GH15-1569 Rwanda FINAL FOA 8.26.14.docx
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U.S. Department of Health and Human Services Centers for Disease Control and Prevention Division of Global HIV/AIDS Center for Global Health Centers for Disease Control and Prevention
CDC-RFA-GH15-1569
Implementing an Electronic Monitoring and Reporting System in the Republic of Rwanda under the President’s Emergency Plan for AIDS Relief (PEPFAR) Funding Opportunity Announcement (FOA)
CDC-RFA-GH15-1569 Page 1
Contents
| Part I. Overview Information | 1 | |
| A. | Federal Agency Name | 1 |
| B. | Funding Opportunity Title | 1 |
| C. | Announcement Type: | 1 |
| D. | Agency Funding Opportunity Number | 1 |
| E. | Catalog of Federal Domestic Assistance Number | 1 |
| F. | Dates | 1 |
| G. | Executive Summary | 1 |
| Part II. Full Text | 2 | |
| A. | Funding Opportunity Description | 2 |
| 1. | Background: | 2 |
| a. | Statutory Authorities | 2 |
| b. | Healthy People 2020: | 3 |
| c. | PEPFAR Priorities and Strategies | 3 |
| d. | Other National Public Health Priorities and Strategies: | 4 |
| e. | Relevant Work: | 4 |
| 2. | CDC Project Description | 5 |
| a. | Approach: | 5 |
| i. | Problem Statement: | 7 |
| ii. | Purpose | 7 |
| iii. | Outcomes | 7 |
| iv. | Funding Strategy | 8 |
| v. | Strategies and Activities | 8 |
| b. | Evaluation and Performance Measurement: | 10 |
| i. | CDC Evaluation and Performance Measurement Strategy: | 10 |
| ii. | Applicant Evaluation and Performance Measurement Plan: | 13 |
| c. | Organizational Capacity of Awardees to Execute the Approach: | 13 |
| d. | Work Plan: | 13 |
| e. | CDC Monitoring and Accountability Approach | 13 |
| f. | CDC Program Support to Awardees | 14 |
| B. | Award Information | 15 |
| 1. | Type of Award: | 15 |
| 2. | Award Mechanism: | 15 |
| 3. | Fiscal Year: | 15 |
| 4. | Approximate Total Fiscal Year Funding: | 15 |
| 5. | Approximate Total Project Period Funding: | 15 |
| 6. | Total Project Period Length: | 16 |
| 7. | Approximate Number of Awards: | 16 |
| 8. | Approximate Average Award: | 16 |
| 9. | Floor of Individual Award Range: | 16 |
| 10. | Ceiling of Individual Award Range: | 16 |
| 11. | Anticipated Award Date: | 16 |
| 12. | Budget Period Length: | 16 |
| 13. | Funds Tracking: | 16 |
| 14. | Direct Assistance: | 16 |
| 15. | Indirect Costs: | 16 |
| C. | Eligibility Information | 16 |
| 1. | Eligible Applicants: | 16 |
| 2. | Special Eligibility Requirements: | 18 |
| 3. | Justification for Less than Maximum Competition: | 19 |
| 4. | Other: | 19 |
| 5. | Cost Sharing or Matching: | 19 |
| 6. | Maintenance of Effort: | 19 |
| D. | Application and Submission Information | 19 |
| 1. | Required Registrations: | 19 |
| 2. | Request Application Package: | 20 |
| 3. | Application Package | 20 |
| 4. | Submission Dates and Times: | 20 |
| 5. | CDC Assurances and Certifications: | 21 |
| 6. | Content and Form of Application Submission: | 21 |
| 7. | Letter of Intent (LOI): | 21 |
| 8. | Table of Contents: | 21 |
| 9. | Project Abstract Summary: | 21 |
| 10. | Project Narrative: | 21 |
| 11. | Work Plan: | 23 |
| 12. | Budget Narrative: | 23 |
| 13. | Tobacco and Nutrition Policies: | 24 |
| 14. | Intergovernmental Review: | 25 |
| 15. | Funding Restrictions: | 25 |
| 16. | Other Submission Requirements: | 33 |
| E. | Application Review Information | 35 |
| 1. | Review and Selection Process: | 35 |
| a. | Phase I Review: | 35 |
| b. | Phase II Review: | 35 |
| c. | Phase III Review: | 38 |
| 2. | Anticipated Announcement and Award Dates: | 38 |
| F. | Award Administration Information | 38 |
| 1. | Award Notices: | 38 |
| 2. | Administrative and National Policy Requirements: | 38 |
| 3. | Reporting: | 41 |
| a. | CDC Reporting Requirements: | 41 |
| b. | Specific Reporting Requirements: | 41 |
| i. | Awardee Evaluation and Performance Measurement Plan: | 41 |
| ii. | Annual Performance Report: | 41 |
| iii. | Performance Measure Reporting: | 43 |
| iv. | Monitoring Reporting and Evaluation: | 43 |
| v. | Federal Financial Reporting: | 43 |
| vi. | Final Performance and Financial Report: | 43 |
| 4. | Federal Funding Accountability and Transparency Act of 2006: | 43 |
| 5. | Programmatic Impact Reporting and Monitoring: | 44 |
| 6. | Monitoring and Evaluation: | 45 |
| 7. | Expenditure Analysis | 45 |
| 8. | Audit, Books, and Records Clause: | 45 |
| 9. | Reporting of Foreign Taxes | 47 |
| 10. | Human Subjects Restrictions: | 48 |
| G. | Agency Contacts | 48 |
| H. | Other Information | 49 |
| I. | Glossary | 50 |
Part I. Overview Information Applicants must go to the synopsis page of this announcement at www.grants.gov and click on the “Send Me Change Notifications Emails” link to ensure they receive notifications of any changes to CDC-RFA-GH15-1569. Applicants also must provide an e-mail address to www.grants.gov to receive notifications of changes.
