47045-GMB-T-NLTP-1 The Global Fund to Fight AIDS, Tuberculosis and Malaria <narrative>Tuberculosis - Gambia (01-Jul-2010-31-Dec-2012)</narrative> Gambia, Tuberculosis, Ministry of Health of the Republic of The Gambia The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia Ministry of Health of the Republic of The Gambia 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 Mark Taylor Fund Portfolio Manager +41 58 791 1700 mark.taylor@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 Gambia 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 3544954.00 Global Fund commitment to GMB-T-NLTPP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia 1444837.00 Global Fund disbursement to GMB-T-NLTPP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia 1281653.00 Global Fund disbursement to GMB-T-NLTPP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia 818464.00 Global Fund disbursement to GMB-T-NLTPP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia <narrative>Grant page on the data explorer of the Global Fund.</narrative> An overview of a grant over its lifetime. <narrative>Grant terms and conditions.</narrative> General terms and conditions which apply to Global Fund grants. 47045-GMB-T-NLTP-2 The Global Fund to Fight AIDS, Tuberculosis and Malaria <narrative>Tuberculosis - Gambia (01-Jan-2013-31-Dec-2015)</narrative> Gambia, Tuberculosis, Ministry of Health of the Republic of The Gambia The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia Ministry of Health of the Republic of The Gambia 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 Mark Taylor Fund Portfolio Manager +41 58 791 1700 mark.taylor@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 Gambia 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 889098.00 Global Fund disbursement to GMB-T-NLTPP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia 1568958.00 Global Fund commitment to GMB-T-NLTPP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia 314457.00 Global Fund disbursement to GMB-T-NLTPP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia 961516.00 Global Fund commitment to GMB-T-NLTPP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia -365403.00 Global Fund commitment to GMB-T-NLTPP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia 668289.00 Global Fund disbursement to GMB-T-NLTPP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia 297791.00 Global Fund commitment to GMB-T-NLTPP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia -293227.00 Global Fund commitment to GMB-T-NLTPP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia 297791.00 Global Fund disbursement to GMB-T-NLTPP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia <narrative>Grant page on the data explorer of the Global Fund.</narrative> An overview of a grant over its lifetime. <narrative>Grant terms and conditions.</narrative> General terms and conditions which apply to Global Fund grants. 47045-GMB-T-NLTP-3 The Global Fund to Fight AIDS, Tuberculosis and Malaria <narrative>Strengthening and expansion of DOTS services in the Gambia - Gambia (01-Jan-2016-31-Dec-2017)</narrative> The annual burden of all forms of tuberculosis (TB) in The Gambia is estimated to be 4,415 cases (TB incidence of 257 per 100,000 population), including 1,893 (113 per 100,000 population) smear-positive TB cases. The goal of the Program is aligned with the National Strategic Plan for Tuberculosis Control (2008-2012) i.e. to reduce transmission, morbidity and mortality of TB so that it is no longer a public health problem. It aims to increase access to TB diagnosis and treatment, to achieve the minimum 70% percent case detection rate and at least 85 percent treatment success rate. It is expected that the Program will build upon the achievements of the Round 5 Global Fund funded grant, which is expected to end in 2011, but also tackle several challenges, including a relatively high TB mortality rate, a weak referral system, and areas with spatial clustering of TB cases. The Program will be implemented through dual-track financing arrangement, which will be implemented in the country by two Principal Recipients. The current grant will focus on the identification/treatment of infectious TB cases, increasing access to HIV counselling and testing for TB patients, and on the introduction of the Practical Approach to Lung Health Strategy. Goal: To reduce TB prevalence by at least 2% a year from the current (2013) 128/100,000 to 118 per 100,000 population by 2017. Objectives: Objective 1: To detect at least 95% of all TB Patients (universal access) within 1-2 weeks of onset of symptoms by 2017; Objective 2: To achieve and sustain a treatment success rate of at least 90% from a baseline of 88% in 2013 for all new patients by 2017; Objective 3: To reduce the TB care and control funding gap from the current 50% to below 10% and increase domestic funding from the current 12% to at least 50% of the available budget by 2017. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia Ministry of Health of the Republic of The Gambia 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 Mark Taylor Fund Portfolio Manager +41 58 791 1700 mark.taylor@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 Gambia 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 4623277.00 Global Fund commitment to GMB-T-NLTPP03. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia 1956896.00 Global Fund disbursement to GMB-T-NLTPP03. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia 258109.76 Global Fund commitment to GMB-T-NLTPP03. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia 28463.52 Global Fund disbursement to GMB-T-NLTPP03. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia 1422782.00 Global Fund disbursement to GMB-T-NLTPP03. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia 56699.13 Global Fund disbursement to GMB-T-NLTPP03. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia -172947.11 Global Fund commitment to GMB-T-NLTPP03. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia 179718.95 Global Fund commitment to GMB-T-NLTPP03. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia 70440.87 Global Fund disbursement to GMB-T-NLTPP03. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia 45941.42 Global Fund disbursement to GMB-T-NLTPP03. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia 1953.00 Global Fund disbursement to GMB-T-NLTPP03. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia 60515.70 Global Fund commitment to GMB-T-NLTPP03. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia -61383.66 Global Fund commitment to GMB-T-NLTPP03. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia 2723039.45 Global Fund commitment to GMB-T-NLTPP03. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia -1243599.00 Global Fund commitment to GMB-T-NLTPP03. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia 2196873.62 Global Fund disbursement to GMB-T-NLTPP03. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia 27952.62 Global Fund disbursement to GMB-T-NLTPP03. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia 32411.08 Global Fund commitment to GMB-T-NLTPP03. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia -32563.08 Global Fund commitment to GMB-T-NLTPP03. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia 25.72 Global Fund disbursement to GMB-T-NLTPP03. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia 526165.83 Global Fund disbursement to GMB-T-NLTPP03. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia 380000.00 Global Fund commitment to GMB-T-NLTPP03. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia 380000.00 Global Fund disbursement to GMB-T-NLTPP03. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia 25000.00 Global Fund commitment to GMB-T-NLTPP03. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia 25000.00 Global Fund disbursement to GMB-T-NLTPP03. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia 2128.02 Global Fund disbursement to GMB-T-NLTPP03. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia -30257.34 Global Fund commitment to GMB-T-NLTPP03. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia 263284.75 Funds returned to the Global Fund from GMB-T-NLTPP03. Ministry of Health of the Republic of The Gambia The Global Fund to Fight AIDS, Tuberculosis and Malaria -263284.75 Global Fund commitment to GMB-T-NLTPP03. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia 3724.29 Funds returned to the Global Fund from GMB-T-NLTPP03. Ministry of Health of the Republic of The Gambia The Global Fund to Fight AIDS, Tuberculosis and Malaria -3724.29 Global Fund commitment to GMB-T-NLTPP03. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of The Gambia <narrative>Grant page on the data explorer of the Global Fund.</narrative> An overview of a grant over its lifetime. <narrative>Grant terms and conditions.</narrative> General terms and conditions which apply to Global Fund grants. <narrative>Number of TB cases with RR-TB and/or MDR-TB notified</narrative> Module: MDR-TB. <narrative>Number of TB cases with RR-TB and/or MDR-TB notified</narrative> Geographic coverage: National. Aggregation: Non cumulative. Numerator: 3; Denominator: 112. Numerator: 6; Denominator: 61. Numerator: 6; Denominator: 62. Numerator: 2; Denominator: 62. Numerator: 12; Denominator: 123. Numerator: 9; Denominator: 175. <narrative>Number of cases with RR-TB and/or MDR-TB that began second-line treatment</narrative> Module: MDR-TB. <narrative>Number of cases with RR-TB and/or MDR-TB that began second-line treatment</narrative> Geographic coverage: National. Aggregation: Non cumulative. Numerator: 3; Denominator: 3; Percentage: 100%. Numerator: 6. Numerator: 6. Numerator: 2. Numerator: 12. Numerator: 9; Denominator: 9; Percentage: 100%. <narrative>Percentage of previously treated TB patients receiving DST (bacteriologically positive cases only)</narrative> Module: MDR-TB. <narrative>Percentage of previously treated TB patients receiving DST (bacteriologically positive cases only)</narrative> Geographic coverage: National. Aggregation: Non cumulative. Numerator: 94; Denominator: 112. Numerator: 61; Denominator: 61. Numerator: 62; Denominator: 62. <narrative>Percentage of HMIS or other routine reporting units submitting timely reports according to national guidelines</narrative> Module: RSSH: Health management information systems and M&E. <narrative>Percentage of HMIS or other routine reporting units submitting timely reports according to national guidelines</narrative> Geographic coverage: National. Aggregation: Non cumulative. Numerator: 38; Denominator: 38. Numerator: 40; Denominator: 