47045-QPA-S-ECSA-1 The Global Fund to Fight AIDS, Tuberculosis and Malaria Multicountry Africa ECSA-HC, RSSH, East, Central and Southern Africa Health Community Goal: Strengthening Integrated laboratory systems. Objectives: Strengthening mechanisms on Disease outbreak Response and Preparedness in the Region; Capacity building for in country IVD performance evaluation in Africa; Expansion of scope and provision of integrated EQA schemes including PT for Malaria RDTs; Supporting Establishment of COEs and SRLs within the ECSA region; Building capacity for Antimicrobial Resistance Surveillance: Strengthen the functioning of AMR surveillance sentinel laboratories to support AMR surveillance in Human and animal health. The Global Fund to Fight AIDS, Tuberculosis and Malaria East, Central and Southern Africa Health Community East, Central and Southern Africa Health Community 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 Paul Mccarrick Fund Portfolio Manager +41 58 791 1700 paul.mccarrick@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 Multicountry Africa ECSA-HC Multicomponent, RSSH Ensure healthy lives and promote well-being for all at all ages Achieve universal health coverage Multicomponent -> Program management -> Coordination and management of national disease control programs Multicomponent -> Program management -> Grant management RSSH -> RSSH/PP: Human resources for health (HRH) and quality of care -> RSSH/PP: In-service training (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: National laboratory governance and management structures RSSH -> RSSH/PP: Laboratory systems (including national and peripheral) -> RSSH/PP: Quality management systems and accreditation RSSH -> RSSH: Health products management systems -> Policy, strategy, governance 1826617.35 1696929.45 1476453.21 2605259.00 Global Fund commitment to QPA-S-ECSAP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria East, Central and Southern Africa Health Community 885069.00 Global Fund disbursement to QPA-S-ECSAP01 (International NGO). The Global Fund to Fight AIDS, Tuberculosis and Malaria East, Central and Southern Africa Health Community 757268.00 Global Fund disbursement to QPA-S-ECSAP01 (International NGO). The Global Fund to Fight AIDS, Tuberculosis and Malaria East, Central and Southern Africa Health Community 934729.00 Global Fund disbursement to QPA-S-ECSAP01 (International NGO). The Global Fund to Fight AIDS, Tuberculosis and Malaria East, Central and Southern Africa Health Community 105322.02 Global Fund commitment to QPA-S-ECSAP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria East, Central and Southern Africa Health Community 33419.62 Global Fund disbursement to QPA-S-ECSAP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria East, Central and Southern Africa Health Community 55953.64 Global Fund disbursement to QPA-S-ECSAP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria East, Central and Southern Africa Health Community 178474.19 Global Fund commitment to QPA-S-ECSAP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria East, Central and Southern Africa Health Community -15948.76 Global Fund commitment to QPA-S-ECSAP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria East, Central and Southern Africa Health Community 6433.19 Global Fund disbursement to QPA-S-ECSAP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria East, Central and Southern Africa Health Community 124.66 Global Fund disbursement to QPA-S-ECSAP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria East, Central and Southern Africa Health Community 38029.49 Global Fund disbursement to QPA-S-ECSAP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria East, Central and Southern Africa Health Community 1111.69 Global Fund disbursement to QPA-S-ECSAP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria East, Central and Southern Africa Health Community 90.89 Global Fund disbursement to QPA-S-ECSAP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria East, Central and Southern Africa Health Community 2874.19 Global Fund disbursement to QPA-S-ECSAP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria East, Central and Southern Africa Health Community 105741.75 Global Fund disbursement to QPA-S-ECSAP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria East, Central and Southern Africa Health Community 55.70 Global Fund disbursement to QPA-S-ECSAP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria East, Central and Southern Africa Health Community 15733.41 Global Fund commitment to QPA-S-ECSAP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria East, Central and Southern Africa Health Community -24012.63 Global Fund commitment to QPA-S-ECSAP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria East, Central and Southern Africa Health Community 1311824.08 Global Fund commitment to QPA-S-ECSAP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria East, Central and Southern Africa Health Community -28193.00 Global Fund commitment to