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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">Nicaragua Unida (United Nicaragua) in a concerted effort to contain the epidemic - Nicaragua (01-Jul-2015-31-Dec-2017)</narrative>
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			<narrative xml:lang="en">Nicaragua has a concentrated HIV epidemic with higher prevalence rates in key populations – men who have sex with men (MSM), transgender people and sex workers.  Since detection of the first case in 1987, the country has seen a sustained increase in new HIV infections. Key aspects of this program include the development of new policies aimed at providing a joint package of combined prevention services to key populations; fostering increased access to HIV treatment and counselling and early enrolment on treatment; and expanding access to antiretroviral therapy (ART) and improving health care of people living with HIV.  The goals are to maintain certain HIV prevalence rates for key populations by 2017;  9.7 percent for MSMs, 18.6 percent for the transgender population and 2.3 percent for female sex workers, and also to reduce new paediatric HIV infections from mother-to-child transmission to less than 0.5 percent by 2020.  Until 2013 all procurement of HIV related health products, and of antiretrovirals and reagents was done with Global Fund funding.  The country officially commits to a gradual absorption of ART related costs to 50 percent, and up to 25.5 percent of reagents, by 2017.  Since the 2015 provision of HIV screening tests, medicines for opportunistic infections and treatment for sexually transmitted infections will be covered with national funding.</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"> </narrative>
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			<telephone>+41 58 791 1700</telephone>
			<email>website@theglobalfund.org</email>
			<website>https://www.theglobalfund.org</website>
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				<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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			<telephone>+41 58 791 1700</telephone>
			<email>noemie.restrepo@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, Global Health Campus, Chemin du Pommier 40, 1218 Grand-Saconnex, Geneva, Switzerland</narrative>
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				<period>
					<period-start iso-date="2016-01-01" />
					<period-end iso-date="2016-12-31" />
					<target value="65.80" />
					<actual value="49.00" />
				</period>
			</indicator>
			<indicator measure="2" aggregation-status="false">
				<title>
					<narrative xml:lang="en">Percentage of HIV-exposed infants receiving a virological test for HIV within 2 months of birth</narrative>
				</title>
				<period>
					<period-start iso-date="2015-07-01" />
					<period-end iso-date="2015-12-31" />
					<target value="39.00" />
					<actual value="35.70" />
				</period>
			</indicator>
			<indicator measure="2" aggregation-status="false">
				<title>
					<narrative xml:lang="en">Percentage of people living with HIV and on ART, who have a suppressed viral load at 12 months (&lt;1000 copies/ml)</narrative>
				</title>
				<period>
					<period-start iso-date="2015-07-01" />
					<period-end iso-date="2015-12-31" />
					<target value="75.70" />
					<actual value="78.10" />
				</period>
			</indicator>
			<indicator measure="2" aggregation-status="false">
				<title>
					<narrative xml:lang="en">Percentage of pregnant women who know their HIV status</narrative>
				</title>
				<period>
					<period-start iso-date="2015-07-01" />
					<period-end iso-date="2015-12-31" />
					<target value="84.00" />
					<actual value="90.70" />
				</period>
			</indicator>
			<indicator measure="2" aggregation-status="false">
				<title>
					<narrative xml:lang="en">Percentage of people living with HIV that initiated ART with a CD4 count of &lt;200 cells/mm³</narrative>
				</title>
				<period>
					<period-start iso-date="2015-07-01" />
					<period-end iso-date="2015-12-31" />
					<target value="31.20" />
					<actual value="13.90" />
				</period>
			</indicator>
		</result>
		<result type="3" aggregation-status="false">
			<title>
				<narrative xml:lang="en">Impact indicators targets and results for NIC-H-INSSP01</narrative>
			</title>
			<indicator measure="2" aggregation-status="false">
				<title>
					<narrative xml:lang="en">Estimated percentage of children newly infected with HIV from mother-to-child transmission among women living with HIV delivering in the past 12 months</narrative>
				</title>
				<period>
					<period-start iso-date="2015-07-01" />
					<period-end iso-date="2015-12-31" />
					<target value="4.76" />
					<actual value="3.10" />
				</period>
			</indicator>
			<indicator measure="2" aggregation-status="false">
				<title>
					<narrative xml:lang="en">Percentage of sex workers who are living with HIV</narrative>