Federal Agency Name
Centers for Disease Control and Prevention
Funding Opportunity Title
Implementing an Electronic Monitoring and Reporting System in the Republic of Rwanda under the President’s Emergency Plan for AIDS Relief (PEPFAR)
Announcement Type:
New-Type 1
This announcement is only for non-research international activities supported by CDC. If research is proposed, the application will not be considered. Research for this purpose is defined at:
http://www.cdc.gov/od/science/integrity/docs/cdc-policy-distinguishing-public-health-research-nonresearch.pdf.
Agency Funding Opportunity Number
CDC-RFA-GH15-1569
Catalog of Federal Domestic Assistance Number
93.067 Global AIDS program
Dates
1. Letter of Intent Deadline Date: N/A
Application Deadline Date: October 10, 2014, 11:59 p.m. U.S. Eastern Standard Time, on www.grants.gov
Informational conference call or pre-application workshop if held in person for potential applicants: Please contact the Project Officer listed at the end of this FOA for information regarding the pre-application workshop.
Executive Summary
1. Summary Paragraph
This funding opportunity announcement (FOA) addresses the strong need for an electronic repository system in Rwanda. The system will be a web-based monitoring and reporting system to be used by all USG PEPFAR-funded agencies and implementing partners operating in the country, including the Rwandan Ministry of Health, the Rwanda Biomedical Center, and other PEPFAR implementing partners. An initial assessment of the existing electronic system will provide insights on whether or not maintenance, upgrade, or the development of a new platform will address the needs of PEPFAR Rwanda. A flexible and stable platform is needed and will serve as the unique repository of PEPFAR Rwanda program data at the country level. It will be used to generate PEPFAR periodic reports, including the semi-annual and annual progress reports and additional ad hoc requests. The purpose of this FOA is to develop a new system or upgrade and maintain the existing web-based reporting system that has been in place since 2008 and build local capacity within the USG team to manage and maintain the system. The system should include automated checks for data quality. In doing so, the system will add new functionality (e.g., dashboard to easily view achievement of indicators, etc.) as well as add additional data variables to be used for HIV program planning and implementation. The Division of HIV/AIDS at the Rwanda Biomedical Center (RBC) will be one of the major users of the data stored and managed on the system, and the successful applicant will be expected to work closely with this division to refine some of the data elements collected to ensure harmonization with the national system.
a. Eligible Applicants: Fully Competitive
b. FOA Type: Cooperative Agreement
c. Approximate Number of Awards: 1
d. Total Project Period Funding: None
e. Average One Year Award Amount: $310,000.00
f. Number of Years of Award: 5 Years
g. Approximate Date When Awards will be Announced: February 2015
h. Cost Sharing and /or Matching Requirement: N/A
Part II. Full Text
1. Funding Opportunity Description
Background:
The PEPFAR Rwanda programs was established in 2003 and has been an interagency effort implemented by the Centers for Disease Control and Prevention (CDC), the United States Agency for International Development (USAID), the Department of Defense (DOD), Peace Corps (PC) and the Department of State (DOS) in collaboration with the Rwandan government. The program includes prevention, care, and treatment activities as well as system strengthening interventions implemented by the Ministry of Health (MOH) and local and international non-governmental organizations (NGOs). The prevalence of HIV in Rwanda has dropped to 3% according to the 2010 Demographic and Health survey. As of September 30, 2013, the program cares for 75,013 patients on antiretroviral therapy (ART), representing 60% of the national achievements. In part of its implementation, the PEPFAR program provided substantial support for the design and maintenance of an electronic reporting system managed by the Ministry of Health. Since 2008, the Rwanda PEPFAR program has had its own electronic reporting system used to collect and store program data. This reporting system allows the USG PEPFAR interagency team to meet reporting requirements from the Office of Global AIDS Coordinator (OGAC) and agency headquarters in a timely manner.
The partner reporting system under this FOA will allow the PEPFAR interagency team to address challenges meeting the OGAC reporting requirements while working with the government to integrate with or transition to the Rwanda health information system. Activities under this FOA will add automated data quality checks to help ensure that information available through this system accurately informs the implementation of the program and allow reporting to Congress. The system will reside at the Rwanda Ministry of Health and will become ultimately become the property of the Government of Rwanda (GOR).
Statutory Authorities
This program is authorized under Public Law 108-25 (the United States Leadership Against HIV/AIDS, Tuberculosis and Malaria Act of 2003) [22 U.S.C. 7601, et seq.] and Public Law 110-293 (the Tom Lantos and Henry J. Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008), and Public Law 113-56 (PEPFAR Stewardship and Oversight Act of 2013).
