing and implementing improvement plans, and strengthening the overall performance of CCMs and their secretariats. BACKUP also promotes the active engagement of civil society in CCM processes. The aim of all these interventions is to enable CCMs to better fulfil their role of steering the application for grants and providing adequate support to the principal recipients implementing grants. Furthermore, BACKUP is supporting CCMs in their efforts to enhance health sector coordination and to integrate their activities more consistently. List of eligible countries, intervention area CCM Sub-Saharan Africa Asia LAC Burkina Faso Burundi Ethiopia Ghana Guinea Kenya Liberia Malawi Mozambique Namibia Niger Nigeria Rwanda Sierra Leone Tanzania Nepal Guatemala Peru EECA Armenia Kosovo Kyrgyzstan Uzbekistan Health Systems Strengthening/Building Resilient and Sustainable Systems for Health Detailed information: BACKUP intervention area: Health Systems Strengthening/ Building Resilient and Sustainable Systems for Health (pdf, 148 KB) More than one-third of Global Fund investments go into helping countries build resilient and sustainable systems for health that strengthen their ability to protect citizens from all diseases and to better respond to outbreaks. To ensure that Global Fund investments in health systems have the biggest impact possible, BACKUP provides technical assistance in the area of health systems strengthening. List of eligible countries, intervention area HSS / RSSH Sub-Saharan Africa Asia EECA Burkina Faso Cameroon Guinea Kenya Liberia Malawi Mozambique Sierra Leone South Africa Tanzania Zambia Bangladesh Cambodia Nepal Pakistan Kyrgyzstan Tadzhikistan Ukraine Uzbekistan
  • 3. 3 Grant Management Detailed information: BACKUP intervention area: Grant Management (pdf, 130 KB) Global Fund grants, from their disbursement to the implementation and delivery of actual services, involve a multitude of stakeholders. As such, successful grant management is key for ensuring the most effective use of Global Fund money. If countries are to put the money they acquire from the Global Fund to effective use, they first need to develop a range of expertise, from good financial management to service organisation. BACKUP’s grant management support comprises technical assistance/cooperation on developing risk management capacities (such as implementing risk mitigation plans) as well as on monitoring and evaluation, financial management, reporting, oversight, good governance, and advocacy for the rights and needs of key populations. These interventions help to maximise the impact of Global Fund grants, to ensure projects are implemented in accordance with contractual terms and conditions, and to reduce risks such as the misappropriation of funds. List of eligible countries, intervention area GM * Sub-Saharan Africa MENA Asia Burundi Congo (DRC) Côte d’Ivoire Guinea Cameroon Ethiopia Kenya Liberia Malawi Mozambique Niger Nigeria Sierra Leone Tanzania Uganda Zimbabwe Mauritania Bangladesh Cambodia Indonesia Nepal Pakistan EECA Kyrgyzstan Tadzhikistan Ukraine Uzbekistan * Applications from regional principal recipients are only possible, if at least one target country of their grant is eligible for BACKUP support in this intervention area. BACKUP Health’s cross-cutting themes Community Systems Strengthening The stigma and discrimination associated with disease can create barriers that make it more difficult to prevent further infections and provide care and support. Civil society organisations (CSOs), such as those supporting people living with HIV and AIDS,1 often represent those most vulnerable to discrimination.BACKUP therefore regards its support as being related to human rights and the creation of empowering environments, especially for marginalised and/or criminalised groups. The Global Fund integrates civil society in its processes by: encouraging/ensuring the latter’s participation in CCMs as principal recipients, sub-recipients or sub-sub-recipients (reinforced through dual-track financing); advocacy; and membership of the Global Fund board. BACKUP interventions aim at strengthening civil society participation in these Global Fund processes and related functions. In particular, BACKUP supports CSOs to analyse, formulate and communicate the health-related needs of the people they represent, to actively engage in CCMs, country dialogues or relevant national working groups, and to point out opportunities for improving Global Fund processes. Furthermore, BACKUP contributes to fostering demand for quality services by strengthening community systems and thus enables the community to play a greater role in service design, delivery, monitoring and evaluation. As communities form the basis of a health system, their improved capacity to engage in Global Fund processes will have benefits for the community and district health committees and services that go beyond the scope of the three target diseases. The Global Fund’s approach to Community Systems Strengthening (CSS) focuses on capacity building, partnership building and ensuring sustainability. The goal of CSS as defined in the Global Fund’s CSS Framework is to achieve improved health outcomes by developing the role of communities, CBOs and key affected populations. BACKUP strongly supports this CSS Framework and employs the Global Fund’s definition of “key affected populations” to refer to vulnerable/ key populations. It is expected that the situation of these populations will improve if their interests are adequately represented and considered within Global Fund processes. Key affected populations (KAP), people or communities are those who are most vulnerable to and affected by conditions such as malaria, tuberculosis and HIV. They are the most often marginalised and have the greatest difficulty achieving their rights to health. KAP include children, youth and adults affected by specific diseases such as HIV, tuberculosis or malaria; women and girls; men who have sex with men; injecting and other drug users; sex workers; people living in poverty; street children and out-of-school youth; prisoners; migrants and migrant labourers; people in conflict and post-conflict situations; refugees and displaced persons.2 1 This was formally adopted as a principle at the 1994 Paris AIDS Summit, where 42 countries declared the greater involvement of people living with HIV/AIDS to be critical to ethical and effective responses to the epidemic. 2 The Global Fund, Community Systems Strengthening Framework, August 2011.
