<narrative xml:lang="en">Integrated grant to reduce burden of the three diseases with a focus on the migrant population - Nepal (01-Feb-2025-31-Jul-2027)</narrative>

47045-NPL-Z-UNDP-1

The Global Fund to Fight AIDS, Tuberculosis and Malaria

<narrative xml:lang="en">Integrated grant to reduce burden of the three diseases with a focus on the migrant population - Nepal (01-Feb-2025-31-Jul-2027)</narrative> Nepal, Multicomponent, United Nations Development Programme (UNDP Nepal)This program has the following goals: Accelerate Nepal's HIV response to achieve zero new infections, zero AIDS-related deaths, and eliminate HIV inequalities by 2030, as per NHSP 2021-2026. Nepal has set a goal to decrease incidence rate from 238 in 2020/21 to 181 per 100,000 population by 2025/26; decrease mortality rate from 58 in 2020/21 to 23 per 100,000 by 2025/26; end TB epidemic by 2035; eliminate TB by 2050; and reduce the catastrophic cost to zero.. Reduce the indigenous malaria cases to zero by 2026 and sustain thereafter. Sustain zero malaria mortality. The objectives of this program are: Increase access to people-centered services across the HIV prevention and care continuum. Optimize health outcomes for people living with HIV and key populations. Strengthen community and health system resilience to reduce barriers to HIV prevention, treatment and care. To build and strengthen political commitment, sustainability and patient-friendly health system to end TB.. To ensure the identification of TB, diagnosis, quality treatment and prevention.. To ensure proportional and equitable access to quality assured diagnosis and treatment in health facilities as per federal structure and implement effective preventive measures to achieve malaria elimination.

The Global Fund to Fight AIDS, Tuberculosis and Malaria

United Nations Development Programme

The Global Fund to Fight AIDS, Tuberculosis and Malaria

The Global Fund to Fight AIDS Tuberculosis and Malaria Communications

Web Team

+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

Manab, BASNET

Fund Portfolio Manager

+41 58 791 1700 manab.basnet@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 Communications

Web Team

+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

Nepal

HIV Malaria Multicomponent RSSH Tuberculosis

HIV -> Differentiated HIV Testing Services -> Community-based testing for AGYW and their male sexual partners programs

HIV -> Differentiated HIV Testing Services -> Community-based testing for KP programs

HIV -> Differentiated HIV Testing Services -> Community-based testing outside of KP and AGYW programs

HIV -> Differentiated HIV Testing Services -> Facility-based testing for adolescent girls and young women (AGYW) and their male sexual partners programs

HIV -> Differentiated HIV Testing Services -> Facility-based testing for key population (KP) programs

HIV -> Differentiated HIV Testing Services -> Facility-based testing outside of key population (KP) and adolescent girls and young women (AGYW) programs

HIV -> Differentiated HIV Testing Services -> Self-testing for AGYW and their male sexual partners programs

HIV -> Differentiated HIV Testing Services -> Self-testing for KP programs

HIV -> Differentiated HIV Testing Services -> Self-testing outside of KP and AGYW 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 -> Elimination of vertical transmission of HIV, syphilis and hepatitis B -> Post-natal infant prophylaxis

HIV -> Prevention package for other vulnerable populations (OVP) -> Community empowerment for OVP

HIV -> Prevention package for other vulnerable populations (OVP) -> Condom and lubricant programing for OVP

HIV -> Prevention package for other vulnerable populations (OVP) -> HIV prevention communication, information and demand creation for OVP

HIV -> Prevention package for other vulnerable populations (OVP) -> Removing human rights-related barriers to prevention for OVP

HIV -> Prevention package for other vulnerable populations (OVP) -> Sexual and reproductive health services, including STIs, hepatitis, post-violence care for OVP

HIV -> Prevention package for people who use drugs (PUD) and their sexual partners -> Community empowerment for PUD

HIV -> Prevention package for people who use drugs (PUD) and their sexual partners -> Condom and lubricant programing for PUD

HIV -> Prevention package for people who use drugs (PUD) and their sexual partners -> HIV prevention communication, information and demand creation for PUD