				</title>
				<period>
					<period-start iso-date="2017-01-01" />
					<period-end iso-date="2017-12-31" />
					<target value="2.30" />
					<actual value="3.17" />
				</period>
			</indicator>
			<indicator measure="2" aggregation-status="false">
				<title>
					<narrative xml:lang="en">Percentage of transgender people who are living with HIV</narrative>
				</title>
				<period>
					<period-start iso-date="2017-01-01" />
					<period-end iso-date="2017-12-31" />
					<target value="18.60" />
					<actual value="6.17" />
				</period>
			</indicator>
			<indicator measure="2" aggregation-status="false">
				<title>
					<narrative xml:lang="en">Percentage of men who have sex with men who are living with HIV</narrative>
				</title>
				<period>
					<period-start iso-date="2017-01-01" />
					<period-end iso-date="2017-12-31" />
					<target value="9.70" />
					<actual value="12.30" />
				</period>
			</indicator>
		</result>
		<result type="2" aggregation-status="false">
			<title>
				<narrative xml:lang="en">Outcome indicators targets and results for NIC-H-INSSP01</narrative>
			</title>
			<indicator measure="2" aggregation-status="false">
				<title>
					<narrative xml:lang="en">Percentage of adults and children with HIV, known to be on treatment 12 months after initiation of antiretroviral therapy</narrative>
				</title>
				<period>
					<period-start iso-date="2015-07-01" />
					<period-end iso-date="2015-12-31" />
					<target value="82.50" />
					<actual value="79.00" />
				</period>
				<period>
					<period-start iso-date="2017-01-01" />
					<period-end iso-date="2017-12-31" />
					<target value="84.00" />
					<actual value="72.38" />
				</period>
				<period>
					<period-start iso-date="2017-01-01" />
					<period-end iso-date="2017-12-31" />
					<target value="85.50" />
					<actual value="72.38" />
				</period>
			</indicator>
			<indicator measure="2" aggregation-status="false">
				<title>
					<narrative xml:lang="en">Percentage of men reporting the use of a condom the last time they had anal sex with a male partner</narrative>
				</title>
				<period>
					<period-start iso-date="2017-01-01" />
					<period-end iso-date="2017-12-31" />
					<target value="62.00" />
					<actual value="55.45" />
				</period>
			</indicator>
			<indicator measure="2" aggregation-status="false">
				<title>
					<narrative xml:lang="en">Percentage of transgender people reporting using a condom in their most recent sexual intercourse or anal sex</narrative>
				</title>
				<period>
					<period-start iso-date="2017-01-01" />
					<period-end iso-date="2017-12-31" />
					<target value="95.00" />
					<actual value="79.41" />
				</period>
			</indicator>
			<indicator measure="2" aggregation-status="false">
				<title>
					<narrative xml:lang="en">Percentage of sex workers reporting using a condom with their most recent client</narrative>
				</title>
				<period>
					<period-start iso-date="2017-01-01" />
					<period-end iso-date="2017-12-31" />
					<target value="94.71" />
					<actual value="97.33" />
				</period>
			</indicator>
		</result>
	</iati-activity>
	<iati-activity last-updated-datetime="2026-02-14T00:00:00+01:00" xml:lang="en" default-currency="USD" humanitarian="false" hierarchy="1">
		<iati-identifier>47045-NIC-H-INSS-2</iati-identifier>
		<reporting-org ref="47045" type="30" secondary-reporter="false">
			<narrative xml:lang="en">The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
		</reporting-org>
		<title>
			<narrative xml:lang="en">Strengthening Nicaragua through prevention and health care to contain the HIV epidemic in key and vulnerable populations, within the framework of the sustainability of the response - Nicaragua (01-Jan-2018-30-Jun-2019)</narrative>
		</title>
		<description type="1">
			<narrative xml:lang="en">Nicaragua, HIV, Instituto Nicaragüense de Seguridad Social (INSS)This program has the following goals: Mantener en 12.3% la prevalencia de VIH en Hombres que tienen Sexo con Hombres (HSH) al año 2020..  Mantener en 6.2% la prevalencia de VIH en personas transgenero al año 2020..  Mantener en 3.2% la prevalencia de VIH en trabajadoras sexuales al año 2020.. The objectives of this program are: Fortalecer las capacidades de gobernanza de CONISIDA para dar respuesta a la epidemia del VIH en el marco del respeto a los derechos humanos de las diferentes poblaciones y reducir la dependencia de recursos externos, propiciando el alcance de una respuesta nacional sostenible..  Desarrollar capacidades de promoción y prevención para reducir sustancialmente las nuevas infecciones por VIH mediante un conjunto integral de acciones preventivas con enfoque de género, derechos humanos e interculturalidad a fin de brindar una atención integral oportuna en población clave en territorios priorizados de acuerdo a criterios epidemiológicos..  Garantizar el acceso al diagnóstico oportuno, tratamiento, atención y apoyo, asegurando la retención y calidad de vida de las personas con VIH en una Respuesta Nacional coordinada y articulada en el del marco del Modelo de Salud Familiar y Comunitario..  Robustecer  la información estratégica sobre la epidemia y la respuesta nacional a fin de facilitar el intercambio y análisis de información actualizada y oportuna que mejoren la eficacia y efectividad  de las intervenciones y promuevan una gestión responsable.</narrative>
