SOL-596-14-000001_FINAL_10-31-13.pdf

1. THIS CONTRACT IS A RATED ORDER RATING PAGE OF PAGES

UNDER DPAS (15 CFR 700)

2. CONTRACT NUMBER 3. SOLICITATION NUMBER 4. TYPE OF SOLICITATION 5. DATE ISSUED 6. REQUISITION/PURCHASE NUMBER

SEALED BID (IFB)

NEGOTIATED (RFP)

7. ISSUED BY CODE 8. ADDRESS OFFER TO (If other than Item 7)

NOTE: In sealed bid solicitations "offer" and "offeror" mean "bid" and "bidder".

9. Sealed offers in original and ___________________ copies for furnishing the supplies or services in the Schedule will be received at the place specified in Item 8, or if handcarried, in the depository located in until local time _______________________ (Hour) (Date)

CAUTION - LATE Submissions, Modifications, and Withdrawals: See Section L, Provision No. 52.214-7 or 52.215-1. All Offers are subject to all terms and conditions contained in this solicitation.

A. NAME B. TELEPHONE (NO COLLECT CALLS) C. E-MAIL ADDRESS

AREA CODE NUMBER EXT.

(X) SEC. DESCRIPTION PAGE(S) (X) SEC. DESCRIPTION PAGE(S)

PART I - THE SCHEDULE PART II - CONTRACT CLAUSES

A SOLICITATION/CONTRACT FORM I CONTRACT CLAUSES

B SUPPLIES OR SERVICES AND PRICES/COSTS PART III - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACH.

C DESCRIPTION/SPECS./WORK STATEMENT J LIST OF ATTACHMENTS

D PACKAGING AND MARKING PART IV - REPRESENTATIONS AND INSTRUCTIONS

E INSPECTION AND ACCEPTANCE

F DELIVERIES OR PERFORMANCE

G CONTRACT ADMINISTRATION DATA L INSTR., CONDS., AND NOTICES TO OFFERORS

H SPECIAL CONTRACT REQUIREMENTS M EVALUATION FACTORS FOR AWARD

K

REPRESENTATIONS, CERTIFICATIONS AND OTHER

STATEMENTS OF OFFERORS

NOTE: Item 12 does not apply if the solicitation includes the provisions at 52.214-16, Minimum Bid Acceptance Period.

12. In compliance with the above, the undersigned agrees, if this offer is accepted within ___ 180 days_____ calendar days (60 calendar days unless a different period is inserted by the offeror) from the date for receipt of offers specified above, to furnish any or all items upon which prices are offered at the price set opposite each item, delivered at the designated point(s), within the time specified in the schedule.

13. DISCOUNT FOR PROMPT PAYMENT 10 CALENDAR DAYS (%) 20 CALENDAR DAYS (%) 30 CALENDAR DAYS (%) CALENDAR DAYS (%)

(See Section I, Clause No. 52-232-8)

14. ACKNOWLEDGEMENT OF AMENDMENTS AMENDMENT NO. DATE AMENDMENT NO. DATE

(The offeror acknowledges receipt of amendments to the SOLICITATION for offerors and related documents numbered and dated:

CODE FACILITY

16. NAME AND TITLE OF PERSON AUTHORIZED TO SIGN OFFER15A. NAME AND

ADDRESS

OF OFFEROR

(Type or print)

15B. TELEPHONE NUMBER 17. SIGNATURE 18. OFFER DATE

AREA CODE NUMBER EXT.

15C. CHECK IF REMITTANCE ADDRESS IS DIFFERENT FROM

ABOVE - ENTER SUCH ADDRESS IN SCHEDULE

19. ACCEPTED AS TO ITEMS NUMBERED 20. AMOUNT 21. ACCOUNTING AND APPROPRIATION

22. AUTHORITY FOR USING OTHER THAN FULL AND OPEN COMPETITION: 23. SUBMIT INVOICES TO ADDRESS SHOWN IN ITEM (4 copies unless otherwise specified)

10 U.S.C. 2304(a) ( ) 41 U.S.C. 253(c) ( )

24. ADMINISTERED BY (If other than Item 7) 25. PAYMENT WILL BE MADE BYCODE CODE

26. NAME OF CONTRACTING OFFICER (Type or print)

Natalie J. Thunberg

27. UNITED STATES OF AMERICA 28. AWARD DATE

IMPORTANT - Award will be made on this Form, or on Standard Form 26, or by other authorized official written notice.

(Signature of Contracting Officer)

(REV. 9-97)

10. FOR INFORMATION CALL:

11. TABLE OF CONTENTS

STANDARD FORM 33

SOLICITATION, OFFER AND AWARD

SOLICITATION

OFFER (Must be fully completed by offeror)

AWARD (To be completed by Government)

1 N/A 157

SOL-596-14-000001

X

10/31/2013

Regional Office of Acquisition and Assistance (ROAA) USAID/El Salvador 3450 San Salvador Place Washington, DC 20521-3450

Acquisition and Assistance Office USAID/Guatemala Km. 6.5 Final Boulevard Los Próceres Santa Catarina Pinula, Guatemala

0 (zero)

10:00 a.m. 12/16/2013

Telma Paz 502 2422-4133 guatemalaproposals@usaid.gov

X 2

X 9-12

X 13-33

X 34-39

X 40

X 41-47

X 48-51

X 52-63

X 64-112

X 113

X 114-125

X 126-146

X 147-150

Table of Contents

SECTION B - SUPPLIES OR SERVICES/PRICES

B.1 OVERARCHING GOAL

B.2 CONTRACT TYPE

B.3 ESTIMATED COST, FIXED FEE, AND OBLIGATED AMOUNT

B.4 LINE ITEMS

B.5 INDIRECT COSTS (DEC 1997)

B.6 CEILING ON INDIRECT COSTS

B.7 APPROVED MAJOR SUBCONTRACTORS

B.8 COST REIMBURSABLE

SECTION C - DESCRIPTION/SPECIFICATIONS/STATEMENT OF WORK

C.1 OBJECTIVE

C.2 BACKGROUND

C.3 ILLUSTRATIVE ACTIVITIES AND DELIVERABLES

C.4 CROSS CUTTING THEMES

SECTION D - PACKAGING AND MARKING

D.1 BRANDING POLICY AND COMMUNICATIONS PLAN

D.2 752.7009 MARKING. (JAN 1993)

