47045-BLZ-H-MET-1 The Global Fund to Fight AIDS, Tuberculosis and Malaria Belize, HIV, Ministry of Economic Transformation Goal: To reduce the high rates of AIDS-related deaths and accelerate the reduction in new HIV infections. Objectives: To rapidly scale up differentiated and innovative approaches for prevention of HIV among key and vulnerable populations and optimize linkage to care, retention and adherence among PLHIV to achieve the 95-95-95 targets; To strengthen health and community systemsfor equitable access to integrated people-centred health services. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Economic Transformation Ministry of Economic Transformation The Global Fund to Fight AIDS, Tuberculosis and Malaria The Global Fund to Fight AIDS, Tuberculosis and Malaria Communications +41 58 791 1700 website@theglobalfund.org https://www.theglobalfund.org The Global Fund to Fight AIDS, Tuberculosis and Malaria, Global Health Campus, Chemin du Pommier 40, 1218 Grand-Saconnex, Geneva, Switzerland The Global Fund to Fight AIDS, Tuberculosis and Malaria Grant Management Division Marcos Patino Mayer Fund Portfolio Manager +41 58 791 1700 marcos.patinomayer@theglobalfund.org https://www.theglobalfund.org The Global Fund to Fight AIDS, Tuberculosis and Malaria, Global Health Campus, Chemin du Pommier 40, 1218 Grand-Saconnex, Geneva, Switzerland Belize Multicomponent, RSSH HIV Ensure healthy lives and promote well-being for all at all ages End the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases, and combat hepatitis, water-borne diseases and other communicable diseases Achieve universal health coverage HIV -> Differentiated HIV Testing Services -> Community-based testing for KP programs HIV -> Differentiated HIV Testing Services -> Facility-based testing for key population (KP) programs HIV -> Prevention package for men who have sex with men (MSM) and their sexual partners -> Community empowerment for MSM HIV -> Prevention package for men who have sex with men (MSM) and their sexual partners -> Condom and lubricant programming for MSM HIV -> Prevention package for men who have sex with men (MSM) and their sexual partners -> HIV prevention communication, information and demand creation for MSM HIV -> Prevention package for men who have sex with men (MSM) and their sexual partners -> Pre-exposure prophylaxis (PrEP) programming for MSM HIV -> Reducing human rights-related barriers to HIV/TB services -> Community mobilization and advocacy for human rights HIV -> Reducing human rights-related barriers to HIV/TB services -> Ensuring nondiscriminatory provision of health care HIV -> Treatment, care and support -> Diagnosis and management of advanced HIV disease (adults and children) HIV -> Treatment, care and support -> HIV treatment and differentiated service delivery - adults (15 and above) HIV -> Treatment, care and support -> Treatment monitoring - Viral load and antiretroviral (ARV) toxicity Multicomponent -> Program management -> Grant management RSSH -> RSSH: Health financing systems -> Health financing data and analytics RSSH -> RSSH: Health sector planning and governance for integrated people-centered services -> Integration/coordination across disease programs and at the service delivery level RSSH -> RSSH: Health sector planning and governance for integrated people-centered services -> National health sector strategy, policy & regulations RSSH -> RSSH: Monitoring and evaluation systems -> Analyses, evaluations, reviews and data use RSSH -> RSSH: Monitoring and evaluation systems -> Data quality RSSH -> RSSH: Monitoring and evaluation systems -> Routine reporting 866124.80 908948.00 815093.22 55171.00 Global Fund commitment to BLZ-H-METP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Economic Transformation 55171.00 Global Fund disbursement to BLZ-H-METP01 (Government). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Economic Transformation 1423944.65 Global Fund commitment to BLZ-H-METP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Economic Transformation 898418.00 Global Fund disbursement to BLZ-H-METP01 (Government). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Economic Transformation 24329.58 Global Fund commitment to BLZ-H-METP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Economic Transformation -525526.65 Global Fund commitment to BLZ-H-METP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Economic Transformation 525527.65 Global Fund commitment to BLZ-H-METP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Economic Transformation 525526.65 Global Fund disbursement to BLZ-H-METP01 (Government). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Economic Transformation 18178.90 Global Fund disbursement to BLZ-H-METP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Economic Transformation 587152.90 Global Fund commitment to BLZ-H-METP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Economic Transformation -1.00 Global Fund commitment to BLZ-H-METP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Economic Transformation 383379.60 Global Fund disbursement to BLZ-H-METP01 (Government). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Economic Transformation -6150.68 Global Fund commitment to BLZ-H-METP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Economic Transformation An overview of a grant over its lifetime. General terms and conditions which apply to Global Fund grants. 