		</description>
		<participating-org ref="47045" type="30" role="1">
			<narrative xml:lang="en">The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
		</participating-org>
		<participating-org ref="47045" type="30" role="1">
			<narrative xml:lang="en">The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
		</participating-org>
		<participating-org type="10" role="2">
			<narrative xml:lang="en">Instituto Nicaragüense de Seguridad Social</narrative>
		</participating-org>
		<participating-org type="10" role="3">
			<narrative xml:lang="en">Instituto Nicaragüense de Seguridad Social</narrative>
		</participating-org>
		<participating-org type="10" role="4">
			<narrative xml:lang="en">Instituto Nicaragüense de Seguridad Social</narrative>
		</participating-org>
		<other-identifier ref="NIC-H-INSSP02" type="A1">
			<owner-org ref="47045">
				<narrative xml:lang="en">The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
			</owner-org>
		</other-identifier>
		<activity-status code="3" />
		<activity-date type="1" iso-date="2018-01-01" />
		<activity-date type="2" iso-date="2018-01-01" />
		<activity-date type="3" iso-date="2019-06-30" />
		<activity-date type="4" iso-date="2019-06-30" />
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			<organisation>
				<narrative xml:lang="en">The Global Fund to Fight AIDS Tuberculosis and Malaria</narrative>
			</organisation>
			<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>
			</mailing-address>
		</contact-info>
		<contact-info type="2">
			<organisation>
				<narrative xml:lang="en">The Global Fund to Fight AIDS Tuberculosis and Malaria</narrative>
			</organisation>
			<department>
				<narrative xml:lang="en">Grant Management Division</narrative>
			</department>
			<person-name>
				<narrative xml:lang="en">Noemie, RESTREPO</narrative>
			</person-name>
			<job-title>
				<narrative xml:lang="en">Fund Portfolio Manager</narrative>
			</job-title>
			<telephone>+41 58 791 1700</telephone>
			<email>noemie.restrepo@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>
			</mailing-address>
		</contact-info>
		<contact-info type="4">
			<organisation>
				<narrative xml:lang="en">The Global Fund to Fight AIDS Tuberculosis and Malaria</narrative>
			</organisation>
			<department>
				<narrative xml:lang="en">Communications</narrative>
			</department>
			<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>
			</mailing-address>
		</contact-info>
		<activity-scope code="4" />
		<recipient-country code="NI" percentage="100">
			<narrative xml:lang="en">Nicaragua</narrative>
		</recipient-country>
		<sector vocabulary="1" code="13040" percentage="70">
			<narrative xml:lang="en">HIV</narrative>
		</sector>
		<sector vocabulary="1" code="12110" percentage="27">
			<narrative xml:lang="en">Multicomponent</narrative>
		</sector>
		<sector vocabulary="1" code="12110" percentage="3">
			<narrative xml:lang="en">RSSH</narrative>
		</sector>
		<country-budget-items vocabulary="4">
			<budget-item code="5.1.1" percentage="1">
				<description>
					<narrative xml:lang="en">HIV -&gt; Comprehensive prevention programs for MSM -&gt; Addressing stigma, discrimination and violence against MSM</narrative>
				</description>
			</budget-item>
			<budget-item code="5.1.1" percentage="11">
				<description>
					<narrative xml:lang="en">HIV -&gt; Comprehensive prevention programs for MSM -&gt; Behavioral interventions for MSM</narrative>
				</description>
			</budget-item>
			<budget-item code="5.1.1" percentage="0">
				<description>
					<narrative xml:lang="en">HIV -&gt; Comprehensive prevention programs for MSM -&gt; Condoms and lubricant programming for MSM</narrative>
				</description>
			</budget-item>
			<budget-item code="5.1.1" percentage="1">
				<description>
					<narrative xml:lang="en">HIV -&gt; Comprehensive prevention programs for MSM -&gt; Diagnosis and treatment of STIs and other sexual health services for MSM</narrative>
				</description>
			</budget-item>
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				<description>
					<narrative xml:lang="en">HIV -&gt; Comprehensive prevention programs for MSM -&gt; HIV testing services for MSM</narrative>
				</description>
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				<description>
					<narrative xml:lang="en">HIV -&gt; Comprehensive prevention programs for MSM -&gt; Interventions for young men who have sex with men</narrative>
				</description>
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			<budget-item code="5.1.1" percentage="4">
