Implementation Letter

tel
fax
email
The Global Fund
+41 (0)58791 1700
+41 (0)58791 1701
[email protected]
To Fight AIDS, Tuberculosis and Malaria
Chemin de Blandonnet 8
1214 Vernier
Geneva, Switzerland
Our Reference EECAI ATI 123-2510612010
25 June 2010
Dr Bujar Bukoshi
Minister of Health
Ministry of Health of the Government of the Republic of Kosovo
Zagreb street nne Arberia
10000 Prishtina, Kosovo
Subject:
Program Grant Agreement Number: KOS-708-G02-H
Principal Recipient: Ministry of Health of the Government of the Republic of
Kosovo
Implementation Letter 21
3-month Extension to Phase 1 with additional funding
UNOFFICIAL SUMMARY
This letter extends Pha~~e- 1 by three months and commits additional funding to the Phase 1
amount. The updated Performance Framework and Summary Budget for Years 1a2b, which
contain targets and a budget for this extension period, are also attached. The annual progress
reporting requirements have also been removed.
Dear Dr Bukoshi
We are writing this letter to provide you with a three-month extension to your Round 7 HIV I AIDS
Novated and Amended Grant Agreement. The Phase 1 Ending Date is changing from 30
September 2010 to 31 December 2010. We are also increasing the Grant amount EUR 448,561.
The purpose of this extension and funding is to ensure that Program activities continue while the
Phase 2 decision is being made. This extension does not mean that Phase 2 of the Program has
been approved. If the Global Fund decides to commit funding for Phase 2 of the Program, the
overall five year term of the Grant Agreement will remain the same. The Phase 2 Ending Date
remains 30 September 2013.
We have attached an updated Performance Framework, which contain targets for the extension
period, and a Summary Budget that includes the additional funds being committed.
Continued ..... 2
This Grant Agreement was changed before by Implementation Letter dated 3 February 2009 and
Novated and Amended Grant Agreement effective 1 October 2009.
EI Fondo Mundial
le Fonds mondial
0. k.IttI!Q:lrJtreoJ;.5lDA,IabbemJloieetlepakJdiuoM
25 June 2010
Page 2 of3
Dr Bujar Bukoshi
In addition, we would also like to inform you that in March, 2010 the Secretariat of the
Global Fund decided that Principal Recipients are no longer required to submit Annual
Progress Reports to the Global Fund. As a result the Grant Agreement shall be amended
as follows:
(1) Delete Article 15 (b )(ii)of the Standard Terms and Conditions entitled
Annual Progress Reports so that Article 15 (b) shall now read as follows:
uPeriodic Reports. The Principal Recipient shall, not later than 45 days after the
end of each reporting period indicated in Annex A to this Agreement, report on the
progress towards Program objectives and targets for that period indicated in Annex A.
The Principal Recipient shall submit periodic reports on the form specified in Annex A.
For the period in question, the Principal Recipient shall explain in the report any
variance between planned and actual achievements and between planned and actual
expenditures. "
(2) Delete the block in Section A of the Performance Framework entitled
"Annual Report Due Date."
(3)
Updating the following blocks on the face sheet:
Block 4A:
Modification Number: 3 (Implementation Letter 2, dated 25 June 2010);
Block 6:
Phase 1 Ending Date: 31 December 2010;
Block 8:
Grant Funds: EUR 2,137,121 (Two Million One Hundred Thirty-Seven Thousand
One Hundred and Twenty One Euros);
(4)
Replacing the attachment to Annex A called "Performance Framework Year 1&2a:
Indicators, Targets and Periods covered" with the revised attached document called
"Performance Framework Year 1&2b: Indicators, Targets and Periods Covered"; and
(5)
Replacing the summary budget in Section C of the Summary Budget 1&2a of the Novated
and Amended Grant Agreement with the summary budget contained in "Summary Budget
1&2b."
The new face sheet of the Grant Agreement is also attached.
All other terms and condition of the Grant Agreement remain the same.
The above changes take effect after you sign this letter. Please confirm your agreement to these
amendments by signing the enclosed copies of this letter and returning one copy to us.
Continued ..... 3
Page 3 of3
25 June 2010
Dr Bujar Bukoshi
Thank you for your important efforts in the global fight against HIV / AIDS. We look forward to
the successful implementation of the Program.
Yours sincerely
Urban Weber, PhD
Acting Director
Eastern Europe & Central Asia, Latin America and the Caribbean
Middle East & North Africa, and LFA Management unit
Country Programs Cluster
For:
MINI9ltt~~aF HEAL"f6J:Q~THE
GOVERNMENT
OF THE REPUBLIC OF KOSOVO
r:_l.
