NPI GH APS Round 1 Community Health Networks.pdf

U.S. AGENCY FOR INTERNATIONAL DEVELOPMENT

ROUND 1 CALL FOR CONCEPT PAPERS on

“COMMUNITY HEALTH NETWORKS (CHN)”

UNDER EXISTING

NEW PARTNERS INITIATIVE GLOBAL HEALTH ANNUAL PROGRAM

STATEMENT (NPI GH APS)

No.: 7200AA19APS00013

PLEASE NOTE: This is a Round to an existing United States Agency for International Development (USAID) Annual Program Statement (APS). All interested organizations should carefully review both this Round AND the full APS, which can be found here:

[https://www.grants.gov/web/grants/view-opportunity.html?oppId=318376].

Important information contained in the full worldwide APS is not repeated in this specific Round documentation.

In Round 1 of the New Partnerships Initiative (NPI) Global Health (GH) Annual Program Statement (APS) No. 7200AA19APS00013, USAID is requesting the submission of concept papers focused on promoting new and underutilized partnerships to address health priorities to prevent child and maternal deaths, control the HIV/AIDS epidemic and combat infectious diseases globally. The focus of the award(s) will be to decrease maternal and child morbidity and mortality via a variety of interventions that could cross health sectors (hence the mention of the two other health priorities above - HIV/AIDS and infectious diseases). This Round, entitled Community Health Networks (CHN), is intended to diversify and broaden USAID’s partner base, as described in the NPI GH APS.

Round 1 will be utilizing modality two (2) of the NPI GH APS for direct awards to new and underutilized organizations that are locally established partners (LEPs) in the host country(ies) in which they are applying. U.S.-based or international partners are eligible if (1) they meet the definition of a LEP (please see Section III below); (2) they have received less than $25 million cumulatively in USAID funding over the previous five (5) years to date; and (3) currently have https://www.grants.gov/web/grants/view-opportunity.html?oppId=315120 https://www.grants.gov/web/grants/view-opportunity.html?oppId=315120 additional, non-USAID funding streams that exceed total funding received worldwide from the USAID (e.g., if an applicant has implemented $5 million in USAID funding, it must demonstrate at least $5 million in funds worldwide from sources other than the USAID).

USAID anticipates issuing up to three (3) awards under Round 1 to LEPs that are new and underutilized, that have the capacity to work in multiple countries (two or more USAID GH priority countries, please see Annex B for this complete list) including the host country(ies) they are applying in. The award recipient(s) programmatic approach must be reflective of the country(ies) context and consistent with the Agency’s Global Health (GH) priorities. Unless otherwise stated herein, all terms and conditions of the NPI GH APS apply.

Issuance Date of Round 1: July 12, 2019

Questions Deadline before the Submission of Round 1 Concept Papers: July 17, 2019 at 4:00 pm ET

Deadline for Submission of Concept Papers for Round 1: August 2, 2019 at 3 pm ET

SECTION I: FUNDING OPPORTUNITY DESCRIPTION

The U. S. Agency for International Development’s Bureau for Global Health (USAID/GH) is pleased to issue Round 1 under the New Partnerships Initiative Global Health (NPI GH) Annual Program Statement (APS). Under Round 1 entitled Community Health Networks (CHN), USAID/GH is seeking concept papers that incorporate interventions that will build upon and expand USAID/GH’s efforts to address community health priorities via key drivers of child and maternal morbidity and mortality. USAID is seeking to support applicants via partnerships as defined in the NPI GH APS as locally established partners (LEP) that are new or underutilized, and operating in multiple USAID GH priority countries (two or more). In this Round, the awardee(s) will be new and underutilized partners as described in this document and in the APS, based on the belief that a larger and more diverse partner base will expand the available ideas, capabilities and networks needed to sustainably address shared development challenges.

