ehrn info note "overview of the global fund transitional funding mechanism (tfm) for countries of...

7/31/2019 EHRN Info note "Overview of the Global Fund Transitional Funding Mechanism (TFM) for countries of Eastern Europe and Central Asia"

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Overview of the Global Fund Transitional Funding Mechanism

(TFM) regarding countries of Eastern Europe and Central Asia


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The Civil Society Action Team (CSAT) was founded in 2007 by the International Council of

AIDS Service Organizations (ICASO) to accelerate and support meaningful engagement of civilsociety organizations and representatives (including vulnerable groups) in the process of

preparation and implementation of Global Fund grants, and the work of the Global Fund. CSAT

global work is supported by GIZ BACKUP Initiative and UNAIDS.

In 2008, Eurasian Harm Reduction Network (EHRN) became the regional representative ofthe Civil Society Action Team in Eastern Europe and Central Asia (EECA).


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Introduction

At the 25th

Board meeting of the Global Fund to Fight AIDS, Tuberculosis and Malaria (theGlobal Fund), held from November 21 to 22, 2011 in Accra (Ghana), it was decided to cancel the

11th

round of grants due to the lack of funds. At the same meeting, a decision was made to create

the Transitional Funding Mechanism (TFM)1, designed to allocate limited available resources for

the continuation of programs that provide essential services in the area of prevention, treatment

and care and are currently supported by the Global Fund.

The following conditions apply to TMF program funding:

1) the program is currently supported by the Global Fund,2) the program is under a threat of closure by 2014,3) the work of the program is indispensable for uninterrupted provision of essential

prevention, treatment and care services in the country, and

4) there are no alternative sources of funding for continuing these activities.2The rules of general and targeted funding will apply to the TFM; each stream will receive

respectively 90 and 10% of resources, but currently it is impossible to define the volume of

resources available for allocation.

When can applications be submitted?

The deadline for applying for TFM resources isMarch 31, 2012.The application has to span at most two years of activities.

Who can apply?


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Demonstrate a serious program disruption between January 1, 2012 to March 31, 2014

(e.g. expiring grant). If the program is under threat of closure after March 31, 2014, theapplication for funding will have to happen in the framework of the new model;

A proven absence of alternative sources of funding (including re-programming of otherGlobal Fund grants) available to fund the proposed activities;

TFM will not support programs that target health systems strengthening (HSS)Example: According the to NGO rule3, Lithuania, Latvia and Bulgaria can apply for HIV

funding in the Targeted funding pool, but are ineligible to apply through the TFM because there

is no current or closing Global Fund grants that would subject HIV programming to closure fromJanuary 1, 2012 to March 31, 2014.

Please note! According to the Global Fund response to EHRN, the programs, whose activities

are covered under Global Fund grants expiring on December 31, 2011, are eligible to apply for

TFM. If all other criteria are met, TFM application, in accordance with the NGO rule can be

submitted by Russia, where HIV program support is conducted through the extended Round 3

and expires on December 31, 2011.

However, each eligibility case should be clarified with the country portfolio manager.

Please note! In accordance with the Global Fund information note on Eligibility, Counterpart

Financing and Prioritization, countries, recently funded for a disease (grants that were

launched starting April 2, 2011 or later) cannot apply for a TFM for this disease.4

In terms of

HIV funding in EECA, this concerns Georgia, Kyrgyzstan, Uzbekistan and Ukraine.

Please note! Appendix 1 provides a listing of EECA countries that are eligible for TFM.

However, in accordance with the Global Fund document Transitional Funding Mechanism,

Frequently Asked Questions, applications can be submitted not only by countries whose grants


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2012 to March 31, 2014), but support for ART expires in 2012. Thus, Moldova can apply for

TFM funds.