  • 4. 4 Human rights A human-rights-based approach to health and to addressing HIV, tuberculosis and malaria means integrating human rights norms and principles into the design, implementation, monitoring, and evaluation of disease programmes. These principles include human dignity, non-discrimination, transparency and accountability. A human-rights-based approach also means empowering vulnerable groups and key populations, ensuring their participation in decision-making processes that concern them, as well as incorporating accountability mechanisms they can access. The Global Fund’s funding model strongly recommends applicants to incorporate human rights programming in their concept notes. GIZ’s 2013 Practitioner’s Tool for Health and Human Rights3 illustrates how programmes can strengthen their orientation towards human rights. Gender Programmes with a gender-oriented approach contribute to gender equality and support equity in health and health care. In so doing, they protect human rights and contribute to the attainment of universal access and the Millennium Development Goals. BACKUP therefore requests all partner organisations to consider ways to include gender-sensitive and/or gender-transformative activities in their proposals and to further consider gender equality within their organisation. Proposals coming under one of the three BACKUP intervention areas that seek to deliver more gender-sensitive or gender-transformative Global Fund programmes are especially welcomed. It is important to note that ‘gender’ not only focuses on the status of women. BACKUP considers gender to be a cross-cutting issue that includes not just men and women, but also gender and sexual minorities. This includes men who have sex with men (MSM), bisexuals, lesbian women and gay men, transgender and intersex persons, among others.4 The Global Fund has adopted a Gender Equality Strategy5 that outlines how it is taking gender into consideration and what it expects of its applicants. At the country level, the Global Fund expects CCMs to strive to achieve gender parity in its membership and leadership, to adequately address gender in programme development and concept note submissions by conducting extensive and mandatory gender analysis, and to ensure gender-sensitive monitoring and evaluation with sex-disaggregated data. BACKUP’s involvement in the process seeks to ensure that programmes are, as a minimum, gender sensitive6 and, if possible, gender transformative.7 What modalities of support does BACKUP Health provide? 1. Project Mode For this mode, applications should propose small to medium-size projects for one or more of the three intervention areas mentioned above. The projects should aim to support, for example, the country dialogue, application process, grant negotiation and/or implementation and governance of Global-Fund-financed activities and programmes. The applicant/delivery body must be registered as a legal entity under national law. BACKUP will determine grant amounts based on: • the financial management and implementation capacities of applicants; • the content, scope and complexity of projects. The Project Mode requires a proposal including a log frame setting out the project purpose, outputs, indicators, activities, time frame, and budget. All contributions, whether provided by the applicant or other partners, must be clearly indicated. Eligible countries: Those included in the relevant country list for each BACKUP intervention area Duration: April 2016 to March 2018 Budget: Up to EUR 100,000 per contract (exception: up to EUR 200,000 per contract for the HSS intervention area) 3 Practitioners’ Tool: Health and Human Rights, 2013 http://health.bmz.de/what_we_do/Human-rights-and- Gender/Good_practices_and_tools/Praticioners_Tool_Health_and_Human_Rights/index.jsp 4 ‘Transgender’ is an inclusive term to describe people who have gender identities, expressions or behaviours not traditionally associated with their birth sex. ‘Intersex’ refers to persons born with atypical genital or reproductive anatomy who usually identify as male or female, although some may change their gender identity in the course of their development. For more details, visit http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2377288 5 The Global Fund’s Gender Equality Strategy is available at http://www.theglobalfund.org/documents/publications/other/Publication_GenderEqualityStrategy_ActionPlan_en 6 This includes activities that recognise and respond to the different needs and constraints of individuals based on their gender and sexuality. They do little to change the larger contextual issues that lie at the root of gender inequities. 7 This includes activities that actively seek to build equitable social norms and structures within a broader context.
