47045-MOZ-S-MOH-1 The Global Fund to Fight AIDS, Tuberculosis and Malaria Mozambique, RSSH, Ministry of Health of Mozambique Goals: Building a stronger Primary Health Care service; Strengthen the Health Sector's capacity to respond to emergencies subsequent to natural disasters and conflicts that result in the destruction of health infrastructure and massive mobilization of the population. Objectives: Improve system readiness for CHW; Improve availabilty of tracer health products for the three diseases - HIV, TB, malaria (as applicable) at facility level; Improve national medical products regulatory system maturity. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique Ministry of Health of Mozambique 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 Maxim Berdnikov Fund Portfolio Manager +41 58 791 1700 maxim.berdnikov@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 Mozambique RSSH Ensure healthy lives and promote well-being for all at all ages Achieve universal health coverage RSSH -> RSSH/PP: Human resources for health (HRH) and quality of care -> RSSH/PP: Community health workers: Integrated supportive supervision RSSH -> RSSH/PP: Human resources for health (HRH) and quality of care -> RSSH/PP: Community health workers: contracting, remuneration and retention RSSH -> RSSH/PP: Human resources for health (HRH) and quality of care -> RSSH/PP: Community health workers: selection, pre-service training and certification RSSH -> RSSH/PP: Human resources for health (HRH) and quality of care -> RSSH/PP: HRH planning, management and governance including for community health workers (CHWs) 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: 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: Human resources for health (HRH) and quality of care -> RSSH/PP: Remuneration and deployment of existing/new staff (excluding community health workers) RSSH -> RSSH/PP: Laboratory systems (including national and peripheral) -> RSSH/PP: Biosafety and biosecurity, infrastructure and equipment 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: Laboratory supply chain systems RSSH -> RSSH/PP: Laboratory systems (including national and peripheral) -> RSSH/PP: Laboratory-based surveillance RSSH -> RSSH/PP: Laboratory systems (including national and peripheral) -> RSSH/PP: National laboratory governance and management structures RSSH -> RSSH/PP: Laboratory systems (including national and peripheral) -> RSSH/PP: Quality management systems and accreditation RSSH -> RSSH/PP: Laboratory systems (including national and peripheral) -> RSSH/PP: Specimen referral and transport system 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 -> Public financial management (PFM) systems RSSH -> RSSH: Health financing systems -> Routine financial management systems RSSH -> RSSH: Health products management systems -> Avoidance, reduction and management of health care waste RSSH -> RSSH: Health products management systems -> Planning and procurement capacity RSSH -> RSSH: Health products management systems -> Policy, strategy, governance RSSH -> RSSH: Health products management systems -> Regulatory/quality assurance support 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 -> Analyses, evaluations, reviews and data use RSSH -> RSSH: Monitoring and evaluation systems -> Civil registration and vital statistics RSSH -> RSSH: Monitoring and evaluation systems -> Data quality RSSH -> RSSH: Monitoring and evaluation systems -> RSSH/PP: Surveillance for priority epidemic-prone diseases and events RSSH -> RSSH: Monitoring and evaluation systems -> Routine reporting RSSH -> RSSH: Monitoring and evaluation systems -> Surveys 5035364.17 31713603.30 25064751.11 28815176.00 Global Fund commitment to MOZ-S-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 4941436.00 Global Fund disbursement to MOZ-S-MOHP01 (Government). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 142629.00 Global Fund disbursement to MOZ-S-MOHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 47432.40 Global Fund disbursement to MOZ-S-MOHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 156209.25 Global Fund commitment to MOZ-S-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 88706.00 Global Fund disbursement to MOZ-S-MOHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 3241535.33 Global Fund disbursement to MOZ-S-MOHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 94316.09 Global Fund disbursement to MOZ-S-MOHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 5435736.64 Global Fund disbursement to MOZ-S-MOHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 2434754.62 Global Fund disbursement to MOZ-S-MOHP01 (Government). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 136747.61 Global Fund commitment to MOZ-S-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique -156209.25 Global Fund commitment to MOZ-S-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 669193.80 Global Fund disbursement to MOZ-S-MOHP01 (Government). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 4595893.98 Global Fund disbursement to MOZ-S-MOHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 556478.93 Global Fund disbursement to MOZ-S-MOHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 1104642.32 Global Fund disbursement to MOZ-S-MOHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 4987420.89 Global Fund disbursement to MOZ-S-MOHP01 (Government). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 475000.00 Global Fund disbursement to MOZ-S-MOHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 107248.71 Global Fund disbursement to MOZ-S-MOHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 133951.36 Global Fund commitment to MOZ-S-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 133951.36 Global Fund disbursement to MOZ-S-MOHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique -29498.90 Global Fund commitment to MOZ-S-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 30665.34 Global Fund commitment to MOZ-S-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 30665.34 Global Fund disbursement to MOZ-S-MOHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 282741.37 Global Fund commitment to MOZ-S-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 6715465.38 Global Fund commitment to MOZ-S-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 2241489.19 Global Fund disbursement to MOZ-S-MOHP01 (Government). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 1918125.61 Global Fund disbursement to MOZ-S-MOHP01 (Government). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 45000.00 Global Fund disbursement to MOZ-S-MOHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 84634.00 Global Fund disbursement to MOZ-S-MOHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 93838.92 Global Fund disbursement to MOZ-S-MOHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 142628.70 Global Fund disbursement to MOZ-S-MOHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 51000.00 Global Fund disbursement to MOZ-S-MOHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique -2138748.96 Global Fund commitment to MOZ-S-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 23274352.11 Global Fund commitment to MOZ-S-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 3208738.00 Global Fund disbursement to MOZ-S-MOHP01 (Government). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 1399206.70 Global Fund disbursement to MOZ-S-MOHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 84183.06 Global Fund disbursement to MOZ-S-MOHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 88534.58 Global Fund disbursement to MOZ-S-MOHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 239840.00 Global Fund disbursement to MOZ-S-MOHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 77208.81 Global Fund commitment to MOZ-S-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 285537.43 Global Fund commitment to MOZ-S-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique -77208.81 Global Fund commitment to MOZ-S-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique -285537.43 Global Fund commitment to MOZ-S-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 533362.15 Global Fund commitment to MOZ-S-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 63513.52 Global Fund commitment to MOZ-S-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique -42901.37 Global Fund commitment to MOZ-S-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique -533362.15 Global Fund commitment to MOZ-S-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 573359.17 Global Fund commitment to MOZ-S-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 9467102.09 Global Fund disbursement to MOZ-S-MOHP01 (Government). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 47440.49 Global Fund disbursement to MOZ-S-MOHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 1300000.00 Global Fund disbursement to MOZ-S-MOHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 370800.00 Global Fund disbursement to MOZ-S-MOHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 142629.00 Global Fund disbursement to MOZ-S-MOHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 41864.70 Global Fund disbursement to MOZ-S-MOHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 347616.59 Global Fund disbursement to MOZ-S-MOHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 152.66 Funds returned to the Global Fund from MOZ-S-MOHP01 (Pooled Procurement Mechanism). Ministry of Health of Mozambique The Global Fund to Fight AIDS, Tuberculosis and Malaria -152.66 Global Fund commitment to MOZ-S-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 750451.99 Global Fund commitment to MOZ-S-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique -525918.68 Global Fund commitment to MOZ-S-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of Mozambique 5035364.92 Expenditure reported