D.3 BRANDING STRATEGY FOR “USAID CENTRAL AMERICA PROJECT FOR A

SUSTAINABLE RESPONSE TO HIV – PASCA II”…

SECTION E - INSPECTION AND ACCEPTANCE

E.1 NOTICE LISTING CONTRACT CLAUSES INCORPORATED BY REFERENCE

E.2 INSPECTION AND ACCEPTANCE

E.3 MONITORING AND EVALUATION PLAN

SECTION F - DELIVERIES OR PERFORMANCE

F.1 NOTICE LISTING CONTRACT CLAUSES INCORPORATED BY REFERENCE

F.2. PERIOD OF PERFORMANCE

F.3 PLACE OF PERFORMANCE

F.4 PERFORMANCE STANDARDS

F.5 AUTHORIZED WORKWEEK

F.6 REPORTS

F.7 REPORTS AND DELIVERABLES OR OUTPUTS

F.8 752.242-70 PERIODIC PROGRESS REPORTS (OCT 2007)

F.9 AIDAR 752.7005 SUBMISSION REQUIREMENTS FOR DEVELOPMENT

EXPERIENCEDOCUMENTS (SEPTEMBER 2013)

F.10 USAID PROPERTY IN THE CUSTODY OF CONTRACTORS

SECTION G - CONTRACT ADMINISTRATION DATA

G.1 752.7003 DOCUMENTATION FOR PAYMENT. (NOV 1998)

G.2 ADMINISTRATIVE CONTRACTING OFFICE

G.3 TECHNICAL DIRECTION

G.4 TECHNICAL DIRECTIONS/RELATIONSHIP WITH USAID

G.5 PAYING OFFICE

G.6 ACCOUNTING AND APPROPRIATION DATA

G.7 CONTRACTOR’S PRIMARY POINT OF CONTACT

G.8 CONTRACTOR’S PAYMENT ADDRESS

SECTION H - SPECIAL CONTRACT REQUIREMENTS

H.1 AIDAR 752.7032 INTERNATIONAL TRAVEL APPROVAL AND NOTIFICATION

REQUIREMENTS (JAN 1990)

H.2 AIDAR 752.7004 EMERGENCY LOCATOR INFORMATION (JUL 1997)

H.3 FOREIGN GOVERNMENT DELEGATIONS TO INTERNATIONAL CONFERENCES 52

H.4 AIDAR 752.7027 PERSONNEL (DEC 1990)

H.5 I.5 AIDAR 752.225-70 SOURCE AND NATIONALITY REQUIREMENTS (FEB 2012)

H.6 INSURANCE AND SERVICES

H.7 AIDAR 752.228-70 MEDICAL EVACUATION (MEDEVAC) SERVICES (July 2007)

H.8 AUTHORIZED GEOGRAPHIC CODE

H.9 NONEXPENDABLE PROPERTY PURCHASES AND INFORMATION TECHNOLOGY

RESOURCES

H.10 LANGUAGE REQUIREMENTS

H.11 KEY PERSONNEL

H.12 EXECUTIVE ORDER ON TERRORISM FINANCING

H.13 REPORTING OF FOREIGN TAXES (July 2007)

H.14 PROHIBITION AND ASSISTANCE TO DRUG TRAFFICKING

H.15 GRANTS UNDER USAID CONTRACTS

H.16 AIDAR 752.7007 PERSONNEL COMPENSATION (July 2007)

H.17 CONFIDENTIALITY AND OWNERSHIP OF INTELLECTUAL PROPERTY

H.18 USAID DISABILITY POLICY - ACQUISITION (DECEMBER 2004)

H.19 PERSONNEL COMPENSATION

H.20 TRAVEL TO GUATEMALA

H.21 USAID IMPLEMENTATION OF SECTION 508 OF THE REHABILITATION ACT OF

1973 AND FEDERAL ACQUISITION CIRCULAR (FAC) 97-27 "ELECTRONIC AND

INFORMATION TECHNOLOGY ACCESSIBILITY

H.22 MANDATORY COMPLIANCE REVIEWS

H. 23 TRANSITION AWARDS

H.24 CONTRACTOR’S STAFF SUPPORT, ADMINISTRATIVE AND LOGISTICS

ARRANGEMENTS AND LEGAL REGISTRATION IN THE COOPERATING COUNTRY ... 63

H.25 ADS 206.3.12 - COVERED PARTICIPANTS

H.26 ADS 302.3.5.9- NONDISCRIMINATION (June 2012)

PART II - CONTRACT CLAUSES

SECTION I - CONTRACT CLAUSES

I.1 NOTICE LISTING CONTRACT CLAUSES INCORPORATED BY REFERENCE

I.2 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

I.3 52.203-14 DISPLAY OF HOTLINE POSTER(s) (DEC 2007)

I.4 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (FEB 2012)

I.5 52.216-1 TYPE OF CONTRACT (APR 1984)

I.6 52.216-7 ALLOWABLE COST AND PAYMENT (JUN 2011)

I.7 52.216-7 ALLOWABLE COST AND PAYMENT (JUN 2011) ALTERNATE IV (AUG

2012)

I.8 752.219-8 UTILIZATION OF SMALL BUSINESS CONCERNS AND SMALL

DISADVANTAGED BUSINESS CONCERNS

I.9 52.222-50 COMBATING TRAFFICKING IN PERSONS (FEB 2009)

I.10 52.222-50 COMBATING TRAFFICKING IN PERSONS (FEB 2009) ALTERNATE I (AUG

2007)

I.11 52.227-23 RIGHTS TO PROPOSAL DATA (TECHNICAL) (JUN 1987)

I.12 52.229-8 TAXES--FOREIGN COST-REIMBURSEMENT CONTRACTS (MAR 1990)

I.13 52.230-1 COST ACCOUNTING STANDARDS NOTICES AND CERTIFICATION (MAY

2012)

I.14 52.243-7 NOTIFICATION OF CHANGES (APR 1984)

I.15 52.244-2 SUBCONTRACTS (OCT 2010)

I.16 52.244-2 SUBCONTRACTS (OCT 2010) - Alternate I (JUN 2007)

I.17 752.202-1 DEFINITIONS (JAN 1990)

I.18 752.209-71 ORGANIZATIONAL CONFLICTS OF INTEREST DISCOVERED AFTER

AWARD. (JUN 1993)

