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Examples of non-strategic HSS investments in previous proposals

Neither HSS, nor linked to HIV, tuberculosis or malaria outcomes: Building a wellness center for health workers’ families Building residential accommodation for health workers’ families. Examples of non-strategic HSS investments in previous proposals.

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Examples of non-strategic HSS investments in previous proposals

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  1. Neither HSS, nor linked to HIV, tuberculosis or malaria outcomes: Building a wellness center for health workers’ families Building residential accommodation for health workers’ families Examples of non-strategicHSSinvestments in previous proposals TRP: “Many proposals often request a ‘shopping list’ of all theoretical HSS needs, without giving thought to longer-term HSS programmatic planning and expected impact” Linked to HIV, tuberculosis or malaria outcomes, but not HSS: • Employing community organizations to carry out communication activities for malaria control • Strengthening network of persons living with HIV for political advocacy and social monitoring HSS but not linked to HIV, tuberculosis or malaria outcomes: Building a nursing school to scale-up nurses for psychiatric care Supporting stipends for academic degree training (MPH) • HSS investments not aligned with investments in diseases • Investment in the procurement of medicines without addressing weaknesses in systems for procurement and supply management

  2. NFM offers the Opportunity to Improve Quality of HSS Investments • Guidance on HSS investments and tools • Programmatic risk analysis across HIV, TB, malaria portfolio identified most frequent system-related risks in: PSM, HRH, HMIS, service delivery, financial management, and these have been prioritized for HSS investments • “Limited flexibility” is allowed for interventions beyond these areas, if a certain set of criteria are met • Strategic allocation of scarce resources: focus on most-in-need countries for HSS investments (differentiated allocation/scope by country Bands) • HSS concept note template, instructions, modular tool • Structured mechanism for TA provision at the proposal and implementation stages • Country dialogue and iterative process – Secretariat provides input to proposal development before approval • Measurement and evidence generation • Integration of the HSS component in national disease program reviews • Institutional capacity • HSS/RMNCH team, cross-divisional WG, CT training

  3. Illustrative Examples of Potential Demand for HSS Investments in 2014: Geographic, thematic and grant architecture diversity Afghanistan: Stand-alone cross-cutting HSS (community health workforce, HMIS, integrated laboratory services) Nigeria: Cross-cutting HSS included in HIV application (PSM, HRH, HMIS) Pakistan: Cross-cutting HSS included in TB application (PSM, HMIS) South Sudan: Stand-alone cross-cutting HSS grant Ukraine: Cross-cutting HSS included in joint TB-HIV application (healthcare financing, service delivery reform) Zambia: Cross-cutting HSS included in joint TB-HIV application (HRH, service delivery at the community level, PSM)

  4. Options for HSS Funding Request Options When to consider No request for cross-cutting HSS - “disease-specific” HSS embedded in disease grants, but not labeled as HSS. Include cross-cutting HSS in disease requests Develop an HSS concept note for a stand-alone HSS grant Develop TB/HIV concept note Align multiple disease-specific concept notes Some countries may choose to prepare 2 or 3 eligible disease concept notes simultaneously. These countries are strongly encouraged to consider cross-cutting HSS needs. 41 countries with high TB/HIV co-infection burden are expected to submit a single concept note for TB/HIV. They are strongly encouraged to consider cross-cutting HSS needs All countries are eligible to apply for a stand-alone cross-cutting HSS grant except upper-middle income countries without high disease burden Cross-cutting HSS needs and a financing gap are identified, but country does not wish to prepare a concept note for a stand-alone HSS grant Sufficient resources are available for cross-cutting HSS needs to ensure successful implementation of HIV, tuberculosis and malaria programs

  5. New Partnership Mechanisms to Maximize Impact of NFM • Partnership agreement with WHO on providing technical assistance in HIV, TB, malaria and HSS for funding request development. (Signed May, 2014) • MoU with UNICEF on providing non-HIV/TB/malaria commodities (e.g. antibiotics, zinc, ORS…) for ICCM and other RMNCH interventions to broaden impact of GFATM investments. (Signed, May 2014) • MoU with UNFPA to support countries secure additional resources for HSS, particularly in the areas of HRH, PSM and in the provision of integrated, quality and equitable sexual and reproductive health services (in progress) • To support national strategies that address the delivery of an integrated and equitable package of sexual and reproductive health services; • To advance the integration of sexual and reproductive health services in programmatic planning, budgeting, implementation and evaluation. • In some cases UNFPA may be in a position to meet relevant programmatic costs as part of its existing country program action plans.

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