47045-DJI-Z-MoH-1 The Global Fund to Fight AIDS, Tuberculosis and Malaria Djibouti, Multicomponent, Ministry of Health of the Republic of Djibouti Goals: Mettre fin à l'épidémie de la Tuberculose d'ici 2035 / End the Tuberculosis epidemic by 2035; Éliminer les épidémies du sida, des hépatites virales et des IST, en tant que menace de santé publique / Eliminate the epidemics of AIDS, viral hepatitis and STIs, as a public health threat; Contribuer a l'amélioration de l'état de santé de population de la Républic de Djibouti, par la réduction du fardeau humain et socio-économique du au paludisme / Contribute to improving the state of health of the population of the Republic of Djibouti, by reducing the human and socio-economic burden of malaria. Objectives: Dépister au moins 6700 cas de TB sensible et 340 cas de TBMR d'ici fin 2026 / Detect at least 6700 cases of susceptible TB and 340 cases of MRTB by the end of 2026; Guérir au moins 90% des cas TB-DS+ et au moins 80% des cas TBMR d'ici 2026 / Cure at least 90% of TB-DS+ cases and at least 80% of TB-MDR cases by 2026; Prévenir de la Tuberculose a au moins 15% enfants et 10% des PVVIH d'ici 2026 / Prevent Tuberculosis in at least 15% children and 10% of PLHIV by 2026; Renforcer les capacités de Gestion et de Me de l'unité centrale du PNLT / Strengthen the Management and M&E capacities of the central unit of the PNLT; D’ici 2027, les nouvelles infections liées au VIH, aux hépatites virales et aux IST sont réduites respectivement d’au moins 90% pour le VIH, 90% pour les hépatites virales et 90% pour les IST / By 2027, new infections related to HIV, viral hepatitis and STIs are reduced by at least 90% for HIV, 90% for viral hepatitis and 90% for STIs respectively; D’ici 2027, la mortalité liée au VIH, aux hépatites virales et aux IST est réduite respectivement de 90% pour le VIH et de 65% pour les hépatites virales / By 2027, mortality linked to HIV, viral hepatitis and STIs is reduced by 90% for HIV and 65% for viral hepatitis, respectively; Réduire l'incidence des hospitalisations su au paludisme a 4 pour 10 000Hab d'ici 2024 / Reduce the incidence of malaria hospitalizations to 4 per 10,000 inhabitants by 2024; Réduire l'incidence du au paludisme a 37 pour 1000 Hab d'ici 2026 / Reduce the incidence of malaria to 37 per 1000 inhabitants by 2026; Réduire la mortalité du au paludisme a 1 pour 100000 hab d'ici 2026 / Reduce malaria mortality to 1 per 100,000 inhabitants by 2026. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti Ministry of Health of the Republic of Djibouti 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 Malaria 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 -> Community-based testing for KP programs HIV -> Differentiated HIV Testing Services -> Community-based testing outside of KP and AGYW programs HIV -> Differentiated HIV Testing Services -> Facility-based testing for adolescent girls and young women (AGYW) and their male sexual partners programs HIV -> Differentiated HIV Testing Services -> Facility-based testing for key population (KP) programs HIV -> Differentiated HIV Testing Services -> Facility-based testing outside of key population (KP) and adolescent girls and young women (AGYW) programs HIV -> Elimination of vertical transmission of HIV, syphilis and hepatitis B -> Early infant diagnosis and follow-up HIV testing for exposed infants HIV -> Elimination of vertical transmission of HIV, syphilis and hepatitis B -> Integrated testing of pregnant women for HIV, syphilis and hepatitis B HIV -> Elimination of vertical transmission of HIV, syphilis and hepatitis B -> Post-natal infant prophylaxis HIV -> Elimination of vertical transmission of HIV, syphilis and hepatitis B -> Prevention of incident HIV among pregnant and breastfeeding women 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 -> Prevention package for sex workers, their clients and other sexual partners -> Condom and lubricant programming for sex workers HIV -> Prevention package for sex workers, their clients and other sexual partners -> HIV prevention communication, information and demand creation for sex workers HIV -> Prevention package for sex workers, their clients and other sexual partners -> Pre-exposure prophylaxis (PrEP) programming for sex workers HIV -> Reducing human rights-related barriers to HIV/TB services -> Eliminating stigma and discrimination in all settings HIV -> Reducing human rights-related barriers to HIV/TB services -> Ensuring rights-based law enforcement practices HIV -> Reducing human rights-related barriers to HIV/TB services -> Improving laws, regulations and policies relating to HIV and HIV/TB HIV -> Reducing human rights-related barriers to HIV/TB services -> Increasing access to justice (HIV/TB) HIV -> Reducing human rights-related barriers to HIV/TB services -> Reducing HIV-related gender discrimination, harmful gender norms and violence against women and girls