47045-DJI-C-UNDP-1 The Global Fund to Fight AIDS, Tuberculosis and Malaria HIV and AIDS is a major public health problem in the Republic of Djibouti: there is a generalized epidemic with an estimated prevalence level of 2.9 percent and concentrated among some population at higher risk (2014 IBBS study estimating the prevalence of HIV among female sex workers at 13%). With regards to tuberculosis (TB), Djibouti is ranked fifth in the world in terms of TB incidence and additionally, has a high incidence of TB/HIV co-infection. Furthermore, the level of multidrug-resistant tuberculosis (MDR-TB) is estimated at 3.7 in new cases and 37.8 in previously treated cases, according to a newly conducted Drug Resistance Survey. This TB/HIV grant will focus on reducing new HIV infections by targeting both the general population and key populations, through behavioral change activities which will include condom promotion, counselling and testing, and diagnostic and treatment of sexually transmitted infections (STIs). Moreover, the program will scale out access to treatment and care for people living with HIV, including pregnant women, children and co-infected patients. With regards to the TB component, the program aims at increasing the detection rate among the general population and key populations, such as refugees and prisoners. In addition, it will provide diagnostic, treatment and care for drug-resistant TB. Goals: Reduce by 25 percent TB prevalence by 2025; Reduce by 50 percent new HIV infections by 2017. Objectives: A 50 percent reduction in new HIV infections and the elimination of mother-to-child HIV transmission by the end of 2017; An improvement in the quality of life of PLHIV who are on ARV treatment: 80 percent of eligible PLHIV by the end of 2017; Ensure that the prevalence rate of primary resistance among new cases does not exceed 1.8 percent between now and 2019; Improve the screening of new TB cases so that more than 5,000 new cases are notified in 2019; Improve the treatment success rate, achieving a rate above 85 percent from 2016 and maintaining it up until 2019; Stronger coordination, governance, management, monitoring and evaluation in order to improve the national response at the central and decentralized levels by the end of 2017. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme United Nations Development Programme 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 Nathalie Brechet Fund Portfolio Manager +41 58 791 1700 nathalie.brechet@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 Djibouti TB/HIV TB/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 6853574.00 Global Fund commitment to DJI-C-UNDPP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 3065401.00 Global Fund disbursement to DJI-C-UNDPP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 1400314.00 Global Fund disbursement to DJI-C-UNDPP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 2387859.00 Global Fund disbursement to DJI-C-UNDPP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 537262.70 Global Fund commitment to DJI-C-UNDPP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 364316.70 Global Fund disbursement to DJI-C-UNDPP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 25000.00 Global Fund commitment to DJI-C-UNDPP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme -25000.00 Global Fund commitment to DJI-C-UNDPP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 172946.00 Global Fund disbursement to DJI-C-UNDPP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme An overview of a grant over its lifetime. General terms and conditions which apply to Global Fund grants. Module: MDR-TB. Geographic coverage: National. Aggregation: Non cumulative. Module: PMTCT. Geographic coverage: National. Aggregation: Non cumulative. Numerator: 55; Denominator: 103. Numerator: 83; Denominator: 87. Numerator: 83; Denominator: 87. Numerator: 154; Denominator: 154. Numerator: 29; Denominator: 37. Numerator: 154; Denominator: 154. Numerator: 23; Denominator: 25. Numerator: 82; Denominator: 126. Numerator: 28; Denominator: 32. Module: TB care and prevention. Geographic coverage: National. Aggregation: Non cumulative. Module: TB care and prevention. Geographic coverage: National. Aggregation: Non cumulative. Numerator: 921; Denominator: 1121. Numerator: 501; Denominator: 589. Numerator: 501; Denominator: 589. Numerator: 551; Denominator: 648. Numerator: 433; Denominator: 496. Numerator: 551; Denominator: 648. Numerator: 