Call for Expression of Interest (EOI) Grant to Implement HIV Prevention, Care and Treatment Activities for Men who have Sex with Men in South Africa

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Call for Expression of Interest (EOI) Grant to Implement HIV Prevention, Care and Treatment Activities for Men who have Sex with Men in South Africa NOTICE: Bidder s Conference FHI 360 will convene a series of bidders meetings for organizations interested in submitting an Expression of Interest. During this meeting, we will provide an overview of the LINKAGES technical approaches and respond to questions on the call for EOI and the proposal process. The dates and locations are as follows: Thursday, October 4, 2018: East London (afternoon) Friday, October 5, 2018: Port Elizabeth (morning) Monday, October 8, 2018: Cape Town (afternoon) Wednesday, October 10, 2018: Johannesburg (morning) Organizations interested in attending should RSVP to SA-LINKAGES@fhi360.org by October 2, 2018. Participation is limited to two participants per organization. Details about time and exact location will be provided after receiving RSVPs. The cost of participation and proposal development will be borne by each individual organization. All requests for clarification must be received by 5:00 pm EST on October 12, 2018 to the email address noted above. Only questions received by this date will be considered.

I. Background Linkages Across the Continuum of HIV Services for Key Populations Affected by HIV (LINKAGES) is a six-year project (June 2014 August 2020) funded by the United States Agency for International Development (USAID) under the President's Emergency Plan for AIDS Relief (PEPFAR) program. LINKAGES is implemented by FHI 360 in partnership with Pact, IntraHealth International, and the University of North Carolina at Chapel Hill, and conducts a range of activities to reduce HIV transmission among key populations (KP) sex workers, men who have sex with men, transgender persons and people who inject drugs and improve their enrollment and retention in care and treatment across the HIV cascade. In South Africa, LINKAGES will begin implementation in October 2018, utilizing the HIV continuum of prevention, care, and treatment cascade (Figure 1) as the overall strategic framework for program implementation. This announcement is a call for expressions of interest (EOI) from local South African organizations to provide tailored HIV services programming for Men Who Have Sex with Men (MSM). Figure 1: LINKAGES HIV Prevention, Care, and Treatment Cascade

II. Scope of the LINKAGES/South Africa Project The objective of the LINKAGES program in South Africa is to reduce HIV incidence and mitigate the impact of HIV among men who have sex with men in South Africa by utilizing a client-centered differentiated service delivery model that provides a comprehensive package of services and interventions for MSM, ranging from hotspot-based coverage within geographic locations to virtual online to offline approaches. LINKAGES South Africa aims to fill critical gaps, reduce bottlenecks, and eliminate barriers across the HIV prevention, care, treatment, and support cascade (identify, reach with prevention services and commodities, link to HIV and STI testing and counselling, wrap-around services referrals, peer outreach and navigation activities for improved linkages, retention and adherence to ART) to reach the 95:95:95 goals by 2030 among MSM in South Africa. LINKAGES is tasked to build the capacity of local community based MSM organizations to deliver HIV services tailored to the needs of MSM. While significant progress has been made to date, USAID/South Africa and LINKAGES aims to support approaches that are systematic, coordinated, data-driven, and community-led that will significantly stem new infections, mitigate the impact of HIV, and address structural barriers, including stigma and discrimination. The selected organization(s) will undertake activities among Men Who Have Sex with Men (MSM) to contribute to the program objectivities and targets. Illustrative activities are listed in Table 1 by LINKAGES result area and to address the indicators listed. Interested organizations should identify the activities they will implement in order to successfully reach each of these result areas. During the EOI process, LINKAGES will help coordinate between community-based organization (CBO) applicants to ensure that all of the key activities are being addressed within the final selection of CBOs or consortiums. Interested CBOs can think creatively about additional activities that use innovative strategies not mentioned in this EOI to address LINKAGES result areas and indicators. Geographic Scope*: Buffalo City Metropolitan Municipality: City of East London Nelson Mandela Bay Metropolitan Municipality: Port Elizabeth City of Johannesburg Metropolitan Municipality: Johannesburg, Soweto and surrounding areas City of Cape Town Metropolitan Municipality: Cape Town and the Cape Flats *We will prioritize organizations already working with MSM in the highlighted geographic areas. Table 1: Illustrative Key Activities for Men who have Sex with Men (MSM) Result 1 Increased availability of comprehensive prevention, care and treatment services, including reliable coverage across the continuum of care for key populations. 1. Empowerment-based, peer-led outreach (including approaches to changing behavior and social and gender-sexuality norms); 2. Provision of condoms and lubricant; 3. Services for testing and treatment for STIs; 4. HIV Testing Services (HTS) including linkage to ART for those testing positive; 5. Provision of ART for HIV-positive individuals including adherence support; and 6. Pre-exposure prophylaxis (PrEP) services.

