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		<iati-identifier>47045-NGA-T-ARFH-3</iati-identifier>
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			<narrative xml:lang="en">The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
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		<title>
			<narrative xml:lang="en">Investing for impact against Tuberculosis and HIV - Nigeria (01-Jul-2015-31-Dec-2018)</narrative>
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		<description type="1">
			<narrative xml:lang="en">Nigeria, the most populous African nation, ranks 4th among the 22 high TB burden countries in the world according to the 2009 WHO Global TB Report. With an estimated 460,000 new cases annually, TB constitutes a considerable public health problem: in 2007, 2189 TB patients died. The TB burden is borne by the entire population, but especially by higher risk populations such as the urban and rural poor, people with living with HIV/AIDS living and those in congregate settings. There is also a significant socio-economic consequence as the highest prevalence is among the most economically productive age range of 15-45 years. The Round 9 grant has been consolidated with the Round 5 with a Single Stream of Funding (SSF) and the principal focus is to provide increased and equitable access to DOTS services and strengthening TB/HIV collaboration. This also aims to reduce the TB burden by complementing and accelerating the activities on-going by government and other partners.  DOTS expansion and enhancement: DOTS expansion was the central focus of the Global Fund Round 5 grant and is additionally supported by contributions from government, USAID and other funding partners; however, the accessibility of DOTS services still falls short of global targets. This consolidated grant will expand upon ongoing activities, striving to provide improved and equitable access to TB services to all populations, in line with the National TB Strategic Plan and the STOP TB strategy. Additional 1,650 new DOTS centers will be established with a specific effort to engage all care providers: public, private, and community organizations. This will include strengthening of the existing laboratories and implementing Public Private Mix (PPM) model. To reduce poverty-related barriers to access, expansion will prioritize to focus more in areas with less number of centers per population while also considering geographic distribution. An appropriate number of men and women will be trained as healthcare providers in order to address gender equality issues as well as cultural and religious preferences. The monitoring and evaluation system will be strengthened and enhanced  TB/HIV collaborative activities: There has been a substantial increase in the number of TB patients accessing HCT and other HIV services in the last two years due to support from PEPFAR and Global Fund Round 5 grants and TB-CAP; however, the proportion of DOTS centers (18%) providing such services and the number of patients accessing them are still below the national target. In addition, in most instances TB infection control measures are either weak or neglected. The grant therefore aims at complementing other support structures through expansion of HCT services to 1650 additional DOTS centers, provision of CPT at DOTS centers for HIV+ TB patients, provision of IPT for HIV/AIDS patients, strengthening referral linkages with HIV service points, and improved implementation of TB infection control measures.</narrative>
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			<narrative xml:lang="en">The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
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		<participating-org ref="47045" type="30" role="1">
			<narrative xml:lang="en">The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
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			<narrative xml:lang="en">Association For Reproductive And Family Health</narrative>
		</participating-org>
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			<narrative xml:lang="en">Association For Reproductive And Family Health</narrative>
		</participating-org>
		<participating-org type="15" role="4">
			<narrative xml:lang="en">Association For Reproductive And Family Health</narrative>
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		<other-identifier ref="NGA-T-ARFHP03" type="A1">
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				<narrative xml:lang="en">The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
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				<narrative xml:lang="en">The Global Fund to Fight AIDS Tuberculosis and Malaria</narrative>
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			<department>
				<narrative xml:lang="en">Communications</narrative>
			</department>
			<person-name>
				<narrative xml:lang="en">Web Team</narrative>
			</person-name>
			<job-title>
				<narrative xml:lang="en"> </narrative>
			</job-title>
			<telephone>+41 58 791 1700</telephone>
			<email>website@theglobalfund.org</email>
			<website>https://www.theglobalfund.org</website>
			<mailing-address>
				<narrative xml:lang="en">The Global Fund to Fight AIDS, Tuberculosis and Malaria, Global Health Campus, Chemin du Pommier 40, 1218 Grand-Saconnex, Geneva, Switzerland</narrative>
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				<narrative xml:lang="en">The Global Fund to Fight AIDS Tuberculosis and Malaria</narrative>
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				<narrative xml:lang="en">Grant Management Division</narrative>
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			<person-name>
				<narrative xml:lang="en">Jean, NOUBOUSSI</narrative>
			</person-name>
			<job-title>
				<narrative xml:lang="en">Fund Portfolio Manager</narrative>
			</job-title>
			<telephone>+41 58 791 1700</telephone>
			<email>jean.nouboussi@theglobalfund.org</email>
			<website>https://www.theglobalfund.org</website>
			<mailing-address>
