Examples of non-strategic HSS investments in previous
proposals
Neither HSS, nor linked to HIV, tuberculosis or malaria outcomes:
• Building a wellness center for health workers’ families
• Building residential accommodation for health workers’ families
HSS but not linked to HIV, tuberculosis or malaria outcomes:
• Building
nursing school
to scale-up
nurses
for psychiatric
TRP: a“Many
proposals
often
request
a care
• Supporting stipends for academic degree training (MPH)
‘shopping list’ of all theoretical HSS needs,
Linked
to HIV, giving
tuberculosis
or malaria
outcomes, but HSS
not HSS:
without
thought
to longer-term
• Employing
communityplanning
organizations
to carry
out communication
programmatic
and
expected
activities for malaria control
impact”
• Strengthening network of persons living with HIV for political
advocacy and social monitoring
HSS investments not aligned with investments in diseases
• Investment in the procurement of medicines without addressing
weaknesses in systems for procurement and supply management
NFM offers the Opportunity to Improve Quality of HSS
Investments
•
Guidance on HSS investments and tools
o
Programmatic risk analysis across HIV, TB, malaria portfolio identified most frequent system-related risks
in: PSM, HRH, HMIS, service delivery, financial management, and these have been prioritized for HSS
investments
o
“Limited flexibility” is allowed for interventions beyond these areas, if a certain set of criteria are met
o
Strategic allocation of scarce resources: focus on most-in-need countries for HSS investments (differentiated
allocation/scope by country Bands)
o
HSS concept note template, instructions, modular tool
•
Structured mechanism for TA provision at the proposal and implementation stages
•
Country dialogue and iterative process – Secretariat provides input to proposal development
before approval
•
Measurement and evidence generation
o Integration of the HSS component in national disease program reviews
•
Institutional capacity
o
HSS/RMNCH team, cross-divisional WG, CT training
Illustrative Examples of Potential Demand for HSS Investments in
2014:
Geographic, thematic and grant architecture diversity
Afghanistan:
Stand-alone cross-cutting HSS (community health workforce, HMIS, integrated laboratory services)
Nigeria:
Cross-cutting HSS included in HIV application (PSM, HRH, HMIS)
Pakistan:
Cross-cutting HSS included in TB application (PSM, HMIS)
South Sudan:
Stand-alone cross-cutting HSS grant
Ukraine:
Cross-cutting HSS included in joint TB-HIV application (healthcare financing, service delivery reform)
Zambia:
Cross-cutting HSS included in joint TB-HIV application (HRH, service delivery at the community level, PSM)
3
Options for HSS Funding Request
Options
No request for crosscutting HSS - “diseasespecific” HSS embedded
in disease grants, but not
labeled as HSS.
Include cross-cutting
HSS in disease requests
Develop an HSS concept
note for a stand-alone
HSS grant
Develop TB/HIV concept
note
Align multiple diseasespecific concept notes
When to consider
Some countries may
41 countries
with2high
choose
to prepare
or 3
TB/HIV
co-infection
eligible
disease
concept
All
countries
are eligible
burden
are expected
to
notes
simultaneously.
Cross-cutting
HSS
tocountries
apply
for are
a concept
standsubmit
a single
These
Sufficient
resources
are
needs
and aThey
financing
alone
cross-cutting
note
for
TB/HIV.
strongly
encouraged
to HSS
available
for crossgap
areencouraged
identified,
but
except
upperaregrant
strongly
consider
cross-cutting
cutting
HSS
needs
to
country
does
not
wish
to
middle
income
countries
to
consider
cross-cutting
HSS needs.
ensure
prepare
concept note
without
higha successful
disease
HSS
needs
of HIV,
forimplementation
a stand-alone HSS
burden
tuberculosis and malaria
grant
programs
New Partnership Mechanisms to Maximize
Impact of NFM
Partnership agreement with WHO on providing technical assistance in HIV, TB,
malaria and HSS for funding request development. (Signed May, 2014)
MoU with UNICEF on providing non-HIV/TB/malaria commodities (e.g. antibiotics,
zinc, ORS…) for ICCM and other RMNCH interventions to broaden impact of GFATM
investments. (Signed, May 2014)
MoU with UNFPA to support countries secure additional resources for HSS,
particularly in the areas of HRH, PSM and in the provision of integrated, quality and
equitable sexual and reproductive health services (in progress)
 To support national strategies that address the delivery of an integrated and equitable package
of sexual and reproductive health services;
 To advance the integration of sexual and reproductive health services in programmatic
planning, budgeting, implementation and evaluation.
 In some cases UNFPA may be in a position to meet relevant programmatic costs as part of its
existing country program action plans.
5