I.19 752.211-70 LANGUAGE AND MEASUREMENT

I.20 AIDAR 752.219-70 USAID MENTOR-PROTÉGÉ PROGRAM (JULY 2007)

I.21 752.227-14 RIGHTS IN DATA – GENERAL - (OCT 2007)

I.22 AIDAR 752.228-3 WORKER'S COMPENSATION INSURANCE (DEFENSE BASE ACT)

I.23 752.228-7 INSURANCE – LIABILLITY TO THIRD PERSONS

I.24 752.229-70 FEDERAL, STATE AND LOCAL TAXES

I.25 752.231-71 SALARY SUPPLEMENTS FOR HG EMPLOYEES. (OCT 1998)

I.26 AIDAR 752.245-70 GOVERNMENT PROPERTY-USAID REPORTING

REQUIREMENTS

I.27 752.245-71 TITLE TO AND CARE OF PROPERTY (APR 1984)

I.28 752.7001 BIOGRAPHICAL DATA (JUL 1997)

I.29 752.7002 TRAVEL AND TRANSPORTATION. (JAN 1990)

I.30 752.7006 NOTICES (APR 1984)

I.31 752.7008 USE OF GOVERNMENT FACILITIES OR PERSONNEL (APR 1984)

I.32 752.7010 CONVERSION OF U.S. DOLLARS TO LOCAL CURRENCY (APR 1984)

I.33 752.7013 CONTRACTOR-MISSION RELATIONSHIPS

I.34 752.7014 NOTICE OF CHANGES IN TRAVEL REGULATIONS (JAN 1990)

I.35 752.7015 USE OF POUCH FACILITIES (JULY 1997)

I.36 752.7018 HEALTH AND ACCIDENT COVERAGE FOR USAID PARTICIPANT

TRAINEES (JAN 1999)

...................... ……………………………………………………………………………………………101

I.37 AIDAR 752.7019 PARTICIPANT TRAINING (JAN 1999)

I.38 752.7023 REQUIRED VISA FORM FOR USAID PARTICIPANTS. (APR 1984)

I.39 752.7025 APPROVALS (APR 1984)

I.40 752.7028 DIFFERENTIAL AND ALLOWANCES. (JUL 1996)

I.41 752.7029 POST PRIVILEGES (JULY 1993)

I.42 752.7031 LEAVE AND HOLIDAYS (OCT 1989)

I.43 752.7033 PHYSICAL FITNESS (JULY 1997)

I.44 752.7034 ACKNOWLEDGMENT AND DISCLAIMER. (DEC 1991)

I.45 752.7035 PUBLIC NOTICES (DEC 1991)

I.46 AIDAR 752.7101 VOLUNTARY POPULATION PLANNING ACTIVITIES (JUNE 2008)

I.47 CONSCIENCE CLAUSE IMPLEMENTATION (ACQUISITION) (FEB 20120)

I.48 CONDOMS (ACQUISITION) (JUNE 2005)

I.49 FAR Clause 52.232-99, PROVIDING ACCELERATED PAYMENT TO SMALL

BUSINESS SUBCONTRACTORS (DEVIATION) (AUG 2012)

I.50 PROHIBITION ON THE PROMOTION OR ADVOCACY OF THE LEGALIZATION OR

PRACTICE OF PROSTITUTION OR SET TRAFFICKING (ACQUISITION) (APR 2010) ... 111

PART III - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS

SECTION J - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS

PART IV - REPRESENTATIONS AND INSTRUCTIONS

SECTION K - REPRESENTATIONS, CERTIFICATIONS, AND OTHER STATEMENTS OF

OFFERORS

K.1 NOTICE LISTING SOLICITATION PROVISIONS INCORPORATED BY REFERENCE

K.2 52.204-3 TAXPAYER IDENTIFICATION (OCT 1998)

K.3 52.204-8 ANNUAL REPRESENTATIONS AND CERTIFICATIONS (DEC 2012)

K.4 52.209-5 CERTIFICATION REGARDING RESPONSIBILITY MATTERS (APR 2010) 119

K.5 52.222-22 PREVIOUS CONTRACTS AND COMPLIANCE REPORTS (FEB 1999)

K.6 52.222-25 AFFIRMATIVE ACTION COMPLIANCE (APR 1984)

K.7 52.227-15 REPRESENTATION OF LIMITED RIGHTS DATA AND RESTRICTED

COMPUTER SOFTWARE (DEC 2007)

K.8 52.230-1 COST ACCOUNTING STANDARDS NOTICES AND CERTIFICATION (OCT

2008)

K.9 52.230-7 PROPOSAL DISCLOSURE--COST ACCOUNTING PRACTICE CHANGES

(APR

K.10 INSURANCE - IMMUNITY FROM TORT LIABILITY

K.11 AGREEMENT ON, OR EXCEPTIONS TO, TERMS AND CONDITIONS

K.12 AUTHORIZED NEGOTIATORS

K.13 SIGNATURE

SECTION L - INSTRUCTIONS,CONDITIONS, AND NOTICES TO BIDDERS

L.1 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE

L.2 52.204-6 DATA UNIVERSAL NUMBERING SYSTEM NUMBER

L.3 52.215-1 INSTRUCTIONS TO OFFERORS—COMPETITIVE ACQUISITION (JAN 2004)

L.4 52.216-1 TYPE OF CONTRACT (APR 1984)

L.5 52.233-2 SERVICE OF PROTEST (SEP 2006)

L.6 GENERAL INSTRUCTIONS TO OFFERORS

L.7 DELIVERY INSTRUCTIONS

L.8 INSTRUCTIONS FOR THE PREPARATION OF THE TECHNICAL PROPOSAL

L.9 INSTRUCTIONS FOR THE PREPARATION OF THE COST/BUSINESS PROPOSAL .. 138

SECTION M - EVALUATION FACTORS FOR AWARD

M.1 GENERAL INFORMATION

M.2 EVALUATION CRITERIA

M.3 COST PROPOSAL EVALUATION

M.4 BEST VALUE

M.5 DETERMINATION OF THE COMPETITIVE RANGE AND CONTRACT AWARD

M.6 CONTRACTING WITH SMALL BUSINESS CONCERNS AND DISADVANTAGED

ENTERPRISES

M.7 EVALUATION SYSTEM

ATTACHMENT J.1

ATTACHMENT J.2

ATTACHMENT J.3

SOL-596-14-000001 SECTION B

PART I - THE SCHEDULE

SECTION B - SUPPLIES OR SERVICES/PRICES

PART I - THE SCHEDULE

SECTION B - SUPPLIES OR SERVICES/PRICES

B.1 OVERALL OBJECTIVE

The objective of the project is to contribute to the Overall Objective of the USAID Regional Strategy for Central America and Mexico (CAM), specifically Strategic Objective (SO) 3 Investing in People:

Healthier, Better Educated People, Intermediate Result 4: HIV/AIDS and Other Infectious Diseases Contained and Impact Mitigated1. The project will also support the results of the Partnership Framework (PF) signed between the USG and COMISCA, in 2010. This PASCA II Project will build on the experiences and lessons learned from the previous PASCA Projects, as well as ensure high level coordination and communication among the policy counterparts.