National Strategy Applicants Second-Wave Participants (NSA)

According to the Global Fund TFM note, Countries participating in the Second Wave of NSAs

are affected by the recent Board decisions. The NSA funding request must comply with the sameguidance regarding focus on the continuation of essential prevention, treatment and/or care

services and other criteria applicable to TFM.6

As it applies to EECA countries, only Moldova is concerned, as this country was preparing asecond wave NSA application.

How are essential prevention, treatment and/or care services for the three diseases

defined?

There is not a strictly defined list of activities that may be included into the application, because

each country/application has a unique financial and epidemiological situation. The Global FundInformation note on TFM7 cites the criteria and examples for the essential prevention, treatment

and/or care services. (see Annex 1 of the Information note) The TFM applications should not

include program expansion or implementation of new programming.

Informational resources that describe the Transitional Funding Mechanism in more detail:

1.

Global Fund site page dedicated to TFM. A special attention should be dedicated to theGlobal Fund Information notes associated with this page, particularly the Transitional

Funding Mechanism info note, and the Eligibility, counterpart financing and

prioritization info note.
http://www.theglobalfund.org/documents/tfm/TFM_Request_InfoNote_en/http://www.theglobalfund.org/documents/tfm/TFM_Request_InfoNote_en/http://www.theglobalfund.org/en/application/http://www.theglobalfund.org/en/application/http://www.theglobalfund.org/en/application/http://www.theglobalfund.org/documents/tfm/TFM_Request_InfoNote_en/


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Annex 1. EECA Country Eligibility for Global Fund support in 2012

EECACountry Component Income

(According

WTO Data

from

01.07.2011)

Disease

Burden

Is the country

eligible to

submit a

proposal in

the General

Funding Pool

Is thecountry

eligible to

submit a

proposal in

the

Targeted

Funding

pool

Can the

country

submit a

renewal for a

current

grant (Phase

II)?

Can a country submit

a TFM application?

Is the

country a

G-20

country, or

in OECD

and UMIC?

Azerbaijan HIV UMI high No Yes Yes No No

TB UMI severe Yes Yes Yes Yes No

Malaria UMI moderate No No Yes No No

Albania HIV UMI moderate No No Yes No No

TB UMI low No No Yes No No

Malaria UMI low No No Yes No No

Armenia HIV Upper-LMI low Yes Yes Yes No No

TB Upper-LMI high No* No* Yes No* No


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Malaria Upper-LMI low Yes Yes Yes No No

Belarus HIV UMI high No Yes Yes No No

TB UMI severe Yes Yes Yes No No


Bulgaria HIV UMI high No NGO Only Yes No Not in theOECD list

TB UMI high No Yes Yes Yes No


Bosnia and

Herzegovina

HIV UMI low No No Yes No No

TB UMI moderate No No Yes No No


Croatia HIV HI No No Yes No No

TB HI No No Yes No No

Malaria HI No No Yes No No


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Estonia HIV HI No No Yes No Not in the

OECD list

TB HI No No Yes No No

Malaria HI No No Yes No No

Georgia HIV Upper-LMI moderate No* No* Yes No* No

TB Upper-LMI severe No* No* Yes No* No

Malaria Upper-LMI moderate Yes Yes Yes Yes No

Kazakhstan HIV UMI moderate No No Yes No No

TB UMI severe Yes Yes Yes Yes No


Kosovo HIV Upper-LMI low Yes Yes Yes No No

TB Upper-LMI moderate Yes Yes Yes No No


Kyrgyzstan HIV LI high No* No* Yes No* No


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TB LI severe Yes Yes Yes No No

Malaria LI moderate Yes Yes Yes No No

Latvia HIV UMI high No NGO Only Yes No Not in theOECD list

TB UMI high No Yes Yes No No


Lithuania HIV UMI high No NGO Only Yes No Not in theOECD list

TB UMI severe Yes Yes Yes No No


Macedonia HIV UMI low No No Yes No Not in theOECD list



Moldova HIV Lower-LMI high Yes Yes Yes Yes No

TB Lower-LMI severe Yes Yes Yes Yes No


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Malaria Lower-LMI low Yes Yes Yes No No