Proposed interventions and activities within this Round 1 will be consistent with USAID/GH priorities, with a particular focus on community health interventions. Ultimately, Round 1 activities must be consistent with the specific health needs required to address maternal and child health morbidity and mortality identified by the USAID Mission in countries where activities will be implemented. While there is a focus on MCH and FP/RH in this Round, other health sectors will be involved in so much as they relate to determinants for maternal and child morbidity and mortality.

A. Round 1 Background USAID has a long history of working with local partners. With the current focus on the Journey to Self-Reliance,1 there is an opportunity to further expand USAID’s partnerships with locally established partners, and their networks, in order to contribute to a more sustainable, long-term integrated health care system. Through USAID’s Effective Partnering and Procurement Reform (EPPR) process2, which is part of the USAID’s Transformation Process, there is a concerted effort to reach out to new and underutilized partners as well that have not yet fully engaged with USAID funding and projects.

The development objective of Round 1 is to expand demand for and availability of community health services to decrease maternal and child morbidity and mortality by engaging and leveraging the expertise of locally established organizations, such as (but not limited to) community and faith based organizations, that are also new and underutilized. Locally established partners are part of the health care system and can contribute to improving access to care, reducing barriers, and addressing broader social determinants for health and care-seeking behaviors. In many cases, locally-established organizations are linked to a community network

1 According to USAID, 2018: “Self-Reliance” is a country’s ability to finance and implement solutions to its own development challenges. The two mutually reinforcing factors determining self-reliance are country commitment and country capacity. See: https://www.usaid.gov/selfreliance 2 USAID Effective Partnering and Procurement Reform (EPPR) https://www.usaid.gov/selfreliance https://www.usaid.gov/documents/1868/fact-sheet-effective-partnership-and-procurement-reform that can help extend the reach of the healthcare system. These community networks are often integrated into the local context and extend the reach of health services, information and communication.

Locally established partners, especially new and underutilized entities, may bring new and innovative approaches to health programming. Such partners, where operational in multiple countries, can also draw upon lessons learned and experience to foster country-to-country learning. These experiences support and strengthen a continuous learning cycle that enables partners to refine and advance their organizational and technical capacity with a focus on long term sustainability. In order for these efforts to be successful and sustainable, locally established partners coordinate their efforts closely with the host country government, in particular the Ministry of Health, other key stakeholders, and development partners.

Technical Focus of Round 1 For the award(s) resulting from this Round, there will be a specific focus on maternal, neonatal, and child health and voluntary family planning and reproductive health specifically, although additional health sectors may be included via determinants of maternal and child health morbidity and mortality. Despite tremendous improvements in the health status of women and children over the past three decades, these gains have not been equal across or within countries, leaving an unfinished agenda to improve maternal, newborn, and child health and access to voluntary family planning and reproductive health services. In response, under the guiding framework of the Sustainable Development Goals (SDGs), the global health community has committed to ending all preventable deaths of women, children, and adolescents within a generation and ensuring their well-being, including but not limited to healthy timing and spacing of pregnancies. Achieving these ambitious global goals by 2030 necessitates a coordinated and integrated approach to further accelerate progress in mortality and morbidity reduction to ensure that mothers, their children, and families survive and thrive. USAID will continue to play an integral and guiding role in the achievement of these global goals.

Community health is a critical part of the continuum of care and health services within the broader health system. USAID and global stakeholders’ approach to community health includes a focus on the availability and demand for care. In addition, there has been a focus on standardizing approaches and services in order to reduce fragmentation of services and approaches, by aligning services with host country government guidelines (see reference to Community Health Roadmap for more details). 3 Activities emphasize community members as agents of their own health or work through community health workers that can help ensure access to high quality health care at the community level. Many evidence-based community approaches exist, including but not limited to integrated Community Case Management of

3 https://www.communityhealthroadmap.org/ https://sustainabledevelopment.un.org/?menu=1300 https://www.communityhealthroadmap.org/

Childhood Illness (iCCM)4, a menu of high impact practices for voluntary family planning5 and others. Based on best practices of care, these can be adapted to be consistent with host country health priorities.

