47045-GUY-C-MOH-1 The Global Fund to Fight AIDS, Tuberculosis and Malaria Guyana, TB/HIV, Ministry of Health of the Co-operative Republic of Guyana Goals: Improve case detection of RR-TB/MDR-TB to at least 85% by 2024; Reduce TB/HIV related mortality to under 1 per 100,000 by 2024; By 2025, reduce HIV-related stigma and discrimination; By 2025, reduce the number of incidences of HIV-related stigma and discrimination experienced by PLHIV and Key populations; By 2025, reduce new HIV infections among key populations and other vulnerable groups by 95%; By 2025, reduce AIDS-related deaths by 95% and have equal quality of life and longevity with the rest of the population. Objectives: Increase case detection of RR-TB/MDR-TB to over 85% by 2024; Increase TB treatment success for RR-TB/MDR-TB to over 70 % by 2024; Increase ART coverage among TB/HIV patients to over 95% by 2024; Increase IPT among PLHIV with TB to over 95 % by 2024; To reduce HIV associated mortality; To increase the mean survival time of persons with AIDS; To reduce the HIV seroprevalence among female sex workers; To reduce the HIV seroprevalence among men who have sex with men. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana Ministry of Health of the Co-operative Republic of Guyana 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 Guyana HIV Multicomponent, RSSH 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 HIV -> Differentiated HIV Testing Services -> Facility-based testing HIV -> Differentiated HIV Testing Services -> Self-testing HIV -> Prevention -> Behavior change interventions HIV -> Prevention -> Community empowerment HIV -> Prevention -> Condom and lubricant programming HIV -> Prevention -> National condom program management and stewardship HIV -> Reducing human rights-related barriers to HIV/TB services -> Community mobilization and advocacy (HIV/TB) 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 -> Stigma and discrimination reduction (HIV/TB) HIV -> Treatment, care and support -> Counseling and psycho-social support HIV -> Treatment, care and support -> Differentiated ART service delivery and HIV care HIV -> Treatment, care and support -> Prevention and management of co-infections and co-morbidities (Treatment, care and support) HIV -> Treatment, care and support -> Treatment monitoring - Viral load Multicomponent -> Program management -> Coordination and management of national disease control programs 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 -> Civil registration and vital statistics RSSH -> RSSH: Health management information systems and M&E -> Program and data quality RSSH -> RSSH: Health management information systems and M&E -> Routine reporting RSSH -> RSSH: Health management information systems and M&E -> Surveys Tuberculosis -> MDR-TB -> Community MDR-TB care delivery Tuberculosis -> MDR-TB -> Treatment (MDR-TB) Tuberculosis -> Removing human rights and gender related barriers to TB services -> Stigma and discrimination reduction (TB) Tuberculosis -> TB care and prevention -> Community TB care delivery Tuberculosis -> TB/HIV -> TB/HIV - Collaborative interventions 1410238.66 1847290.47 856796.89 1958883.49 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 79345.75 Global Fund disbursement to GUY-C-MOHP01 (Government). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 88650.18 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 88650.18 Global Fund disbursement to GUY-C-MOHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 124645.77 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 216802.17 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 96000.77 Global Fund disbursement to GUY-C-MOHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 80896.99 Global Fund disbursement to GUY-C-MOHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 174224.92 Global Fund disbursement to GUY-C-MOHP01 (Government). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 14384.14 Global Fund disbursement to GUY-C-MOHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 6751.17 Global Fund disbursement to GUY-C-MOHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 119990.39 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -13573.13 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -106417.26 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 13573.13 Funds returned to the Global Fund from GUY-C-MOHP01 (Pooled Procurement Mechanism). Ministry of Health of the Co-operative Republic of Guyana The Global Fund to Fight AIDS, Tuberculosis and Malaria 102334.77 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -119990.39 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 81070.68 Global Fund disbursement to GUY-C-MOHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 178267.45 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 84509.93 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -21264.09 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 2891.29 Global Fund disbursement to GUY-C-MOHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 190499.19 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 24043.61 Global Fund disbursement to GUY-C-MOHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 111477.31 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -10062.71 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 