in all their diversity 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 -> HIV treatment and differentiated service delivery - children (under 15) HIV -> Treatment, care and support -> Integrated management of common co-infections and co-morbidities (adults and children) HIV -> Treatment, care and support -> Treatment monitoring - Viral load and antiretroviral (ARV) toxicity Malaria -> Case management -> Facility-based treatment Malaria -> Case management -> HRP2/3 gene deletion surveys Malaria -> Case management -> Integrated community case management (iCCM) Malaria -> Case management -> Private sector case management Malaria -> Case management -> Therapeutic efficacy surveillance Malaria -> Specific prevention interventions (SPI) -> Removing human rights and gender-related barriers to specific prevention interventions Malaria -> Specific prevention interventions (SPI) -> Social and behavior change (SBC) (Specific prevention interventions) Malaria -> Vector control -> Indoor residual spraying (IRS) Malaria -> Vector control -> Insecticide treated nets (ITNs) - Continuous distribution: ANC Malaria -> Vector control -> Insecticide treated nets (ITNs) - Mass campaign: universal Malaria -> Vector control -> Other vector control measures Multicomponent -> Program management -> Coordination and management of national disease control programs Multicomponent -> Program management -> Grant management RSSH -> RSSH/PP: Human resources for health (HRH) and quality of care -> RSSH/PP: In-service training (excluding community health workers) RSSH -> RSSH/PP: Human resources for health (HRH) and quality of care -> RSSH/PP: Integrated supportive supervision for health workers (excluding CHWs) RSSH -> RSSH/PP: Human resources for health (HRH) and quality of care -> RSSH/PP: Pre-service training of new health workers (excluding community health workers) RSSH -> RSSH/PP: Human resources for health (HRH) and quality of care -> RSSH/PP: Quality improvement and capacity building for quality of care RSSH -> RSSH/PP: Laboratory systems (including national and peripheral) -> RSSH/PP: Laboratory Information systems RSSH -> RSSH/PP: Laboratory systems (including national and peripheral) -> RSSH/PP: Quality management systems and accreditation RSSH -> RSSH: Community systems strengthening -> Capacity building and leadership development RSSH -> RSSH: Community systems strengthening -> Community engagement, linkages and coordination RSSH -> RSSH: Health financing systems -> Routine financial management systems RSSH -> RSSH: Health products management systems -> Planning and procurement capacity RSSH -> RSSH: Health products management systems -> Storage and distribution capacity, design & operations RSSH -> RSSH: Health products management systems -> Supply chain information systems RSSH -> RSSH: Health sector planning and governance for integrated people-centered services -> National health sector strategy, policy & regulations RSSH -> RSSH: Monitoring and evaluation systems -> Administrative data sources 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 -> Surveys Tuberculosis -> Drug-resistant (DR)-TB diagnosis, treatment and care -> DR-TB diagnosis/drug susceptibility testing (DST) Tuberculosis -> Drug-resistant (DR)-TB diagnosis, treatment and care -> DR-TB treatment, care and support Tuberculosis -> Key and vulnerable populations (KVP) - TB/DR-TB -> KVP - Children and adolescents Tuberculosis -> Key and vulnerable populations (KVP) - TB/DR-TB -> KVP - Mobile population (migrants/refugees/IDPs) Tuberculosis -> TB diagnosis, treatment and care -> TB screening and diagnosis Tuberculosis -> TB diagnosis, treatment and care -> TB treatment, care and support Tuberculosis -> TB/DR-TB Prevention -> Infection prevention and control (IPC) Tuberculosis -> TB/HIV -> TB/HIV - Collaborative interventions Tuberculosis -> TB/HIV -> TB/HIV - Prevention Tuberculosis -> TB/HIV -> TB/HIV - Screening, testing and diagnosis Tuberculosis -> TB/HIV -> TB/HIV - Treatment and care 2622902.16 4801377.86 2949829.45 5891995.60 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 705461.00 Global Fund disbursement to DJI-Z-MoHP01 (Government). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 2069018.00 Global Fund disbursement to DJI-Z-MoHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 760000.00 Global Fund disbursement to DJI-Z-MoHP01 (Government). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 794187.00 Global Fund disbursement to DJI-Z-MoHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 634531.00 Global Fund disbursement to DJI-Z-MoHP01 (Government). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti -928798.60 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 1290720.00 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 1290720.00 Global Fund disbursement to DJI-Z-MoHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 600724.02 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 583675.02 Global Fund disbursement to DJI-Z-MoHP01 (Government). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 8525.00 Global Fund disbursement to DJI-Z-MoHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti -8524.00 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 1167145.00 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 250819.00 Global Fund disbursement to DJI-Z-MoHP01 (Government). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 8524.00 Global Fund disbursement to DJI-Z-MoHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 50100.43 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 191823.44 Funds returned to the Global Fund from DJI-Z-MoHP01 (Other 3rd Party). Ministry of Health of the Republic of Djibouti The Global Fund to Fight AIDS, Tuberculosis and Malaria -191823.44 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti -50100.43 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 222003.07 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 122304.59 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 450000.00 Global Fund disbursement to DJI-Z-MoHP01 (Government). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 169560.84 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti -122304.59 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 310741.24 Global Fund disbursement to DJI-Z-MoHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 11590.78 Global Fund disbursement to DJI-Z-MoHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 9371.57 Global Fund disbursement to DJI-Z-MoHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 1897.43 Global Fund disbursement to DJI-Z-MoHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 182908.83 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti -160189.27 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 35062.50 Global Fund disbursement to DJI-Z-MoHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 1393.66 Global Fund disbursement to DJI-Z-MoHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 242.35 Global Fund disbursement to DJI-Z-MoHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 89890.44 Global Fund disbursement to DJI-Z-MoHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 1481.33 Global Fund disbursement to DJI-Z-MoHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 2906.40 Global Fund disbursement to DJI-Z-MoHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti -124191.46 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 122134.11 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti -122134.11 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 126333.05 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti -147846.33 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 267251.74 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 24673.69 Global Fund disbursement to DJI-Z-MoHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 15581.85 Global Fund disbursement to DJI-Z-MoHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 3385.05 Global Fund disbursement to DJI-Z-MoHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti -242578.05 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 260495.54 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 135469.98 Global Fund disbursement to DJI-Z-MoHP01 (Government). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 1846.69 Global Fund disbursement to DJI-Z-MoHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 9255.48 Global Fund disbursement to DJI-Z-MoHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 70913.73 Global Fund disbursement to DJI-Z-MoHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 4946.45 Global Fund disbursement to DJI-Z-MoHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 3559.19 Global Fund disbursement to DJI-Z-MoHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 16673.58 Global Fund disbursement to DJI-Z-MoHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 1992671.42 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 1548280.42 Global Fund disbursement to DJI-Z-MoHP01 (Government). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 2676.00 Global Fund disbursement to DJI-Z-MoHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti -167502.35 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 166351.34 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 1840.36 Global Fund disbursement to DJI-Z-MoHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 367.57 Global Fund disbursement to DJI-Z-MoHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 817.94 Global Fund disbursement to DJI-Z-MoHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 1098.88 Global Fund disbursement to DJI-Z-MoHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 2677.64 Global Fund disbursement to DJI-Z-MoHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 3506.18 Global Fund