In the past few years, USAID and global stakeholders have emphasized the development of behavioral outcomes that accelerate impact on improving child and maternal health. These behavioral outcomes serve as a useful guide for the design and support for behavior change activities at the community level. These health seeking behaviors and social norms can have the highest impact on reducing child and maternal morbidity and mortality.6 The index focuses on the caregiver perspective rather than for the provider; however, this guide can be used to extrapolate and target the behaviors of providers such as community health workers or other health workers. USAID and global stakeholders emphasize behavior change actions across the health sector that have the highest-impact on reducing child and maternal morbidity and mortality and accelerate in-country, sustainable population-level behavior change to scale- up demand for and use of key health interventions and practices. Accelerator behaviors, as identified, work in tandem with support for other behaviors that contribute to the decline of child and maternal morbidity and mortality.

B. Round 1 Program Description

Round 1 addresses the first overarching result of the APS: to expand the number of new and underutilized partners contributing to the demand and utilization of high-quality, high-impact, health care services, information and supplies at sub-national or national levels. In addressing this overarching APS result area, Round 1 will seek to increase the demand and utilization of community health services and explore new opportunities to scale up proven, impactful interventions that address the key drivers of child and maternal morbidity and mortality, while expanding the number of new and underutilized partners implementing such activities. The project(s) will aim to engage with and leverage the reach of new and underutilized locally established partners that have a multi-country program (two or more) in USAID GH priority countries, including but not limited to community-based and faith-based organizations, to support community health programs. Working through locally established partners, the Round activities will improve the accessibility, demand and utilization of health services at the community level and contribute to improved health outcomes. With a focus in Round 1 on reducing maternal and child morbidity and mortality, the award(s) will support country stakeholders in identifying and addressing critical barriers to proven health interventions in the USAID priority health areas of maternal and child health (MCH) and voluntary family planning and reproductive health (FP/RH, although some of the interventions may involve other health

4 https://www.who.int/maternal_child_adolescent/documents/statement_child_services_access_whounicef.pdf 5 https://www.fphighimpactpractices.org/high-impact-practices-in-family-planning-list/ 6 https://www.acceleratorbehaviors.org https://www.who.int/maternal_child_adolescent/documents/statement_child_services_access_whounicef.pdf https://www.fphighimpactpractices.org/high-impact-practices-in-family-planning-list/ https://www.acceleratorbehaviors.org/ areas, such as nutrition; water, sanitation and hygiene (WASH);); and/or control of infectious diseases such as Tuberculosis (TB), Malaria, HIV/AIDS, Neglected Tropical Diseases (NTD), or other emerging diseases, in so much as they relate to the drivers of maternal and child morbidity and mortality. Health interventions will be tailored to address the local epidemiology and context in the countries of implementation. Integrated programs across health sectors can serve as a platform for improving linkages between the community and health facilities to increase access to care.

Cross-Cutting Concepts

Contributing to the Journey to Self-Reliance - NGOs, including community and faith based organizations, are recognized components of a vibrant and sustainable health system. The partnerships supported in Round 1 will expand and amplify the Agency’s efforts to support countries in their own journey to self-reliance. This Round will provide an opportunity to support and leverage the reach of locally established partners and their existing networks to improve the sustainability of health services.

Collaborating, Learning and Adapting (CLA) - As in all USAID programming, incorporation of CLA principles into the activity design is a priority and can include the adaptation of existing tools, methodologies or approaches to support and better inform program implementation and analysis.7 In all of its projects, USAID expects a rigorous approach to learning and adaptation driven by data that, in consultation with USAID, also lead to refinements and adjustments to a recipient’s technical approaches and annual work plans. Disseminating information and knowledge management will contribute directly to each of the result areas, and ultimately to measurable progress in the achievement of the Round 1’s expected results.