The goal of this project is to contribute to an “Increased country ownership of the HIV policy response to improve access to HIV/AIDS services for MARPs”. The Three Components and expected results (and illustrative indicators) are:

Component I. Improved implementation of national and regional HIV/AIDS policies.

Component II. Improved use of national resources in the HIV response.

Component III. Improved engagement of the private sector in the HIV response.

B.2 CONTRACT TYPE

The Government contemplates award of a Cost Plus Fixed Fee (CPFF) completion contract resulting from this solicitation.

B.3 ESTIMATED COST, FIXED FEE, AND OBLIGATED AMOUNT

(a) Period of Performance: five years

(1) The estimated cost for the performance of the work required hereunder, exclusive of fixed fee, if any, is __________. The fixed fee, if any, is ________. The estimated cost plus fixed fee, if any, is

(2) Within the estimated cost plus fixed fee (if any) specified in paragraph (a)(1) above, the amount currently obligated and available for reimbursement of allowable costs incurred by the Contractor (and payment of fee, if any) for performance hereunder is __________. The Contractor shall not exceed the aforesaid obligated amount.

(b) Funds obligated hereunder are anticipated to be sufficient through ____________.

1 In the future this project will contribute to the Regional Development Cooperation Strategy (RDCS), currently under development.

B.4 LINE ITEMS

The Total Estimated Cost of this contract is within the following range: $15.5 - $16.5 Million.

The summary budget for the five years period is as follows:

Direct Labor $__________ Subcontracts and Grants $__________ Other Direct Costs $__________ Indirect Costs $__________ Total Estimated Cost $__________ Fixed Fee $__________ Other Initiatives $__________ Total Estimated Cost Plus Fixed Fee $__________

NOTE: The Contractor will not be paid any sum in excess of the ceiling price. The only person authorized to commit or obligate additional funds is the Contracting Officer. Incurrence of costs in excess of the total amount obligated based on directions received from any individual other than the Contracting Officer and without prior Contracting Officer’s approval, shall not be reimbursed to the Contractor.

LIMITATION OF FUNDS

The ceiling price of this contract is $xxxx. In accordance with FAR clause 52.232-22, funds currently obligated under this contract are limited to $xxxxx. The contractor is not authorized to incur expenses in excess of $xxxx and shall notify the Contracting Officer in writing whenever it has reason to believe that the costs it expects to incur under this contract in the next 60 days, or when added to all costs previously incurred will exceed 75% of the total obligated amount.

B.5 INDIRECT COSTS (DEC 1997)

For the Prime Contractor:

Pending establishment of revised provisional or final indirect cost rates, allowable indirect costs shall be reimbursed on the basis of the following negotiated provisional or predetermined rates and the appropriate bases:

Description Rate Base Type Period

TBD 1/ 1/ 1/

1/Base of Application:

Type of Rate: Predetermined Period:

For Major Subcontractor(s):

Pending establishment of revised provisional or final indirect cost rates, allowable indirect costs shall be reimbursed on the basis of the following negotiated provisional or predetermined rates and the appropriate bases:

Description Rate Base Type Period

TBD 1/ 1/ 1/

1/Base of Application:

Type of Rate: Predetermined Period:

“Major Subcontractors” are those subcontractors whose proposed cost exceeds $1,000,000. .

B.6 CEILING ON INDIRECT COSTS

For the Prime Contractor:

(1) Reimbursement for indirect costs shall be at the lower of the negotiated final rates or the following ceiling rates:

Description Rate Base Type Period

TBD 1/ 1/ 1/

1/Base of Application:

(2) The Government will not be obligated to pay any additional amount should the final indirect cost rates exceed the negotiated ceiling rates. If the final indirect cost rates are less than the negotiated ceiling rates, the negotiated rates will be reduced to conform with the lower rates.

(3) This understanding shall not change any monetary ceiling, obligation, or specific cost allowance or disallowance. Any changes in classifying or allocating indirect costs requires the prior written approval of the Contracting Officer.

For the Major Subcontractor(s):

(4) Reimbursement for indirect costs shall be at the lower of the negotiated final rates or the following ceiling rates:

Description Rate Base Type Period

TBD 1/ 1/ 1/

1/Base of Application:

(5) The Government will not be obligated to pay any additional amount should the final indirect cost rates exceed the negotiated ceiling rates. If the final indirect cost rates are less than the negotiated ceiling rates, the negotiated rates will be reduced to conform with the lower rates.

(6) This understanding shall not change any monetary ceiling, obligation, or specific cost allowance or disallowance. Any changes in classifying or allocating indirect costs requires the prior written approval of the Contracting Officer.

B.7 APPROVED MAJOR SUBCONTRACTORS

Major subcontractors are those expected to perform at least $1,000,000 or a prominent part of the technical effort and approved by the CO in accordance with FAR part 52.244-2 and part 44.202.2.

B.8 COST REIMBURSABLE

The U.S. dollar costs allowable shall be limited to reasonable, allocable and necessary costs determined in accordance with FAR 52.216-7, Allowable Cost and Payment, FAR 52.216-8, Fixed Fee, if applicable, and AIDAR 752.7003, Documentation for Payment.