Montenegro HIV UMI low No No Yes No No



Russia HIV UMI high No NGO Only No Yes A G-20country, not

in the

OECD list

TB UMI severe No No No No A G-20Country

Malaria UMI low No No No No A G-20Country

Romania HIV UMI moderate No No Yes No Not in theOECD list

TB UMI high No Yes Yes Yes No


Serbia HIV UMI high No Yes Yes Yes No

TB UMI moderate No No Yes No No


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Tajikistan HIV LI high Yes Yes Yes No No

TB LI severe Yes Yes Yes No No

Malaria LI moderate Yes Yes Yes Yes No

Turkmenistan HIV Upper-LMI low Yes Yes Yes No No

TB Upper-LMI high Yes Yes Yes No No


Turkey HIV UMI low No No No No A G-20country

TB UMI moderate No No No No A G-20

country

Malaria UMI moderate No No No No A G-20

country

Uzbekistan HIV Lower-LMI high No* No* Yes No* No

TB Lower-LMI severe Yes Yes Yes No No

Malaria Lower-LMI low Yes Yes Yes No No


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Ukraine HIV Upper-LMI high No* No* Yes No* No

TB Upper-LMI severe Yes Yes Yes No No


* - Countries that have a recent history of funding (HIV Global Fund grants that are in progress and signed into effect after April 2, 2011)

** - Countries with upper middle income, not in the list of official assistance recipients of the Organization for Economic Co-operation and Development's

(OECD) Development Assistance Committee (DAC), are not eligible to apply for HIV funding, unless the proposal is submitted by NGOs in the country where

the HIV work will be implemented

LI (Low Income):x < 996 USD per capita.

Lower-LMI (Lower - Lower Middle Income): 996 USD< x < 2470 USD per capita

Upper-LMI (UpperLower Middle Income):2471 USD < x < 3945 USD per capita

UMI (Upper Middle Income): 3946 USD < x < 12 195 USD per capita

HI (High Income):12 195 UDS < x per capita


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Justification for countries to apply for TMF Funding

This analysis of EECA countries that can apply for funding through TMF has previously been confirmed with the Global Fund

Secretariat. We strongly recommend that each of the following countries contacts their portfolio manager and other Secretariatstaffers to confirm eligibility.

Azerbaijancan apply for Tuberculosis program funding through TFM (UMIC, but not a G-20 country, disease burden for TB

severe, grant AZE-708-G03-T expires on September 30, 2013).

Bulgariacan apply for Tuberculosis program funding through TFM (UMIC, but not a G-20 country, disease burden for TB high,

grant BUL-607-G02-T expires on December 31, 2012).

Georgiacan apply for Malaria program funding through TFM (Upper-LMI, grant GEO-611-G09-M expires on June 30, 2012)

Kazakhstancan apply for Tuberculosis program funding through TFM (UMIC, but not a G-20 country, disease burden for TB

severe, grant KAZ-607-G02-T expires August 30, 2012).

Moldova can apply for HIV program funding through TFM (as a country that was preparing to submit a second-wave NSA

participant, and also because ART (essential service) funding will run out at the end of 2012).

Russiacan apply for HIV program funding through TFM (UMIC, high burden of HIV; a G20 country, but can apply according to

the NGO rule, grant RUS-304-G01-H expires on December 31, 2011).

Romaniacan apply for Tuberculosis program funding through TFM (UMIC, but not a G20 country, TB disease burden high, grantROM-607-G04-T expires on September 30, 2012).

Serbiacan apply for HIV program funding through TFM (UMIC, but not a G-20 country, HIV disease burden - high, grant SER-

607-G03-H expires on May 31, 2012).

Tajikistancan apply for Malaria program funding through TFM (LI, grant TAJ-809-G08-M expires on September 30, 2011).

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