The President’s Emergency Plan for AIDS Relief (PEPFAR) has called for immediate, comprehensive and evidence based action to turn the tide of global HIV/AIDS. The overarching purpose of this FOA is to fund activities to prevent or control disease or injury and improve health, or to improve a public health program or service. Recipients may not use funds for research. Certain activities that may require human subjects review due to institutional requirements but that are generally considered not to constitute research (e.g., formative assessments, surveys, disease surveillance, program monitoring and evaluation, field evaluation of diagnostic tests, etc.) may be funded through this mechanism.
Healthy People 2020:
Healthy People 2020 provides national health objectives for improving the health of all persons by encouraging collaborations across sectors, guiding individuals toward making informed health decisions, and measuring the impact of prevention activities. Additional information on Healthy People 2020 is available at http://www.healthypeople.gov.
PEPFAR Priorities and Strategies
Under the leadership of the U.S. Global AIDS Coordinator, as part of the President's Emergency Plan, the U.S. Department of Health and Human Services’ Centers for Disease Control and Prevention (HHS/CDC) works with host countries and other key partners to assess the needs of each country and design a customized program of assistance that fits within the host nation's strategic plan and partnership framework.
HHS/CDC focuses primarily on two or three major program areas in each country. Goals and priorities include the following:
| • | Achieving primary prevention of HIV infection through activities such as expanding confidential counseling and testing programs linked with evidence based behavioral change and building programs to reduce mother-to-child transmission; |
| • | Improving the care and treatment of HIV/AIDS, sexually transmitted infections (STIs) and related opportunistic infections by improving STI management; enhancing laboratory diagnostic capacity and the care and treatment of opportunistic infections; interventions for intercurrent diseases impacting HIV infected patients including tuberculosis (TB); and initiating programs to provide anti-retroviral therapy (ART); |
| • | Strengthening the capacity of countries to collect and use surveillance data and manage national HIV/AIDS programs by expanding HIV/STI/TB surveillance programs and strengthening laboratory support for surveillance, diagnosis, treatment, disease monitoring and HIV screening for blood safety; and |
| • | Developing, validating and/or evaluating public health programs to inform, improve and target appropriate interventions, as related to the prevention, care and treatment of HIV/AIDS, TB and opportunistic infections. |
In an effort to ensure maximum cost efficiencies and program effectiveness, HHS/CDC also supports coordination with and among partners and integration of activities that promote Global Health Initiative principles. As such, grantees may be requested to participate in programmatic activities that include the following activities:
| • | Implement a woman- and girl-centered approach; |
| • | Increase impact through strategic coordination and integration; |
| • | Strengthen and leverage key multilateral organizations, global health partnerships and private sector engagement; |
| • | Encourage country ownership and invest in country-led plans; |
| • | Build sustainability through investments in health systems; |
| • | Improve metrics, monitoring and evaluation; and |
| • | Promote research, development and innovation (research is not supported by this FOA). |
This announcement is only for non-research activities supported by CDC. If research is proposed, the application will not be reviewed. For the definition of research, please see the CDC Web site at the following Internet address: http://www.cdc.gov/od/science/integrity/docs/cdc-policy-distinguishing-public-health-research-nonresearch.pdf
Other National Public Health Priorities and Strategies:
N/A
Relevant Work:
This FOA will assist the Rwanda interagency PEPFAR team to collect, store, and report PEPFAR program performance to OGAC, agencies’ respective headquarters, and the Government of Rwanda (GOR). The reporting system developed under this FOA will allow the USG PEPFAR interagency team to maintain quality data that will be used to inform the decision making process for the PEPFAR Rwanda program.
CDC Project Description
1. Approach:
Activities
| Outputs |
| Outcomes |
Short-Term Outcomes (1-2 years) Intermediate Outcomes (3-4 years) Long-Term Outcomes (5th year)
| Conduct a thorough review of previously funded implementing partner reporting system which examines the technology, training strategies and materials, built-in data quality checks, and standard system-generated reports, as well as the process for partners to report and the skill sets of the people responsible for the technology and the process |
| Assessment report describing the information needs addressed, the gaps between the need and the existing system, and listing options to address gaps |
Facilitated, guided session with USG team to assist their determination of how to address the gaps (e.g., build on the existing system or use another one) Enhanced understanding of current reporting system by the USG team and the awardee based on assessment report to facilitate USG determination whether - to enhance existing platform or develop a new system
| Build/upgrade web-based reporting and storage platform for the PEPFAR program results in Rwanda |
| Flexible and stable reporting system |
Increased availability and quality of data
Fully functional web-based reporting and storage platform containing PEPFAR program data in Rwanda to allow increased high quality HIV program data for decision -making
| Host and maintain the Implementing Partner reporting system during the project period in a secure environment at a designated applicant’s facility |
| Up and running web-based system that captures PEPFAR program data in a secure environment |
| Increased service level availability (24/7) |
Increased access to secured data for end-users including USG team, implementing partners and GOR Maintained level of service availability (24/7)
| Build the capacity of Rwanda’s USG interagency team to maintain and upgrade the system by the end of the project through training and coaching of designated information technology staff; elaboration of user manuals and standard operating procedures (SOPs) |
| Trained USG interagency team members in system maintenance and upgrade |
System administrator’s user manuals for maintenance and SOPs developed Increased capacity and integration of USG interagency team in system maintenance and upgrade requirements
Increased responsibility by the USG interagency team for system maintenance and incorporating upgrades
