United Nations Development Programme (UNDP) Sudan. Grant Closure Plan HIV Round 5 Global Fund Grant Grant Number: SUD-506-G08-H. Sudan.

Transcription

1 United Nations Development Programme (UNDP) Sudan Grant Closure Plan HIV Round 5 Global Fund Grant Grant Number: SUD-506-G08-H Sudan June 2012 Grant Closure Plan, Global Fund Round 5 HIV/AIDS Grant, UNDP Sudan January 2012

2 Table of Contents 1. Grant Information Summary Background Activities to be accomplished after the ending date of the grant Activities to be accomplished after 30 th of June Handover of Key Services Programme document retention plan Health products and equipments Handover of equipments and vehicles with PR Handover of equipments and furniture with SR Final Programmatic and financial reports Audit of SRs Estimated Statement of Commitment and Liabilities Estimated Cash statement as of December Grant Closure Plan, Global Fund Round 5 HIV/AIDS Grant, UNDP Sudan, June

3 List of deliverables Annex 1 Deliverables as per "Global Fund "Grant Closure letter Deliverable Number I : Budget for Grant Closure Activities Deliverable Number II: A List of Health Products Procured with Grant Funds Deliverable Number III: List of all Non Cash Assets (including vehicles, equipments, and infra structure) Deliverable Number IV: A plan for the use, transfer and/or disposal of all of the items specified in The list of Health Product and List of Non Cash Assets Deliverable Number V: Estimated Cash statement as of December 2011 including all revenues generated from grant fund (including interest, foreign exchange Gain, tax refund(s), and accounted in the cash statement Grant Closure Plan, Global Fund Round 5 HIV/AIDS Grant, UNDP Sudan, June

4 List of abbreviations AIDS ART BCC CCM CMS DKT DIU GFATM HIV IBBS LFA UNDP MARPs MOH NGOs PLWHAs PR SR UNAIDS STIs UNFPA UNICEF SFPA ASP SNAP VCCT WHO Acquired Immunodeficiency Syndrome Anti Retroviral Therapy Behaviour Change Communication Country Coordination Mechanism Central Medical Supplies Non-profit organization for condom social marketing Direct Implementation Unit Global Fund to Fight AIDS, Tuberculosis and Malaria Human Immunodeficiency Virus Integrated Behavioural Survey Local Fund Agency United Nation Development Programme Most At Risk Populations Ministry of Health Non Governmental organizations People living with HIV/AIDS Principal Recipient Sub-Recipients The Joint United Nations Programme on HIV/AIDS Sexually Transmitted Infections United Nations Population Fund United Nations Children s Fund Sudan Family Planning Association Additional Safeguard Policy Sudan National AIDS Control Program Voluntary Confidential Counselling and Testing World Health Organization Grant Closure Plan, Global Fund Round 5 HIV/AIDS Grant, UNDP Sudan, June

5 1. Grant Information Country Sudan Program Component HIV/AIDS Principle Recipient United Nation Development Programme (UNDP) Grant Duration January 1 st June 30 th 2012 Grant Title Scaling up National Response for Prevention and Treatment of HIV/AIDS in Sudan Grant Number SUD-506-G08-H Grant Total USD 84,976, Summary On December 14 th 2006, the United Nations Development Programme (UNDP), and the Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM) signed an agreement for implementation for the Round 5 HIV/AIDS grant. The total fund approved was USD 84,976,035. The grant implementation started on January 1 st 2007, the initial completion date was December 31 st 2011; which later was granted a no cost-extension by the Global Fund for six months, with grant closure date of June 30 th The mother proposal for HIV R5 was developed under five objectives ; Objective one: Awareness of HIV/AIDS and other STDs further enhanced and risk behavior reduced in all states; Objective Two: Quality VCCT services available and utilized in all states; Objective three: Condoms Are Accessed Through Free Distribution and Social Marketing And Outlets In Target Communities; Objective four: More than eighty percent of blood transfused in government hospitals is from non-remunerated voluntary donors and Objective Five: PLWHAs receive care and support and 40,000 have been started on ART after 5 years. These five objectives were served through thirteen service deliver areas listed below; 1. Coordination and Partnership Development 2. Behavior Change Communication- Community outreach 3. Youth Education 4. Counselling and testing 5. Prevention Of Mother To Child Transmission (PMTCT) 6. Condom Distribution 7. Blood Safety and Universal Safety Precautions 8. Anti retroviral treatment and monitoring 9. Provision of Anti retroviral Treatment for TB patients during TB treatment 10. Prophylaxis and treatment of opportunistic infections 11. Home based care 12. care and support for the chronically ill and families affected by HIV/AIDS 13. Procurement and supply Management System Grant Closure Plan, Global Fund Round 5 HIV/AIDS Grant, UNDP Sudan, June