28638.09 Global Fund disbursement to GUY-C-MOHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -8106.37 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -84509.93 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 92616.30 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 8106.37 Funds returned to the Global Fund from GUY-C-MOHP01 (Pooled Procurement Mechanism). Ministry of Health of the Co-operative Republic of Guyana The Global Fund to Fight AIDS, Tuberculosis and Malaria 31697.65 Global Fund disbursement to GUY-C-MOHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 176671.25 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -51141.57 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 62872.85 Global Fund disbursement to GUY-C-MOHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 65531.88 Global Fund disbursement to GUY-C-MOHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 3831.83 Global Fund disbursement to GUY-C-MOHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -107307.54 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 97244.83 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 1920.91 Global Fund disbursement to GUY-C-MOHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 133454.87 Global Fund disbursement to GUY-C-MOHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 1302.23 Funds returned to the Global Fund from GUY-C-MOHP01 (Pooled Procurement Mechanism). Ministry of Health of the Co-operative Republic of Guyana The Global Fund to Fight AIDS, Tuberculosis and Malaria 462.74 Funds returned to the Global Fund from GUY-C-MOHP01 (Pooled Procurement Mechanism). Ministry of Health of the Co-operative Republic of Guyana The Global Fund to Fight AIDS, Tuberculosis and Malaria 109780.56 Global Fund disbursement to GUY-C-MOHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 44812.58 Global Fund disbursement to GUY-C-MOHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 72931.59 Global Fund disbursement to GUY-C-MOHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -462.74 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -1302.23 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 59997.80 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -95323.92 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 34197.81 Global Fund disbursement to GUY-C-MOHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 2279.76 Global Fund disbursement to GUY-C-MOHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 11578.34 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -19684.71 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -15566.02 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -25799.99 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -11578.34 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 72235.01 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -72235.01 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 100561.45 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 60656.67 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 136816.37 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 1190.34 Funds returned to the Global Fund from GUY-C-MOHP01 (Pooled Procurement Mechanism). Ministry of Health of the Co-operative Republic of Guyana The Global Fund to Fight AIDS, Tuberculosis and Malaria 167.04 Funds returned to the Global Fund from GUY-C-MOHP01 (Pooled Procurement Mechanism). Ministry of Health of the Co-operative Republic of Guyana The Global Fund to Fight AIDS, Tuberculosis and Malaria 500033.41 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -1705312.82 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 340022.71 Global Fund disbursement to GUY-C-MOHP01 (Government). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -167.04 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -1190.34 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 50345.20 Global Fund disbursement to GUY-C-MOHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 11169.33 Global Fund disbursement to GUY-C-MOHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 60044.45 Global Fund disbursement to GUY-C-MOHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 3830.58 Global Fund disbursement to GUY-C-MOHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 2478.00 Global Fund disbursement to GUY-C-MOHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 52993.06 Global Fund disbursement to GUY-C-MOHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 23140.37 Global Fund disbursement to GUY-C-MOHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 4625.10 Global Fund disbursement to GUY-C-MOHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 60004.02 Global Fund disbursement to GUY-C-MOHP01 (Government). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 9499.00 Global Fund disbursement to GUY-C-MOHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -17670.53 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 3207.82 Global Fund disbursement to GUY-C-MOHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 16039.10 Global Fund disbursement to GUY-C-MOHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -10100.75 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 50597.64 Global Fund disbursement to GUY-C-MOHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 8656.98 Funds returned to the Global Fund from GUY-C-MOHP01 (Government). Ministry of Health of the Co-operative Republic of Guyana The Global Fund to Fight AIDS, Tuberculosis and Malaria -8656.98 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 11206.20 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 4164.78 Global Fund disbursement to GUY-C-MOHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 676892.57 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -72241.21 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 491989.57 Global Fund disbursement to GUY-C-MOHP01 (Government). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 29995.34 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 7010.03 Global Fund disbursement to GUY-C-MOHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 4147.87 Global Fund disbursement to GUY-C-MOHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 978.90 Funds returned to the Global Fund from GUY-C-MOHP01 (Pooled Procurement Mechanism). Ministry of Health of the Co-operative Republic of Guyana The Global Fund to Fight AIDS, Tuberculosis and Malaria -978.90 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -3049.00 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 27519.73 Global Fund disbursement to GUY-C-MOHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 4491.00 Funds returned to the Global Fund from GUY-C-MOHP01 (Other 3rd Party). Ministry of Health of the Co-operative Republic of Guyana The Global Fund to Fight AIDS, Tuberculosis and Malaria -2893.55 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -4491.00 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -2475.61 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 153.09 Funds returned to the Global Fund from GUY-C-MOHP01 (Other 3rd Party). Ministry of Health of the Co-operative Republic of Guyana The Global Fund to Fight AIDS, Tuberculosis and Malaria -153.09 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 462.46 Funds returned to the Global Fund from GUY-C-MOHP01 (Pooled Procurement Mechanism). Ministry of Health of the Co-operative Republic of Guyana The Global Fund to Fight AIDS, Tuberculosis and Malaria -462.46 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -184903.00 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 242930.00 Funds returned to the Global Fund from GUY-C-MOHP01 (Other 3rd Party). Ministry of Health of the Co-operative Republic of Guyana The Global Fund to Fight AIDS, Tuberculosis and Malaria -242930.00 Global Fund commitment to GUY-C-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 742221.63 Expenditure reported by Ministry of Health of the Co-operative Republic of Guyana for GUY-C-MOHP01, Jan 2022 to Dec 2022. Ministry of Health of the Co-operative Republic of Guyana 1027897.55 Expenditure reported by Ministry of Health of the Co-operative Republic of Guyana for GUY-C-MOHP01, Jan 2023 to Dec 2023. Ministry of Health of the Co-operative Republic of Guyana 1302344.34 Expenditure reported by Ministry of Health of the Co-operative Republic of Guyana for GUY-C-MOHP01, Jan 2024 to Dec 2024. Ministry of Health of the Co-operative Republic of Guyana 5202.94 Expenditure reported by Ministry of Health of the Co-operative Republic of Guyana for GUY-C-MOHP01, Jan 2025 to Jun 2025. Ministry of Health of the Co-operative Republic of Guyana An overview of a grant over its lifetime. General terms and conditions which apply to Global Fund grants. Funding Request of funding request FR1028-GUY-C. Module: Differentiated HIV Testing Services. Geographic coverage: National, 100% of national program target. Numerator: 2113; Denominator: 3327. Numerator: 2396; Denominator: 2662. Numerator: 684; Denominator: 2662. Numerator: 2545; Denominator: 2828. Numerator: 445; Denominator: 2828. Numerator: 2695; Denominator: 3327. Numerator: 2572; Denominator: 3327. Module: Differentiated HIV Testing Services. Geographic coverage: National, 100% of national program target. Numerator: 2821; Denominator: 5256. Numerator: 3785; Denominator: 4205. Numerator: 1819; Denominator: 4205. Numerator: 4021; Denominator: 4468. Numerator: 899; Denominator: 4468. Numerator: 4257; Denominator: 5256. Numerator: 5362; Denominator: 5256. Module: Differentiated HIV Testing Services. Geographic coverage: National, 100% of national program target. Numerator: 77; Denominator: 629. Numerator: 453; Denominator: 503. Numerator: 24; Denominator: 503. Numerator: 482; Denominator: 535. Numerator: 28; Denominator: 535. Numerator: 509; Denominator: 629. Numerator: 398; Denominator: 629. Module: MDR-TB. Geographic coverage: National, 100% of national program target. Module: Prevention. Geographic coverage: Subnational, less than 100% national program target. Numerator: 5; Denominator: 330. Numerator: 330; Denominator: 660. Numerator: 22; Denominator: 660. Numerator: 462; Denominator: 660. Numerator: 215; Denominator: 660. Numerator: 1594; Denominator: 1594. Numerator: 1973; Denominator: 1594. Module: Prevention. Geographic coverage: National, 100% of national program target. Numerator: 2189; Denominator: 3327. Numerator: 2662; Denominator: 3327. Numerator: 675; Denominator: 3327. Numerator: 2828; Denominator: 3327. Numerator: 659; Denominator: 3327. Numerator: 2994; Denominator: 3327. Numerator: 2572; Denominator: 3327. Module: Prevention. Geographic coverage: National, 100% of national program target. Numerator: 2909; Denominator: 5256. Numerator: 4205; Denominator: 5256. Numerator: 1813; Denominator: 5256. Numerator: 4468; Denominator: 5256. Numerator: 1137; Denominator: 5256. Numerator: 4730; Denominator: 5256. Numerator: 5362; Denominator: 5256. Module: Prevention. Geographic coverage: National, 100% of national program target. Numerator: 77; Denominator: 629. Numerator: 503; Denominator: 629. Numerator: 24; Denominator: 629. Numerator: 535; Denominator: 629. Numerator: 34; Denominator: 629. Numerator: 566; Denominator: 629. Numerator: 398; Denominator: 629. Module: TB/HIV. Geographic coverage: National, 100% of national program target. Numerator: 34; Denominator: 44. Numerator: 68; Denominator: 78. Numerator: 47; Denominator: 47. Numerator: 59; Denominator: 65. Numerator: 58; Denominator: 69. Numerator: 51; Denominator: 53. Numerator: 32; Denominator: 48. Module: Treatment, care and support. Geographic coverage: National, 100% of national program target. Numerator: 5887; Denominator: 8752. Numerator: 6536; Denominator: 8714. Numerator: 6440; Denominator: 8714. Numerator: 6960; Denominator: 8700. Numerator: 6699; Denominator: 9840. Numerator: 7387; Denominator: 8691. Numerator: 7268; Denominator: 10148. 47045-GUY-C-MOH-2 The Global Fund to Fight AIDS, Tuberculosis and Malaria Guyana, TB/HIV, Ministry of Health of the Co-operative Republic of Guyana Goal: To reduce stigma and discrimination, new HIV infections, and AIDS-related deaths, and tackle critical enablers for ending AIDS in Guyana, promote people-centred, gender-sensitive and rights-based enabling environments and systems, in order to give an effective and sustainable response to HIV and TB, by, (i) closing the gap in the progress towards the 95-95-95 targets: increase early HIV detection, ensure a rapid scale up of ART and improve HIV care quality, by promoting innovative prevention interventions, and (ii) scaling up the access to an effective up-to-date TB diagnosis, treatment and prevention (with special attention to vulnerbale population,KPs). Objectives: Increase early HIV detection, scale up ART and improve HIV care quality, by promoting innovative testing approaches, ensuring access to quality ART, implementing differentiated people-centered models of HIV treatment and care/ ART, and addressing the weak linkages in the HIV care continuum; Prevent HIV transmission, by expanding the coverage of innovative prevention interventions among key populations, integrate health service platforms at community level, and remove the dichotomy between HIV prevention and HIV care service continuums; Ensure universal access to timely and quality diagnosis and detection of TB (with emphasis on RR/MDR-TB) - by rolling out rapid molecular diagnostic testing, improving the quality and coverage of DST, and promoting active targeted case finding (screening for TB in high risk groups mainly); Improve the treatment outcomes of DR-TB patients by implementing modified shorter treatment regimens and scaling-up people-centred approaches, comprehensive patient support and follow up activities; Reduce TB transmission by scaling up effective preventive treatment and improving infection control; Health system strengthening; Remove human rights and gender barriers and achieve zero discrimination. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana Ministry of Health of the Co-operative Republic of Guyana 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 Guyana HIV Multicomponent, RSSH 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 -> Facility-based testing for key population (KP) programs HIV -> Differentiated HIV Testing Services -> Self-testing for KP 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 -> 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 -> Pre-exposure prophylaxis (PrEP) programming for MSM HIV -> Prevention package for men who have sex with men (MSM) and their sexual partners -> Removing human rights-related barriers to prevention for MSM HIV -> Prevention package for men who have sex with men (MSM) and their sexual partners -> Sexual and reproductive health services, including STIs, hepatitis, post-violence care for MSM HIV -> Prevention package for sex workers, their clients and other sexual partners -> Community empowerment for sex workers 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 -> Prevention package for sex workers, their clients and other sexual partners -> Removing human rights-related barriers to prevention for sex workers HIV -> Prevention package for sex workers, their clients and other sexual partners -> Sexual and reproductive health services, including STIs, hepatitis, post-violence care for sex workers HIV -> Prevention package for transgender people and their sexual partners -> Community empowerment for transgender people HIV -> Prevention package for transgender people and their sexual partners -> Condom and lubricant programming for transgender people HIV -> Prevention package for transgender people and their sexual partners -> Pre-exposure prophylaxis (PrEP) programming for transgender people HIV -> Prevention package for transgender people and their sexual partners -> Removing human rights-related barriers to prevention for transgender people HIV -> Prevention package