C. Round 1: Community Health Networks

Expected Results

The overall goal for the Round 1 is to reduce child and maternal morbidity and mortality through the utilization of community-based high quality, high impact health services, while expanding the number of new and underutilized partners implementing such activities.

The award(s) will address the key drivers of child and maternal morbidity and mortality by expanding the availability of, demand for, and utilization of high quality and high impact services addressing maternal, newborn and child health, voluntary family planning and reproductive health, with possibly work in nutrition, water, sanitation and hygiene practices, and infectious diseases (as related to maternal and child health) at the community level. The

7 For USAID, a learning agenda includes (1) a set of questions addressing critical knowledge gaps (2) a set of associated activities to answer them and (3) products aimed at disseminating findings and designed with usage and application in mind. https://usaidlearninglab.org/qrg/learning-agenda approaches will reflect the local epidemiology and context in which they are implemented, and be consistent with host country health priorities. To increase the use of health services, the Round will also focus on increasing the demand for services through the promotion and adoption of healthy behaviors.

The Round 1 award(s) will contribute to the two results below:

Result 1: Use of high quality community health services expanded through new and underutilized locally established partners

IR 1.1 Availability of high-quality, high-impact community health interventions increased and expanded IR 1.2 Community health approaches increasingly integrated and consistent with international best practices and standards

Round 1 seeks to increase the availability of high-quality, impactful community health services by implementing evidence-based approaches to extend access to such health services at the community level to improve maternal and child health. There is a need for approaches to be consistent with host country health priorities and globally accepted best practices to improve child and maternal health, including healthy timing and spacing of pregnancies, and may include

- but are not limited to - integrated Community Case Management of Childhood Illness (iCCM), strengthening nutrition in iCCM8, community and civil society programs to identify and provide maternity care9, high impact practices for voluntary family planning and reproductive health service delivery10, and other integrated community-based approaches.11 This Round aims to harness community networks and linkages with local health facilities, and develop platforms that extend and complement the reach of public health services and improve health care at the community or district level. The project(s) will facilitate the implementation, monitoring and reporting on technical programs that are consistent with international best practices for activities including - but not limited to - service delivery, supplies and collaboration with local health facilities. Please also see the USAID Maternal, Newborn and Child Health Priority Areas in Annex C of this document. The project(s) will include supportive management and capacity building to strengthen their own locally established networks as appropriate. Round 1 will work with local Ministry of Health counterparts to align and integrate community health interventions with international best practices. Impactful interventions and approaches can serve as models for replication throughout community networks and may facilitate country-country sharing of best

8 https://www.usaid.gov/sites/default/files/documents/1867/USAID_Nutrition_Strategy_5-09_508.pdf 9 https://www.usaid.gov/sites/default/files/documents/1864/MH%20Strategy_web_red.pdf 10 https://www.fphighimpactpractices.org/wp-content/uploads/2019/06/HIP_List.pdf 11 https://www.healthynewbornnetwork.org/resource/every-newborn-action-plan/ https://www.usaid.gov/sites/default/files/documents/1867/USAID_Nutrition_Strategy_5-09_508.pdf https://www.usaid.gov/sites/default/files/documents/1864/MH%20Strategy_web_red.pdf https://www.fphighimpactpractices.org/wp-content/uploads/2019/06/HIP_List.pdf https://www.healthynewbornnetwork.org/resource/every-newborn-action-plan/ practices within a multi-country/regional program. The Round will have measurable development benchmarks and milestones to monitor and evaluate interventions.

Result 2: Practice of health-seeking behaviors improved and scaled-up

IR 2.1 Demand for high-quality health products and services increased at the community level IR 2.2 Social support for health-seeking behaviors increased at the community level

Round 1 seeks to increase the scale and quality of social and behavior change (SBC) interventions addressing the key drivers of maternal and child morbidity and mortality, with the aim of increasing both utilization of community health services and the practice of healthy behaviors within the household and the community. There is a need to reflect established best practices in design, implementation, and evaluation of community-level social and behavior change programming, promoting one or more priority accelerator behaviors through tailored attention to defined primary and secondary (influencer) audiences. This approach employs current data to identify individual and normative drivers of each priority behavior of interest, focuses among the population(s) of interest, and addresses those factors through a range of coordinated channels or activities, maximizing audience engagement and interaction at all stages of design and implementation.