				<description>
					<narrative xml:lang="en">HIV -&gt; Comprehensive prevention programs for MSM -&gt; Other intervention(s) for MSM</narrative>
				</description>
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				<description>
					<narrative xml:lang="en">HIV -&gt; Comprehensive prevention programs for sex workers and their clients -&gt; Behavioral interventions for sex workers</narrative>
				</description>
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				<description>
					<narrative xml:lang="en">HIV -&gt; Comprehensive prevention programs for sex workers and their clients -&gt; Condoms and lubricant programming for sex workers</narrative>
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				<description>
					<narrative xml:lang="en">HIV -&gt; Comprehensive prevention programs for sex workers and their clients -&gt; HIV testing services for sex workers</narrative>
				</description>
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				<description>
					<narrative xml:lang="en">HIV -&gt; Comprehensive prevention programs for sex workers and their clients -&gt; Other intervention(s) for sex workers and their clients</narrative>
				</description>
			</budget-item>
			<budget-item code="5.1.1" percentage="0">
				<description>
					<narrative xml:lang="en">HIV -&gt; Comprehensive prevention programs for TGs -&gt; Addressing stigma, discrimination and violence against TGs</narrative>
				</description>
			</budget-item>
			<budget-item code="5.1.1" percentage="2">
				<description>
					<narrative xml:lang="en">HIV -&gt; Comprehensive prevention programs for TGs -&gt; Behavioral interventions for TGs</narrative>
				</description>
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				<description>
					<narrative xml:lang="en">HIV -&gt; Comprehensive prevention programs for TGs -&gt; HIV testing services for TGs</narrative>
				</description>
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			<budget-item code="5.1.1" percentage="0">
				<description>
					<narrative xml:lang="en">HIV -&gt; Comprehensive programs for people in prisons and other closed settings -&gt; Addressing stigma, discrimination and violence against people in prisons and other closed settings</narrative>
				</description>
			</budget-item>
			<budget-item code="5.1.1" percentage="0">
				<description>
					<narrative xml:lang="en">HIV -&gt; Comprehensive programs for people in prisons and other closed settings -&gt; Behavioral interventions for people in prisons and other closed settings</narrative>
				</description>
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				<description>
					<narrative xml:lang="en">HIV -&gt; Comprehensive programs for people in prisons and other closed settings -&gt; HIV testing services for people in prisons and other closed settings</narrative>
				</description>
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			<budget-item code="5.1.1" percentage="0">
				<description>
					<narrative xml:lang="en">HIV -&gt; Comprehensive programs for people in prisons and other closed settings -&gt; Other intervention(s) for people in prisons and other closed settings</narrative>
				</description>
			</budget-item>
			<budget-item code="5.1.1" percentage="9">
				<description>
					<narrative xml:lang="en">HIV -&gt; PMTCT -&gt; Prong 3: Preventing vertical HIV transmission</narrative>
				</description>
			</budget-item>
			<budget-item code="5.1.1" percentage="1">
				<description>
					<narrative xml:lang="en">HIV -&gt; Prevention package for men who have sex with men (MSM) and their sexual partners -&gt; Community empowerment for MSM</narrative>
				</description>
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				<description>
					<narrative xml:lang="en">HIV -&gt; Treatment, care and support -&gt; Counseling and psycho-social support</narrative>
				</description>
			</budget-item>
			<budget-item code="5.1.1" percentage="14">
				<description>
					<narrative xml:lang="en">HIV -&gt; Treatment, care and support -&gt; HIV care</narrative>
				</description>
			</budget-item>
			<budget-item code="5.1.1" percentage="1">
				<description>
					<narrative xml:lang="en">HIV -&gt; Treatment, care and support -&gt; Other intervention(s) for treatment</narrative>
				</description>
			</budget-item>
			<budget-item code="5.1.1" percentage="4">
				<description>
					<narrative xml:lang="en">HIV -&gt; Treatment, care and support -&gt; Treatment adherence</narrative>
				</description>
			</budget-item>
			<budget-item code="5.1.1" percentage="7">
				<description>
					<narrative xml:lang="en">HIV -&gt; Treatment, care and support -&gt; Treatment monitoring - Viral load</narrative>
				</description>
			</budget-item>
			<budget-item code="5.1.1" percentage="27">
				<description>
					<narrative xml:lang="en">Multicomponent -&gt; Program management -&gt; Grant management</narrative>
				</description>
			</budget-item>
			<budget-item code="5.1.1" percentage="1">