6 For the implementation of the Round 5 HIV/AIDS Grant, UNDP contracted five Sub-Recipients throughout the life of the project. The five Sub-Recipients were contracted after programmatic and financial appraisal was undertaken jointly by UNDP and the LFA; of those three were UNagencies (WHO, UNICEF &UNFPA), the remaining SRs were NGOs (Muslim Aid & Sudan Family Planning Association). This document summarises the plan and budget prepared for the grant closure activities. The plan was developed jointly with the Sub-Recipients to ensure the continuation of activities and services after the end of this grant. The implementation of the planned activities will take place after the official approval from the Country Coordination Mechanism (CCM) -Sudan and the GFATM. This closure plan highlights the processes and activities to ensure the proper and orderly programme closure under Round 5 HIV/AIDS grant, following the policies and guidelines of Global Fund, the conditions of grant agreement between UNDP and GFATM, as well as UNDP s project closure guidelines. The document provides a detailed description of activities to be accomplished for proper wind down of the grant till March 31, 2013; which is the grant closure period. The attached annexes show the details of the budget planned, list of health products procured with grant funds, the list of all non cash assets, the plan for the transfer and/or disposal of all items and the estimated cash statement as of December 31 st Background At the time of grant signature it was understood that the country was in the early stages of a generalized HIV/AIDS epidemic, with an almost exclusively heterosexual transmission pattern, and indications of higher infection rates in the South than in the North. Internally displaced persons, refugees, prison inmates and members of the armed forces were some of the groups believed to be particularly vulnerable to HIV infection. Findings of the national sero-behavioural survey conducted in 2002 suggested that the general population national HIV prevalence was 1.6% and the prevalence among ANC attendees was 1.0%. According to UNAIDS and WHO classification guidelines, Sudan thereby falls into the category of a country with a generalized HIV epidemic marked the third year in which a round of Antenatal Care (ANC) HIV Sentinel Surveillance (HSS) was conducted in North Sudan as part of an effort to collect strategic information about the epidemic. The survey was implemented by the Sudan National AIDS Program and the final report is showing indications that despite the important efforts undertaken and the relatively low prevalence among ANC attendees (0.67%) the epidemic in Northern Sudan is far from controlled and needs a new approach, with a need to be more results oriented and targeting areas where a maximum impact can be achieved. Recent studies have shown prevalence among sex workers (4.4%), tea sellers (2.5%), prisoners (8.6%), men who have sex with men (9.3%) and street children (2.3%) to be extremely high. According to 2010 Spectrum estimations there are 17,910 PLHIV in need of ART in Northern Sudan. Out of these, only 10% (1,797) are receiving ART and the loss to follow up reaches 50% at 12 months. Grant Closure Plan, Global Fund Round 5 HIV/AIDS Grant, UNDP Sudan, June

7 The increase in availability and reliability of data collected in surveys supported by the Round 3 and 5 HIV/AIDS grants has triggered the debate among key stakeholders around the strategies to address the HIV epidemic in Northern Sudan. 4. Activities to be accomplished after the ending date of the grant 4.1. Activities to be accomplished after June 30 th 2012: UNDP Sudan has identified few activities that need to be implemented after June 30, 2012 to ensure the orderly closure of the grant. In addition each of the grant implementers (WHO, UNDP, UNFPA and UNICEF) will participate in completing the activities approved for the no-cost extension work plan and budget. The following activities are already initiated; however the completion will take place during the Grant Closure period which is nine (9) months from the end date of the grant i;e until 31 March (Annex 1; deliverable 1). Others are staff and operational costs necessary for the proper closure of the grant: WHO activities: Running cost for HIV drug resistance monitoring UNFPA activities: Continuation of the key staff who will be following liquidation of the advances issued for the training activities as well as the IBBS implementation the three states UNDP direct execution: Conduct a comprehensive impact evaluation of GFATM programme M&E visits for assets verification Final grant closure report endorsement work shop and closure ceremony Continuation of key staff UNDP Grant Closure Activities and Budget Responsible Budget in USD July-Sep 2012 PSM activities as per approved consolidated PSM plan UNDP 185,087 Oct-Dec 2012 PSM activities as per approved consolidated PSM plan UNDP 145,748 M&E visits for assets verification UNDP 19,656 PMU HR Cost UNDP 71,833 Final grant closure report endorsement work shop and closure ceremony UNDP 9,000 Dissemination of final report UNDP 8,750 Institutional Capacity Building of Sudan National Aids Control Program (SNAP) UNDP 160,180 Total Objectives +AMU 600,254 Activity 2.2: Complete the Behavioural surveillance Survey in south Kordufan and the three Darfurs. UNFPA 67,401 UNFPA overhead cost 7% UNFPA 4,718 Sub Total 72,119 GMS (7%) UNDP 47,066 Total for Round 5 Grant closure 719,439 Grant Closure Plan, Global Fund Round 5 HIV/AIDS Grant, UNDP Sudan, June