Well-designed SBC can contribute not only to demand for health products and services, but to improved experience of care and perceived quality of community- and facility-based services.

SBC incorporates behavior change theory and approaches to improve the quality of client-provider interaction and maintenance of priority behaviors following access to services.

Approaches will be consistent with host country context and globally accepted best practices, and may include - but are not limited to - structured community engagement and dialogue;

community outreach via different media; advocacy with traditional, administrative, and religious leaders; small group interventions through existing community platforms and structures; and social network interventions. Round 1 will focus on both communication- and non-communication-based behavior change interventions, such as changes to decision making informed by behavioral economics or human-centered design.

SECTION II: AWARD INFORMATION

Please see the NPI GH APS for award information. Additional information pertinent to Round 1 only is included below.

A. Funding

Subject to the availability of funds, USAID anticipates making up to three (3) awards, which will not exceed a cumulative ceiling of $75,000,000.00 over the course of the next five (5) years.

Please note that a portion of the ceiling is anticipated to be funded by field support from USAID Missions. As such, the ceiling provides an estimate of the actual total award(s) funding and is not guaranteed; further information will be included in the request for full applications for selected applicants. Award(s) will have a geographic focus in two or more USAID/GH priority countries.

USAID reserves the right not to issue any awards.

B. Period of Performance

For Round 1, the anticipated start date for the award(s) is on or about September 30, 2019.

SECTION III: ELIGIBILITY INFORMATION

Please see Section III of the NPI GH APS for eligibility information regarding organizations.

Under Round 1 of the APS, the organization must propose (and meet) the following modality to be considered eligible:

Modality 2: Direct awards to new and underutilized organizations that are locally established partners (LEPs) in the host country(ies) in which the applicant is applying. U.S.-based or international partners are eligible if (1) they meet the definition of a LEP; (2) they have received less than $25 million cumulatively in USAID funding over the previous five (5) years to date;

and (3) currently have additional, non-USAID funding streams that exceed total funding received worldwide from the USAID (e.g., if an applicant has implemented $5 million in USAID funding, it must demonstrate at least $5 million in funds worldwide from sources other than the USAID).

Please note the definition below of locally established partners (LEPs) from the NPI GH APS:

A U.S. or international organization that works through locally-led operations and programming models. LEPs:

● Have maintained continuous operations in-country for at least five years and materially demonstrate a long-term presence in a country through adherence or alignment to the following:

○ Local staff should comprise at least 50% of office personnel;

○ Maintenance of a dedicated local office;

○ Registration with the appropriate local authorities;

○ A local bank account; and

○ A portfolio of locally-implemented programs.

● Have demonstrated links to the local community, including:

○ If the organization has a governing body or board of directors, then it must include a majority of local citizens;

○ A letter of support from a local organization to attest to its work; and

○ Other criteria that an organization proposes to demonstrate its local roots. (ADS

201, 303)

Please note the definitions below of new and underutilized partners from the NPI GH APS:

New Partner: An organization that has never received direct or indirect awards from USAID.

Underutilized Partner: An organization that has received less than $25 million in direct or indirect awards from the USAID over the past five (5) years.

The organization must also be operating in multiple USAID GH priority countries (two or more).

SECTION IV: CONCEPT PAPER SUBMISSION INFORMATION

A. Round 1 Concept Paper Instructions

For questions on this Round 1 document, please submit all questions via email to USAID at GHNPI_APS@usaid.gov by the deadline specified on the Cover Page.

Applicants are required to follow the Submission Information instructions set forth in Section IV of the NPI: GH APS and this Round 1 document, and submit Concept Papers using the Concept Paper Template in Annex A of this Round 1 document.