by Ministry of Health of Mozambique for MOZ-S-MOHP01, Mar 2024 to Dec 2024. Ministry of Health of Mozambique 12846025.90 Expenditure reported by Ministry of Health of Mozambique for MOZ-S-MOHP01, Jan 2025 to Dec 2025. Ministry of Health of Mozambique An overview of a grant over its lifetime. General terms and conditions which apply to Global Fund grants. Funding Request of funding request FR1572-MOZ-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 28,547,789 (the “Co-Financing Incentive”), 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) progressively increase government expenditure on health to meet national universal health coverage goals; and (b) maintain 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 ‘Compromisso do Governo de Cofinanciamento das Respostas Nacionais Apoiadas pelo Fundo Global’, dated 29 November 2023, unless otherwise agreed in writing by the Global Fund: (a) fulfil a total minimum co-financing commitment of USD194.5 million of investments in RSSH from 2024 to 2026 (inclusive); and (b) provide to the Global Fund, by no later than August 15 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 Economic and Social Plan Law (‘Lei do Plano Económico'), and the State Budget (‘Orçamento do Estado’) for the current fiscal year; (ii) the State General Account (‘Conta Geral do Estado’) for the previous fiscal year; (iii) the latest Projections of the Medium-Term Fiscal Scenario (‘Projecções do Cenário Fiscal de Médio Prazo'); and (iv) the domestic government expenditures incurred in the previous fiscal year and the amounts budgeted for the current fiscal year, for the following categories of human resources for health: (1) Maternal and Child Health Nurse; (2) Laboratory Technician; and (3) General Medicine Technician. 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 Principal Recipient acknowledges the obligation to repay to the Global Fund USD 990,877.50 being the total amount the Global Fund has determined as recoverable pursuant to the terms of the relevant grant agreements arising from various reviews, as communicated to the Principal Recipient through the Demand Letters dated 29 June 2023, 15 January 2024 and 29 August 2024. 7 - The Global Fund may disburse Grant Funds in a currency other than that specified in the Grant Confirmation. In such cases, the exchange rate used to calculate the amount of the disbursement into its equivalent in the currency specified in the Grant Confirmation shall be the relevant exchange rate reflected in the Program budget. Module: RSSH/PP: Human resources for health (HRH) and quality of care. Geographic coverage: National, 100% of national program target. Aggregation: Non cumulative - other. Percentage: 75%. Numerator: 0; Denominator: 0. Percentage: 85%. Module: RSSH/PP: Human resources for health (HRH) and quality of care. Geographic coverage: National, 100% of national program target. Aggregation: Non cumulative - other. Percentage: 74%. Numerator: 0; Denominator: 0. Percentage: 85%. Module: RSSH/PP: Laboratory systems (including national and peripheral). Geographic coverage: National, 100% of national program target. Aggregation: Non cumulative - other. Numerator: 12; Denominator: 16. Numerator: 13; Denominator: 16. Numerator: 15; Denominator: 16. Numerator: 13; Denominator: 16. Numerator: 15; Denominator: 16. Numerator: 14; Denominator: 16. Numerator: 16; Denominator: 16. Numerator: 14; Denominator: 16. Numerator: 16; Denominator: 16. Numerator: 15; Denominator: 16. Module: RSSH: Community systems strengthening. Geographic coverage: National, 100% of national program target. Aggregation: Non cumulative - other. Numerator: 160; Denominator: 600. Numerator: 280; Denominator: 600. Numerator: 262; Denominator: 475. Numerator: 280; Denominator: 600. Numerator: 262; Denominator: 475. Numerator: 280; Denominator: 600. Numerator: 197; Denominator: 600. Numerator: 280; Denominator: 600. Numerator: 197; Denominator: 600. Numerator: 440; Denominator: 600. Module: RSSH: Health products management systems. Geographic coverage: National, 100% of national program target. Aggregation: Non cumulative - other. Numerator: 1423; Denominator: 1778. Numerator: 1601; Denominator: 1778. Numerator: 1638; Denominator: 1772. Numerator: 1601; Denominator: 1778. Numerator: 1638; Denominator: 1772. Numerator: 1690; Denominator: 1778. Numerator: 1630; Denominator: 1854. Numerator: 1690; Denominator: 1778. Numerator: 1630; Denominator: 1854. Numerator: 1750; Denominator: 1778. Module: RSSH: Health products management systems. Geographic coverage: National, 100% of national program target. Aggregation: Non cumulative. Numerator: 85; Denominator: 100. Numerator: 100; Denominator: 130. Numerator: 0; Denominator: 100. Numerator: 100; Denominator: 130. Numerator: 0; Denominator: 100. Numerator: 80; Denominator: 100. Numerator: 50; Denominator: 100. Numerator: 80; Denominator: 100. Numerator: 50; Denominator: 100. Numerator: 73; Denominator: 80.