for transgender people and their sexual partners -> Sexual and reproductive health services, including STIs, hepatitis, post-violence care for transgender people 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 -> Eliminating stigma and discrimination in all settings HIV -> Reducing human rights-related barriers to HIV/TB services -> Legal literacy ("Know Your Rights") (HIV/TB) 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 -> 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 Multicomponent -> Program management -> Coordination and management of national disease control programs Multicomponent -> Program management -> Grant management 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 RSSH -> RSSH: Monitoring and evaluation systems -> Surveys Tuberculosis -> Collaboration with other providers and sectors -> Private provider engagement in TB/DR-TB care 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 - Miners and mining communities Tuberculosis -> Key and vulnerable populations (KVP) - TB/DR-TB -> KVP - Mobile population (migrants/refugees/IDPs) Tuberculosis -> Key and vulnerable populations (KVP) - TB/DR-TB -> KVP - Others Tuberculosis -> Key and vulnerable populations (KVP) - TB/DR-TB -> KVP - People in prisons/jails/detention centers Tuberculosis -> Key and vulnerable populations (KVP) - TB/DR-TB -> KVP - Urban poor/slum dwellers 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 -> Preventive treatment Tuberculosis -> TB/DR-TB Prevention -> Screening/testing for TB infection Tuberculosis -> TB/HIV -> TB/HIV - Collaborative interventions Tuberculosis -> TB/HIV -> TB/HIV - Screening, testing and diagnosis 616491.77 1554796.80 1705291.46 172613.26 Global Fund commitment to GUY-C-MOHP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 164142.94 Global Fund commitment to GUY-C-MOHP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 548743.03 Global Fund commitment to GUY-C-MOHP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 545214.23 Global Fund disbursement to GUY-C-MOHP02 (Government). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 146469.26 Global Fund disbursement to GUY-C-MOHP02 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 3092.39 Global Fund disbursement to GUY-C-MOHP02 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 150455.12 Global Fund commitment to GUY-C-MOHP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 15798.88 Global Fund disbursement to GUY-C-MOHP02 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 65986.20 Global Fund commitment to GUY-C-MOHP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -150455.12 Global Fund commitment to GUY-C-MOHP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -10345.12 Global Fund commitment to GUY-C-MOHP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 236602.75 Global Fund commitment to GUY-C-MOHP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 226257.63 Global Fund commitment to GUY-C-MOHP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -236602.75 Global Fund commitment to GUY-C-MOHP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 153370.83 Global Fund commitment to GUY-C-MOHP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -65986.20 Global Fund commitment to GUY-C-MOHP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 641290.79 Global Fund commitment to GUY-C-MOHP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -153370.83 Global Fund commitment to GUY-C-MOHP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 40554.58 Global Fund disbursement to GUY-C-MOHP02 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -641290.79 Global Fund commitment to GUY-C-MOHP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 762425.87 Global Fund commitment to GUY-C-MOHP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 28570.37 Global Fund disbursement to GUY-C-MOHP02 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 34016.19 Global Fund disbursement to GUY-C-MOHP02 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 16642.61 Global Fund disbursement to GUY-C-MOHP02 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 309213.53 Global Fund disbursement to GUY-C-MOHP02 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 14662.07 Global Fund disbursement to GUY-C-MOHP02 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 73.68 Funds returned to the Global Fund from GUY-C-MOHP02 (Other 3rd Party). Ministry of Health of the Co-operative Republic of Guyana The Global Fund to Fight AIDS, Tuberculosis and Malaria 43664.29 Global Fund disbursement to GUY-C-MOHP02 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 14377.16 Global Fund disbursement to GUY-C-MOHP02 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 85942.61 Global Fund disbursement to GUY-C-MOHP02 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -73.68 Global Fund commitment to GUY-C-MOHP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 128422.32 Global Fund disbursement to GUY-C-MOHP02 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 152080.11 Global Fund disbursement to GUY-C-MOHP02 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -229999.11 Global Fund commitment to GUY-C-MOHP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 232956.09 Global Fund commitment to GUY-C-MOHP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -2956.98 