Concept Note development and
modular tools
TBTEAM Annual Meeting, 18-19 June, 2014
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Outline
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Concept note development
Elements of the concept note
Programmatic gap analysis
Modular tool
Lessons leaned
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New funding model cycle
Ongoing Country Dialogue
2nd
GAC
TRP
National
Strategic Plan/
Investment Case
Concept Note
Grant
Implementation
Grant Making
GAC
Board
3
The concept note
• Principal document for TRP and GAC
reviews and grant-making purposes
• Output from country dialogue, reflective
of an inclusive multi-stakeholder
process
• Encourages robust and ambitious
funding request
• Funding request based on the national
strategic plan
• Captures “full expression of demand’’
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What is the importance of a concept note?
Concept note outlines the reasons for Global Fund
investment:
• Describes a strategy, supported by technical data that shows
why this approach will be effective
• Presents a country’s prioritized needs within a broader
context, guided by a national health strategy and a NSP
• Represents voices of key populations and other stakeholders
in the country
• Describes how implementation can maximize the impact of
the investment
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Overview of the structure of the standard
concept note
Section
1
Country Context
2
Funding landscape, Additionality
and Sustainability
• Core tables
+
3
Funding request to the Global Fund
4
Implementation arrangement and
risk assessment
• CCM Eligibility & endorsement
• Supporting documents
6
Section
Country context
1.1
Country
Disease, Health
and Community
Systems
context
1.2
National
Disease
Strategic Plans
1.3
Joint
programming
for TB and HIV
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Current and evolving epidemiology of the disease, and any
significant geographic variations
Define constraints and barriers to an appropriate response
 Community system constraints
 Health system constraints
 Human rights barriers
 Key populations with disproportionately low access to services
Provide information based on current NSP(s)
 Key goals, objectives and priority program areas
 Implementation to date, main outcomes and impact achieved
 Linkage to national health strategy
 Processes for reviewing and revising the response based on
outcomes achieved and lessons learned
Plan for Joint planning and alignment of TB and HIV Strategies,
Policies and Interventions
Barriers that need to be addressed in the alignment process
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Funding landscape, additionality and
sustainability
Section
2
2.1
Overall Funding
Landscape for
upcoming
implementation
period
Describe:
- availability of funds for and source of such funding (government
and/or donor) for the program.
- How the proposed Global Fund investment has leveraged other
donor resources
- For program areas that have significant gaps, planned actions
to address these gaps.
2.2
Counterpart
Financing
Requirement
Complete the Financial Gap Analysis and
Counterpart Financing Table
- Compliance with counterpart financing
requirements and planned actions to reach
compliance
- Government’s willingness-to-pay commitments
and how they will be tracked and reported
- assessment of the completeness and reliability of
financial data reported including assumptions used
and caveats with the figures
Table 1
Financial
gap analysis
and
counterpart
financing
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Section
3
Funding request to the Global Fund
3.1
Detail the request
for funding and
how the
investment is
strategically
targeted to
achieve impact
and strengthen
health systems.
3.2
3.3
3.4
Complete a programmatic gap table detailing
the quantifiable priority modules within
applicant’s funding.
Table 2
Programmatic Gap
Provide strategic overview of funding request
including both the proposed investment of the
allocation and above allocation amount.
 Complete the modular template: link the selected
module intervention to goals and objectives, and
associated indicators, targets and cost.
 Explain the rational for prioritization of modules
and interventions
 Describe the expected impact and outcomes.