Maintained capacity of USG interagency team in system maintenance and upgrade requirements and full transition of this responsibility
| Build capacity of implementing partners (IPs) including MOH entities to use the system for PEPFAR reporting through training, workshops, the helpdesk and training materials, development of SOPs and job aids |
| IPs and MOH entities end-users trained to use the reporting system |
SOPs and user manuals developed Increased knowledge and usage of the system by all users for quality data reporting of PEPFAR performance
Sustained proper usage of the system by activity managers and implementing partners to collect data and report on PEPFAR performance
| Perform quarterly data quality checks of the electronic reporting system |
| Periodic data quality checks performed |
| Increased quality of available data |
Increased responsibility by the USG interagency team for performing data quality checks PEPFAR data
Maintained high quality of PEPFAR program data
| Generate USG and PEPFAR specific reports including SAPR, APR etc. in a timely manner |
| Semi Annual and Annual progress reports timely generated |
| Increased responsibility of the USG interagency team to generate reports and to perform ad hoc analyses Improved quality (completeness, accuracy, and timeliness) of Semi and Annual Progress Reports |
Improved quality (completeness, accuracy, and timeliness) of Semi and Annual Progress Reports
Problem Statement:
The Rwanda PEPFAR program is managed by four USG agencies, including CDC, USAID, DOD, Peace Corps and DOS, through various implementing mechanisms. These agencies are required to report to their respective agencies. Additionally and most importantly, the USG country team is mandated to provide periodic reports including the semi-annual report and the annual report to OGAC. The country team also needs to respond to some ad hoc requests either from their respective agencies headquarters or from OGAC. The USG PEPFAR team in Rwanda has provided substantial support for the design and maintenance of an electronic reporting system to collect and store program data in order to meet the OGAC and agency headquarters reporting requirements in a timely manner. There is a need to assess the current system to determine if a new system should be developed or the current system should be upgraded and maintained. There is also a need to build capacity within the USG PEPFAR interagency team to manage and maintain the current system. The key beneficiaries of this system will be the Government of Rwanda (GOR) entities, including the Ministry of Health (MOH) and Rwanda Biomedical Center (RBC), the implementing partners working on the PEPFAR program, and the USG agencies providing PEPFAR assistance.
Purpose
The development and implementation of a strong and reliable electronic health information system is at the core for the PEPFAR country operations plan (COP) technical considerations to guaranty proper data collection, storage and reporting to OGAC collaboratively with the host country. To support this process, the main purpose of this FOA is to fund an implementing partner to:
· Develop or upgrade and initially maintain a flexible and stable web-based reporting system that collects, stores, and generates PEPFAR program data and reports based on the findings of the initial assessment of the system
· Build local capacity within the USG team to manage and maintain the system
· Implement manual and automated processes to validate the quality of the PEPFAR data collected by the implementing partners and to resolve discrepancies
Although the system upgraded or developed under this FOA is primarily for the use of the USG team, it will initiate the migration of the Rwanda health information system into this developed USG reporting system. This intersection of the two systems will allow both the USG as well as the host country to benefit from the same data, so that essentially the two systems will mirror one another. Activities to ensure this migration are covered under a separate FOA.
Outcomes
By the end of the first year of the project, the applicant should be able to provide a flexible and stable reporting system with a friendly-user interface. The expected 24/7 service level availability is expected to be between 99% - 100%. The applicant is fully responsible for this running uptime and will be required to provide regular status reports.
The applicant will provide training to designated USG staff so they can assume responsibility for managing and upgrading the system at the end of the project. Two to three staff will be trained for this purpose. Additionally, all end-users of the system including USG staff and implementing partners will be trained to improve and maintain the quality of data reported under the MER indicators. Data quality must be maintained in the system to generate the semi-annual and annual progress reports as well as any other ad hoc reports in a timely manner.
Funding Strategy
N/A
Strategies and Activities
Strategies and activities for this FOA are as follows below:
· Conduct a thorough review to include current technology, training strategies and materials, management and organizational structure, data quality/use and standard system-generated reports, among other elements.
· Host, maintain, upgrade, and transition a web based reporting system for monitoring USG PEPFAR Rwanda activities, built on a scalable and flexible technical platform that can be adapted for future requirements/needs
· Incorporate new functionalities (as required) to match current stakeholder (USG, Implementing partners) requirements and follow national & international standards
· Maintain/provide secure, role-based access to the web-based reporting system to all end-users including USG Activity Managers, the PEPFAR Strategic Information team, program managers, and PEPFAR prime implementing partners
· Ensure a 24/7 minimum service level availability of 99% of the web based reporting system
· Provide user training and technical support remotely and locally
· Implement periodic update of data entry fields (indicator or data elements) to reflect changes at both PEPFAR and/or GOR level
· Ensure that the system is flexible as far as USG administrators, with minimal external support, have the capacity to modify, change, and adapt data entry screens and forms as reporting requirements evolve or change
· Develop a detailed sustainability plan which includes the transfer of knowledge and skills to USG PEPFAR Interagency team
· Maintain a master service delivery point registry that includes all services supported through PEPFAR
· Incorporate global position system (GPS) codes for all health facilities
· Incorporate MOH health facilities numeric identification codes
· Develop/adapt end-users including super-users training manuals
· Develop/adapt system administration manual that includes clear standard procedures for creating accounts, modifying data representation screens, adapting/modifying forms, trouble shooting, bug reporting, data backup, etc.