disbursement to DJI-Z-MoHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 424665.17 Funds returned to the Global Fund from DJI-Z-MoHP01 (Other 3rd Party). Ministry of Health of the Republic of Djibouti The Global Fund to Fight AIDS, Tuberculosis and Malaria -424665.17 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 1678.88 Global Fund disbursement to DJI-Z-MoHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 168007.11 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti -166351.34 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 165760.52 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti -168007.11 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 4230.94 Funds returned to the Global Fund from DJI-Z-MoHP01 (Other 3rd Party). Ministry of Health of the Republic of Djibouti The Global Fund to Fight AIDS, Tuberculosis and Malaria -165760.52 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 161698.23 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti -4230.94 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 13546.95 Global Fund disbursement to DJI-Z-MoHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 111469.47 Global Fund disbursement to DJI-Z-MoHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 17068.71 Global Fund disbursement to DJI-Z-MoHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 2210.38 Global Fund disbursement to DJI-Z-MoHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 24974.63 Global Fund disbursement to DJI-Z-MoHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 1890.37 Funds returned to the Global Fund from DJI-Z-MoHP01 (Pooled Procurement Mechanism). Ministry of Health of the Republic of Djibouti The Global Fund to Fight AIDS, Tuberculosis and Malaria 1190.95 Global Fund disbursement to DJI-Z-MoHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 53.01 Global Fund disbursement to DJI-Z-MoHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti -1890.37 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 16165.92 Global Fund disbursement to DJI-Z-MoHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 10828.38 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti -19613.10 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti -1190.95 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti -36581.88 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 37772.83 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 1190.95 Funds returned to the Global Fund from DJI-Z-MoHP01 (Pooled Procurement Mechanism). Ministry of Health of the Republic of Djibouti The Global Fund to Fight AIDS, Tuberculosis and Malaria 1190.95 Global Fund disbursement to DJI-Z-MoHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 9627.17 Global Fund disbursement to DJI-Z-MoHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti -36581.88 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 27852.01 Global Fund commitment to DJI-Z-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Djibouti 2623110.62 Expenditure reported by Ministry of Health of the Republic of Djibouti for DJI-Z-MoHP01, Jan 2024 to Dec 2024. Ministry of Health of the Republic of Djibouti 3815225.84 Expenditure reported by Ministry of Health of the Republic of Djibouti for DJI-Z-MoHP01, Jan 2025 to Dec 2025. Ministry of Health of the Republic of Djibouti An overview of a grant over its lifetime. General terms and conditions which apply to Global Fund grants. Funding Request of funding request FR1516-DJI-Z. Funding Request of funding request FR1516-DJI-Z. 1 - Personal Data (1) Principles. The Principal Recipient, acknowledges that Program Activities are expected to respect the following principles and rights (“Data Protection Principles”): (a) Information that could be used to identify a natural person (“Personal Data”) will be: (i) processed lawfully, fairly and transparently; (ii) collected for specified, explicit and legitimate purposes and not further processed in a manner not compatible with those purposes;  (iii) adequate, relevant and limited to what is necessary for the purposes for which they are processed; (iv) accurate and, where necessary, kept up to date; (v) kept in a form which permits identification of the individuals for no longer than is necessary for the purposes for which the Personal Data is processed; and (vi) processed in a manner that ensures appropriate security of the Personal Data; and (b) Natural persons are afforded, where relevant, the right to information about Personal Data that is processed; the right to access and rectify or erase Personal Data; the right to data portability; the right to confidentiality of electronic communications; and the right to object to processing. (2) Limitations. Where collection and processing of Personal Data is required in order to implement Program Activities, whether by the Principal Recipient, a Sub-recipient, or Supplier, the Principal Recipient should respect the Data Protection Principles: (a) to the extent that doing so does not violate or conflict with applicable law and/ or policy; and (b) subject to the Principal Recipient balancing the Data Protection Principles with other fundamental rights in accordance with the principle of proportionality, taking into account the risks to the rights and freedoms of natural persons. 