For Round 1, interested applicants should submit a concept paper via email to USAID at GHNPI_APS@usaid.gov. Under 5 CFR 1320, the Paperwork Reduction Action, only electronic copies of concept papers will be accepted. The concept papers must be received by the deadline on the cover page of this document for Round 1 (demonstrated by the timestamp on the email when received by USAID).

When emailing a concept paper, applicants must include the APS number, Round name and number in the subject line of the email and attachment/file name(s). USAID’s email server cannot handle more than 25 MBs of attachments per email. If the applicant must divide the submission into more than one email, please number the emails in the subject line and indicate in the email’s subject line the desired sequence of emails (i.e.7200AA19APS00013, Round 1, Email 1 of 3). It is the applicant’s responsibility to ensure that all necessary documentation is complete and received on time. In the event of technical difficulties, please contact USAID at the email address above.

All concept papers received by the submission deadline on the Cover Page will be reviewed for responsiveness to the APS and Results specific to the Round and the required format. Section V below addresses the technical review procedures for the concept papers. No additions or modifications will be accepted after the submission date. Concept papers that are submitted late or are incomplete may not be considered for the co-creation process or request for full applications (if co-creation is not held). Additional information in the concept paper not requested by the APS and this Round may adversely affect an applicant’s evaluation/review.

Clarity and specificity are important; during the merit review process, USAID may reject those Concept Papers that are vague or merely restate language found in the Round.

USAID will determine whether there will be co-creation with USAID internally or a workshop with the successful concept paper applicants (those whose concept papers receive a PASS rating). USAID also reserves the right to not conduct a co-creation phase at all and request full applications from successful concept paper applicants.

B. Round 1 Concept Paper Content and Format

From the NPI GH APS: NOTE -- Please note that an organization may not submit more than one concept paper to Round 1. If an organization submits more than one concept paper, only the first one received by timestamp at USAID will be evaluated. For Round 1, the applicant must identify the two or more countries for the proposed technical approach. If the organization only proposes to work in one country, the concept paper will not be evaluated.

This section presents guidance for the structure of the concept paper for Round 1. To facilitate the competitive review of the concept papers, USAID will only consider concept papers conforming to the format prescribed below. The concept paper must adhere to the template in Annex A of this document (it has been revised from the template in the NPI GH APS). Any concept paper not adhering to this format below will not be evaluated.

Concept Papers must be written in English and submitted electronically via e-mail in Word 2000 or Word 2003 text accessible or Adobe PDF. The concept paper must be written in Times New Roman 12-point font, on standard 8.5” x 11” paper, and be single spaced with no less than one-inch margins and consecutively numbered pages. The concept paper must not exceed five (5) pages, excluding responses to Section A of the template (Cover Page). Concept Papers more than five (5) pages will not be evaluated. Figures, graphics, and tables may have less than Times New Roman 12-point font. The only document that may be submitted as Reference Material is the Certificate of Incorporation, which must not exceed two (2) pages. Any additional reference material pages will be removed prior to evaluation.

C. Funding Restrictions

In addition to the language in the NPI GH APS, it is important to note that the purpose of Round 1 is not to invest in major health infrastructure projects, or major equipment procurements.

SECTION V: Round 1 Merit Review Evaluation Criteria

Concept papers for Round 1 will be reviewed by a Merit Review Committee according to the criteria described below. The purpose of this review is to ensure that prospective partners bring appropriate capabilities, experiences and potential contributions to the co-creation process (if held) and ultimately the implementation of activities. A concept paper is determined to be successful if it receives a PASS overall based on the three criteria below, which are listed in descending order of importance. [Note: The criteria below are for the concept paper only.

Additional criteria will be circulated as a part of a full Request for Applications for selected successful concept paper applicants at a future date.]