QPA-S-ECSAP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria East, Central and Southern Africa Health Community 545404.47 Global Fund disbursement to QPA-S-ECSAP01 (International NGO). The Global Fund to Fight AIDS, Tuberculosis and Malaria East, Central and Southern Africa Health Community 2029.00 Global Fund disbursement to QPA-S-ECSAP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria East, Central and Southern Africa Health Community 1318.89 Funds returned to the Global Fund from QPA-S-ECSAP01 (Pooled Procurement Mechanism). East, Central and Southern Africa Health Community The Global Fund to Fight AIDS, Tuberculosis and Malaria -1318.89 Global Fund commitment to QPA-S-ECSAP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria East, Central and Southern Africa Health Community 46868.00 Global Fund disbursement to QPA-S-ECSAP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria East, Central and Southern Africa Health Community 719551.61 Global Fund disbursement to QPA-S-ECSAP01 (International NGO). The Global Fund to Fight AIDS, Tuberculosis and Malaria East, Central and Southern Africa Health Community 970790.78 Expenditure reported by East, Central and Southern Africa Health Community for QPA-S-ECSAP01, Jul 2024 to Jun 2025. East, Central and Southern Africa Health Community An overview of a grant over its lifetime. General terms and conditions which apply to Global Fund grants. Funding Request of funding request FR1703-MCECSA-HC-S. 1 - 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. 2 - The Principal Recipient shall ensure that: (1) it and any Sub-recipient or Supplier: (a) complies with applicable Economic Sanctions Law, including by, as applicable, not entering into any agreement or transaction, or engaging in activities with or for the benefit of any sanctioned individual or entity, or involving any sanctioned country or territory, except as permitted under Economic Sanctions Law applicable to the Principal Recipient, any Grant Sub-recipient or Supplier, the Use of Grant Funds or implementation of Program Activities; or (b) engage in, transact or otherwise facilitate any export, transfer or transmission of goods, services, software, technical data or technology in violation of any applicable regulations, laws or legally binding measures. Economic Sanctions Law referred to in this sub-section are defined as follows: “Economic Sanctions Law” means any economic or financial sanctions administered by the Office of Foreign Assets Control of the United States Department of the Treasury (“OFAC”), the United States State Department, any other agency of the United States government, the United Nations, the United Kingdom, the European Union or any member state thereof, and/or Switzerland; (2) it and any Sub-recipients or Suppliers have reasonable controls in place to ensure compliance with sub-section (1) above (including, without limitation, verifying that counterparties are not designated by applicable Economic Sanctions Law before requesting quotations from them and having robust contractual provisions in place with Sub-recipients and Suppliers regarding compliance with applicable Economic Sanctions Law); and (3) the Global Fund is promptly notified in writing of any act or omission materially inconsistent with the requirements of this sub-section. 3 - The Principal Recipient shall repay to the Global Fund by the date of the first disbursement of Grant Funds the amount the Global Fund has determined as recoverable pursuant to the terms of the relevant grant agreements: USD15,922 arising from financial reviews, as communicated to the Principal Recipient through the demand letter dated [XXX] , which shall have continuing force and effect. Module: RSSH/PP: Laboratory systems (including national and peripheral). Geographic coverage: National, 100% of national program target. Aggregation: Non cumulative - other. Numerator: 2; Denominator: 15. Numerator: 8; Denominator: 16. Numerator: 8; Denominator: 16. Numerator: 12; Denominator: 16. Numerator: 13; Denominator: 16. Numerator: 16; Denominator: 16. Module: RSSH/PP: Laboratory systems (including national and peripheral). Geographic coverage: National, 100% of national program target. Aggregation: Non cumulative - other. Numerator: 2. Numerator: 3. Numerator: 3; Denominator: 3; Percentage: 100%. Numerator: 5. Numerator: 3; Denominator: 6; Percentage: 50%. Numerator: 6. Module: RSSH/PP: Laboratory systems (including national and peripheral). Geographic coverage: National, 100% of national program target. Aggregation: Non cumulative - other. Numerator: 2. Numerator: 3. Numerator: 2; Denominator: 3; Percentage: 66.67%. Numerator: 5. Numerator: 3; Denominator: 6; Percentage: 50%. Numerator: 6. Module: RSSH/PP: Laboratory systems (including national and peripheral). Geographic coverage: National, 100% of national program target. Aggregation: Non cumulative - other. Numerator: 5. Numerator: 6. Numerator: 9; Denominator: 9; Percentage: 100%. Numerator: 8. Numerator: 8. Numerator: 12.