· Provide on-site training to all USG Activity Managers and at least two staff members of prime partners for the use of the reporting system including an orientation to the PRS and training in indicator definitions and purpose
· Provide timely and efficient on-site technical support to the USG and Prime Partners during the USG Semi-Annual and Annual Progress Report periods.
1. Collaborations: Left blank intentionally
a. With CDC funded programs:
The applicant will work closely with the CDC Strategic Information team. The CDC Strategic Information team lead will be the primary technical point of contact for the implementation of the project. All programmatic interaction with CDC activity managers, interagency team leads, and the USG Strategic Liaison will go through the CDC SI team lead or designated person.
b. With organizations external to CDC:
The scope of work for this FOA requires the applicant to provide technical assistance (TA) for the use of the system to PEPFAR USG agencies (USAID, DOD, DOS, Peace Corps), GOR Ministry of Health, and other PEPFAR implementing partners.
2. Target Populations:
N/A
Inclusion:
N/A
Evaluation and Performance Measurement:
1. CDC Evaluation and Performance Measurement Strategy:
CDC, in collaboration with the successful applicant, will conduct quarterly periodic process monitoring of the system. Uptime running logs will be implemented on the system to allow easy-generated reports accessible to both CDC and the applicant. Data from the running time logs along with the perspectives of end-users collected through interviews will be used to assess the service availability level of the system, which should not go below 99%. Additionally, the following key performance measures that will be used to assess the applicant:
· The 24/7 service availability level of the system (minimum 99% per day)
· Proportion of end-users of the system that reported that the reporting system is friendly and useful for program monitoring /management at midterm and final evaluation
· Target: 80-90% of the end-users reported that the system is friendly and useful for program monitoring and management
· Proportion of end-users trained who are able to use the system without assistance
· Target: 100% of end-users trained and consistently using the system
· Number of system administrators trained who are able to manage and maintain the system without assistance by the end of the project
· Target: 2-3 system administrators trained
· Proportion of HIV program indicators accurately reported and stored onto the system
· Target: 90-100% of HIV program indicators are accurately reported and stored on the electronic reporting system
· Proportion of HIV program indicators that are timely and completely reported
· Target: 90-100% of HIV program indicators are timely and completely reported on the electronic reporting system
At year 3, CDC will work closely with the applicant and key stakeholders to conduct a process evaluation to assess the performance of the project. This evaluation will focus on the usability of the system, the training process and training outcomes, the usefulness of the system, and the quality of the data collected. Findings from this evaluation will be used to refine the project implementation. This is a participatory project evaluation including all stakeholders (USG, applicant, and users of the system). Key question to address during this midterm review of the program is:
· To what extent is the implementation of the electronic reporting system progressing towards improving PEPFAR data quality through the following dimensions: completeness, timeliness, accuracy?
· What is the level of perceived usefulness and friendliness of the electronic reporting system by all end-users (from USG team, Implementing partners, GOR/MOH)?
At year 5, a final evaluation will be implemented to assess the level of achievement of the outcomes identified in the logic model. The main evaluation question to address during this final evaluation is: To what extent does the implementation of the electronic reporting system contribute to improve and maintain high quality PEPFAR data through a reliable and stable platform? More details are provided below in the table. Additional performance measures and evaluation questions can be provided by the applicant as necessary. It is strongly recommended that 5 - 10% of the budget be allocated to the monitoring and evaluation activities under this FOA.
| Evaluation Question |
| Performance Measure |
| Data Source |
| Collection Method |
| Collection Frequency |
| Dissemination and Utilization |
To what extent is the implementation of the electronic USG reporting system progressing towards improving PEPFAR data quality through the following dimensions: completeness, timeliness, accuracy?
| 24/7 service availability level of the system |
| System running time logs |
| Daily compilation to generate a monthly report |
| Quarterly |
| Monthly review of data during technical review of the work plan by the grantee and CDC Activity Manager |
Quarterly review of data during site visit to the implementing partner conducted by the CDC grant and technical team
Elaborate quarterly, semi-annual and annual report provided by the implementing partner to CDC
Develop and action plan to address evaluation findings
| Proportion of HIV program indicators accurately reported and stored onto the system |
| Health facility registers |
USG partner reporting system database Midterm evaluation
Final evaluation Midterm (third year)
Final evaluation (fifth year)
| Proportion of HIV indicators that are timely and completely reported |
| Health facility registers |
USG partner reporting system database Midterm evaluation
Final evaluation Midterm
What is the level of perceived usefulness and friendliness of the electronic reporting system by all end-users (from USG team, Implementing partners, GOR/MOH)?