				<narrative xml:lang="en">The Global Fund to Fight AIDS, Tuberculosis and Malaria, Global Health Campus, Chemin du Pommier 40, 1218 Grand-Saconnex, Geneva, Switzerland</narrative>
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				<narrative xml:lang="en">The Global Fund to Fight AIDS Tuberculosis and Malaria</narrative>
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				<narrative xml:lang="en">Communications</narrative>
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			<person-name>
				<narrative xml:lang="en">Web Team</narrative>
			</person-name>
			<telephone>+41 58 791 1700</telephone>
			<email>website@theglobalfund.org</email>
			<website>https://www.theglobalfund.org</website>
			<mailing-address>
				<narrative xml:lang="en">The Global Fund to Fight AIDS, Tuberculosis and Malaria, Global Health Campus, Chemin du Pommier 40, 1218 Grand-Saconnex, Geneva, Switzerland</narrative>
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		<document-link url="https://data.theglobalfund.org/grant/NGA-T-ARFH" format="text/html">
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				<narrative xml:lang="en">Grant page on the data portal of the Global Fund.</narrative>
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				<narrative xml:lang="en">An overview of a grant over it's lifetime.</narrative>
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					<narrative xml:lang="en">TCP-Other 2: Proportion (%) of under 6 child contacts of bacteriological diagnosed PTB cases placed on IPT</narrative>
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					<period-end iso-date="2017-12-31" />
					<target value="80.00" />
					<actual value="87.40" />
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					<target value="90.00" />
					<actual value="86.50" />
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				<period>
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					<target value="89.00" />
					<actual value="84.40" />
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				<period>
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					<target value="89.00" />
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					<target value="88.00" />
					<actual value="93.00" />
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					<period-end iso-date="2017-12-31" />
					<target value="262006" />
					<actual value="104904" />
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				<period>
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					<period-end iso-date="2016-12-31" />
					<target value="52684" />
					<actual value="45812.6" />
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				<period>
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					<target value="133725" />
					<actual value="9817" />
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					<period-end iso-date="2018-06-30" />
					<target value="90.00" />
					<actual value="86.00" />
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				<period>
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					<period-end iso-date="2017-12-31" />
					<target value="90.00" />
					<actual value="85.10" />
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				<period>
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					<period-end iso-date="2018-12-31" />
					<target value="90.00" />
					<actual value="86.00" />
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				<period>
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					<period-end iso-date="2015-12-31" />
					<target value="163383" />
					<actual value="90584" />
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			<indicator measure="2" aggregation-status="false">
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					<period-start iso-date="2018-07-01" />
					<period-end iso-date="2018-12-31" />
					<target value="100.00" />
					<actual value="96.70" />
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				<period>
					<period-start iso-date="2018-01-01" />
					<period-end iso-date="2018-06-30" />
					<target value="100.00" />
					<actual value="96.00" />
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				<period>
					<period-start iso-date="2015-07-01" />
					<period-end iso-date="2015-12-31" />
					<target value="88.00" />
					<actual value="73.00" />
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				<period>
					<period-start iso-date="2017-07-01" />
					<period-end iso-date="2017-12-31" />
					<target value="90.00" />
					<actual value="103.30" />
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				<period>
					<period-start iso-date="2016-07-01" />
					<period-end iso-date="2016-12-31" />
					<target value="90.00" />
					<actual value="81.00" />
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			<indicator measure="2" aggregation-status="false">
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				<period>
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					<period-end iso-date="2016-12-31" />
					<target value="89.00" />
					<actual value="83.40" />
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				<period>
					<period-start iso-date="2016-01-01" />
					<period-end iso-date="2016-06-30" />
					<target value="89.00" />
					<actual value="83.20" />
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				<period>
					<period-start iso-date="2017-01-01" />
					<period-end iso-date="2017-06-30" />
					<target value="90.00" />
					<actual value="85.00" />
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				<period>
					<period-start iso-date="2018-07-01" />
					<period-end iso-date="2018-12-31" />
					<target value="94.98" />
					<actual value="89.60" />
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				<period>
					<period-start iso-date="2018-01-01" />
					<period-end iso-date="2018-06-30" />
					<target value="95.00" />
					<actual value="78.00" />
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				<period>
					<period-start iso-date="2017-07-01" />
					<period-end iso-date="2017-12-31" />
					<target value="92.00" />
					<actual value="89.00" />