8 4.2. Handover of Key Services Coordination and partnership development; The component of coordination and partnership development activities is implemented by UNAIDS as part of the Round 5 proposal and work plan. By the end of the project, UNDP and the Ministry of Health will continue the coordination of HIV/AIDS activities financed through the Global Fund Round 10 HIV/AIDS grant. Counselling and testing; There are total of 140 ART centres financed by Global Fund resources. After the closure of the Round 5, these sites will be managed by the existing SRs and the Ministry of Health through Round 10 allocation under the same service delivery area. Youth Education; The youth education activities are being implemented by United Nations Children's Fund (UNICEF) Sudan in close collaboration with the Ministry of Youth and Sports. The youth program is an integral part of UNICEF s strategic plan and will be continued through UNICEF. The funds to finance HIV/AIDS component under this service delivery will be secured from UNICEF core resources, however, it will be less that the funds allocation from Global Fund resources. Behavior Change Communication for general population; As part of the UNICEF s mandate, the prevention component will be provided through mass media campaigns covered by the UNICEF core resources. The HIV prevention programs will be continued through community radios, as one of the services providing by UNICEF through mass media programmes. This service delivery area will be continued as part of HIVR10 with specific focus on Most at risk population. 5. Programme document retention plan. As per UNDP record management policy; the retention period for the documents is 10 years; accordingly the programmatic as well as financial records will be kept with the UNDP Sudan country office. Electronic backup of all documents as well hard copies will be kept for future reference. The Principal Recipient will maintain the programmatic records as per the standard UNDP record management policy. Thus, the following documents will be retained: All the grant agreements with Global Fund. The signed Project document for the HIV Round 5 Grant. All the final work plans and budget approved by the Global Fund. All the project proposals. All signed agreements with the Sub-Recipients. All disbursement requests. All reports (quarterly progress reports, semi-annual reports and annual report) All Global Fund implementation letters. Documentary materials such as those dealing with policy, procedural or technical matters. Grant Closure Plan, Global Fund Round 5 HIV/AIDS Grant, UNDP Sudan, June

9 End-of-project Evaluation reports. Records transfer to Sudan National AIDS Programme UNDP will also transfer all the key documents to the SNAP as part of transferring lessons learned and strengthening national capacities. Documents will be transferred in an electronic form. Moreover, key documents which are regularly updated and posted in the HIV/AIDS website will be available through the UNDP Sudan. 6. Health product and equipments The detailed list of all Pharmaceuticals that will be used after June 2012 is provided in the Annex I (deliverable number III); also the list of the pharmaceuticals and health equipments purchased throughout the entire grant period is provided in the deliverable number IV. The ownership of these equipments will be continuing as it is, so as to support implementation of Round 10 Grant. Though all items will be purchased before the grant closure end date (December 2010), any pharmaceuticals and health commodities required afterwards will be purchased through the Round 10 grant. 7. Handover of equipments, furniture and vehicles with the PR and SNAP Through Global Fund resources UNDP has equipped and furnished 140 VCT/ART, 30 ARV, and 20 PMTC centres with office furniture and IT equipments. The ART and VCT centres will continue to operate under the Round 10 programme while the equipments and furniture will operate under the ownership and custody of the Ministry of Health. (Annex 1, deliverable V). UNDP also procured 73 vehicles for the implementation of the project activities. These vehicles will remain under the custody of UNDP to support the Round 10 HIV/AIDS activities (Annex 1, deliverable IV). 8. Final programmatic and financial reports The final grant closure report including a cash statement; will be submitted to the GF by 31st of July Annexes of the final report will include list of Health Products Procured with Grant Funds, list of all Non Cash Assets (including vehicles, equipments, and infra structure) procured with Grant Funds; cash statement including all revenues generated from grant fund (including interest, foreign exchange Gain, tax refund(s); and all Funds transferred to SRs implemented HIVR5 grant. 9. Audit of SRs All NGOs Sub Recipients implementing Round 5 Grant (Sudan Family Planning association and Muslim Aid) were audited by UNDP, and the final audited report will be completed by 30 th of June Grant Closure Plan, Global Fund Round 5 HIV/AIDS Grant, UNDP Sudan, June

10 Estimated statement of commitments and liabilities of health items; No. Items Estimated Remarks value USD 1 CD4 Reagents 74,322 All procurement will be completed before 2 furniture 187,635 June However, some payments will be 3 ARVs 325,654 made after the grant end date upon receiving 4 Blood banks Equipment 1,446,040 final bills from the suppliers. 5 Lap refrigerators 80,000 6 OIS 81,268 7 IT Equipments 335,772 8 CD4 Maintenance 95,511 Total 2,626,202 Grant Closure Plan, Global Fund Round 5 HIV/AIDS Grant, UNDP Sudan, June

11 10. Estimated Cash statement as of December 2011 PR Amount (USD) Amount (in %) Date Disbursement made by GFATM directly to UNDP 68,119, st of December 2011 Revenue generated by PR using grant fund 656, st of December 2011 Total funds Available 68,776, st of December 2011 (Less PR Disbursements to Sub-Recipients) 26,652, % 31 st of December 2011 (Less PR Expenditure by Dec 2011 including commitments) 29,344, % 31 st of December 2011 Closing Cash Balance - ATLAS 12,779, % 31 st of December 2011 Grant Closure Plan, Global Fund Round 5 HIV/AIDS Grant, UNDP Sudan, June