Proportion of end-users of the system that reported that the reporting system is friendly and useful for program monitoring /management
| Evaluation questionnaire |
| Evaluation |
| Midterm evaluation (third year) |
| Proportion of end-users trained who are able to use the system without assistance |
| Evaluation questionnaire |
| Evaluation |
Training records Midterm evaluation (third year)
| To what extent does the implementation of the electronic reporting system contribute to improve and maintain high quality of PEPFAR data through a reliable and stable platform? |
| Proportion of HIV program indicators accurately reported and stored onto the system |
| Health facility registers |
USG partner reporting system database Midterm evaluation
Final evaluation Midterm
| Proportion of HIV program indicators that are timely and completely reported |
| Health facility registers |
USG partner reporting system database
| Final evaluation |
| Final evaluation (fifth year) |
| Proportion of end-users trained who are able to use the system without assistance |
| Evaluation questionnaire |
| Final evaluation |
| Midterm |
Applicant Evaluation and Performance Measurement Plan:
| Applicants must provide an overall jurisdiction- or community-specific evaluation and performance measurement plan that is consistent with the CDC strategy. At a minimum, the plan must: | |
| • | Describe how key program partners will participate in the evaluation and performance measurement planning processes. |
| • | Describe the type of evaluations (i.e., process, outcome, or both) to be conducted. |
| • | Describe key evaluation questions. Describe other information (e.g., performance measures to be developed by the applicant), as determined by the CDC program, that must be included. |
| • | Describe potentially available data sources and feasibility of collecting appropriate evaluation and performance data. |
| • | Describe how evaluation findings will be used for continuous program quality improvement. |
| • | Describe how evaluation and performance measurement will contribute to developing an evidence base for programs that employ strategies lacking a strong effectiveness evidence base. |
Organizational Capacity of Awardees to Execute the Approach:
Applicant must be able to manage program performance, evaluation, performance monitoring, financial reporting, and must have capacity to manage the required funds in accordance with the HHS Grants Policy Statement, which can be found at: http://www.hhs.gov/asfr/ogapa/aboutog/hhsgps107.pdf
Work Plan:
Applicant must include a work plan that demonstrates how the outcomes, strategies, activities, timelines, and staffing will take place over the course of the award. Applicants must submit a detailed work plan for the first year of the project and a high level plan for the subsequent years.
CDC Monitoring and Accountability Approach
| Monitoring activities include routine and ongoing communication between CDC and awardees, site visits, and awardee reporting (including work plans, performance, and financial reporting). HHS grants policy specifies the following HHS expectations for post-award monitoring for grants and cooperative agreements: | |
| • | Tracking awardees progress in achieving the desired outcomes. |
| • | Insuring the adequacy of awardee systems that underlie and generate data reports. |
| • | Creating an environment that fosters integrity in program performance and results. |
Monitoring may also include the following activities:
| • | Ensuring that work plans are feasible based on the budget and consistent with the intent of the award. |
| • | Ensuring that awardees are performing at a sufficient level to achieve objectives within stated timelines. |
| • | Working with awardees on adjusting the work plan based on achievement of objectives and changing budgets. |
| • | Monitoring performance measures (both programmatic and financial) to assure satisfactory performance levels. |
· Other activities deemed necessary to monitor the award, if applicable.
These may include monitoring and reporting activities as outlined in HHS grants policy that assists grants management staff (e.g., grants management officers and specialists, and project officers) in the identification, notification, and management of high-risk grantees.
CDC Program Support to Awardees
In a cooperative agreement, CDC staff is substantially involved in the program activities, above and beyond routine grant monitoring. CDC activities for this program are as follows:
1. Organize an orientation meeting with the grantee for a briefing on applicable U.S. Government, HHS/CDC, and President's Emergency Plan for AIDS Relief (PEPFAR) expectations, regulations and key management requirements, as well as report formats and contents. The orientation could include meetings with staff from HHS agencies and the Office of the U.S. Global AIDS Coordinator (OGAC).
2. Review and make recommendations as necessary to the process used by the grantee to select key personnel and/or post-award subcontractors and/or subgrantees to be involved in the activities performed under this agreement, as part of the President's Emergency Plan for Relief (PEPFAR) Country Operational Plan (COP) review and approval process, managed by the OGAC.
3. Review and approve grantee’s annual work plan and detailed budget, as part of the Emergency Plan for AIDS Relief Country Operational Plan review-and-approval process, managed by the Office of the U.S. Global AIDS Coordinator.
4. Review and approve the grantee’s monitoring and evaluation plan, including for compliance with the strategic information guidance established by the OGAC.
5. Meet on a regular basis with the grantee to assess expenditures in relation to approved work plan and modify plans as necessary.
6. Meet on a quarterly basis with the grantee to assess quarterly technical and financial progress reports and modify plans as necessary.
7. Meet on an annual basis with the grantee to review annual progress report for each U.S. Government Fiscal Year, and to review annual work plans and budgets for the subsequent year, as part of the PEPFAR review and approval process for COPs, managed by OGAC.
8. Provide technical assistance, as mutually agreed upon, and revise annually during validation of the first and subsequent annual work plans. This could include expert technical assistance and targeted training activities in specialized areas, such as strategic information, project management, and confidential counseling and testing.
9. Provide in-country administrative support to help the grantee meet U.S. Government financial and reporting requirements approved by the Office of Management and Budget (OMB) under 0920-0428.
10. Collaborate with the grantee on designing and implementing the activities listed above, including, but not limited to: the provision of technical assistance to develop program activities, data management and analysis, quality assurance, the presentation and possibly publication of program results and findings, and the management and tracking of finances.
11. Provide technical assistance or advice on any data collections on 10 or more people that are planned or conducted by the awardee. All such data collections-- where CDC staff will be or are approving, directing, conducting, managing, or owning data-- must undergo OMB project determinations by CDC and may require OMB PRA clearance prior to the start of the project.
12. Provide consultation and scientific and technical assistance based on appropriate HHS/CDC and OGAC documents to promote the use of best practices known at the time.