Merit Review Element

Definition

Advancing NPI principles

The extent to which the Concept Paper explains how the technical approach advances the principles of the New Partnerships Initiative to equip and empower new and underutilized development partners to maximize the impact of American tax dollars and identify development solutions that will be country- and partner-driven for maximum long-term impact.

Technical Approach The degree to which the proposed approach presents a cohesive plan that is technically sound, innovative, feasible, has the appropriate beneficiaries, and includes priority community health interventions addressing maternal and child morbidity and mortality, consistent with the Round 1 results that are relevant to the epidemiology and context in the proposed countries. The extent to which the proposed plan for measuring results is feasible and relevant to monitoring project impact.

Institutional Capacity The degree to which the applicant demonstrates expertise and experience in implementing community health services addressing maternal and child morbidity and mortality consistent with the Round 1 program description and results, in multi-country settings. The concept paper demonstrates an appropriate workload and management structure across its local entities to work in multiple countries simultaneously.

Annex A: USAID New Partnerships Initiative (NPI): Global Health (GH) APS Round One: COMMUNITY HEALTH NETWORKS: Concept Paper

A. Concept Paper Cover Page – (please review and certify that your organization meets the following eligibility requirements and complete the form below:)

We certify that, in line with the criteria enumerated in Section III, Sub-Section A of the NPI GH APS and under penalty of perjury, our organization meets the following criteria to be eligible to apply to this Round:

1) the definition of a LEP:

A U.S. or international organization that works through locally-led operations and programming models. LEPs:

● Have maintained continuous operations in-country for at least five years and materially demonstrate a long-term presence in a country through adherence or alignment to the following:

○ Local staff should comprise at least 50% of office personnel;

○ Maintenance of a dedicated local office;

○ Registration with the appropriate local authorities;

○ A local bank account; and

○ A portfolio of locally-implemented programs.

● Have demonstrated links to the local community, including:

○ If the organization has a governing body or board of directors, then it must include a majority of local citizens;

○ A letter of support from a local organization to attest to its work; and

○ Other criteria that an organization proposes to demonstrate its local roots.

(ADS 201, 303)

2) received less than $25 million cumulatively in USAID funding over the previous five (5) years to date (new or underutilized partner per NPI GH APS definition); and

3) currently have additional, non-USAID funding streams that exceed total funding received worldwide from the USAID (e.g., if an applicant has implemented $5 million in USAID funding, it must demonstrate at least $5 million in funds worldwide from sources other than the USAID).

Signature of authorizing official:

1. Proposed Project Name/Title: _________________________________________

2. Round for which Applicant is applying: __________________________________

3. Applicant Organization Name: __________________________________________

4. Applicant Contact Person (name, phone, email):

5. Full Address for Applicant Organization: _________________________________

6. Type of Organization [please include certification of incorporation as Reference

Material] (e.g., US, non-US, multilateral, private, for-profit, non-profit) date of incorporation, etc.):

7. Period of Performance (i.e., start date and end date): _______________________

8. Countries (Identify which countries (2 or more) the Applicant is proposing to work in): __________________________________________________

9. Total Program Amount (in USDs):

10. Total Amount of Funding Requested from USAID:

B. Concept Introduction: (approximately 1 page). Describe why there is a strategic need for your organization’s concept to decrease child and maternal morbidity and mortality in proposed countries, how it differs from alternatives, and any relevant country considerations for the problem or solution. Explain how the proposed technical approach will advance each of the proposed countries’ Journeys to Self-Reliance.

C. Beneficiaries: (approximately ½ page). Describe who will benefit from this intervention(s) and how your organization plans to ensure that outcomes for individual beneficiaries are met. Describe your organization’s experience with these populations.

D. Intervention approach: (approximately 1½ pages) Building on the introduction, describe how this intervention will produce the desired impact in reducing child and maternal morbidity and mortality. Briefly describe critical challenges and epidemiological problems that your organization’s concept addresses in each of the proposed countries. Describe your technical approach to addressing these challenges and increasing the demand for and use of health services in the proposed countries and how it is technically sound, innovative, feasible and appropriate to address the key drivers of child and maternal morbidity and mortality. Applicants must provide a cohesive plan that applies priority and high-impact approaches best fit to the context in which they propose to work.