2 - With respect to Section 7.6 (Right of Access) of the Global Fund Grant Regulations (as amended from time to time), (1) the Global Fund may collect or seek to collect data, and it is possible that such data may contain Personal Data, and (2), prior to collection and at all times thereafter, the Principal Recipient shall take all necessary actions to ensure that the transfer of such information to the Global Fund does not violate any applicable law or regulation. 3 - (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 1,719,058 (the “Co-Financing Incentive”) is subject to the Global Fund’s satisfaction with the Host Country’s compliance with the requirements listed at 6.3 (1)(a) and 6.3 (1)(b) below (“Co-Financing Requirements”). The Grantee acknowledges and agrees that the Global Fund may reduce Grant Funds during the current or any subsequent Implementation Period in the event the Host Country fails to: (a) progressively increase 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 acknowledges and agrees that the Host Country shall, as set out in the co-financing commitment letter to be signed by the Government of the Republic of Djibouti and submitted in form and substance satisfactory to the Global Fund, by 30 April 2024 : (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 the purchase of HIV, TB and malaria related commodities as per the Government of Djibouti’s procurement plan and as per the health product management template (HPMT) approved by the Global Fund for the upcoming year; and ii. the total expenditure for the purchase of HIV, TB and malaria related commodities as per the Government of Djibouti’s procurement plan and as per the HPMT approved by the Global Fund in the previous fiscal year. 4 - The Principal Recipient shall procure health products funded through this Grant Confirmation shall be carried out through the United Nations Development Programme (UNDP) or, following a specific instruction to that effect from the Global Fund, the Pooled Procurement Mechanism (“PPM”) of the Global Fund, unless the Global Fund directs the Principal Recipient otherwise in writing. By signing this Grant Confirmation, the Principal Recipient confirms that it has all the necessary power and authority to execute, deliver and carry out its obligations under the wambo.org – PPM registration letter in the form approved by the Global Fund. 5 - The Principal Recipient undertakes to implement any changes with respect to human resources, staffing and management issues pertaining to staff funded under this Grant Confirmation as may be requested by the Global Fund from time to time. Separately, in the event of any unforeseen changes in staffing (e.g. staff resignation, extended sick leave) the Principal Recipient shall immediately notify the Global Fund and seek approval on the appropriate course of action. Under no circumstances may the Principal Recipient directly recruit staff funded by the grant without prior approval from the Global Fund. 6 - Unless otherwise notified by the Global Fund in writing, prior to the use of Grant Funds to finance the procurement of second-line anti-tuberculosis drugs and for each disbursement request that includes funds for the procurement of multi-drug resistant tuberculosis medicines, the Principal Recipient shall submit to the Global Fund and obtain the Global Fund’s written approval of a written confirmation of the price estimate and quantities of the second-line anti-tuberculosis drugs that will be procured by the Principal Recipient from the Global Drug Facility’s procurement agent. Module: Case management. Geographic coverage: National, 100% of national program target. Numerator: 3; Denominator: 6. Numerator: 4; Denominator: 6. Numerator: 4.75; Denominator: 6. Numerator: 5; Denominator: 6. Numerator: 5; Denominator: 6. Numerator: 6; Denominator: 6. Module: Case management. Geographic coverage: National, 100% of national program target. Numerator: 6; Denominator: 6. Numerator: 6; Denominator: 6. Numerator: 6; Denominator: 6. Numerator: 6; Denominator: 6. Numerator: 6; Denominator: 6. Numerator: 6; Denominator: 6. Module: Case management. Geographic coverage: National, 100% of national program target. Numerator: 1050; Denominator: 1087. Numerator: 1231; Denominator: 1231. Numerator: 370; Denominator: 370. Numerator: 1207; Denominator: 1207. Numerator: 370; Denominator: 370. Numerator: 1183; Denominator: 1183. Module: Case management. Geographic coverage: National, 100% of national program target. Numerator: 37984; Denominator: 39561. Numerator: 