47045-AFG-809-G09-M-1 The Global Fund to Fight AIDS, Tuberculosis and Malaria Afghanistan, Malaria, HealthNet International TPO The Global Fund to Fight AIDS, Tuberculosis and Malaria HealthNet International TPO HealthNet International TPO 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 Olivier Cavey Fund Portfolio Manager +41 58 791 1700 olivier.cavey@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 Afghanistan Malaria Ensure healthy lives and promote well-being for all at all ages End the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases, and combat hepatitis, water-borne diseases and other communicable diseases 9856471.27 Global Fund disbursement to AFG-809-G09-MP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria HealthNet International TPO 9856471.27 Global Fund commitment to AFG-809-G09-MP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria HealthNet International TPO An overview of a grant over its lifetime. General terms and conditions which apply to Global Fund grants. 47045-AFG-809-G09-M-2 The Global Fund to Fight AIDS, Tuberculosis and Malaria 1. Background and Summary Malaria is widely recognized to be a major public health priority in Afghanistan requiring continued international assistance. The disease is endemic in large areas below 2000 meters in elevation and is highly prevalent in river valleys used for rice cultivation. With an estimated population of 26.1 million in 2007 (WHO), approximately 80% of whom live in rural areas, it has been estimated that the annual incidence approaches 1.25 million cases per year . Recognizing the unacceptable burden this places on the health and economic development of the nation, the Government and the Ministry of Public Health (MoPH) are firmly committed to the control of the disease. In this context, the MoPH and the National Malaria and Leishmaniasis Control Programme (NMLCP) have endorsed the Global and Regional Roll Back Malaria (RBM) strategies and the Millennium Development Goals (MDGs). In support of this program, a detailed Gap Analysis was conducted in March 2008 and a revised National Malaria Strategic Plan (NMSP) was developed for 2008-2013. The current program is based on the revised Strategic Plan 2008-2013, considering the funding provided by the Global Fund in Round 5. A comprehensive spectrum of activities shall be carried out to achieve the stated Goal and Objectives of the NMSP. These initiatives will sustain and expand the set of activities supported during the Global Fund Round 5 grant period and propose innovative approaches to accelerate Programme implementation. Key strategies include improving access to early diagnostic services by expanding the network of laboratory services to rural areas, introducing Rapid Diagnostic Tests (RDTs) at the community level, upgrading case management policies through revised evidence-based National Treatment Guidelines (NTGs) and promoting their proper utilization in both the public and private sectors, engaging Community Health Workers (CHWs) to provide Home-based Management of Malaria (HMM), utilizing new distribution modalities to provide free long-lasting insecticide-treated bed nets (LLINs), activating creative Behavioural Change Communications (BCC) modalities to improve awareness and promote behaviour change, and strengthening Quality Assurance mechanisms in all aspects of Programme implementation. Specific measures will address efforts for the prompt detection and control of epidemics, to improve Monitoring and Evaluation (M&E) activities and to strengthen Programme capacity to sustain this ambitious set of initiatives. Selected operational research activities have been designed to add to the scientific basis for continued strategic planning and to implement an aggressive integrated set of carefully-planned interventions to eliminate Plasmodium falciparum (P. falciparum) from the border areas of Tajikistan. In addition to expanding services to females, special attention will be given to targeting Programme interventions in known risk areas and the vulnerable populations of pregnant women, children under five-years of age and populations in remote rural areas, often under-served by existing public sector health facilities. Particular emphasis will be placed on increasing access to the key affected populations of refugees returning from neighboring countries (Returnees), Internally-Displaced Populations (IDPs) and nomads. The Programme also includes three “cross-cutting” measures for Health Systems Strengthening (HSS), that will be implemented by the MoPH, to enhance health data management and use, to expand high quality early malaria and tuberculosis laboratory services in rural areas and to initiate a new Community Health Nursing programme. The Round 8 program will be implemented by three Principal Recipients, namely the MoPH, HealthNet TPO (HN-TPO), and Bangladesh Rural Advancement Committee /Afghanistan (BRAC Afghanistan). 2. Goal To contribute to the improvement of the health status in Afghanistan through reduction of morbidity and mortality associated with malaria. 3. Target Group/Beneficiaries General population of the whole country, with priority on high and medium risk (strata I & II respectively) provinces. Major focus will be on: • Pregnant women; • Children under five age group; and • Other key vulnerable population such as Returnees, Internally Displaced People (IDPs) and Nomads The Global Fund to Fight AIDS, Tuberculosis and Malaria HealthNet International TPO HealthNet International TPO 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 Olivier Cavey Fund Portfolio Manager +41 58 791 1700 olivier.cavey@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 Afghanistan Malaria Ensure healthy lives and promote well-being for all at all ages End the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases, and combat hepatitis, water-borne diseases and other communicable diseases 8314123.46 Global Fund disbursement to AFG-809-G09-MP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria HealthNet International TPO 980617.54 Global Fund disbursement to AFG-809-G09-MP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria HealthNet International TPO 7606712.61 Global Fund disbursement to AFG-809-G09-MP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria HealthNet International TPO 8650434.40 Global Fund disbursement to AFG-809-G09-MP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria HealthNet International TPO 25551888.01 Global Fund commitment to AFG-809-G09-MP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria HealthNet International TPO 8680202.19 Global Fund commitment to AFG-809-G09-MP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria HealthNet International TPO 7046806.60 Global Fund disbursement to AFG-809-G09-MP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria HealthNet International TPO 1435078.57 Global Fund disbursement to AFG-809-G09-MP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria HealthNet International TPO 576992.10 Global Fund commitment to AFG-809-G09-MP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria HealthNet International TPO -198317.03 Global Fund commitment to AFG-809-G09-MP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria HealthNet International TPO 389200.71 Global Fund disbursement to AFG-809-G09-MP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria HealthNet International TPO 39877.64 Global Fund commitment to AFG-809-G09-MP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria HealthNet International TPO -187791.39 Global Fund commitment to AFG-809-G09-MP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria HealthNet International TPO 39877.64 Global Fund disbursement to AFG-809-G09-MP02. The Global Fund to Fight AIDS, Tuberculosis and Malaria HealthNet International TPO An overview of a grant over its lifetime. General terms and conditions which apply to Global Fund grants.