Global Fund commitment to GUY-C-MOHP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 2956.98 Funds returned to the Global Fund from GUY-C-MOHP02 (Pooled Procurement Mechanism). Ministry of Health of the Co-operative Republic of Guyana The Global Fund to Fight AIDS, Tuberculosis and Malaria 227842.13 Global Fund commitment to GUY-C-MOHP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -232956.09 Global Fund commitment to GUY-C-MOHP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 81.73 Global Fund disbursement to GUY-C-MOHP02 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -227760.40 Global Fund commitment to GUY-C-MOHP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 221364.34 Global Fund commitment to GUY-C-MOHP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 876951.24 Global Fund commitment to GUY-C-MOHP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -436.41 Global Fund commitment to GUY-C-MOHP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 450628.38 Global Fund disbursement to GUY-C-MOHP02 (Government). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 242930.00 Global Fund disbursement to GUY-C-MOHP02 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 242930.00 Global Fund commitment to GUY-C-MOHP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 20558.24 Global Fund disbursement to GUY-C-MOHP02 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 187830.47 Global Fund commitment to GUY-C-MOHP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -200806.10 Global Fund commitment to GUY-C-MOHP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 172908.75 Global Fund disbursement to GUY-C-MOHP02 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 5299.30 Global Fund commitment to GUY-C-MOHP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -14921.72 Global Fund commitment to GUY-C-MOHP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 7285.82 Global Fund disbursement to GUY-C-MOHP02 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 3640.70 Global Fund commitment to GUY-C-MOHP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -5299.30 Global Fund commitment to GUY-C-MOHP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -3640.70 Global Fund commitment to GUY-C-MOHP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 4500.58 Funds returned to the Global Fund from GUY-C-MOHP02 (Pooled Procurement Mechanism). Ministry of Health of the Co-operative Republic of Guyana The Global Fund to Fight AIDS, Tuberculosis and Malaria -35332.84 Global Fund commitment to GUY-C-MOHP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana -4500.58 Global Fund commitment to GUY-C-MOHP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Co-operative Republic of Guyana 312634.61 Expenditure reported by Ministry of Health of the Co-operative Republic of Guyana for GUY-C-MOHP02, Jan 2025 to Dec 2025. Ministry of Health of the Co-operative Republic of Guyana An overview of a grant over its lifetime. General terms and conditions which apply to Global Fund grants. Funding Request of funding request FR1699-GUY-C. 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 1,141,579 (the “Co-Financing Incentive”) based on 25% communicated in the Allocation letter for the relevant disease components, is subject to the Global Fund’s satisfaction of the Grantee’s compliance with the requirements listed at 6.3(1)(a) and 6.3(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 increase government expenditure on health to meet national universal health coverage goals; and (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 Commitment Letter dated 9 October 2024 (the “Commitment Letter”), unless otherwise agreed in writing by the Global Fund: (a) fulfil a total minimum co-financing commitment of USD 92,938,016 from 2025-2027 (inclusive), comprising investments in: i. HIV of USD 74,568,771; and ii. TB of USD 18,369,245. (b) fulfil the programmatic commitments as stipulated in Section 1.3 of the Commitment Letter; and (c) provide to the Global Fund, by no later than 30 September 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: i. the approved annual budget for HIV and TB for the upcoming year; ii. the total expenditure for HIV and TB in the previous fiscal year; iii. Provide to the Global Fund, by no later than 30 September 2025, the official methodology for national spending assessment for TB and HIV after consultation/verification/validation by UNAIDS and the Global Fund; and iv. Evidence of specific programmatic commitments as set out in section 1.3 of the Commitment Letter. 4 - The Program budget may be funded in part by Grant Funds disbursed under a previous Grant Agreement, which the Global Fund has approved to be used for the Program under the current Grant Agreement (“Previously Disbursed Grant Funds”), as well as additional Grant Funds up to the amount set forth in Section 3.6. hereof. Accordingly, the Global Fund may reduce the amount of Grant Funds set forth in Section 3.6. hereof by the amount of any Previously Disbursed Grant Funds. Previously Disbursed Grant Funds shall be governed by the terms of this Grant Agreement. 5 - The procurement of Health Products shall be carried out through the Pooled Procurement Mechanism (“PPM”) of the Global Fund, unless the Global Fund directs the Principal Recipient otherwise in writing. The Principal Recipient 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. 