E. Results: (approximately ½ page) Briefly describe the anticipated results and/or impact of the proposed intervention(s). What are the key, quantifiable metrics related to your organization’s project’s expected performance and how will it measure such metrics?

F. Local office roles: (approximately ½ page) Describe and define the role of your organization’s locally established entities. Please list the countries that your organization currently has a presence in and the years of experience that it has working in those identified countries.

G. Applicant capacity: (approximately 1 page). Describe your organization’s institutional capacity – technical, managerial, financial, etc. – to carry out the proposed technical approach. Describe your organization experience working on community health programs as described in the Round 1 program description, specifically in addressing maternal and child health, as well as voluntary family planning and reproductive health. Provide information on your organization’s capacity and experience working in multiple countries (two or more) at a time.

I. Reference material: Please attach your organization’s certification of incorporation from the headquarters’ office. Individual locally established offices’ certifications of incorporation will be requested at the Full Application stage if applicable.

Annex B - USAID GLOBAL HEALTH PRIORITY COUNTRIES BY HEALTH SECTOR** (as of 5/1/2019)

HIV/AIDS TB Global Health Security Agenda

(GHSA)

Malaria

(PMI)

Maternal & Child Health (MCH)

Family Planning & Reproductive Health

(FP/RH)*

Nutrition

Afghanistan X X

Angola X X

Bangladesh X X X X X

Benin X X *

Botswana X

Burkina Faso X X X*

Burma X X X

Burundi X

Cambodia X X

Cameroon X X X

Cote d’Ivoire X X X X*

Dominican Republic

X

DC Congo X X X X X X

Ethiopia X X X X X X X

Ghana X X X X

Guatemala X

Guinea X X X*

Haiti X X X X

Honduras

India X X X X

Indonesia X X X

Kenya X X X X X X X

Kyrgyz Republic

X

Lesotho X X

Liberia X X X X

Madagascar X X X

Malawi X X X X X X

Mali X X X X* X

Mauritania X*

Mozambique X X X X X X

Namibia X

Nepal X X* X

Niger X X X X

Nigeria X X X X X X

Pakistan X X X

Philippines X X

Rwanda X X X X X

Senegal X X X X* X

Sierra Leone X X X

South Africa X X

South Sudan X X X eSwatini X

Tajikistan X

Tanzania X X X X X X X

Togo X*

Uganda X X X X X X X

Ukraine X X

Uzbekistan X

Vietnam X X X

Yemen X X

Zambia X X X X X X

Zimbabwe X X X

* Ouagadougou Partnership Countries ** USAID reserves the right to implement activities in other USAID-assisted countries not listed in this table under awards resulting from this Round 1.

Annex C

USAID MNCH OFFICE FOCUS PRIORITIES

Technical Area

Focus Priorities

WASH

● Accountability of service providers

● Advocacy

Nutrition ● Working with the local health system on nutritional counseling and SBC

● Strengthening nutrition in iCCM

Maternal Health

● Community and civil society programs to identify and provide maternity care to vulnerable groups

● Referral programs for maternal and newborn complications

Newborn Health

● Community and civil society programs to identify and provide maternity care to vulnerable groups (outreach and facility)

● Behavior change programs to promote optimal home based practices and promote care seeking

Child Health

● Integrated Community Case Management (iCCM) https://www.who.int/maternal_child_adolescent/documents/statement_child_ser vices_access_whounicef.pdf

Immunization

● Vaccine hesitancy and acceptance (i.e. communications programs at community level)

● Strengthening integration of MCH clinics and immunization services to address issues of neonatal tetanus and missed opportunities for vaccination

Annex B - USAID GLOBAL HEALTH PRIORITY COUNTRIES BY HEALTH SECTOR** (as of 5/1/2019)