Result 2 Demand for comprehensive prevention, care and treatment services among key populations enhanced and sustained. 1. Develop and implement innovative Strategic Behavior Change Communication (SBCC) and Information Communication Technology (ICT) and social media strategies for increasing demand for HIV services among MSM 2. Develop and implement innovative peer outreach and navigation models 3. Improved KP-client satisfaction at health facilities 4. Support groups for key populations living with HIV Result 3 - Strengthened systems for planning, monitoring, evaluating and assuring the quality of programs for key populations 1. Participate in programmatic mapping, microplanning and size estimation exercise in locales of focus 2. Monitor activities and use data for program improvement 3. Develop and/or implement an identity-protected individual tracking system across the continuum of HIV care, 4. Report on indicators based on PEPFAR and custom indicators and associated targets 5. Use data to justify programming LINKAGES South Africa will contribute to the goals and objectives of the South African HIV program, guided by national guidelines and within the priorities of PEPFAR s country operational plan for South Africa. Organizations responding to the EOI should propose targets for the following indicators: KP_PREV: Number of MSM reached with individual and/or small group-level HIV prevention interventions designed for the target population PREP_NEW: Number of individuals who have been newly enrolled on (oral) antiretroviral preexposure prophylaxis (PrEP) to prevent HIV infection. HTS_TST and HTS_TST_POS: Number of individuals who received HIV Testing Services (HTS) and received their test results TX_NEW: Number of MSM newly enrolled on antiretroviral therapy (ART) Overall Project Targets: LINKAGES South Africa targets for the period ending September 30, 2019 are as follows (as reference): District KP_PREV PREP_NEW HTS_TST HTS_TST_POS TX_NEW ec Buffalo City Metropolitan Municipality 1,261 158 720 86 78 ec Nelson Mandela Bay Municipality 1,979 249 1,131 136 122 gp City of Johannesburg Metropolitan Municipality 16,642 2,092 9,510 1,141 1,027 wc City of Cape Town Metropolitan Municipality 10,465 1,316 5,980 718 646 III. Period of Performance December 1, 2018 to September 30, 2019 (with possibility of continued funding beyond this period depending on performance and availability of funds).

IV. Eligibility Criteria & Selection In order to respond to this EOI, an organization must meet all of the following eligibility criteria: Locally registered as an NGO in South Africa The organization has demonstrated experience in implementation services targeting MSM (biomedical, behavioral, and/or structural interventions related to HIV) in the geographic areas of this project Conflict of Interest: The grantee s other relationships, associations, activities, and interests should not create a conflict of interest that could prevent full impartiality in implementation of the grant activities. Partners should be prepared to obtain a DUNS number (https://fedgov.dnb.com/webform ) Partners must be able to comply with all USG regulations as per https://www.usaid.gov/ads/policy/300/303mab Any organization that does not meet the minimum eligibility criteria will not be considered. Applications will undergo a preliminary review for completeness and responsiveness. Incomplete applications, applications judged to be unresponsive to the EOI, and applications submitted after the due date and time will be considered ineligible and will NOT be considered for an award. Note that interested CBOs may express their interest as a single CBO or as a consortium. Consortiums should select partners to complement the organizational strengths in providing a comprehensive cascade of HIV services to MSM in the targeted regions. Consortiums are when CBOs team up with other organizations based on their areas of collective strength. If other CBOs are being brought into the consortium, then the strengths of that/those CBOs need to be detailed in the application. The lead applicant CBO assumes the overall financial and technical responsibility and all risk for the funds they sub-award to other CBOs in its consortium. V. Application Instructions The application should be no longer than 8 pages, excluding appendixes, and include the following information: Organizational Background (2 pages maximum) The applicant should briefly detail the following in the organizational background: Name of the organization Contact person and full address (physical, postal, telephone and email) Type of organization (NGO, FBO or CBO). Indicate if it is a membership organization Current geographical coverage (provinces/ municipalities and districts) Desired geographic coverage under LINKAGES (provinces/ municipalities and districts) Vision, mission and goal Organizational objectives Current and past HIV and AIDS projects with technical areas of focus (include information on target groups reached and numbers served). Please emphasize any work that you have done related to