  • 5. 5 2. Consultancy Mode – Intervention Areas BACKUP will offer complementary Consultancy Modes in one or more of the three intervention areas. This option excludes the stepping up of funding of ongoing projects supported by BACKUP under the Project Mode. The Consultancy Mode provides an opportunity to assign consultants to support CCMs, principal recipients and member organisations (especially those from civil society) during the Global Fund country dialogue, proposal/concept note development, and grant negotiation and/or implementation. Terms of reference must be defined in the application form. Eligible countries: Those included in the relevant country list for each BACKUP intervention area Duration: June 2016 to March 2018 Budget: Up to EUR 40,000 per consultancy 3. Consultancy Mode – Flexible Support Flexible support consultancy modes offer short-term, targeted support (similar to that delivered under the intervention areas) to meet the diverse technical support needs of Global Fund stakeholders. However, eligibility is not limited to the BACKUP intervention area country lists, but extends to all Global Fund partner countries. The support is provided in order to overcome bottlenecks impeding the work of Global Fund recipients and partners or threatening to block Global Fund processes. Flexible support may, for instance, be offered for: • measures linked to any of the stages of the Global Fund process — from applying for grants to implementation, evaluation, monitoring, and risk mitigation; • setting the stage for the next Global Fund disbursement or funding phase — i.e. helping principal recipients to fulfil the preconditions for disbursement. Eligible countries: Worldwide Duration: April 2016 to March 2018 Budget: Up to EUR 40,000 per consultancy Application process for the Project Mode Eligibility Who can apply? The following stakeholders in the Global Fund’s funding processes are eligible for BACKUP support if they fulfil the function of (a) a CCM, (b) a CCM member or (c) a principal recipient of a Global Fund grant: • national or regional coordinating mechanisms (e.g. HIV/AIDS councils or commissions); • governments (e.g. ministries of health or national HIV/AIDS, tuberculosis or malaria programmes) • national and international civil society organisations; • private sector organisations. Applications from regional principal recipients are only possible in the intervention area Grant Management, if at least one target country of their grant is eligible for BACKUP support in this intervention area. Formal eligibility requirements The prerequisite for applicants is their commercial suitability, such as their formal registration as a legal entity under national law and, if applicable, their registration as an NGO. Please complete and attach the self-disclosure form (Self-disclosure for the commercial suitability review, docx, 96 KB) and also attach scanned copies of the required documents requested in this form. Applications submitted without formal proof of eligibility will not be considered in the application process. In cases where CCMs are not formally registered as a legal entity, they cannot usually be directly contracted by GIZ. However, these CCMs can put forward an alternative contracting partner that is registered as a legal entity under national law. In such cases, please ensure to provide the name and full address of the alternative contracting partner as well as scanned copies of the corresponding registration documents. Before submitting their proposals, applicants should secure the endorsement of the CCM of the country in which the intervention is planned. This is important to ensure the coordination and alignment of technical support interventions. As part of its work to assess the application, GIZ will conduct a commercial suitability review involving either the responsible GIZ country office or external auditors.
  • 6. 6 How to apply Eligible stakeholders can apply for support by submitting their completed Project Mode application form for the intervention areas of • Country Coordinating Mechanisms (Download, pdf, 147 KB), • Health Systems Strengthening (Download, pdf, 148 KB), and • Grant Management (Download, pdf, 130 KB) to backup@giz.de. Applicants must forward a completed budget (Detailed budget – Project Mode, xlsx, 20 KB) with their application and will be provided with confirmation of receipt. If a country is eligible for more than one intervention area (see the eligible country lists above), applications in all the relevant intervention areas will be accepted. In this case, separate applications for each intervention area should be completed by the same applicant. Should more than one applicant per country be interested in project support on the Health Systems Strengthening and Grant Management intervention areas, applications will be accepted from all interested organisations. For the Country Coordinating Mechanism intervention area, however, the application can only be submitted by CCM representatives. Applications can be submitted between 1 October and 15 December 2015. The review and contracting process is outlined in the next chapter and takes approximately six months from the call for proposals (October 2015) to contract development (March to May 2016). Budget ceiling For the Country Coordinating Mechanisms and Grant Management intervention areas, the maximum amount projects can be awarded is EUR 100,000. For project applications relating to the Health Systems Strengthening intervention area, the maximum is EUR 200,000. Project duration Partners should plan project time frames lasting at least one year, but no more than two. Depending on the actual date the contracts are signed, all planned activities must be implemented by 31 March 2018 at the very latest. If the contract is set to expire on 31 March 2018, a no-cost extension will not be possible. The technical support on offer Projects should be designed according to beneficiaries’ needs, should be structured with clear objectives and milestones, and may for example include training, mentoring, consultancy, peer learning visits, etc. Questions and answers during the application period All questions concerning your application can be addressed to backup@giz.de until 1 December 2015. All answers will be published on the BACKUP website on a weekly basis until 8 December 2015.