.",....,
;~
•
~
~¢\
By:
Dr Bujar Bukoshi, Minister of Health
Date:
Documents Enclosed:
New face sheet of the Grant Agreement
Performance Framework Year 1&2b
Summary Budget 1&2b
Cc:
Dr Mazllum Belegu, CCM Vice Chair
Dr Haxhi Kamberi, Acting Permanent Secretary
Dr Ilir Tolaj, Adviser to the Minister of Health
Mr Bersant Beka, Personal Assistant to the Minister of Health
Ms Perihane Berisha, Cabinet Assistant of the Minister of Health
Ms Jehona Bajraktari, Local Fund Agent, UNOPS
Dr Edona Deva, HIV PMU Manager
The Global Fund
To Fight AIDS. Tuberculosis and Malaria
NOVATED AND AMENDED PROGRAM GRANT AGREEMENT
: 1. Country: The Republic of Kosovo
I
~ ~-~--~- ~---~- ~~ ~ -~- ~-- -~ --~~---~ ~ ~--~~ - ~~~ ~ ~ ~~~~~ ~~~-~~ -~~~~~~--~~~~~-~ ~~-~~ ~~~~--~~-~~~~-~-~~-- -- -- - ---~-~--~---~- ---~~~---~--~~---~--~-~~~~~--~---~
I
I
2.
Principal Recipient Name and Address: Ministry of Health of the Government of the Republic of Kosovo,
illJpis Agreement_~ th~~_'Mini§~f HeC:llfu'1~ ____ ~ ___~~~_~~_~~ ____~~_~~~_
Program Title: Scaling up HIV Prevention in Kosovo
Grant Number: KOS-708-G02-H
i 4A.
Number: 3 (Implementation Letter 2,
~~L dat~~~~_Lun~~ 10) ________~_ ~_~__ ~ __
~_PrisJnina.,_~~osO~5> (als~~krred !9
i
3.
4.
I~----~~~-~-~~~-~~~~-~-~-~---~-~~~~~-~~-~-~~~~-~-~-~-~- -~-~~-~--~~~~--~- --~- ~ --~-~--~--~-~-~ ~----~~~------~~-~-~-~~~~~----~--~---~-~~~~ ~~~~~-~-~--~-~~
i
L~
~ ;~~o~!~=g~ate~
___ ~~ ~~~:;o~~te: ----J~ ~~=:;,~~~~__ .
7A. Condition Precedent Terminal ! 7B. Condition Precedent Terminal : 7C. Condition Precedent Terminal
i-~~-- ~~~PJ1licalJJ~_~_~~~ _____~~~~ __
~~ot applicalJ~_ _~___ ~_~ __ L _____ Not applicable _ _~~_~__
!
J___
r~:i::::e£::3:~:s=e H:n:~hirt=:d
One Hundred and Twenry
110. Information for Principal Recipient Bank Account into Which Grant Funds Will Be Disbursed:
I
I
!
The fiscal year of the PrincipaIJ~.ecipi~~~ from 1 1~ll~~X to 31 j)ec~IllQ~!-"-_~____~~__ ~ __ ~_
Local Fund Agent ("LFA"):
United Nations Office for Project Services
Dragodan II, Azem lashanica 6
10000 Prishtina, Kosovo
Tel: +381 38248 861; Fax: +381 38248 864
Attention: Ms. lehona Bajraktari, LFA Country Coordinator
E-mail:
13.
14. Name/Address for Notices to Global Fund:
Mr. Haxhi Kamberi
Acting Permanent Secretary, Ministry of Health
Zagreb street nn. Arberia
10000 Prishtina, Kosovo
Tel.: + 381 38212 113; Fax:+ 381 38212233
E-mail:
I
I
Ms. Maria Kirova
Regional Team Leader, a.i.
Eastern Europe and Central Asia Team
The Global Fund to Fight AIDS, Tuberculosis and
Malaria
Chemin de B landonnet 8
1214 Vernier-Geneva, Switzerland
Fax: +41 58791 1701
Tel.: +41 58791 1700
This Agreement consists of the one page of this face sheet and the following:
(1) Standard Terms and Conditions; (2) Annex A Program Implementation Description; and (3)
Attachments to Annex A, (including the- Performance Framework and Summary Budget)
I~- ~~-~-~- -~~-~~---~~
I
!
I
~- ~~ ~-
~~ ~~~~~~----~~-- ~~~----
~-~-
I~-~~-~~~~-~-----~~~---~--~--------
-~-
!
