ANNEX 2 - PHASE 2 Application for FY23 RFA.docx
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American Schools and Hospitals Abroad Initiative Solicitation No.: 720DD123RFA00001
ANNEX 2 – PHASE 2 TECHNICAL APPLICATION INSTRUCTIONS
TECHNICAL APPLICATION Maximum file size: 100 MB
The Phase 2 Technical Application should be one (1) file that will be uploaded in the Google Form.
· Table of Contents (1 page)
· Management Approach (not to exceed 6 pages)
· Commodities Approach and/or Construction/Renovation Approach (not to exceed 9 pages for either, or 12 pages for both)
1. Management Approach (not to exceed 6 pages)
In accordance with the instructions in Section E.2.b of this NOFO/RFA, your response to the merit review criterion of Management Approach needs to include the following:
(a) Operational Approach
(b) Sustainability and OSI Strengthening
(c) Monitoring and Evaluation (M&E) Approach*
(d) Gender integration
*For the Monitoring and Evaluation factor, Applicants should note the following:
· ASHA AMEP template
· ASHA's two mandatory custom indicators are:
1. ASHA PD Custom 1: Number of American best practices implemented with the intent to improve organizational performance.
2. ASHA PD Custom 2: Number of individuals made aware of American best practices by partner institutions.
· "F" indicators can be found using this link: https://usaidlearninglab.org/library/standard-foreign-assistance-indicators
· Applicants must use the following M&E table (add rows as needed) as part of the response to monitoring and evaluation and should include both the ASHA PD Custom indicators and the "F" indicators.
| Indicator |
| Result Measured by Indicator |
| Type of Indicator |
| Data Source |
| Frequency |
| Unit of Measure |
| Baseline |
| Endline |
| Date |
| Value |
| Date |
| Target |
MANDATORY INDICATOR:
ASHA PD Custom Indicator 1: Number of American best practices implemented with the intent to improve organizational performance
Performance/ Custom
| Reported quarterly. |
| Number |
MANDATORY INDICATOR:
ASHA PD Custom Indicator 2: Number of individuals made aware of American best practices by partner institutions
Performance/ Custom
| Reported quarterly. |
| Number |
[Example 1] Indicator DR.1.5-1 Number of USG-assisted courts with improved case management systems
| Improved operations of East Tambou civil courts. |
| Performance / Standard |
| Implementing Partner count of courts assisted. |
| Reported annually. |
| Number |
| 09/2017 |
| 0 |
| 09/2022 |
| 120 |
[Example 2] Indicator 3.4.1(a) Neonatal mortality rate (number of deaths of infants during the first 28 days of life per 1,000 live births) in childbirth facilities in the southern region of East Tambou.
Improved childbirth outcomes in the southern region of East Tambou.
| Performance / Custom |
| Survey of childbirth facility vital registration data. |
| Reported quarterly. |
| Number per 1,000 |
| 01/2016 |
| 55.3 |
| 09/2021 |
| 40.0 |
2. Commodities and/or Construction Approach (not to exceed 9 pages for either, or 12 pages for both[footnoteRef:1]) [1: If submitting for Commodity Only, 9 pages are allowed. If submitting for Construction/Renovation Only, 9 pages are allowed. If submitting for both Commodity and Construction/Renovation, then 12 pages total are allowed.]
· Commodity Only or Construction/Renovation Only projects have a 9-page limit (6 commodity or construction/renovation + 3 environmental).
· Projects with both Commodity and Construction/Renovation have a 12-page limit (9 commodity and construction/renovation + 3 environmental).
In accordance with the instructions in Section E.2.b of this NOFO/RFA, your response to the merit review criterion of Commodities Approach and/or Construction/Renovation Approach must use the appropriate headings below:
(a) Commodities Information, if applicable - 6-page limit
(b) Construction/Renovation Information, if applicable - 6-page limit
(c) Environmental Capability (see page 3 below for instructions) - 3-page limit
ENVIRONMENTAL CAPABILITY STATEMENT
Applicants are advised to review guidance for each question as in the ASHA Initial Environmental Examination (IEE) of ASHA environmental policies and procedures globally.
All of the following questions should be addressed in the Applicant’s Environmental Capability Statement, in no more than 3 pages.
1. Institutional Arrangements: Do you have an A&E firm or internal staffing to complete the IEE and CRM analysis and implementation? (Yes/No) Please describe below.
2. Site Selection: Will the project be located in or near sensitive ecosystems and-or hazard prone areas? (Yes/No) If Yes, what are the mitigation or corrective actions? Please describe below. Has any cognizant organization (Internal Staff, A&E firm, Host National Ministries) verified these actions are sufficient? (Yes/No) If Yes, who?
3. Toxics: Will toxic materials be involved (e.g., asbestos)? (Yes/No/Not Applicable) If yes, what are they, why are they being proposed, and what are the mitigation measures being taken?
4. Pesticides: Will the project need to address pest control and (if relevant) procure and or use pesticides? (Yes/No) Are any pesticides that are needed already described in the USAID ASHA Construction Pesticide Evaluation and Safe Use Action Plan or PERSUAP[footnoteRef:2]? (Yes/No) Please describe below. [2: Refer to the USAID Global Construction PERSUAP (2020): https://ecd.usaid.gov/document.php?doc_id=52687 OR http://ow.ly/8WCJ50CgD0g]
5. Water Supply: Will you have enough future water capacity to meet the needs of your facility with the commodities and/or additional building features requested? (Yes/No) Please describe below. How will you protect this water from contamination during construction or waste disposal activities?
6. Solid Waste: Describe your current solid waste disposal practices (whole facility). Will you need to upgrade your disposal and collection system to accommodate this project? (Yes/No) If yes, please describe the changes. Note: Include any temporary spike or surge such as disposal of packing material or construction debris, as well as long-term needs such as from future population.
7. Sanitary Waste: Describe your current sanitary waste disposal practices (whole facility). Will you need to upgrade your disposal and collection system to accommodate this project? (Yes/No) If yes, please describe the changes. Note: Include any temporary spike or use such as from construction workers as well as long-term needs such as from future population.
8. Medical Waste: Describe your current medical waste disposal practices (whole facility). Will you need to upgrade your disposal and collection system to accommodate this project? (Yes/No) If yes, please describe the changes. Note: Include any temporary spike or use as well as long-term needs. If there will be no medical waste at this facility, write “Not Applicable” and move to Question 9.
9. Energy: Describe the current sources of energy. Will the project employ energy efficiency measures and/or non-fossil fuel energy sources (e.g., hydropower, wind, solar panels) to reduce environmental impacts? (Yes/No) Please describe below.
10. Climate Risks and Opportunities: What are the environmental impacts of proposed equipment and/or construction, and how have you planned to reduce environmental impacts? How does the commodity or facility resist the effects of climate change? Have these measures been considered or incorporated into the features either by the commodity manufacturer, A&E design, site selection, or by other means? (Yes/No) Please describe below.
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