13. Assist the grantee in developing and implementing quality-assurance criteria and procedures.
14. Facilitate in-country planning and review meetings for technical assistance activities.
15. Provide technical oversight for all activities under this award.
16. Conduct service delivery site visits through the Site Monitoring System (SMS) to monitor and evaluate site capacity to provide high-quality HIV/AIDS services in all program areas by assessing and scoring key program area elements of site performance and work with the grantee on identified gaps and continuous quality improvement.
17. Provide ethical reviews, as necessary, for evaluation activities, including from HHS/CDC headquarters. Evaluations can be process, outcome or impact.
A. Process Evaluation: measures how the intervention was delivered, what worked/did not, differences between the intended population and the population served, and access to the intervention.
B. Outcome Evaluation: determines effects of intervention in target population(s) (e.g., change in knowledge, attitudes, behavior, capacity, etc.).
C. Impact Evaluation: measures net effects of program and prove of causality
18. Supply the awardee with protocols for related evaluations.
Award Information
1. Type of Award:
Cooperative Agreement: CDC’s substantial involvement in this program is indicated in the “CDC program Support to Awardees” section of this document.
1. Award Mechanism:
U2G-Global HIV/AIDS Non-Research Cooperative Agreements
1. Fiscal Year:
1. Approximate Total Fiscal Year Funding:
$310,000.00
1. Approximate Total Project Period Funding:
None
1. Total Project Period Length:
5 Years
1. Approximate Number of Awards:
1. Approximate Average Award:
$310,000.00
1. Floor of Individual Award Range:
None
1. Ceiling of Individual Award Range:
$310,000.00 (This amount is subject to the availability of funds).
1. Anticipated Award Date:
April 1, 2015
1. Budget Period Length:
12 months
Throughout the project period, CDC will continue the award based on the availability of funds, the evidence of satisfactory progress by the awardee (as documented in required reports), and the determination that continued funding is in the best interest of the federal government. The total number of years for which federal support has been approved (project period) will be shown in the “Notice of Award.” This information does not constitute a commitment by the federal government to fund the entire period. The total project period comprises the initial competitive segment and any subsequent non-competitive continuation award(s).
Note: Applicants must only apply for the first budget period funding, taking into consideration the floor of the individual award range and the ceiling of the individual award range. The proposed budget for the first budget period must not exceed the ceiling of the individual award range. If a funding amount greater than the ceiling of the individual award range is requested, the application will be considered non-responsive and will not be entered into the review process.
1. Funds Tracking:
Applicant is required to track fund by P-accounts/sub accounts for each project/cooperative agreement awarded.
1. Direct Assistance:
Direct assistance is not available through this FOA
1. Indirect Costs:
Indirect costs will not be reimbursed under grants to foreign organizations, international organizations, and foreign components of grants to domestic organizations (does not affect indirect cost reimbursement to the domestic entity for domestic activities). The CDC will not reimburse indirect costs unless the recipient has an indirect cost rate covering the applicable activities and period.
Eligibility Information
1. Eligible Applicants:
Eligible applicants that can apply for this FOA are listed below:
Government Organizations:
| • | National Ministries of Health |
| • | State and local governments or their Bona Fide Agents (this includes the District of Columbia, the Commonwealth of Puerto Rico, the Virgin Islands, the Commonwealth of the Northern Marianna Islands, American Samoa, Guam, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau)[footnoteRef:1] . [1: A Bona Fide Agent is an agency/organization identified by the state as eligible to submit an application under the state eligibility in lieu of a state application. If applying as a bona fide agent of a state or local government, a legal, binding agreement from the state or local government as documentation of the status is required. ] |
| • | American Indian/Alaska Native tribal governments (federally recognized or state-recognized) |
| • | Political subdivisions of States (in consultation with States) |
Non-government Organizations:
| • | American Indian/Alaska native tribally designated organizations |
| • | Alaska Native health corporations |
| • | Tribal epidemiology centers |
| • | Urban Indian health organizations |
| • | Nonprofit with 501C3 IRS status (other than institution of higher education) |
| • | Nonprofit without 501C3 IRS status (other than institution of higher education) |
| • | Research institutions (that will perform activities deemed as non-research) |
Colleges and Universities
Community-based organizations
Faith-based organizations
For-profit organizations (other than small business)
Hospitals
Small, minority, and women-owned businesses
All Other eligible organizations
PEPFAR Local Partner definition:
To be considered eligible as a local partner under this Funding Opportunity Announcement, the applicant must submit supporting documentation demonstrating how their organization meets one of the three criteria listed below under the “PEPFAR Local Partner definition.” The supporting documentation must be included in the Appendices of the application and must be labeled as “Eligibility Documentation for PEPFAR Local Partner Definition.” Applicants that do not provide and/or label the supporting documentation required to meet the PEPFAR Local Partner definition above will not be considered eligible for review.