468; Denominator: 549. Numerator: 353; Denominator: 405. Numerator: 321; Denominator: 404. Module: TB/HIV. Geographic coverage: National. Aggregation: Non cumulative. Numerator: 90; Denominator: 118. Numerator: 84; Denominator: 93. Numerator: 84; Denominator: 93. Numerator: 102; Denominator: 102. Numerator: 52; Denominator: 69. Numerator: 102; Denominator: 102. Numerator: 46; Denominator: 65. Numerator: 58; Denominator: 64. Numerator: 48; Denominator: 65. Module: Treatment, care and support. Geographic coverage: National. Aggregation: Non cumulative. Numerator: 58; Denominator: 73. Numerator: 99; Denominator: 124. Numerator: 7; Denominator: 15. Module: Treatment, care and support. Geographic coverage: National. Aggregation: Non cumulative. Numerator: 1593; Denominator: 6430. Numerator: 2036; Denominator: 6714. Numerator: 2211; Denominator: 6714. Numerator: 2411; Denominator: 6903. Numerator: 2360; Denominator: 6903. Numerator: 2611; Denominator: 6903. Numerator: 2454; Denominator: 6903. Numerator: 2973; Denominator: 8229. Numerator: 2554; Denominator: 8229. 47045-DJI-C-UNDP-2 The Global Fund to Fight AIDS, Tuberculosis and Malaria Djibouti, TB/HIV, United Nations Development Programme Goals: To reduce the prevalence of tuberculosis by 25% by 2025; To halve new HIV infections by 2022; To improve the life expectancy and quality of life for people infected and affected by HIV and comorbidity agents. Objectives: To improve screening for new cases of tuberculosis with a view to reporting 3200 new cases by 2020; To improve treatment success to achieve a rate in excess of 85% from 2016 and to maintain it at that level until 2020; To ensure that the prevalence of primary resistance amongst new cases does not exceed 1.8% between now and 2020; To reduce the death rate among cases of co-infection from 17% to 15% by 2020; For the incidence of HIV to halve by 2022; For the HIV mortality rate to be reduced by 70% by 2022. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme United Nations Development Programme 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 Nathalie Brechet Fund Portfolio Manager +41 58 791 1700 nathalie.brechet@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 Djibouti Multicomponent, RSSH HIV Tuberculosis 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 -> Differentiated HIV testing services HIV -> PMTCT -> Other intervention(s) for PMTCT HIV -> PMTCT -> Prong 1: Primary prevention of HIV infection among women of childbearing age HIV -> PMTCT -> Prong 2: Preventing unintended pregnancies among women living with HIV HIV -> PMTCT -> Prong 3: Preventing vertical HIV transmission HIV -> PMTCT -> Prong 4: Treatment, care and support to mothers living with HIV, their children and families HIV -> Prevention programs for adolescents and youth, in and out of school -> Behavioral change as part of programs for adolescent and youth HIV -> Treatment, care and support -> HIV care HIV -> Treatment, care and support -> Other intervention(s) for treatment HIV -> Treatment, care and support -> Prevention, diagnosis and treatment of opportunistic infections HIV -> Treatment, care and support -> Treatment monitoring - Viral load Multicomponent -> Program management -> Grant management RSSH -> RSSH: Health management information systems and M&E -> Analysis, evaluations, reviews and transparency RSSH -> RSSH: Health management information systems and M&E -> Other health information systems and M&E intervention(s) RSSH -> RSSH: Health management information systems and M&E -> Program and data quality RSSH -> RSSH: Health products management systems -> Supply chain infrastructure and development of tools Tuberculosis -> MDR-TB -> Case detection and diagnosis (MDR-TB) Tuberculosis -> MDR-TB -> Other MDR-TB intervention(s) Tuberculosis -> MDR-TB -> Treatment (MDR-TB) Tuberculosis -> TB care and prevention -> Case detection and diagnosis (TB care and prevention) Tuberculosis -> TB care and prevention -> Prevention (TB care and prevention) Tuberculosis -> TB care and prevention -> Treatment (TB care and prevention) Tuberculosis -> TB/HIV -> Collaborative activities with other programs and sectors (TB/HIV) Tuberculosis -> TB/HIV -> Key populations (TB/HIV) - Prisoners Tuberculosis -> TB/HIV -> TB/HIV - Collaborative interventions 735851.39 1791342.09 2389230.51 25000.00 Global Fund commitment to DJI-C-UNDPP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 1400947.85 Global Fund commitment to