				<description>
					<narrative xml:lang="en">RSSH -&gt; RSSH: Health management information systems and M&amp;E -&gt; Analysis, evaluations, reviews and transparency</narrative>
				</description>
			</budget-item>
			<budget-item code="5.1.1" percentage="0">
				<description>
					<narrative xml:lang="en">RSSH -&gt; RSSH: Health products management systems -&gt; National product selection, registration and quality monitoring</narrative>
				</description>
			</budget-item>
			<budget-item code="5.1.1" percentage="1">
				<description>
					<narrative xml:lang="en">RSSH -&gt; RSSH: Health sector governance and planning -&gt; National health sector strategies and financing</narrative>
				</description>
			</budget-item>
			<budget-item code="5.1.1" percentage="1">
				<description>
					<narrative xml:lang="en">RSSH -&gt; RSSH: Monitoring and evaluation systems -&gt; Surveys</narrative>
				</description>
			</budget-item>
		</country-budget-items>
		<collaboration-type code="1" />
		<default-flow-type code="10" />
		<default-finance-type code="110" />
		<default-aid-type code="C01" />
		<default-tied-status code="5" />
		<budget type="2" status="2">
			<period-start iso-date="2019-01-01" />
			<period-end iso-date="2019-12-31" />
			<value currency="USD" value-date="2018-01-01">2020927.95</value>
		</budget>
		<budget type="2" status="2">
			<period-start iso-date="2018-01-01" />
			<period-end iso-date="2018-12-31" />
			<value currency="USD" value-date="2018-01-01">2145408.21</value>
		</budget>
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			<transaction-type code="2" />
			<transaction-date iso-date="2018-03-19" />
			<value currency="USD" value-date="2018-03-19">518310.75</value>
			<description>
				<narrative xml:lang="en">Global Fund Commitment to NIC-H-INSSP02.</narrative>
			</description>
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				<narrative xml:lang="en">Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
			</provider-org>
			<receiver-org>
				<narrative xml:lang="en">Instituto Nicaragüense de Seguridad Social (INSS)</narrative>
			</receiver-org>
			<aid-type code="C01" />
			<tied-status code="5" />
		</transaction>
		<transaction ref="7aee8cd1-a75d-4819-8c57-10f7ad202782">
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			<transaction-date iso-date="2019-01-04" />
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			<description>
				<narrative xml:lang="en">Global Fund Commitment to NIC-H-INSSP02.</narrative>
			</description>
			<provider-org type="40">
				<narrative xml:lang="en">Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
			</provider-org>
			<receiver-org>
				<narrative xml:lang="en">Instituto Nicaragüense de Seguridad Social (INSS)</narrative>
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			<tied-status code="5" />
		</transaction>
		<transaction ref="ea6700fa-fef2-422f-9bba-9668d20c3db7">
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			<transaction-date iso-date="2019-10-30" />
			<value currency="USD" value-date="2019-10-30">-60478.74</value>
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				<period>
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					<actual value="67.20" />
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				<period>
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				<period>
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					<target value="63.47" />
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					<target value="69.00" />
					<actual value="59.40" />
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				<period>
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					<target value="81.18" />
					<actual value="81.10" />
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			<indicator measure="2" aggregation-status="false">
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					<narrative xml:lang="en">Percentage of sex workers reached with HIV prevention programs - defined package of services</narrative>
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					<period-end iso-date="2019-06-30" />
					<target value="59.52" />
					<actual value="69.60" />
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				<period>
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					<target value="52.10" />
					<actual value="61.80" />
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					<target value="81.17" />
					<actual value="71.50" />
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				<period>
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					<target value="69.10" />
					<actual value="52.20" />
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					<target value="70.50" />
					<actual value="68.40" />
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					<period-end iso-date="2018-12-31" />
					<target value="79.00" />
					<actual value="76.01" />
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