[END OF SECTION B]

SOL-596-14-000001 SECTION C

SECTION C - DESCRIPTION/SPECIFICATIONS/STATEMENT OF WORK

USAID CENTRAL AMERICA PROJECT FOR

A SUSTAINABLE RESPOSNE TO HIV – PASCA II

Health and Education Office/Guatemala

List of Abbreviations and Acronyms

ADS Automated Directive Systems AIDS Acquired Immune Deficiency Syndrome API AIDS Policy Effort Index APR Annual Performance Report ARV Antiretroviral BS Branding Strategy BIP Branding Implementation Plan CAM Central America and Mexico CCM Country Coordinating Mechanism CCN Cooperating Country Nationals CDC Centers for Disease Control and Prevention COMISCA Council of Central American Ministers of Health CONASIDA National AIDS Commission CONCASIDA Central American HIV/AIDS/Sexually Transmitted Infections Congress COP Chief of Party COR Contract Officer Representative CR Country Representative CSW Commercial Sex Worker DCOP Deputy Chief of Party DEC Development Experience Clearinghouse DSS The San Salvador Declaration FBO Faith-based Organization FEDEPRICAP Federation of Private Sector Entities in Central America, Panama and the

Dominican Republic FSW Female Sex Worker FUNDEC Business Foundation Committee on HIV GBV Gender-Based Violence GFATM - GF Global Fund to Fight AIDS, Tuberculosis, and Malaria GUC Grants Under Contracts HIV Human Immunodeficiency Virus HSS Health Systems Strengthening HTC HIV Testing and Counseling IEC Information, Education, and Communications IEE Initial Environmental Examination IQC Indefinite Quantity Contract LAC-IEE Latin America and Caribbean Initial Environmental Examination LGBT Lesbian, Gay, Bisexual, and Transgender LOE Level of Effort MARP Most-at-Risk Population M&E Monitoring & Evaluation MOH Ministry of Health MP Marking Plan

MSM Men Who Have Sex with Men NAP National AIDS Program NASA National AIDS Spending Assessment NGO Nongovernmental Organization NICRA Negotiated Indirect Cost Rate Agreement NSP National Strategic Plan OGAC Office of the Global AIDS Coordinator PAHO Pan-American Health Organization PASMO Pan-American Social Marketing Organization PEPFAR President’s Emergency Plan for AIDS Relief PF Partnership Framework PLHIV People Living with HIV PMP Performance Monitoring Plan PMTCT Prevention Mother to Child Transmission PR Principal Recipient RCM Regional Coordinating Mechanism RDCS Regional Development Cooperation Strategy REDCA Central American Network of People Living with HIV/AIDS RFA Request for Application RSP Regional Strategic Plan SAPR Semi Annual Performance Report SE-COMISCA Executive Secretariat – Council of Central American Ministers of Health SI Strategic Information SOW Statement of Work SW Sex Workers STIs Sexually-transmitted Infections STTA Short-term Technical Assistance SO Strategic Objective TA Technical Assistance TB Tuberculosis TCN Third Country National TO Task Order UNAIDS Joint United Nations Programme on HIV/AIDS UNGASS United Nations Global AIDS Special Session USAID United States Agency for International Development USG United States Government VCT Voluntary Counseling and Testing WHO World Health Organization

For the purpose of this SOW, the following definitions are used:

Men who have sex with men (MSM): 2 Men who have sex with other men whether occasionally or frequently; some, who may not regard themselves as homosexual or bisexual in any way, are very often married and those married or not, may also have sex with women.

Sex Workers (SW): 3 Sex workers include female, male and transgender persons who receive money or goods in exchange for sexual services, either regularly or occasionally.

Transgender Person: 4 A transgender person has a gender identity that is different from that assigned at his or her birth.

Transgender people may be male to female (female appearance) or female to male (male appearance). It is preferable to describe them as ‘he’ or ‘she’ according to their gender identity, i.e. the gender that they are presenting, not their assigned sex at birth.

Indigenous Groups (Garífuna and Guna):5 Elements that define indigenous people include: traditional life styles; culture and way of life different from the other segments of the national population, e.g., in their ways of earning a living, language, customs, etc.; they tend to have their own social organization and political institutions; and living in historical continuity in a certain area, or before others “invaded” or came to the area.

People Living with HIV (PLHIV).6 This refers to those who have been diagnosed and are living with HIV; this reflects the fact that an infected person may continue to live well and productively for many years.

Private Sector7: The part of the national economy composed of private companies that are responsible for generating a large portion of the resources within a given economy.

Key populations: Are groups of people that are at higher risk of being infected or affected by HIV, who play a key role in how HIV spreads, and whose involvement is vital for an effective and sustainable response to HIV. Key populations vary according to the local context, but include vulnerable and marginalized groups such as, migrants and displaced people, mobile populations and prisoners.8

Most-At-Risk Population: Refers to groups engaged in sexual risky behaviours for HIV transmission, including sex workers, transgender women, men who have sex with men and people who use drugs, but may also include (depending on the context) people in HIV-discordant relationships, among others. These populations are often highly stigmatized and there is reluctance to invest in them9.

2 UNAIDS, AIDS and men who have sex with men, 1998.

3 UNAIDS, Guidance note on HIV and Sex work, 2009 4 UNAIDS, Terminology Guidelines, 2011 5 Convention No. 169, International Labour Organization 6 Ibid 3.

7 http://www.businessdictionary.com/definition/private‐sector.html#ixzz2NvxuMCsg 8 Alliance Strategy, p.16: http://www.aidsalliance.org/includes/Publication/2012‐Alliance‐strategic‐framework.pdf.

9 PEPFAR, Guidance for the prevention of sexually transmitted HIV infections, 2011

C.1 OBJECTIVE

The objective of this project is to contribute to the USAID Regional Strategy for Central America and Mexico (CAM), specifically Strategic Objective (SO) 3 Investing in People: Healthier, Better Educated People, Intermediate Result 4: HIV/AIDS and Other Infectious Diseases Contained and Impact Mitigated10. The project will also support the results of the PF signed between the USG and COMISCA, in 2010. This PASCA II Project will build on the experiences and lessons learned from the previous PASCA Projects, as well as ensure high level coordination and communication among the policy counterparts.

The goal of this project is to contribute to an “Increased country ownership of the HIV policy response to improve access to HIV/AIDS services for MARPs”. The Three Components and expected results (and illustrative indicators) are:

Component I. Improved implementation of national and regional HIV/AIDS policies.

1. Increased involvement of non-health public sectors in the HIV response

2. Improved capacity of civil society organizations to hold governments accountable for HIV policies

3. Strengthened leadership in national and regional health authorities

Component II. Improved use of national resources in the HIV response.