HIV AIDS
SUMMARY BUDGET Year 1 & 2b
To reduce HIV vulnerability among key populations at
(KPAR). with a special focus on IDUs (including in
J
+ ___+-_~~~___+-___!-_~~I-_~~f-__- j_ _ _--+____+_~~~__~~!-__~~
sex workers. MSM. vulnerable youth and mobile population lllU'UI'''.~~~~~~~~~_ _ _ _
To improve the quality of life of PLHIV in Kosovo by promoting a E:-=-==:':'--==;:::=':'--'-':'--":=-=~=::::.L-=--+---'-'-""""''t--~:-=::t---''''-:=f--=-:;:=I--''':-'-:-=t----'':''-::'3---'=:-::'-T----'''-:':::':'I----'',,=:.r----'7~r---"-;~3------"-:?-7~--~
supportive environment
To create a supportive environment for a sustainable national
response to HIV and AIDS in Kosovo
To strengthen the evidence base for a targeted and effective
national response to HIV and AIDS
Name
PRISR
#
1 ISR
2
3
4
5
6
7
8
9
PR
10 PR
11 PR
12 PR
Type of
Implementing Entity
1
11,36C
12,
2,
18,
13,
IKP 'HA
IVRINTI-I
,V,::;o,I\IT
;D
'P
HEGRA
2:
(AlAS
DO'
IPMU
IpMU
IPMU
IpMU
I
inistry of Health
inistry of Health
inistry of Health
,Ministry of Health
(MoH)
(MoH)
(MoH)
(MoH)
5,525
o
44,033
42.550
TOTAL·L--1_152_,507.....
1__
The sum of all three breakdowns should be equal (A BudQet line Item, B ProQram ActiVity, C- Implementln!l Enbty).
- For the purposes of this report. the SDA Pro!lram manaQement and administration should be included in the Supportive Environment Macro CateQory.
V." 1 13,664
11'48~~1-----'1--:-1,-:::-:--l5341---:2-=-5,,-:::-:--l961I--Y---,e1a--:-1r..,...,-,J:rel---1---I--1:---~
90.214
52,50
42,2~
4 ,9!
4
4E
2.
3
15'
16.497
6,15
2,8,8
2'
8(.64!
24,1
1
1
2' ,
3'
l'
1!
9'
71.021
19,
1
1
1'I,E
4:
1:
1!
9'
1,
3' .36
1:
7,81
25,04~
5~
1 103
,3:!.89
1:
7,65=
17,791
4~
106
1 ,
3: .011
8,50~
12,001
4'
13,29:
18
7, 91:
52.420
5,97~
12,929
'5
17, ,n
36.150
4'
4
3
34.00C
1
1
24,72:
2',723
24,722
118,201
4~
2~
25,3i
35,32=
34,117
1
2
1:
52,62:,758
1.532
99.464
141.335
1.438
1.438
1,431:
204,598
3
4
2'
211_
'1,,---I.1511_18_~~---I,24~_1_
63,2_7f~JI--7_16'"17--&..4_---..;,388,---I.538_20_5,04--&-8_1_81,_,,7,--I-96_1_1!
97...;.,7,,0--&..0~_---..;,
448,----&.561_....;.11,4--.;.J,--L_..,;.2~...1---:..f,--1..._---11
O(
31
1: 12E
15C
1
2'
2'
21
21
Performance Framework Year 1 & 2b: Indicators, Targets, and Periods Coverec
HIV
I
I
Impact
% of most-at-risk population(s) (sex workers: cli~nts of sex
'workers, men who have sex with men (MSM), Injecting drug users)
who are HIV infected
impact
Prevalance of hepatitis C among IDUs
13%
% of injecting drug users (IDUs) who have adopted behaviors that
reduce transmission of HIV
outcome
<5%
<5%
2006
13%
13%
50%
2006
65%
80%
of female sex workers reporting the use of a condom with every
client in the last month
15%
2006
45%
65%
% of men reporting the use of condom the last time they had anal
sex with a male partner in the last 6 months
56%
70%
85%
52%
62%
>90%
% of young people aged 15-24 reporting the consistent use of a
condom with non-regular sexual partners in the last year
<5%
Prevention: Beecommunity outreach to
IOU.
Number of IDUs reached by
needle and syringe exchange
programmes
2006
Labyrinth
1.2
Prevention: Harm
reduction for IOUs
Number of IDUs reached by
Methadone Maintenance
Treatment (IOUs in prisons incl.)