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				<period>
					<period-start iso-date="2015-07-01" />
					<period-end iso-date="2015-12-31" />
					<target value="88.00" />
					<actual value="31.00" />
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			</indicator>
			<indicator measure="1" aggregation-status="false">
				<title>
					<narrative xml:lang="en">Number of notified TB cases (all forms) contributed by non-national TB program providers - private/non-governmental facilities</narrative>
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				<period>
					<period-start iso-date="2018-07-01" />
					<period-end iso-date="2018-12-31" />
					<target value="20.00" />
					<actual value="12247" />
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				<period>
					<period-start iso-date="2018-01-01" />
					<period-end iso-date="2018-06-30" />
					<target value="18.00" />
				</period>
			</indicator>
			<indicator measure="1" aggregation-status="false">
				<title>
					<narrative xml:lang="en">Number of notified cases of all forms of TB (i.e. bacteriologically confirmed + clinically diagnosed), new and relapse cases</narrative>
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				<period>
					<period-start iso-date="2018-01-01" />
					<period-end iso-date="2018-06-30" />
					<target value="104882" />
					<actual value="53054" />
				</period>
				<period>
					<period-start iso-date="2018-07-01" />
					<period-end iso-date="2018-12-31" />
					<target value="209765" />
					<actual value="106533" />
				</period>
				<period>
					<period-start iso-date="2017-01-01" />
					<period-end iso-date="2017-06-30" />
					<target value="133725" />
					<actual value="53291" />
				</period>
				<period>
					<period-start iso-date="2016-01-01" />
					<period-end iso-date="2016-06-30" />
					<target value="100723" />
					<actual value="50258" />
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				<period>
					<period-start iso-date="2015-07-01" />
					<period-end iso-date="2015-12-31" />
					<target value="140887" />
					<actual value="90584" />
				</period>
				<period>
					<period-start iso-date="2016-07-01" />
					<period-end iso-date="2016-12-31" />
					<target value="197493" />
					<actual value="100434" />
				</period>
				<period>
					<period-start iso-date="2017-07-01" />
					<period-end iso-date="2017-12-31" />
					<target value="304126" />
					<actual value="104904" />
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			</indicator>
			<indicator measure="2" aggregation-status="false">
				<title>
					<narrative xml:lang="en">DOTS-7a: Percentage of notified TB cases (all forms) contributed by non-NTP providers - private/non-governmental facilities</narrative>
				</title>
				<period>
					<period-start iso-date="2015-07-01" />
					<period-end iso-date="2015-12-31" />
					<target value="80.00" />
					<actual value="11.30" />
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				<period>
					<period-start iso-date="2017-07-01" />
					<period-end iso-date="2017-12-31" />
					<target value="29.20" />
					<actual value="11.30" />
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			</indicator>
			<indicator measure="2" aggregation-status="false">
				<title>
					<narrative xml:lang="en">DOTS-7b: Percentage of notified TB cases, all forms, contributed by non-NTP providers - public sector</narrative>
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				<period>
					<period-start iso-date="2016-07-01" />
					<period-end iso-date="2016-12-31" />
					<target value="29.20" />
					<actual value="14.00" />
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				<period>
					<period-start iso-date="2016-01-01" />
					<period-end iso-date="2016-06-30" />
					<target value="14.30" />
					<actual value="12.90" />
				</period>
				<period>
					<period-start iso-date="2015-07-01" />
					<period-end iso-date="2015-12-31" />
					<target value="14.30" />
					<actual value="14.70" />
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				<period>
					<period-start iso-date="2017-01-01" />
					<period-end iso-date="2017-06-30" />
					<target value="24.00" />
					<actual value="11.30" />
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				<period>
					<period-start iso-date="2017-07-01" />
					<period-end iso-date="2017-12-31" />
					<target value="25.00" />
					<actual value="20.60" />
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			</indicator>
			<indicator measure="2" aggregation-status="false">
				<title>
					<narrative xml:lang="en">Percentage of registered new and relapse TB patients with documented HIV status</narrative>
				</title>
				<period>
					<period-start iso-date="2018-07-01" />
					<period-end iso-date="2018-12-31" />
					<target value="100.00" />
					<actual value="97.00" />
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				<period>
					<period-start iso-date="2018-01-01" />
					<period-end iso-date="2018-06-30" />
					<target value="100.00" />
					<actual value="97.00" />
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			</indicator>
			<indicator measure="1" aggregation-status="false">
				<title>
					<narrative xml:lang="en">Number of notified TB cases (all forms) contributed by non-national TB program providers - community referrals</narrative>
				</title>
				<period>
					<period-start iso-date="2018-01-01" />
					<period-end iso-date="2018-06-30" />
					<target value="26.00" />
				</period>
				<period>
					<period-start iso-date="2018-07-01" />
					<period-end iso-date="2018-12-31" />
					<target value="26.00" />
					<actual value="20171" />
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			</indicator>
			<indicator measure="1" aggregation-status="false">
				<title>
					<narrative xml:lang="en">Number of children &lt;5 in contact with TB patients who began isonizide preventive therapy</narrative>
				</title>
				<period>
					<period-start iso-date="2018-07-01" />
					<period-end iso-date="2018-12-31" />
					<target value="35501" />
					<actual value="10522" />