1. Improved use of evidence by the public sector and civil society in financial and programmatic decision making

2. Greater investment in Most-at-Risk populations and prevention activities

Component III. Improved engagement of the private sector in the HIV response.

1. Increased number of HIV workplace policies developed and implemented by the private sector and improved participation of the Private Sector in the HIV Response

2. Good Private Practices Promoted and Transferred to the Public Sector

C.2 BACKGROUND

In 2008, the U.S. Congress reauthorized the President’s Emergency Plan for AIDS Relief (PEPFAR) for a second five-year phase (2009-2013). This second phase of PEPFAR focuses on sustainability of programs by building local ownership and leadership, strengthening health systems to deliver and monitor health services for people living with HIV and AIDS (PLHIV), and the achievement of PEPFAR goals for prevention, treatment, care, and policy reform.

The Central American Regional HIV/AIDS Program operates within the framework of the Central America Regional Partnership Framework (PF), approved by the Ministers of Health of each of the seven Central American countries, and by the Council of Central American Ministers of Health (COMISCA, Spanish acronym). The goal of the PF is to reduce HIV/AIDS incidence and prevalence in the Central American region by coordinating regional resources and complementing existing United States Government (USG) bilateral HIV programs and initiatives. The PF strives to enable a robust and more effective response to the region’s epidemic and ensures that bilateral activities not managed through the regional program support the major goals of the PF. All PF activities are designed for eventual transition to local, national, and regional entities to ensure country and regional ownership and sustainability. PF activities vary by country; the level of effort (LOE) in each country is decided based on needs assessments, the capacity of the national governments and non-governmental organizations (NGOs) to implement activities, the capacity of existing USG bilateral and regional programs, and available funding.

10 In the future this project will contribute to the Regional Development Cooperation Strategy (RDCS), currently under development.

The PF represents a consensus among major partners (Central American governments, regional and national agencies, civil society, and other donors) to focus on evidence-based approaches that are tailored to the specific conditions of the epidemic in the region and that can be sustained. It also represents an opportunity for broader dissemination of lessons learned and best practices in HIV/AIDS programming in the region. (See Annex No.1, Partnership Framework)

To contribute to the goal of the PF, USAID’s Regional Program currently supports the Central American response to the HIV epidemic in prevention, health systems strengthening (HSS), Strategic Information (SI) use, and improvements in the policy environment to more effectively address HIV/AIDS. USAID prevention activities have focused on engaging Most-at-Risk Population (MARPs) through: behavior change strategies to reduce the risk of HIV sexual transmission; identifying other sexually transmitted infections (STIs) via screening, diagnosis and treatment; condom and lubricant social marketing;

expanding HIV testing and counseling (HTC); and providing community-based information, education and communication (IEC) for those most vulnerable to infection. USAID HSS efforts include removing institutional barriers to implementing evidence-based prevention, care and treatment services; and the use of strategic information has been improved through building monitoring and evaluation (M&E) capacity and harmonizing HIV strategic information sub-systems in each country.

USAID has also supported the goal of the PF through improvements in the policy environment that expand and strengthen the regional response to HIV/AIDS. USAID’s policy support in Central America is widely recognized by country stakeholders as having made a significant contribution to the development of laws, policies and plans for HIV, progress made on stigma and discrimination and gender equity. These policy programs have worked directly with national and regional policy makers and strengthened the capacity of key civil society groups (including PLHIV and other vulnerable populations) to serve as advocates and citizen monitors. USAID has also provided assistance to improve prosecution for violent sexual crimes through HIV policies and has worked to involve the private sector in the Central American HIV response.

However, despite these achievements, there continue to be significant gaps in national and regional responses to the epidemic as a result of barriers in the policy environment. Even though Central American governments have developed very significant policy frameworks and established many of the structures needed to execute a stronger HIV/AIDS response, implementation of these policies has fallen short.

Compliance with key policies on stigma and discrimination, the use of rapid tests and female condoms, universal access to services, and the “Three Ones” – one National Strategic Plan (NSP), one National AIDS authority, and one M&E Framework is poor. There also continues to be a major gap in national and regional prevention activities both in regards to coverage and targeting of MARPs, especially among men who have sex with men (MSM) and PLHIV and their partners. This Statement of Work (SOW) requires addressing these barriers by improving the implementation of existing HIV laws and policies, expanding country ownership and sustainability of national and regional HIV/AIDS responses, and reducing stigma and discrimination in the workplace as a means to improve the regional response to the epidemic.

From 2000 to 2013, USAID, through its Program for Strengthening the Central American Response to HIV (PASCA) Projects, improved the policy environment for a more effective response to the HIV/AIDS epidemic through strengthening and updating existing policies and policy-related capabilities to improve the response to the HIV epidemic in the region. Specifically the projects provided expert technical support, training to government and non-government organizations, and leadership among stakeholders to encourage collaboration and coordination of efforts in the areas of national planning, monitoring and evaluation, as well as mitigation of HIV/Tuberculosis (TB) co-infection. The projects also improved the implementation of Global Fund Projects in the region. The Offeror selected through this new mechanism shall be knowledgeable of USAID accomplishments and challenges in Central America to date, and take them into consideration for the design of workplans. This information is available at: www.pasca.org.

USAID wants to take advantage of the well-known and positioned PASCA name in the region. For the purposes of this SOW, we refer to this new project as PASCA II. PASCA II 2014 -2019 shall take into account the USAID Forward and the Global Health Initiative (GHI). In line with USAID Forward (http://www.usaid.gov/usaidforward), PASCA II shall aim to form new partnerships, encourage more innovation, prioritize greater results, increase program ownership for longer-term results, build local leadership and capacity for improved development, and strengthen civil society to improve aid effectiveness and sustainability. In accordance with the GHI, the PASCA II project will strengthen health systems through improving the implementation of HIV/AIDS policies, and ensuring that civil society organizations have the capacity to advocate for steps toward achieving the goals of the policy framework in Central America. PASCA II follows the GHI principles of: empowering women, encouraging country ownership and investing in country-led plans, strategic coordination and integration, improving metrics and monitoring and evaluation, and promoting research and innovation.