key populations; HIV/AIDS prevention, care, and treatment activities; human rights; stigma and discrimination; increasing health service access; and gender and gender-based violence. Sources and funding levels for the last three years. Indicate if the organization receives funding from U.S., South African, or other governments, and if any private donor/foundation funding. Organizational structure and staffing/membership level Technical Proposal (5 pages maximum) The applicant should briefly detail the following in the technical proposal: 1) Technical approach and key activities based on Table 1 should include-- The overall technical approach should clearly explain what the Applicant s proposed project will do, which activities will be implemented and how, and by whom. The activities should be organized based on the three result areas provided The geographical area of focus should be described How MSM will be reached and provided prevention and health services including HIV screening/testing through community-based approaches, how HIV+ KP individuals will be linked to care, initiated on treatment, retained in care, and verify and support viral load suppression. Refer to Figure 1. A clear timeline of when activities will be implemented 2) Management approach and institutional capabilities should include-- How the management structure will ensure the successful implementation of the project How the organization can ensure rapid project startup and achieve the project s objectives Key personnel positions and who will fill these positions listing their areas of expertise, with CVs attached 3) M&E approach should include Description of how the M&E system will respond to the technical approach. How the project will use the M&E data for continual project improvement. The organization s current capacity to collect and analyze data, monitor, and, evaluate project performance Description of any tools that they currently use for M&E. Proposed targets, by geographic coverage areas: o KP_PREV: Number of MSM reached with individual and/or small group-level HIV prevention interventions designed for the target population o HTS_TST and HTS_TST_POS: Number of individuals who received HIV Testing Services (HTS) and received their test results o PREP_NEW: Number of individuals who have been newly enrolled on (oral) antiretroviral pre-exposure prophylaxis (PrEP) to prevent HIV infection. o TX_NEW: Number of MSM newly enrolled on antiretroviral therapy (ART) Illustrative Budget (1 page) Please submit a proposed budget for the initial 10-month period of performance.

Maximum Page Limit of Applications: 8 pages The following annexes should be submitted with the application: Certificate of Registration or Incorporation Papers, Audited Financial Statements, if available (if no recent audit has been conducted, a revenue and expense statement and balance sheet for previous financial year must be attached), and personnel CVs. (These will not count against the page limit). VI. Evaluation Criteria All applications will be objectively reviewed and scored against the following criteria: Criteria Points ORGANIZATIONAL BACKGROUND: 25 All components detailed above are provided Organization s vision, mission, goals and objectives are in line with the LINKAGES project Organization has implemented similar HIV/AIDS projects for MSM in the past Organization has successfully managed funds TECHNICAL PROPOSAL TECHNICAL APPROACH: 40 The extent to which the project approach responds to the three result areas. The extent to which the project approach is clear, complete, and responsive to this EOI, Technical approach is innovative, based on best practices, and is likely to achieve the project s objectives. The technical understanding and approach shall demonstrate the Applicant s understanding and expertise with respect to achieving the purpose and intervention areas described in this EOI. The overall technical approach should clearly explain what the Applicant s proposed project will do, how, and by whom and with a clear timeline. MANAGEMENT APPROACH: 20 The extent to which the application sets forth a management structure and a team that is capable of both rapid project startup and achievement of the grant project s objectives. Provide an overview of how the proposed project will be managed. Identify the key personnel positions for this project and briefly describe each of their areas of expertise and responsibility, with CVs attached. The capability of the applying organization, as demonstrated with examples of successful experience in similar technical and geographic areas. MONITORING AND EVALUATION APPROACH: 15 The extent to which the M&E approach responds to the technical strategy. The quality of the proposed plan for monitoring activities and measuring results. The extent that the project will use the M&E data to improve upon activities. Applicants must also describe their organization s current capacity to collect and analyze data, monitor, and, evaluate project performance and describe any tools that they currently use for M&E. TOTAL 100