2007
Labyrinth
1.3
Prevention: Testing and
Counselling for IDUs
Number of IDUs who received
HIV testing in the last 12 months
and who know the resutts
1.4
Environment:
Stigma Reduction in All
Settings
Number of police staff sensitised
on hann reduction
1.5
Prevention: STI
Diagnosis and
Treatment for Sex
workers
NUmber of sex workers
diagnosed and treated for STI
among those who were
counseled and tested
408
157
2006
8&65S2006
(Labyrinth, FHI)
2007
Kosovo Police
ServicelUNODC
2006
8&BSS
100
250
400
660
1000
1100
1200
1,520
40
40
110
110
210
210
295
100
180
250
360
470
580
710
835
Y • over program term
10
15
20
25
35
42
50
55
Y • over program term
100
350
375
400
425
450
570
Y • over program term
on regular, biannual HIVISTI services to sex workers are
gynaecologists and reported to coordinator of sex·
; HIV testing is part of overall G.monthty STI/HIV
1.6
Prevention: Bce 4
Number of MSM reached by sec
Community Outreach to
prevention outreach and peer
education
MSM
200
2005
CSGDreports
1.7
Prevention: Testing and
Counselling for MSM
Number of MSM who received
HIV testing in the last 12 months
and who know the results
200
2007
CSGDreports
1.8
1.9
1.10
1.11
Prevention: sec .
Community Outreach to
Prison Staff and
Number of prison inmates
reached by BCe prevention
outreach and peer education
Number of prison inmates who
Prevention: Testing and
received HIVtesting in the last 12
Counselling in Prisons
months and who know the results
Prevention: BCC 4
Community Outreach to
Young People
Number of schools with at least
one teacher who has been
trained in participatory life skills4
based HIV/AIDS education and
who taught it during the last
academic
Prevention: BeeYoung people reached by
Community Outreach to HIVlAIOS education in and out~fYoung People
school settings
2007
20
2006
100
2007
IOUs, SWs, MSM,
2.1
Prevention: Condom
Distribution to IOU, SW,
MSM, Prison, Young
people
Care and Support: Care
and Support for the
Chronically III
2.2
Care and Support: Care
and Support for the
Chronically III
environment:
2.3
reduction in all
Strengthening of Civil
Society and Institutional
Capacity Building
4.1
HSS: Information
System and Operational
Research
850
925
1000
325
Y 4 cumulative annually
150
200
250
300
375
450
525
Y 4 over program term
500
1000
1500
2000
2900
3800
4,150
Y • over program term
50
100
175
250
325
400
440
Y - over program term
20
50
60
75
85
100
100
Y 4 over program term
9500
26000
35000
44000
46000
52000
54,620
Y - over program term
163
213
263
390
515
540
550
Y - over program term
35,000
102,500
170,140
226,300
285,000
341,700
400,000
461,450
Y 4 over program term
15
18
22
28
35
42
Y 4 over program term
45
60
80
100
120
140
170
Y
50
100
125
150
175
225
Y - over program term
10
10
10
10
10
10
Y - over program term
10
10
15
15
20
20
Y - over program term
100
Justice
Ministry of
Justice
skills-based
curriculum for
schools
2007
210
2006
LabyrinthlCSGD
reportsMinistry
of JusticeNouth
department
reports
Number of condoms distributed
1,000,000
2006
KosovoAIDS
Committee
Number of PLHIV and/or family
members who received
psychological and/or medical
counselling
10
2007
KosovoAIDS
Committee
NUmber of special support
packages (condoms, food, IEC
materials, etc) for PLHIV
distributed
notavailabte
2007
Prison staff and Inmates
and young people
1.13
415
Ministry of
not available
of peer educators trained
700
MEST/UNICEF
project on Life--
Prevention: BCC Community Outreach to
1.12
50
345
Number of health/social workers
sensitised on providing healthcaretoPLHIV
2007
Number of key implementing
partners trained to effectively
manage, monitor and evaluate
HIVIAIDS programme
components
2007
NUmber of organizations
systematically reporting to
National HIVIAIDS M&E System
on an annual basis
2006
15
15
30
~
over program term
to the number of social and medical workers, inmates
, representatives of youth organizations and other
to provide prevention peer education for IDUs and
exchange programs, for MSM, prison inmates and young
packages are distributed on a quarterly basis. Programmatic
reporting by PLHIV component subrecipients: Data on number of support
packages for PLHIV and/or their family members will be collected through
the Centre for Care and Support of PLHIV established under the project.
KosovoAIDS
CommitteelATR
C/IREX
KosovoAIDS
Committee
20
to M&E Unit by organizations GOs, NGOs, CSOS,
Agencie, etc.