39812; Denominator: 39812. Numerator: 37739; Denominator: 38096. Numerator: 39016; Denominator: 39016. Numerator: 15983; Denominator: 16051. Numerator: 38236; Denominator: 38236. Module: Case management. Geographic coverage: National, 100% of national program target. Numerator: 7898; Denominator: 7898. Numerator: 8209; Denominator: 8209. Numerator: 9750; Denominator: 9750. Numerator: 8045; Denominator: 8045. Numerator: 11335; Denominator: 11335. Numerator: 7884; Denominator: 7884. Module: Case management. Geographic coverage: National, 100% of national program target. Numerator: 213680; Denominator: 213680. Numerator: 197010; Denominator: 197010. Numerator: 222924; Denominator: 222924. Numerator: 193069; Denominator: 193069. Numerator: 152651; Denominator: 152651. Numerator: 189208; Denominator: 189208. Module: Drug-resistant (DR)-TB diagnosis, treatment and care. Geographic coverage: National, 100% of national program target. Module: Drug-resistant (DR)-TB diagnosis, treatment and care. Geographic coverage: National, 100% of national program target. Numerator: 56; Denominator: 58. Numerator: 70; Denominator: 70. Numerator: 41; Denominator: 44. Numerator: 77; Denominator: 77. Numerator: 43; Denominator: 55. Numerator: 85; Denominator: 85. Module: Drug-resistant (DR)-TB diagnosis, treatment and care. Geographic coverage: National, 100% of national program target. Numerator: 21; Denominator: 26. Numerator: 35; Denominator: 53. Numerator: 25; Denominator: 41. Module: Prevention package for men who have sex with men (MSM) and their sexual partners. Geographic coverage: National, 100% of national program target. Numerator: 738; Denominator: 873. Numerator: 794; Denominator: 1500. Numerator: 848; Denominator: 1500. Numerator: 848; Denominator: 1542. Numerator: 724; Denominator: 1542. Numerator: 904; Denominator: 1585. Module: Prevention package for sex workers, their clients and other sexual partners. Geographic coverage: National, 100% of national program target. Numerator: 1619; Denominator: 2390. Numerator: 1912; Denominator: 2500. Numerator: 1483; Denominator: 2500. Numerator: 2032; Denominator: 2570. Numerator: 1636; Denominator: 2570. Numerator: 2151; Denominator: 2642. Module: RSSH: Monitoring and evaluation systems. Geographic coverage: National, 100% of national program target. Numerator: 231; Denominator: 264. Numerator: 251; Denominator: 264. Numerator: 244.75; Denominator: 258. Numerator: 253; Denominator: 264. Numerator: 253; Denominator: 263. Numerator: 256; Denominator: 264. Module: TB diagnosis, treatment and care. Geographic coverage: National, 100% of national program target. Module: TB diagnosis, treatment and care. Geographic coverage: National, 100% of national program target. Numerator: 1472; Denominator: 1799. Numerator: 1797; Denominator: 2173. Numerator: 1871; Denominator: 2218. Numerator: 1861; Denominator: 2216. Numerator: 1961; Denominator: 2369. Numerator: 1925; Denominator: 2238. Module: TB/HIV. Geographic coverage: National, 100% of national program target. Numerator: 58; Denominator: 76. Numerator: 55; Denominator: 71. Numerator: 48; Denominator: 60. Module: TB/HIV. Geographic coverage: National, 100% of national program target. Numerator: 109; Denominator: 2109. Numerator: 154; Denominator: 2573. Numerator: 226; Denominator: 2119. Numerator: 201; Denominator: 2868. Numerator: 209; Denominator: 2420. Numerator: 255; Denominator: 3190. Module: TB/HIV. Geographic coverage: National, 100% of national program target. Numerator: 1658; Denominator: 2151. Numerator: 1784; Denominator: 2369. Numerator: 1869; Denominator: 2082. Module: Treatment, care and support. Geographic coverage: National, 100% of national program target. Numerator: 69; Denominator: 459. Numerator: 85; Denominator: 388. Numerator: 67; Denominator: 388. Numerator: 93; Denominator: 354. Numerator: 64; Denominator: 268. Numerator: 100; Denominator: 326. Module: Treatment, care and support. Geographic coverage: National, 100% of national program target. Numerator: 2109; Denominator: 7581. Numerator: 2573; Denominator: 7181. Numerator: 2119; Denominator: 7181. Numerator: 2868; Denominator: 7144. Numerator: 2420; Denominator: 6909. Numerator: 3190; Denominator: 7166. Module: Treatment, care and support. Geographic coverage: National, 100% of national program target. Numerator: 20; Denominator: 88. Numerator: 28; Denominator: 81. Numerator: 36; Denominator: 81. Numerator: 32; Denominator: 83. Numerator: 37; Denominator: 73. Numerator: 37; Denominator: 83. Module: Vector control. Geographic coverage: Subnational, 100% of national program target. Module: Vector control. Geographic coverage: Subnational, 100% of national program target. Numerator: 67077; Denominator: 65898. Numerator: 66370; Denominator: 73745. Numerator: 76043; Denominator: 82796. Numerator: 66370; Denominator: 73745. Numerator: 68853; Denominator: 72492. Numerator: 66370; Denominator: 73745.