C.2.1 HIV CONTEXT

In Central America, the HIV epidemic is relatively stable and concentrated among MARPs. Data available show that in persons aged 15 to 49 years, HIV prevalence rates in the region range from 2.5% in Belize, to 0.2% in Nicaragua (Table 1). Country-level prevalence rates, however, mask the disproportionate impact that HIV and AIDS have on MARPs, those persons more vulnerable to infection because of sexual behavior and other factors. MARPs in Central America include MSM, transgender women, sex workers (SWs), and Key Populations include specific ethnic groups such as the Garifuna, migrants and prisoners.

This SOW will focus on transgender women, MSM, SWs, and PLHIV. The risky behaviors of these groups in a vulnerable context are driving the epidemic in the region. The Garifuna and other populations such as prison inmates shall be included if the epidemiological data confirm them as populations at high-risk for HIV/AIDS.

Table 1: HIV Prevalence Rates by MARPs (2012)

Country

HIV

Prevalence Rate % (Ages 15 to 49)

MSM FSW

Trans-gender Women

Belize 2.50% 10% n/a n/a

Costa Rica 0.30% 11% 0.2% n/a

El Salvador 0.80% 7.9% 4.1% 25.8%

Guatemala 0.80% 18.3% 1.1% 14.9%

Honduras 0.68% 9.5% 4.9% n/a

Nicaragua 0.20% 7.5% 3.2% 18% (1)

Panama 0.90% 10.6% 2% n/a

Source: 2012 HIV National Progress Report and National AIDS Program reports.

(1) CDC-BSS- Nicaragua 2012

According to the Joint United Nations Programme on HIV/AIDS (UNAIDS 2010), the Central American epidemic is most highly concentrated among MSM—with the majority of countries in the region reporting a prevalence of over 10% in that sub-population. UNAIDS and others have noted that stigma and discrimination play a large role in keeping this part of the epidemic hidden: MSM may be reluctant to go to centers for testing, and thus many HIV-positive people go undetected and are not included in prevalence estimates (UNAIDS, 2010). A related concern is that MSM may be reported as heterosexual men if they also have had sex with a woman, which also may lead to underestimates of the true prevalence of HIV among MSM (Hernandez, Guardado, Paz-Bailey , 2010).

Recent studies in the region suggest that HIV prevalence is even higher for the female transgender population than for MSM, possibly as high as 40%, with accompanying high levels of stigma, discrimination and violence targeted at this population (Hernandez, et al , 2010). Because transgender women are often counted in other categories, such as MSM, the evidence base relating to their HIV prevalence is weak, with only small-scale studies available throughout Central America (Mazariegos, 2010; Ocaña et al., 2008; PAHO, 2012). The lack of national data allows countries to discount the impact that HIV and gender-based violence (GBV) are having on transgender women in the region.

The last several years have seen progress addressing HIV with female sex workers (FSW) in Central America, with declining incidence rates in this group reflecting the programmatic and financial focus on prevention among FSW and their partners (UNAIDS 2010). Country-level reports by the USAID Combination Prevention project show increased condom use by FSW with clients and partners in Central American countries from 2004 to 2007, and small studies confirm a corresponding, and significant, decline in HIV incidence within this group (Sabido, 2009).

Little data are available about HIV rates among prison inmates in the region, but small-scale studies suggest rates in the range of 4% in Belize to 12.9% in Guatemala (Hembling, 2011; Baral, 2007).

Advocates point to this sub-population as being at particularly high risk of HIV, a situation commonly exacerbated by policies prohibiting condom distribution in prisons.

Until now, traditionally the health sector has had the greatest involvement in the national response, and just recently other fields such as labor, education, and the private sector, have started to organize their response to HIV issues. According to the National AIDS Spending Assessment’s (NASA) 2010 reports, 66% of the total funds invested in Central America for HIV-related activities come from governments; on average, the region invests US$4.71 per capita on HIV issues. However, 60% of the investment in prevention activities addressed to MARPs still comes from donors.

In 1999, Panama created the Private Sector Council to address HIV issues in the country; subsequently, other countries formed their own similar initiatives. By September 2010 their efforts have resulted in favorable work policies on HIV in at least 72 private sector institutions.

C.3 ILLUSTRATIVE ACTIVITIES AND DELIVERABLES

Component I: Improved implementation of national and regional HIV/AIDS policies.

Background:

Most countries11 in the region have supportive legal frameworks and national strategic plans in place to respond to the HIV/AIDS epidemic (See Policy Matrix in Annex No. 2). However, the poor implementation of HIV laws and national policies, as well as the lack of sanctions for non-compliance, greatly reduce the efficacy of these laws.

Non-health sectors are not meaningfully engaged in HIV/AIDS policy design or implementation, and this greatly constrains the impact of HIV laws and policies. For example, the Central American countries have developed several policy instruments that strengthen the response to the epidemic, such as the San

11 Belize remains an exception; a sodomy law in this country continues to be a main source of discrimination.

Salvador Declaration signed by Central America’s presidents in 2005. However, only the Ministries of Health have been tracking these commitments and the involvement of other government entities is absent, reducing their impact.

Additionally, HIV policies often are not well linked to other larger, national policies, such as a country’s national development strategy or poverty reduction strategy, which reduces their impact, isolating them as stand-alone policies, with isolated financing. There is also a lack of alignment of policies and plans with national laws, norms, and regulations.

One barrier to non-public sector engagement in HIV is stigma and discrimination. The public generally disapproves the behaviors of MARPs like lesbian, gay, bisexual, and transgender (LGBT) and SWs, and public officials are hesitant to advocate for HIV/AIDS efforts for fear of being involved in “gay" issues.

Civil society organizations and advocacy groups play a critical role in holding governments accountable for their policy and financial commitments to HIV. However civil society in the HIV arena in Central America is weak and divided, with no common goal or unified voice. Thus, for the most part, civil society is currently unable to improve government accountability for executing existing policies.

Additionally, frequent staff changes and limited skills in policy implementation in general make it necessary to continue strengthening the leadership of national and regional health authorities.

Gender Conservative gender norms and widespread rejection of sexual diversity lead to pervasive stigma and discrimination against the MARPs most affected by HIV in the region. Stigma and discrimination, in addition to the pervasive perspective that HIV is a health issue, prevents the involvement of public entities outside of health in HIV policy implementation. This greatly hinders the efficacy of current policy and perpetuates the epidemic. Conservative gender norms, including those that condone gender-based violence, need to be addressed in order to increase acceptance of sexual diversity and gender identities that do not conform to the norm. This will help mainstream the HIV issue in the region and encourage the involvement of non-health sectors.