HIV -> Prevention package for people who use drugs (PUD) and their sexual partners -> Needle and syringe programs for PWID

HIV -> Prevention package for people who use drugs (PUD) and their sexual partners -> Opioid substitution therapy and other medically assisted drug dependence treatment for PWID

HIV -> Prevention package for people who use drugs (PUD) and their sexual partners -> Removing human rights-related barriers to prevention for PUD

HIV -> Prevention package for people who use drugs (PUD) and their sexual partners -> Sexual and reproductive health services, including STIs, hepatitis, post-violence care for PUD

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 -> Ensuring nondiscriminatory provision of health care

HIV -> Reducing human rights-related barriers to HIV/TB services -> Ensuring rights-based law enforcement practices

HIV -> Reducing human rights-related barriers to HIV/TB services -> Improving laws, regulations and polices relating to HIV and HIV/TB

HIV -> Reducing human rights-related barriers to HIV/TB services -> Increasing access to justice (HIV/TB)

HIV -> Reducing human rights-related barriers to HIV/TB services -> Legal literacy (“Know Your Rights”) (HIV/TB)

HIV -> Reducing human rights-related barriers to HIV/TB services -> Reducing HIV-related gender discrimination, harmful gender norms and violence against women and girls in all their diversity

HIV -> Treatment, care and support -> Diagnosis and management of advanced disease (adults and children)

HIV -> Treatment, care and support -> HIV treatment and differentiated service delivery - adults (15 and above)

HIV -> Treatment, care and support -> HIV treatment and differentiated service delivery - children (under 15)

HIV -> Treatment, care and support -> Treatment monitoring - Viral load and antiretroviral (ARV) toxicity

Malaria -> Case management -> Epidemic preparedness

Malaria -> Case management -> Facility-based treatment

Malaria -> Case management -> Integrated community case management (iCCM)

Malaria -> Case management -> Intensified activities for elimination

Malaria -> Case management -> Private sector case management

Malaria -> Case management -> Therapeutic efficacy surveillance

Malaria -> Vector control -> Entomological monitoring

Malaria -> Vector control -> Indoor residual spraying (IRS)

Malaria -> Vector control -> Insecticide treated nets (ITNs) - Continuous distribution: ANC

Malaria -> Vector control -> Insecticide treated nets (ITNs) - Mass campaign: universal

Multicomponent -> Program management -> Grant management

RSSH -> RSSH: Community systems strengthening -> Capacity building and leadership development

RSSH -> RSSH: Community systems strengthening -> Community engagement, linkages and coordination

RSSH -> RSSH: Community systems strengthening -> Community-led monitoring

RSSH -> RSSH: Health products management systems -> Planning and procurement capacity

RSSH -> RSSH: Health products management systems -> Storage and distribution capacity, design & operations

RSSH -> RSSH: Monitoring and evaluation systems -> Analyses, evaluations, reviews and data use

RSSH -> RSSH: Monitoring and evaluation systems -> Routine reporting

RSSH -> RSSH: Monitoring and evaluation systems -> Surveillance for HIV, tuberculosis and malaria

RSSH -> RSSH/PP: Human resources for health (HRH) and quality of care -> RSSH/PP: Community health workers: In-service training

RSSH -> RSSH/PP: Human resources for health (HRH) and quality of care -> RSSH/PP: Integrated supportive supervision for health workers (excluding CHWs)

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

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 diagnosis/drug susceptibility testing (DST)

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 - Mobile population (migrants/refugees/IDPs)

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 -> Removing human rights and gender related barriers to TB services -> Community mobilization and advocacy, including support to TB survivor-led groups

Tuberculosis -> Removing human rights and gender related barriers to TB services -> Eliminating TB-related stigma and discrimination

Tuberculosis -> Removing human rights and gender related barriers to TB services -> Reducing TB-related gender discrimination, harmful gender norms and violence

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 -> Infection prevention and control (IPC)

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

Tuberculosis -> TB/HIV -> TB/HIV - Treatment and care

14749594.22

26771662.81

2662518.00 Global Fund Commitment to NPL-Z-UNDPP01.