6 - Prior to the use of Grant Funds in budget line 74 totaling US$ 75,000 by the Principal Recipient to finance a Human Rights CCM advocacy plan, the Principal Recipient shall submit to the Global Fund, and obtain the Global Fund’s written approval of: (i) a revised advocacy plan and (ii) a detailed resource mobilization plan. The items in 6.6(i) and (ii), here, must be submitted to the Global Fund no later than 30 June 2025. 8 - (1) Grant Funds may be used to pay for the services of an external auditor retained by the Global Fund for the annual independent audit of the Program (the “External Auditor”) and the Global Fund may disburse such Grant Funds directly to the External Auditor; (2) the Principal Recipient shall consent, no later than 31 March 2025 to the carrying out of audits of the Program by the External Auditor for the period covering fiscal years 2025, 2026 and 2027 and other such additional periods as the Global Fund may communicate to the Principal Recipient in writing, and to the terms of reference of the External Auditor and agrees that such terms of reference may be amended from time to time; and (3) without limiting Section 7.5 of the Global Fund Grant Regulations as amended from time to time, the Principal Recipient shall cooperate fully with the External Auditor to allow the External Auditor to perform its services, including by providing all information and documents requested by the External Auditor or the Global Fund. 9 - 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. 10 - The Global Fund and the Principal Recipient further agree that a portion of Grant Funds as set forth in budget lines 2,3,4,5,8,9,10,11, 12, 18, 19, and 27, totaling US$743,246, shall only be used following the Global Fund's approval, by 31 December 2025, of the Activity-Based Contract model to be implemented by the Principal Recipient in Year 2 and Year 3 of the Grant. Module: Differentiated HIV Testing Services. Geographic coverage: National, 100% of national program target. Numerator: 711; Denominator: 3327. Numerator: 1107; Denominator: 3327. Numerator: 1566; Denominator: 3327. Numerator: 1425; Denominator: 3327. Numerator: 1898; Denominator: 3327. Module: Differentiated HIV Testing Services. Geographic coverage: National, 100% of national program target. Numerator: 40; Denominator: 629. Numerator: 90; Denominator: 629. Numerator: 195; Denominator: 629. Numerator: 167; Denominator: 629. Numerator: 262; Denominator: 629. Module: Differentiated HIV Testing Services. Numerator: 1362; Denominator: 5256. Numerator: 2105; Denominator: 5256. Numerator: 3627; Denominator: 5256. Numerator: 2597; Denominator: 5256. Numerator: 3373; Denominator: 5256. 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: 3; Denominator: 6. Numerator: 9; Denominator: 9. Module: Drug-resistant (DR)-TB diagnosis, treatment and care. Numerator: 3; Denominator: 6. Numerator: 7; Denominator: 9. 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: 711; Denominator: 3327. Numerator: 1165; Denominator: 3327. Numerator: 1566; Denominator: 3327. Numerator: 1500; Denominator: 3327. Numerator: 1997; Denominator: 3327. Module: Prevention package for sex workers, their clients and other sexual partners. Module: Prevention package for sex workers, their clients and other sexual partners. Numerator: 1638; Denominator: 5256. Numerator: 2215; Denominator: 5256. Numerator: 3627; Denominator: 5256. Numerator: 2733; Denominator: 5256. Numerator: 3550; Denominator: 5256. Module: Prevention package for transgender people and their sexual partners. Geographic coverage: National, 100% of national program target. Module: Prevention package for transgender people and their sexual partners. Geographic coverage: National, 100% of national program target. Numerator: 40; Denominator: 629. Numerator: 95; Denominator: 629. Numerator: 195; Denominator: 629. Numerator: 175; Denominator: 629. Numerator: 275; Denominator: 629. Module: RSSH: Monitoring and evaluation systems. Geographic coverage: National, 100% of national program target. Numerator: 13; Denominator: 84. Numerator: 20; Denominator: 80. Numerator: 68; Denominator: 88. Numerator: 24; Denominator: 80. Numerator: 28; Denominator: 80. 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: 339; Denominator: 448. Numerator: 340; Denominator: 448. Numerator: 332; Denominator: 465. Numerator: 382; Denominator: 448. Numerator: 404; Denominator: 448. Module: TB diagnosis, treatment and care. Numerator: 286; Denominator: 400. Numerator: 313; Denominator: 427. Module: TB/DR-TB Prevention. Numerator: 108; Denominator: 200; Percentage: 54%. Numerator: 305. Numerator: 231. Numerator: 406. Numerator: 505. Module: TB/HIV. Geographic coverage: National, 100% of national program target. Numerator: 40; Denominator: 47. Numerator: 38; Denominator: 47. Module: TB/HIV. Geographic coverage: National, 100% of national program target. Numerator: 308; Denominator: 6699. Numerator: 226; Denominator: 7303. Module: Treatment, care and support. Geographic coverage: National, 100% of national program target. Numerator: 6699; Denominator: 9840. Numerator: 7183; Denominator: 9840. Numerator: 7303; Denominator: 10500. Numerator: 7679; Denominator: 9973. Numerator: 8315; Denominator: 10141.