Table 3
Modular
Template
Focus on key populations and/or highest-impact
interventions – LMI and UMIC
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Concept note will capture the full expression
of demand
In the concept note:
• Full expression of demand
captured at a higher level based
on a coasted national strategy
• Applicant will determine which
program elements of their full
expression of demand should be
in their request above the
allocation
Applicants encouraged to
apply for their full
expression of demand
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Implementation arrangement and risk
assessment
Information on the
implementation
capacity of PRs
and risk
mitigation
measures to
program delivery
Section
1
Overview of implementation arrangements
- Include dual-track financing
- Describe coordination among implementers
- Identify any anticipated challenges
2
Include an implementation arrangement diagram
(not required at concept note submission)
3
For each PR, complete the ‘minimum standards for
implementers’ assessment
4
Describe current or anticipated risks to program
delivery and/or PR performance, including the
proposed mitigation measures
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Core tables & templates in a standard
concept note
Tables
1
Financial Gap
Analysis &
Counterpart
Financing Table*
3
Templates
2
Programmatic Gap
Table(s)
CCM Eligibility
Requirements**
List of Abbreviations
and Annexes
CCM Endorsement
of Concept Note**
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Modular Template
* Not applicable to stand-alone HSS or applications from Regional Organizations, Regional Coordinating Mechanisms and Non-CCMs
** Not applicable to applications from Regional Organizations and Non-CCMs
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Financial Gap Analysis & Counterpart Financing Table
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Programmatic gap analysis
• Programmatic gap table provides a comprehensive
picture of the key gaps which form the basis of
prioritization of the funding request
• Include programmatic gap analysis for three to six
priority modules within the applicant’s funding request
• Coverage levels for the priority modules selected
should be consistent with the coverage targets in
section D of the modular template
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Programmatic gap table - example
Programmatic Gap Table (Per Priority Intervention) - (create 3-6 programmatic gap tables as needed)
Priority Module
Selected coverage indicator
Current National Coverage
6000
Insert year of latest results
60%
Current Estimated Country Need
A. Total estimated population in need/ at risk
B. Country targets (from National Strategic Plan)
TB care and prevention
Number of notified cases of all forms of TB
Year 1 Year 2 Year 3
Comments/
Assumptions
2015
2016
2017
#
#
%
10000 10000 10000
7000 8000 9000
70
80
90
#
4000
5000
7000
%
#
%
40
1000
10
50
0
70
0
#
%
#
%
#
%
#
%
#
%
5000
50
2000
20
7000
70
2000
20
9000
90
5000
50
3000
30
8000
80
1000
10
9000
90
3000
30
2000
20
9000
90
1000
10
10000
100
WHO estimate
Country need already covered
C. Country need planned to be covered by domestic & other sources
D. Country need already covered by existing Global Fund grants
domestic contribution
increases annually
Programmatic Gap
E. Expected annual gap in meeting the need: A - (C+D)
F. Targets to be financed by indicative funding
G. Coverage from indicative, existing Global Fund and other resources:
F+(C+D)
H. Targets to be financed by above indicative funding
I. Total coverage (indicative+ above indicative+ existing GF grants+ other
resources)
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The modular approach
The modular approach is a framework used to
structure the information that defines a grant
It runs throughout a grant's lifecycle, providing
consistency at each stage
• During the concept note stage, a funding
request is defined by selecting a set of
interventions per module to align with
national strategy
• During the grant making stage, each
approved intervention is further defined by
identifying and describing the required sets of
activities
• During grant implementation, progress of
each intervention is monitored as laid out in
the prior stages
Program level
Module
Intervention
Activity and cost
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Example: TB modules and interventions
Impact/outcome
indicators
Disease/HSS
Modules
TB
TB Care and
Prevention
HIV
TB/HIV
Coverage/output
indicators
Work-plan tracking
measures
Interventions
Activities (not
standardized)
Cost Inputs
Case detection and
diagnosis
Smear microcopy
Product cost
Treatment
Training of health
workers
Transportation
Prevention
Baseline clinical
assessment
Storage
Engaging all care
providers
....
Procurement agent
fee
Procurement of
FLD, microscopes
Quality assurance
MDR-TB
TB/HIV
Malaria
Program
Management
HSS
M&E
Community TB care
delivery
Key Populations
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Measurement framework
Modular tool – should be submitted online
http://www.theglobalfund.org/en/fundingmodel/single/applicationmaterial/
Lessons and suggestions
• Start the NFM process as early as possible
• Several of the process that inform CN could be done
concurrently and with CN development
• Most of the tools are new – but instructions are available and
worth reading before completing them
• Ensure that figures are consistent – NSP, programmatic gap
table, modular tool, narratives
• “tell the story” – process and contents, quality
• Make a strong and evidence-based case for funding – allocation
and above allocation
• Experience so far in developing single CN and joint
programming for TB and HIV is promising
http://www.theglobalfund.org/en/fundingmodel/support/infonotes
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