Amendment 07, DHAPP BAA 15-001.pdf

AMENDMENT 0007

BROAD AGENCY ANNOUNCEMENT (BAA)

Number DHAPP-BAA-15-001

“FY15 – FY16 Department of Defense HIV/AIDS Prevention Program:

Military Specific HIV/AIDS Prevention, Care, and Treatment Program for non-PEPFAR (President’s Emergency Plan for AIDS Relief)

Funded Countries”

The purpose of this Amendment 0007 is to incorporate the following:

NHRC/DHAPP is accepting “Concept papers” for Estonia as described below through 5 August 2016.

NOTE: Each narrative is a standalone effort and should not be combined with another narrative and all the program elements (tasks) in each specific narrative must be addressed in that concept paper submission.

E-mail address for submission of Concept Papers: usn.nhrc.dhapp@mail.mil

The full solicitation is available at: http://www.grants.gov/

Eligible Applicants are requested to submit Concept Papers following the guidelines and format provided in the DHAPP BAA-15-001, Section IV.

All respondents must demonstrate the active support of the in-country military and the DoD representative in the corresponding U.S. Embassy in the planning and execution of their proposals. The selected Grantee is the Implementing Partner and will be referred to as IP in this document.

mailto:usn.nhrc.dhapp@mail.mil http://www.grants.gov/

Amendment #0007, DHAPP BAA-15-001 (FY15 – FY16 DHAPP: Military Specific HIV/AIDS Prevention, Care, and Treatment Program for non-PEPFAR Funded Countries)

Estonia: HIV/AIDS Prevention In Military Settings

Phase 1 Phase 2 Phase 3

OHSS $ 75,000 $ 75,000 $ 75,000

HVOP $125,000 $125,000 $125,000

TOTAL $ 200,000 $200,000 $200,000

Proposals are requested to support Estonia to prevent HIV and other sexually transmitted diseases among members of the Estonian Defense Forces (EDF) and their families. The TBD partner will work directly with the EDF to provide military members, family members and military medical staff training and education. Department of Defense HIV/AIDS Prevention Program (DHAPP) programming to support the EDF will focus on the following technical areas: 1) HIV prevention interventions that meet the MER 2.0 standards and

2) Strengthening the health system through technical assistance and training to ensure appropriate training and documentation of prevention, care and treatment.

The TBD partner’s program should emphasize capacity building across all activities and technical areas for future self-sustainability of all programming. All proposals should detail how the partner will engage the EDF leadership as well as EDF personnel at all levels in this work; and, specifically how the partner will utilize the organizational structure of the military to strengthen the internal capacity of the EDF to conduct these activities. Within the proposal the partner will need to demonstrate transition of programmatic capabilities and capacity to the military over the life of the grant.

The partner must work in complete coordination with the EDF’s health services, the Office of Defense Cooperation (ODC) at the US Embassy in Tallinn, and the DHAPP Headquarters Team. The Grantee is the Implementing Partner and will be referred to as IP in this document.

Other Prevention (HVOP - $125,000)

Indicator Label Military Only

PP_PREV Number of individuals from priority populations who completed a standardized HIV prevention intervention, including the specified minimum components, during the reporting period plus individuals who will receive peer trainer interactive sessions who will educate junior EDF personnel on gender, relationships, sex and sexuality, alcohol and drug abuse.

Amendment #0007, DHAPP BAA-15-001 (FY15 – FY16 DHAPP: Military Specific HIV/AIDS Prevention, Care, and Treatment Program

In the first year of this effort, the IP will work with the military and other partners to identify new recruits and high risk members. Proposed activities will reduce HIV risk by provision of HIV risk reduction education, alcohol harm reduction, and condoms. Enlisted leaders will also be identified to receive HIV education leader training. Estonian Defense Forces military personnel are a priority population in Estonia and have an increased risk for HIV infection. Results from the 2013 EDF Knowledge, Attitudes and Practices (KAP) on issues related to HIV and AIDS showed a low level of awareness among respondents about how HIV is transmitted and about condom use. These results will be used to further focus prevention efforts where they are most needed including effective education programs, and prevention including provision of condoms. The following prevention activities are required:

HIV education leader training for the EDF HIV prevention team will prepare them to train future personnel in the provision of HIV and AIDS information sessions as well as other major components. Peer leader training will include basic knowledge about HIV, HIV in military settings, STIs and reproductive health, support for people living with HIV (PLHIV), condom use, alcohol use, and how to become and be a good trainer, including how to organize HIV trainings. Existing Information/Education/Communication (IEC) materials (leaflets, booklets, guidelines, etc.) should be utilized. Performance indicators should include:

o A minimum of 20 EDF personnel (men & women) trained o 75% of people showing improved knowledge related to HIV and AIDS, training module development and effective training through objective measurement in pre and post test o A minimum of 50% of trained people transferred their knowledge and skills to new Peer Leaders in EDF within the second year of the grant and each subsequent grant year o Create performance indicators for HIV education leaders o Help EDF identify 3 Master Trainers within the EDF who will be responsible for keeping track of who has been trained as well as develop a sustainable internal training program

Leading HIV and AIDS information sessions for EDF personnel, especially new recruits. Performance indicators should include:

o A minimum of 1800 people including new recruits and peacekeepers will be reached from priority populations. EDF personnel with standardized comprehensive individual and/or small group HIV prevention interventions which meet MER 2.0 standards and distribution of condoms.

o 60% improvement in participant knowledge through objective measurement in pre and post test.

Procurement and distribution of 50,000 condoms to support HIV prevention for active duty military through behavior change communication (BCC approach).

Amendment #0007, DHAPP BAA-15-001 (FY15 – FY16 DHAPP: Military Specific HIV/AIDS Prevention, Care, and Treatment Program

OHSS – Health Systems Strengthening - $75,000

As the military in a small country, the EDF must enlist the technical resources of all medical organizations within Estonia and international organizations such as

DHAPP. Meetings and workshops for the Estonian Defense Force Medical

Department is to further improve their technical and clinical capacity in managing HIV/AIDS prevention and epidemiology activities. Performance indicators should include:

o A minimum of 4 1-day meetings will be facilitated to improve cooperation between EDF medical department and civilian and MOH medical facilities and universities and facilitate MOD’s inclusion and access to all Estonian infectious diseases national data bases.

o Develop a plan for a Regional Military International HIV Training Program

(MIHTP) in Tallinn, Estonia in the first year. Provide all logistics for program in second year.

In the first year of this effort, the IP will be responsible for the following:

Reach a targeted number of 1800 priority population group members (military members of EDF) with individual and/or small group level interventions that are based on evidence and/or meet the minimum standards requirement.

Procure and distribute 10,000 condoms to active duty military.

Peer leader training to 20 enlisted leaders and support their facilitation of HIV information sessions.

Development of a monitoring and evaluation plan based on performance indicators set in the work plan

Arrange logistics and facilitate a minimum of 4 1-day meetings to improve cooperation between EDF medical department and civilian medical facilities and universities.

Develop a plan for a Regional Military International HIV Training Program (MIHTP) in Tallinn, Estonia

WORK PLANS:

Grantee must submit annual, programmatic and financial, work plans to DHAPP HQ (Budget breakdown per activity and for program management is required). Work plans include activities implementation timeline to include monitoring and evaluation.

REPORTING:

Quarterly Fiscal Reports: Grantee must submit quarterly programmatic and financial reports to DHAPP in order to monitor expenditures according to the

Amendment #0007, DHAPP BAA-15-001 (FY15 – FY16 DHAPP: Military Specific HIV/AIDS Prevention, Care, and Treatment Program program areas (HVOP and OHSS). The report template will be provided by DHAPP. Submit 30 calendar days after each reporting period (3/31, 6/30, 9/30, and 12/31).

Reports will follow DHAPP Headquarters templates as directed by the DHAPP Strategic Information team.