VII. General Instructions Application Submission Process and Timeline The complete application packages are due to FHI 360 by 5:00 pm EST on October 19, 2018. An electronic copy of package must be submitted via e-mail only to SA-LINKAGES@fhi360.org Please specify LINKAGES South Africa Application AND the name of your organization as the subject of your email message. Only one application may be submitted per organization or consortium. Table 2: Timeline for EOI process key dates and times Tasks/Events Dates EOI issue date September 25, 2018 Bidder s Conference East London: Thursday, October 4, 2018 Port Elizabeth: Friday, October 5, 2018 Cape Town: Monday, October 8, 2018 Johannesburg; Wednesday, October 10, 2018 Questions due to SA-LINKAGES@fhi360.org October 12, 2018 Responses to questions October 15, 2018 Submission deadline October 19, 2018 EOI Review and Post-submission Q&A October 19-31, 2018 Selection of CBOs for development of sub-awards November 2, 2018 Pre-award assessments and subaward development with selected CBOs to November 5-16, 2018 complete sub-award documentation and pre-award assessment Submission of final sub-award package(s) November 19, 2018 Expected award of funds to selected and successfully processed sub-awards December 1, 2018 VIII. Additional information and Disclaimers CONTRACT MECHANISM FHI 360 anticipates awarding one or more grant(s), subject to annual renewal. The grantee(s) will be selected based on best value according to the criteria above. DISCLAIMERS FHI 360 may cancel EOI and not award; FHI 360 may reject any or all responses received; Issuance of EOI does not constitute award commitment by FHI 360; FHI 360 reserves the right to disqualify any offer based on applicant s failure to follow EOI instructions; FHI 360 will not compensate applicants for response to EOI; FHI 360 reserves the right to issue award based on initial evaluation of offers without further discussion; FHI 360 may choose to award only part of the activities in the EOI, or issue multiple awards based on the solicitation activities;

FHI 360 reserves the right to waive minor application deficiencies that can be corrected prior to award determination to promote competition. CALL FOR EXPRESSIONS OF INTEREST NOT AN OFFER This call for EOI represents only a definition of requirements. It is merely an invitation for submission of applications and does not legally obligate FHI 360 to accept any of the submitted applications in whole or in part, nor is FHI 360 obligated to select the lowest priced application. FHI 360 has no contractual obligations with any applicants based upon issuance of this call for EOI. It is not an offer to contract. Only the execution of a written award shall obligate FHI 360, in accordance with the terms and conditions contained in such award. DISCUSSIONS AND AWARD FHI 360 reserves the right to seek clarifications, enter into discussions or negotiations, or to make award on initial submissions without discussions or negotiations of any kind. FHI 360 reserves the right to exclude from further consideration any applications at any time, including after discussions or negotiations have been entered into. FALSE STATEMENTS IN OFFER Applicants must provide full, accurate and complete information as required by this call for EOI and its attachments. At any time that FHI 360 determines that an applicant has provided false statements in the EOI, FHI 360 may reject the EOI without further consideration. This call for EOI and any resulting award shall be interpreted in accordance with the laws of the U.S. Government except in cases where they contradict local law. The English language version of this call for EOI and any resulting award shall govern, and all notices pursuant to the provisions of this call for EOI and any resulting award shall be in English. OFFER VERIFICATION FHI 360 may contact applicants to confirm contact person, address, bid amount and to confirm that the bid was submitted for this call for EOI. RESERVED RIGHTS All call for EOI responses become the property of FHI 360 and FHI 360 reserves the right in its sole discretion to disqualify any offer based on applicant failure to follow solicitation instructions; FHI 360 reserves the right to waive any deviations by applicants from the requirements of this call for EOI that in FHI 360's opinion are considered not to be material defects requiring rejection or disqualification; or where such a waiver will promote increased competition; Extend the time for submission of all call for EOI responses after notification to all applicants; Terminate or modify the call for EOI process at any time and re-issue the call for EOI to whomever FHI 360 deems appropriate; FHI 360 reserves the right to issue an award based on the initial evaluation of offers without discussion; Award only part of the activities in the call for EOI or issue multiple awards based on call for EOI activities. The awardee will be required to obtain a DUNS number if they are not currently in possession of one. More information about this will be given at the time of negotiations. FHI 360 reserves the right to request audited financial statements from the selected applicant(s).