Gender norms influence sexual behavior, putting both men and women at risk of acquiring HIV. Men are often encouraged to have multiple partners to prove they are “real men,” while women are discouraged from taking actions, such as insisting on condom use, that could protect their health and that of their partner(s). Women living with HIV, male and female SWs, and transgender persons who do not conform to standard gender roles are at particular risk of violence, which can also increase their risk of acquiring HIV. That violence is often not punished and sometimes the police are involved in perpetrating or prolonging it.

MARPs often face stigma and discrimination due to their sexual orientation and/or gender identity; social norms often keep MARPs marginalized and afraid to demand equal access to social support and services.

This results in increased risk of emotional, physical, and sexual violence as well as new HIV infections.

Result 1 under Component I: Increased involvement of non-health public sectors in the HIV response

There is a general consensus that a true multisectoral response is required to achieve more effective implementation of national and regional HIV policies. Involving stakeholders from a wide range of sectors and at various levels of power in the policy process can bring more effective implementation of policies and continuity, particularly during periods of political or economic transition in countries, or when turnover takes place in key ministries.

Additionally, the human rights issues related to MARPs are often beyond the purview of health ministries or National AIDS Program (NAP) and require the engagement of legislators, ministries of justice, finance and social protection, human rights commissions, ombudsmen and other decision-makers. While there are advocates within health ministries who understand that fighting HIV involves ensuring basic human rights, they often feel that they do not have the authority or power to move human rights issues related to HIV to the forefront (Policy Assessment, 2012).

The participation of a full range of non-health public sector actors (referred to hereinafter as new stakeholders) is also essential to implementing a comprehensive approach to HIV/AIDS prevention and reducing the stigma and discrimination faced by MARPs. For example, there is a lack of political will in Central American countries to implement comprehensive sex education in schools, particularly in relation to sexual diversity, even when supportive policies are in place and curricula are available. Also, no action has been taken to implement the agreement signed at the 2008 International AIDS Conference in Mexico City by health and education ministers from the region to collaborate in HIV prevention and education.

The relative lack of involvement beyond the health sector is a reflection of the low priority other ministries/sectors give to HIV/AIDS. And, the lack of involvement of many Ministries of Finance is particularly critical given that public sectors often lack the financial resources to implement national strategic plans in their entirety. Participation of other sectors such as the Ministry of Labor, Human Rights Defenders, and others defined in the NAP in each country, is critical to implement the national strategies.

Illustrative Activities:

To improve the implementation of existing national and regional HIV/AIDS policies, and expand the participation of other non-health entities in the response, the Offeror shall, at minimum:

Provide technical assistance to identify needs for updating policies, rules and other policy tools.

Provide technical assistance on public and operative policies, strategic planning, M&E, advocacy, capacity building for HIV, and strategic plan costing. For this costing exercise, the Offeror shall use the Resource Needs Model to consider the basic requirements for availability and quality of information.

Assist countries in developing policy studies (such as the Stigma and Discrimination Poll following the methodology utilized by USAID during past years, the AIDS Policy Index, and Policy Implementation, among others), assess the political environment, and develop HIV-related institutional capabilities.

Develop and implement a regional strategy to increase the involvement of non-health public sectors (such as Ministries of Finance, Education, Justice and Labor among others) in HIV/AIDS response. This involvement should be based on strategic information on the epidemic, and awareness that HIV and AIDS are not just a health issue.

Develop actions to recognize and address the different needs and perspectives of men and women throughout the implementation process, considering sexual orientation and gender identity as topics to be discussed and incorporated with the new stakeholders.

Design and implement activities to increase the capabilities and leadership skills in non-health public sectors.

Improve commitment among non health-public sectors to reduce stigma and discrimination related to HIV and MARPs.

Encourage greater engagement of new stakeholders in prevention activities.

Strengthen leadership among national and regional health authorities.

Involve the justice sector in enforcing HIV laws, policies and regulations related to the human rights of MARPs, including those who are HIV positive.

Result 2 under Component I: Improved capacity of civil society organizations to hold governments accountable for HIV policies

Key HIV leaders in Central America agree that policy implementation is hindered by the lack of advocacy and vigilancia (citizen monitoring) to push governments to implement their own laws, policies and plans (Policy Assessment, 2012). With the exception of Belize, where civil society is still nascent in the HIV field, many of the original HIV leaders in Central America have moved from civil society to government or international posts. Early efforts by civil society in the HIV arena centered on improving access to antiretrovirals (ARVs), and now that treatment is available, the earlier wave of HIV advocacy has waned.

Additionally, civil society organizations that used to push governments to implement existing laws, policies and plans, are concentrating more of their efforts on implementing Global Fund projects and focusing less effort on policy and advocacy work. Implementing donor-funded service delivery projects generates operating revenue for these organizations, and incentives to participate in advocacy and citizen monitoring are not as great. As a result, civil society is losing its advocacy capabilities over time.

The new generation of HIV advocates in the region has been described as lacking the leadership and advocacy skills to make a real impact in the policy arena. While many advocates have received basic advocacy training, they need more advanced skills-building to allow them to work effectively with high-level policymakers. Organizations that represent MARPs such as sex workers and transgender women need to know how to advocate for their rights (and in some cases be educated as to what their rights are).

They need to learn how to approach decision makers and how to successfully frame their arguments to garner support.

With the exception of El Salvador, where collaboration between the public sector and civil society is considered a model for the region, most countries need to improve collaboration between these two sectors. Weak public-civil society collaboration is a barrier to country ownership: while the public sector and civil society each have reasonably good levels of collaboration with donors and their implementing partners, they do not tend to work with each other. Also, coordination among civil society organizations is poor and unorganized, diminishing the efficacy of their advocacy. It is necessary to facilitate coordination among these organizations to make them effective and proactive. USAID seeks to improve country ownership for a sustainable response and improve the use of the available resources.

Illustrative Activities:

In order to build general capacity within civil society organizations and to prepare them to hold the public sector accountable for HIV policy commitments, the Offeror shall at minimum:

Develop a technical assistance and training strategy based on needs, gaps and lessons learned, to support civil society organizations in policy implementation, leadership and how to demand accountability, and provide assistance in developing national and regional advocacy agendas.

Provide advanced training on advocacy and policy dialogue for civil society, including efforts to foster a bottom-up (community-based) response to policy makers.

Assist these groups in identifying policy issues that require…