Under PEPFAR, a “local partner” may be an individual or sole proprietorship, an entity, or a joint venture or other arrangement. However, to be considered a local partner in a given country served by PEPFAR, the partner must meet the criteria under paragraph (1), (2), or (3) below:
(1) an individual must be a citizen or lawfully admitted permanent resident of and have his/her principal place of business in the country served by the PEPFAR program with which the individual is or may become involved, and a sole proprietorship must be owned by such an individual; or
(2) an entity (e.g., a corporation or partnership):
a) must be incorporated or legally organized under the laws of, and have its principal place of business in, the country served by the PEPFAR program with which the entity is or may become involved;
b) must be at 75% for FY2015 beneficially owned by individuals who are citizens or lawfully admitted permanent residents of that same country, per sub-paragraph (2)(a), or by other corporations, partnerships or other arrangements that are local partners under this paragraph or paragraph (3);
c) at least 75% for FY 2015 of the entity’s staff (senior, mid-level, support) must be citizens or lawfully admitted permanent residents of that same country, per sub-paragraph (2)(a), and at least 75% for FY 2015 of the entity’s senior staff (i.e., managerial and professional personnel) must be citizens or lawfully admitted permanent residents of such country; and
d) where an entity has a Board of Directors, at least 51% of the members of the Board must also be citizens or lawfully admitted permanent residents of such country; or
(3) a joint venture, unincorporated association, consortium, or other arrangement in which at least 75% for FY 2015 of the funding under the PEPFAR award is or will be provided to members who are local partners under the criteria in paragraphs (1) or (2) above, and a local partner is designated as the managing member of the organization. Partner government ministries (e.g., Ministry of Health), sub-units of government ministries, and parastatal organizations in the country served by the PEPFAR program are considered local partners. A parastatal organization is defined as a fully or partially government-owned or government-funded organization. Such enterprises may function through a board of directors, similar to private corporations. However, ultimate control over the organization rests with the government.
Note: To be considered a local partner, the applicant must submit supporting documentation demonstrating their organization meets at least one of the three criteria listed above.
Special Eligibility Requirements:
All applications will be initially reviewed for completeness by the Procurement and Grants Office (PGO) staff. Applications that do not include a budget narrative and project narrative will be determined non-responsive. Complete applications will be jointly reviewed for responsiveness by HHS/CDC Division of Global HIV/AIDS and PGO. Non-responsive applications will not advance through the review process. Applicants will be notified the application did not meet eligibility and/or published submission requirements.
Non-Responsive Criteria The list below contains criteria for determining responsiveness to this FOA:
| • | Late submissions will be determined non-responsive. Please see section D, “Application and Submission Information,” Part 4, “Submission Dates and Times” for the application deadline date. Please also see Section 16, “Other Submission Requirements” for information on technical difficulties and paper submission. All requests to submit a paper application must be received at least three calendar days prior to the application deadline. |
| • | The applicant’s proposed budget for year one must not exceed the ceiling of the individual award range listed in Section B, “Award Information.” If a funding amount greater than the ceiling of the individual award range is requested for year one, the application will be considered non-responsive and will not be entered into the review process. |
Page Limitations
| • | Applicants must abide by the page number limitation listed in Section D, #10 Project Narrative. Any pages submitted beyond the number of pages listed for the project narrative will not be reviewed. |
| • | If the total amount of appendices includes more than 90 pages, any pages after page 90 of the appendix will not be considered for review. For this purpose, all appendices must have page numbers and must be clearly identified in the Table of Contents as appendices. |
Justification for Less than Maximum Competition:
N/A
Other:
N/A
Cost Sharing or Matching:
Cost sharing or matching funds are not required for this program. Although there is no statutory match requirement for this FOA, leveraging other resources and related ongoing efforts to promote sustainability is strongly encouraged.
Maintenance of Effort:
Maintenance of Effort is not required for this program.
Application and Submission Information
Additional materials that may be helpful to applicants:
http://www.cdc.gov/od/pgo/funding/docs/FinancialReferenceGuide.pdf.
1. Required Registrations:
| An organization must be registered at the three following locations before it can submit an application for funding at www.grants.gov. | |
| a. | Data Universal Numbering System: All applicant organizations must obtain a Data Universal Numbering System (DUNS) number. A DUNS number is a unique nine-digit identification number provided by Dun & Bradstreet (D&B). It will be used as the Universal Identifier when applying for federal awards or cooperative agreements. |
The applicant organization may request a DUNS number by telephone at 1-866-705-5711 (toll free) or internet at http://fedgov.dnb.com/webform/displayHomePage.do. The DUNS number will be provided at no charge.
If funds are awarded to an applicant organization that includes sub-awardees, those sub-awardees must provide their DUNS numbers before accepting any funds.
b. System for Award Management (SAM): The SAM is the primary registrant database for the federal government and the repository into which an entity must submit information required to conduct business as an awardee. All applicant organizations must register with SAM, and will be assigned a SAM number. All information relevant to the SAM number must be current at all times during which the applicant has an application under consideration for funding by CDC. If an award is made, the SAM information must be maintained until a final financial report is submitted or the final payment is received, whichever is later. The SAM registration process can require 10 or more business days, and registration must be renewed annually. Additional information about registration procedures may be found at www.SAM.gov.
c. Grants.gov: The first step in submitting an application online is registering your organization at www.grants.gov, the official HHS E-grant Web site. Registration information is located at the “Get Registered” option at www.grants.gov.
All applicant organizations must register at www.grants.gov. The one-time registration process usually takes not more than five days to complete. Applicants should start the registration process as early as possible.
| Step |
| System |
| Requirements |
| Duration |
| Follow Up |
| 1 |
| Data Universal Number System (DUNS) |
| 1. Click on http://fedgov.dnb.com/webform |
2. Select Begin DUNS search/request process
3. Select your country or territory and follow the instruction to obtain your DUNS 9-digit #
4. Request appropriate staff member(s) to obtain DUNS number, verify & update information under DUNS number
| 1-2 Business Days |
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