40. Numerator: 41; Denominator: 41. Numerator: 40; Denominator: 41. <narrative>Annual rate of retention of service providers at primary health care facilities</narrative> Module: RSSH: Human resources for health, including community health workers. <narrative>Annual rate of retention of service providers at primary health care facilities</narrative> Geographic coverage: National. Aggregation: Cumulative annually. <narrative>Number of health workers per 10,000 population (report on community health workers as applicable)</narrative> Module: RSSH: Human resources for health, including community health workers. <narrative>Number of health workers per 10,000 population (report on community health workers as applicable)</narrative> Geographic coverage: National. Aggregation: Cumulative annually. <narrative>Number of notified cases of all forms of TB (i.e. bacteriologically confirmed + clinically diagnosed), new and relapse cases</narrative> Module: TB care and prevention. <narrative>Number of notified cases of all forms of TB (i.e. bacteriologically confirmed + clinically diagnosed), new and relapse cases</narrative> Geographic coverage: National. Aggregation: Non cumulative. Numerator: 2552; Denominator: 2583; Percentage: 98.8%. Numerator: 1310. Numerator: 1310. Numerator: 1332. Numerator: 1810. Numerator: 2344; Denominator: 2489; Percentage: 94.2%. <narrative>Number of notified cases of bacteriologically confirmed TB, new and relapses</narrative> Module: TB care and prevention. <narrative>Number of notified cases of bacteriologically confirmed TB, new and relapses</narrative> Geographic coverage: National. Aggregation: Non cumulative. Numerator: 1556; Denominator: 2583; Percentage: 60.2%. Numerator: 847. Numerator: 882. Numerator: 763. <narrative>Percentage of bacteriologically confirmed TB cases successfully treated (cured plus completed treatment) among the bacteriologically confirmed TB cases registered during a specified period</narrative> Module: TB care and prevention. <narrative>Percentage of bacteriologically confirmed TB cases successfully treated (cured plus completed treatment) among the bacteriologically confirmed TB cases registered during a specified period</narrative> Geographic coverage: National. Aggregation: Non cumulative. Numerator: 1223; Denominator: 1391. Numerator: 760; Denominator: 845. Numerator: 760; Denominator: 845. Numerator: 623; Denominator: 708. <narrative>Percentage of laboratories showing adequate performance in external quality assurance for smear microscopy among the total number of laboratories that undertake smear microscopy during the reporting period</narrative> Module: TB care and prevention. <narrative>Percentage of laboratories showing adequate performance in external quality assurance for smear microscopy among the total number of laboratories that undertake smear microscopy during the reporting period</narrative> Geographic coverage: National. Aggregation: Non cumulative. Numerator: 29; Denominator: 38. Numerator: 40; Denominator: 40. Numerator: 41; Denominator: 41. Numerator: 33; Denominator: 34. <narrative>Percentage of reporting units reporting no stock-outs of anti-TB drugs on the last day of the quarter</narrative> Module: TB care and prevention. <narrative>Percentage of reporting units reporting no stock-outs of anti-TB drugs on the last day of the quarter</narrative> Geographic coverage: National. Aggregation: Non cumulative. Numerator: 38; Denominator: 38. Numerator: 40; Denominator: 40. Numerator: 41; Denominator: 41. Numerator: 40; Denominator: 41. <narrative>Percentage of HIV-positive patients who were screened for TB in HIV care or treatment settings</narrative> Module: TB/HIV. <narrative>Percentage of HIV-positive patients who were screened for TB in HIV care or treatment settings</narrative> Geographic coverage: National. Aggregation: Non cumulative. Numerator: 9829; Denominator: 20297. Numerator: 14890; Denominator: 28834. Numerator: 15442; Denominator: 29386. Numerator: 12329; Denominator: 29386. <narrative>Percentage of HIV-positive registered TB patients given anti-retroviral therapy during TB treatment</narrative> Module: TB/HIV. <narrative>Percentage of HIV-positive registered TB patients given anti-retroviral therapy during TB treatment</narrative> Geographic coverage: National. Aggregation: Non cumulative. Numerator: 60; Denominator: 96. Numerator: 147; Denominator: 183. Numerator: 147; Denominator: 183. Numerator: 75; Denominator: 80. <narrative>Percentage of TB patients who had an HIV test result recorded in the TB register</narrative> Module: TB/HIV. <narrative>Percentage of TB patients who had an HIV test result recorded in the TB register</narrative> Geographic coverage: National. Aggregation: Non cumulative. Numerator: 2169; Denominator: 2583. Numerator: 1179; Denominator: 1310. Numerator: 1179; Denominator: 1310. Numerator: 1099; Denominator: 1179. <narrative>Percentage of people living with HIV initiated on ART who are screened for TB in HIV treatment settings</narrative> Module: TB/HIV. <narrative>Percentage of people living with HIV initiated on ART who are screened for TB in HIV treatment settings</narrative> Geographic coverage: National. Aggregation: Non cumulative. Numerator: 9829; Denominator: 20297. Numerator: 32569; Denominator: 60457. Numerator: 22324; Denominator: 32569.