DJI-C-UNDPP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 1114620.85 Global Fund disbursement to DJI-C-UNDPP02 (Multilateral). The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 25000.00 Global Fund disbursement to DJI-C-UNDPP02 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 286327.00 Global Fund disbursement to DJI-C-UNDPP02 (Multilateral). The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 398844.00 Global Fund commitment to DJI-C-UNDPP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 398844.00 Global Fund disbursement to DJI-C-UNDPP02 (Multilateral). The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 25000.00 Global Fund commitment to DJI-C-UNDPP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 2386282.49 Global Fund commitment to DJI-C-UNDPP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 1324573.64 Global Fund disbursement to DJI-C-UNDPP02 (Multilateral). The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 25000.00 Global Fund disbursement to DJI-C-UNDPP02 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 684025.50 Global Fund disbursement to DJI-C-UNDPP02 (Multilateral). The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 377683.35 Global Fund disbursement to DJI-C-UNDPP02 (Multilateral). The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 410458.57 Global Fund commitment to DJI-C-UNDPP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 410458.57 Global Fund disbursement to DJI-C-UNDPP02 (Multilateral). The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 604.54 Funds returned to the Global Fund from DJI-C-UNDPP02 (Other 3rd Party). United Nations Development Programme The Global Fund to Fight AIDS, Tuberculosis and Malaria -604.54 Global Fund commitment to DJI-C-UNDPP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 735851.00 Expenditure reported by United Nations Development Programme for DJI-C-UNDPP02, Jul 2018 to Dec 2018. United Nations Development Programme 1791342.08 Expenditure reported by United Nations Development Programme for DJI-C-UNDPP02, Jan 2019 to Dec 2019. United Nations Development Programme 2318985.78 Expenditure reported by United Nations Development Programme for DJI-C-UNDPP02, Jan 2020 to Dec 2020. United Nations Development Programme 16086.95 Expenditure reported by United Nations Development Programme for DJI-C-UNDPP02, Jan 2021 to Jun 2021. United Nations Development Programme An overview of a grant over its lifetime. General terms and conditions which apply to Global Fund grants. Module: Differentiated HIV Testing Services. Geographic coverage: National. Aggregation: Cumulative annually. Module: MDR-TB. Geographic coverage: National. Aggregation: Cumulative annually. Module: MDR-TB. Geographic coverage: National. Aggregation: Cumulative annually. Module: PMTCT. Geographic coverage: National. Aggregation: Cumulative annually. Numerator: 85; Denominator: 174. Numerator: 63; Denominator: 126. Numerator: 22; Denominator: 126. Numerator: 147; Denominator: 268. Numerator: 41; Denominator: 121. Numerator: 69; Denominator: 114. Numerator: 51; Denominator: 114. Module: TB care and prevention. Geographic coverage: National. Aggregation: Cumulative annually. Module: TB care and prevention. Geographic coverage: National. Aggregation: Cumulative annually. Numerator: 410; Denominator: 517. Numerator: 895; Denominator: 1056. Numerator: 1928; Denominator: 2269. Numerator: 1683; Denominator: 1999. Numerator: 2042; Denominator: 2261. Numerator: 1500; Denominator: 1825. Module: TB/HIV. Geographic coverage: National. Aggregation: Cumulative annually. Numerator: 90; Denominator: 118. Numerator: 46; Denominator: 51. Numerator: 27; Denominator: 41. Numerator: 99; Denominator: 104. Numerator: 74; Denominator: 98. Numerator: 95; Denominator: 100. Numerator: 51; Denominator: 81. Module: Treatment, care and support. Geographic coverage: National. Aggregation: Cumulative annually. Numerator: 58; Denominator: 262. Numerator: 160; Denominator: 200. Numerator: 23; Denominator: 115. Numerator: 425; Denominator: 500. Numerator: 27; Denominator: 226. Numerator: 540; Denominator: 600. Numerator: 26; Denominator: 227. Module: Treatment, care and support. Geographic coverage: National. Aggregation: Non cumulative - other. Numerator: 2229; Denominator: 6971. Numerator: 2950; Denominator: 8229. Numerator: 2680; Denominator: 8229. Numerator: 3450; Denominator: 8252. Numerator: 2907; Denominator: 6799. Numerator: 3263; Denominator: 6605. Numerator: 2063; Denominator: 6605.