				</period>
				<period>
					<period-start iso-date="2018-01-01" />
					<period-end iso-date="2018-06-30" />
					<target value="35501" />
					<actual value="5279" />
				</period>
			</indicator>
			<indicator measure="2" aggregation-status="false">
				<title>
					<narrative xml:lang="en">Percentage of HIV-positive new and relapse TB patients on ART during TB treatment</narrative>
				</title>
				<period>
					<period-start iso-date="2018-01-01" />
					<period-end iso-date="2018-06-30" />
					<target value="100.00" />
					<actual value="86.00" />
				</period>
				<period>
					<period-start iso-date="2018-07-01" />
					<period-end iso-date="2018-12-31" />
					<target value="100.00" />
					<actual value="86.90" />
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			</indicator>
			<indicator measure="2" aggregation-status="false">
				<title>
					<narrative xml:lang="en">TB/HIV-1: Percentage of TB patients who had an HIV test result recorded in the TB register</narrative>
				</title>
				<period>
					<period-start iso-date="2017-07-01" />
					<period-end iso-date="2017-12-31" />
					<target value="100.00" />
					<actual value="96.20" />
				</period>
				<period>
					<period-start iso-date="2016-07-01" />
					<period-end iso-date="2016-12-31" />
					<target value="98.00" />
					<actual value="94.70" />
				</period>
				<period>
					<period-start iso-date="2016-01-01" />
					<period-end iso-date="2016-06-30" />
					<target value="96.00" />
					<actual value="94.00" />
				</period>
				<period>
					<period-start iso-date="2017-01-01" />
					<period-end iso-date="2017-06-30" />
					<target value="99.00" />
					<actual value="96.30" />
				</period>
				<period>
					<period-start iso-date="2015-07-01" />
					<period-end iso-date="2015-12-31" />
					<target value="95.00" />
					<actual value="95.70" />
				</period>
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			<indicator measure="1" aggregation-status="false">
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					<narrative xml:lang="en">TB/HIV-2: Pecentage of HIV-positive registered TB patients given anti-retroviral therapy during TB treatment</narrative>
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					<target value="19943" />
					<actual value="6100" />
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				<period>
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				<period>
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					<actual value="6148" />
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				<period>
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					<actual value="11141" />
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				<period>
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					<target value="41277" />
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				<narrative xml:lang="en">Outcome indicators targets and results for NGA-T-ARFHP03</narrative>
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					<narrative xml:lang="en">TB O-Other 1: Percentage of culture positive DR-TB cases who have a negative culture at the end of eight month of treatment</narrative>
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					<target value="65.00" />
					<actual value="76.00" />
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				<period>
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			<indicator measure="1" aggregation-status="false">
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					<target value="87.00" />
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				<period>
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					<target value="88.00" />
					<actual value="75806" />
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				<period>
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					<target value="89.00" />
					<actual value="85499" />
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			<indicator measure="1" aggregation-status="false">
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					<narrative xml:lang="en">Case notification rate of all forms of TB per 100,000 population - bacteriologically confirmed plus clinically diagnosed, new and relapse cases</narrative>
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					<target value="119" />
					<actual value="55.4" />
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				<period>
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					<target value="153" />
					<actual value="54" />
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			<indicator measure="2" aggregation-status="false">
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					<target value="54.00" />
					<actual value="24.00" />
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					<narrative xml:lang="en">Treatment success rate of all forms of TB - bacteriologically confirmed plus clinically diagnosed, new and relapse</narrative>
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					<target value="90.00" />
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			<indicator measure="2" aggregation-status="false">
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					<target value="77.00" />
					<actual value="78.00" />
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					<target value="9" />
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				<period>
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			<category code="A07" />
			<category code="A05" />
			<category code="A08" />
			<document-date iso-date="2026-02-14" />
		</document-link>
		<document-link url="https://www.theglobalfund.org/media/13342/core_grantregulationsversiontwo_regulations_en.pdf" format="application/pdf">
			<title>
				<narrative xml:lang="en">Grant terms and conditions.</narrative>
			</title>
			<description>
				<narrative xml:lang="en">General terms and conditions which apply to Global Fund grants.</narrative>
			</description>
			<category code="A04" />
			<document-date iso-date="2026-02-14" />
		</document-link>
	</iati-activity>
</iati-activities>