At the conclusion of the evaluation process, any selected firm will be required to complete a Financial Pre-Award Assessment in order for FHI 360 to ascertain that the organization has the capacity to perform successfully under the terms and conditions of the proposed grant. As part of the Pre-Award Assessment process the firm will also be requested to submit their incorporated papers, certificate of registration and/or Tax ID number (TIN), audit reports and/or financial statements. Applicants may be asked to submit additional documentation to illustrate that the organization has the financial capacity to implement the grant. Site visits may be conducted by FHI 360 staff to evaluate the organization in these areas. CERTIFICATION OF INDEPENDENT PRICE DETERMINATION (a) The applicant certifies that-- 1) The prices in this EOI have been arrived at independently, without, for the purpose of restricting competition, any consultation, communication, or agreement with any other applicant, including but not limited to subsidiaries or other entities in which applicant has any ownership or other interests, or any competitor relating to (i) those prices, (ii) the intention to submit an offer, or (iii) the methods or factors used to calculate the prices offered; 2) The prices in this application have not been and will not be knowingly disclosed by the applicant, directly or indirectly, to any other applicant, including but not limited to subsidiaries or other entities in which applicant has any ownership or other interests, or any competitor before bid opening (in the case of a sealed bid solicitation) or contract award (in the case of a negotiated or competitive call for EOI) unless otherwise required by law; and 3) No attempt has been made or will be made by the applicant to induce any other concern or individual to submit or not to submit an application for the purpose of restricting competition or influencing the competitive environment. (b) Each signature on the application (if any) is considered to be a certification by the signatory that the signatory-- 1) Is the person in the applicant's organization responsible for determining the prices being offered in this application, and that the signatory has not participated and will not participate in any action contrary to subparagraphs (a)(1) through (a)(3) above; or 2) Has been authorized, in writing, to act as agent for the principals of the applicant in certifying that those principals have not participated, and will not participate in any action contrary to subparagraphs (a)(1) through (a)(3) above; 3) As an authorized agent, does certify that the principals of the applicant have not participated, and will not participate, in any action contrary to subparagraphs (a)(1) through (a)(3) above; 4) As an agent, has not personally participated, and will not participate, in any action contrary to subparagraphs (a)(1) through (a)(3) above. (c) Applicant understands and agrees that -- 1) violation of this certification will result in immediate disqualification from this call for EOI without recourse and may result in disqualification from future solicitations; and 2) discovery of any violation after award to the applicant will result in the termination of the award for default.

CALL FOR EXPRESSION OF INTEREST FIRM GUARANTEE All information submitted in connection with this call for EOI will be valid for three (3) months from the call for EOI due date. This includes, but is not limited to, cost, pricing, terms and conditions, service levels, and all other information. If your firm is awarded a grant, all information in the call for EOI and negotiation process is contractually binding. GOVERNING LAW AND LANGUAGE This call for AOI and any resulting award shall be interpreted in accordance with the laws of the U.S. Government except in cases where they contradict local law. The English language version of this solicitation and any resulting contract shall govern, and all notices pursuant to the provisions of this solicitation and any resulting award shall be in English. WITHDRAWALS OF EXPRESSIONS OF INTERESTS Applicants may withdraw EOIs by written notice via email received at any time before award. EOIs may be withdrawn in person by an applicant or his/her authorized representative, if the representative s identity is made known and the representative signs a receipt for the proposal before award.