1 - (1) In accordance with the Global Fund’s Sustainability, Transition and Co-financing Policy (GF/B35/04) (the “STC Policy”), the commitment and disbursement of USD 603,823 (the “Co-Financing Incentive”), is subject to the Global Fund’s satisfaction of the Grantee’s compliance with the requirements listed at 6.1(1)(a) and 6.1(1)(b) below (“Co-Financing Requirements”). The Principal Recipient acknowledges and agrees that the Global Fund may reduce Grant Funds during the current or any subsequent Implementation Period in the event the Grantee fails to: (a) maintain government expenditure on health to meet national universal health coverage goals; and/or (b) increase domestic funding of Global Fund-supported programs, with a focus on progressively absorbing the key costs of national disease plans, as identified in consultation with the Global Fund. (2) In order to satisfy the Co-Financing Requirements, the Grantee shall, as set out in the co-financing commitment Letter to be signed by the Government of Belize and submitted in form and substance satisfactory to the Global Fund by 31 January 2025: (a) fulfil a total minimum co-financing commitment; (b) fulfil the programmatic commitments (if any) as stipulated in the co-financing commitment letter; and (c) provide to the Global Fund, by no later than the agreed date of each year of the Implementation Period and the year following the end of the Implementation Period, evidence supporting achievement of the Co-Financing Requirements, including but not limited to: i. the approved annual budget for HIV for the upcoming year; and ii. the total expenditure for HIV in the previous fiscal year. 2 - Conditions to the use of Grant Funds (1) Prior to the use of Grant Funds by the Principal Recipient to finance the activities specified below, the Principal Recipient shall submit to the Global Fund, and obtain the Global Fund’s written approval of, the following: a) Prior to the use of USD 33,750 in connection with the purchase of IT equipment, software and applications for RSSH Routine Reporting under budget lines 105 and 122 of the detailed budget for this Grant (the “Detailed Budget”): the corresponding terms of reference. b) Prior to the use of USD 60,000 in connection with travel-related costs linked to international travel under budget lines 130 and 132 of the Detailed Budget: relevant terms of reference of said international travel. c) Prior to the use of USD 220,732 in connection with the engagement of technical assistance under budget lines 82, 101, 131 and 133 of the Detailed Budget: evidence that the Operational Manual contains competitive process requirements that are aligned with Global Fund’s Grant Regulations and Operational Guidelines for Grant Budgeting (both, as amended from time to time). Furthermore, the Principal Recipient shall submit the relevant terms of reference applicable to the providers of the technical assistance in the above budget lines; d) Prior to the use of USD 25,125 in connection with the purchase of rapid diagnostic tests under budget line 2 of the Detailed Budget: an updated quantification for health products, prepared with technical assistance from PAHO; e) Prior to the use of USD 68,850 in connection with the NAC M&E position under budget line 108 of the Detailed Budget: evidence that there is an absorption plan in place, including at least 50% absorption for year 3 of the Implementation Period; f) Prior to the use of USD 51,450 in connection with office-related costs for GoJoven Belize under budget line 121 of the Detailed Budget: adequate justification on the duplication of overhead costs in comparison with GC6; and g) Prior to the use of USD 26,323 in connection with the salary incentives applicable to the employment of a finance officer under budget line 113 of the Detailed Budget, detailed justification on the level of effort required for year 2 and year 3 of the Implementation Period. Module: Differentiated HIV Testing Services. Geographic coverage: National, 100% of national program target. Module: Differentiated HIV Testing Services. Geographic coverage: National, 100% of national program target. Numerator: 1049; Denominator: 3780. Numerator: 2457; Denominator: 3780. Numerator: 2186; Denominator: 3780. Numerator: 2835; Denominator: 3780. Numerator: 3213; Denominator: 3780. Module: Prevention package for men who have sex with men (MSM) and their sexual partners. Geographic coverage: National, 100% of national program target. Module: Prevention package for men who have sex with men (MSM) and their sexual partners. Geographic coverage: National, 100% of national program target. Numerator: 1008; Denominator: 3780. Numerator: 1890; Denominator: 3780. Numerator: 2006; Denominator: 3780. Numerator: 2457; Denominator: 3780. Numerator: 3024; Denominator: 3780. Module: Treatment, care and support. Geographic coverage: National, 100% of national program target. Numerator: 1520; Denominator: 1766. Numerator: 1965; Denominator: 2232. Numerator: 1173; Denominator: 1430. Numerator: 2267; Denominator: 2464. Numerator: 2578; Denominator: 2713. Module: Treatment, care and support. Geographic coverage: National, 100% of national program target. Numerator: 1766; Denominator: 3628. Numerator: 2232; Denominator: 3720. Numerator: 1623; Denominator: 3955. Numerator: 2464; Denominator: 3791. Numerator: 2713; Denominator: 3875.