  • 7. 7 Application and review process Overview of the application and review process Selection criteria Formal selection criteria (see the section on Eligibility on page 5) Organisational and operational requirements The applicant body’s organisational and operational capacity to implement the proposed intervention must match the objectives and scope of the proposed intervention. • Capacity for implementation: The applicant is well positioned to lead and/or implement the proposed intervention. The organisation has the status required of applicants (key stakeholder; in a position of influence and/or authority), has technical and management capacity, and is prepared for collaboration and networking. The governance structures, past performance and capacity of the applicant organisation are favourable to the implementation of the proposed activities. • Sustainability: This includes both the sustainability of the supported programme component (e.g. the development of an M&E system integrated into the national health and management information systems) and the sustainability of the support activity itself (e.g. support to civil society organisations and CCM secretariats, particularly when the proposed intervention also covers running costs). The latter requires the development of appropriate business plans or exit strategies. • Assumptions and risks: The proposal outlines the assumptions and risks that could jeopardise the efficient and effective implementation of the intervention. Applicant selects the intervention area1 Applicant identifies technical support needs 1. Technical review by internal/external reviewers including the relevant GIZ country office 2. Selection committee suggests applications for approval Technical/financial approval BACKUP informs the applicant and GIZ office Application not in line with content or formal criteria = Rejection Submission of endorsed application to BACKUP Country Coord. Mechanisms Health System Strengthening Grant management Application in line with content and formal eligibility criteria If this step is unclear, ask BACKUP for guidance Applicant seeks endorsement of completed application from the CCM chair or principal recipient Rejection All intervention areas require a separate application form Exchange between BACKUP and applicant to further specify 1. the content of the application 2. the administrative and contractual criteria Commercial sustainability review
  • 8. 8 Selection criteria relating to content • Intervention areas BACKUP will support projects in three intervention areas: Health Systems Strengthening, Country Coordinating Mechanisms, and Grant Management. Any submitted project must fall under at least one of these intervention areas. • Cross-cutting issues BACKUP’s cross-cutting issues (community systems strengthening, human rights, and gender) will be taken into consideration when evaluating project applications under the BACKUP Health Project Mode. At least one of the three cross-cutting issues will have to form an explicit part of the project proposal. The inclusion of the cross-cutting issues will have to be evident not only in the narrative, but also in the monitoring and the budgeting of the proposal. Contracting If your application is approved, the GIZ department tasked with managing your contract will set out the next steps to be taken. Please be aware that this process can take up to around four weeks. The total budget requested must be stated in both local currency and euros. The contributions made by GIZ, the applicant and other partners should be clearly set out. Consultancy fees should be calculated on the basis of daily rates. Make sure to use the budget template, which contains more detailed information (Detailed budget – Project Mode, xlsx, 20 KB). At the contracting stage, BACKUP may require you to send the original of the signed application form as well as certified copies of the original documents relevant to the commercial suitability review. The CVs for any consultants involved in the project will also be required. To receive the funds allocated for your project once the contract is signed, you will need to make a direct request to the GIZ contract department, asking them to action the disbursement. Monitoring and evaluation, and reporting Monitoring and evaluation (M&E) serve different but complementary purposes: • Monitoring refers to routine efforts to track and analyse the implementation of a project to assess whether the inputs, activities and outputs are unfolding as planned. • Evaluations, by contrast, are systematic inquiries conducted episodically to determine the merit or worth of an intervention in terms of its relevance, effectiveness, efficiency, sustainability and impact (for further details, see the OECD DAC Criteria8). Evaluations assess the achievements of a project in relation to a set of defined objectives and provide strategic information that can be used to improve project implementation and to inform future decisions about resource allocation. M&E needs to be an integral part of the planning process. In other words: Applicants are required to define the standards that will guide the performance of specific activities and need to define indicators to measure changes (outcomes) and achievements (outputs). With regard to outcomes applicants should ask themselves: ‘At the end of this intervention, what would we like to have changed and how do we propose to measure these changes?’ With regard to outputs, the guiding question is: ‘In the framework of this intervention, what would we like to achieve and how do we want to measure these achievements?’ Beyond this, applicants should also define the impact of their intervention: ‘What are the effects, i.e. long-term changes that we expect to observe, and what might be unintended, indirect effects? How do we measure them?’ In order to combine all the information, BACKUP developed an M&E matrix that comprises the intervention’s level (in terms of outcome, output and activity), the chosen indicators and respective milestones, the means of verification, and possible assumptions and risks (Application form – Project Mode, docx, 62 KB). This serves to illustrate the project’s internal logic and process to both the applicant and BACKUP. Achieved milestones can also be published in BACKUP’s newsletter, which is issued quarterly. During the lifetime of the project, data must be collected and analysed. To do this, the applicant can draw on a range of approaches for verifying progress made against indicators (e.g. project statistics, the Global Fund’s website and grant performance reports, annual reports), the choice of which wholly depends on the outcome(s) sought. Alongside identifying their own indicators and collecting and analysing relevant data, applicants should base their M&E activities for each intervention area around BACKUP’s results framework. 8 OECD Development Assistance Committee’s Criteria for Evaluating Development Assistance: http://www.oecd.org/dac/evaluation/daccriteriaforevaluatingdevelopmentassistance.htm
  • 9. 9 BACKUP’s monitoring missions BACKUP’s M&E approach involves monitoring missions to countries that have received BACKUP support in order to: • take a critical look at the performance of the BACKUP team during the application process and at its administrative and financial procedures; • review the process, outputs and results of BACKUP-supported interventions at the country level; • gather the ‘stories’ behind the data that have been collected through other BACKUP monitoring tools (e.g. reports, standardised surveys, etc.); • enable the BACKUP technical team to become more conversant with the realities of Global Fund technical support on the ground. The results of the monitoring visit will be used to help BACKUP improve its strategic decision-making regarding the provision of technical support to Global Fund processes at the country level. Reporting system Every six months, applicants must report on their project’s progress towards achieving the priority area(s) and other criteria set out in the M&E matrix. Additional information like unintended positive or negative results, obstacles, lessons learned, best practices and, of course, possibilities for sharing the results achieved should also be reported. The means of verification will depend on the project’s M&E matrix and on the BACKUP intervention area the project falls under. For example, projects for: • Country Coordinating Mechanisms (Intervention area 1) could employ the Global Fund CCM performance rating, CCM Eligibility and Performance Assessment, CCM membership list, or CCM meeting minutes; • Health Systems Strengthening (Intervention area 2) could employ needs assessments conducted by the Global Fund, country dialogue documentation, or concept notes; • Grant Management (Intervention area 3) could employ the Global Fund Grant Performance Assessment approach, or the Global Fund heat mapping/Grant Risk Assessment and Management tool; • Gender (a cross-cutting issue) could employ gender analysis. Reports and means of verification must be submitted in a timely manner without further invitation from BACKUP. Depending on the payment schedule in the contract, financial reports as well as disbursement requests must also be submitted accordingly. Contact BACKUP Health +49 6196 79-1599 backup@giz.de www.giz.de/backup As a federally owned enterprise, the Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) GmbH supports the German Government in achieving its objectives in the field of international cooperation for sustainable development. Most of GIZ’s activities are commissioned by the German Federal Ministry for Economic Cooperation and Development (BMZ). GIZ also operates on behalf of other German ministries as well as German federal states and municipalities, and public and private sector clients both in Germany and abroad. These include the governments of other countries, the European Commission, the United Nations, and the World Bank. GIZ’s registered offices are in Bonn and Eschborn. The German BACKUP Initiative is funded by BMZ. Published by Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) GmbH Registered offices Bonn and Eschborn, Germany BACKUP Health Dag-Hammarskjöld-Weg 1-5 65760 Eschborn, Germany +49 (0)6196 79-1599 backup@giz.de www.giz.de/backup As at October 2015 GIZ is responsible for the content of this publication. On behalf of Federal Ministry for Economic Cooperation and Development (BMZ) Division Health and population policy Addresses of BMZ Bonn BMZ Berlin the BMZ offices Dahlmannstraße 4 Stresemannstraße 94 53113 Bonn, Germany 10963 Berlin, Germany +49 (0)228 99 535-0 +49 (0)30 18 535-0 poststelle@bmz.bund.de www.bmz.de