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Project Document Format for Tuberculosis
United Nations Development Programme
Country: Guinea-Bissau
Project Title: Reduction of the Burden of Tuberculosis in Guinea-Bissau.
UNDAF Outcome (s): Les groupes vulnérables utilisent des services sociaux de base de qualité et les
institutions nationales disposent d’un développement continu du capital humain.
Expected CP Outcome (s): Les populations en particulier les groupes vulnérables exercent leurs
droits d’accès aux services de santé, d’éducation, d’eau, et d’assainissement de qualite
Expected Project Output (s):
1. The patients have more access to quality Directly Observed Treatment Short course (DOTS) and
others services related to tuberculosis. The health services respond to the challenge of double
infection (TB/HIV) and multi-drug resistant to tuberculosis (MDR-TB).
2. The health system strengthened in terms of law and M&E national planning in order to fight
against tuberculosis.
3. All health service providers including pharmaceutical, private and healers are involved in PNLT
activities.
4. Those afflicted with Tuberculosis and communities have the ability to react against TB.
5. The knowledge of health-providers on the disease (tuberculosis) is improved.
Executing Entity: NGO ; PNLT
Implementing Agencies: Programme des Nations Unies pour le Développement
This Project results from the selection of UNDP as the Principal Recipient of the Global Fund Grant for Tuberculosis
in Guinea-Bissau Phase 2 and aims at supporting the goal of the National Strategic Plan 2009-2013 (the National
Strategic Plan 2009-2015 is currently being updated) to progressively implement the Stop TB program and to
implement international recommendations, particularly those concerning laboratories and community Directly
Observed Treatment, Short-course (DOTS).
Improving access to quality diagnosis and ensuring patient follow-up is the foundation of this strategy.
Detection rate should also improve by involving community and HIV patients. A cooperative framework for TB/HIV
activities completed in 2009 is expected to allow Guinea-Bissau to readjust its response. The organization of the
response to multi-drug resistance will allow for a response which is adapted to this understood risk. An appropriate
response to multi-drug resistance (MDR-TB) started in 2011 with support of the Green Light Committee (GLC) of
WHO.
Strengthening the PNLT skills, by involving care givers, the capacities of the community are part of the approach
used in quality improvement and care, and therefore patient follow-up. Operating studies will allow Guinea-Bissau to
respond to any epidemiological or behavioural uncertainties and barriers to access to service. Phase 1
implementation of the Program made PNLT more functional with human resources who are better trained and with
the essentials required. Support to the epidemiology department (in charge of National Health Information System –
Decree 1994) developed analytical skills and improved reliability of the data and year improvement in the
coordination between partners.
Under this project, UNDP as the Principal Recipient for Phase 2 will implement the same activities as PNLT in
Phase 1, with the exception of Practical Approach to Lung Health (PAL) which was considered inadequate for the
current context in Guinea Bissau.
Programme Period: 2013-2015
Key Result Area (Strategic Plan) : Poverty Reduction and MDG
Atlas Award ID:
Start date:
End Date
00075186
July 1rst, 2013
October 31, 2015
PAC Meeting Date
Management Arrangements
______________
______________
Total resources required
Total allocated resources:

Regular

Other:
o
Donor
o
Donor
o
Donor
o
Government
Unfunded budget:
8,183,250 USD
8,183,250 USD
_________
In-kind Contributions
_________
2
GFATM
_________
_________
_________
_________
Agreed by (Government)
Agreed by (Executing Entity):
Agreed by (UNDP):
I.
SITUATION ANALYSIS
1.
The National Health Development Program for 2008-2017 (PNDS II) has listed the antituberculosis (TB) campaign as a national priority. In 2011, Guinea-Bissau ranked 90th in terms of
total number of TB deaths excluding HIV+ (accounting for 0.04% of global TB deaths). Since 1990
to present, the prevalence rate of TB in Guinea-Bissau has remained somewhat stagnant and is
presently at 268 (139-437) per 100,000 persons. The incidence rate however, has been steadily
increasing in the past two decades and is presently at 238 (196-283) per 100,000 persons. The
reported number of new TB cases (new smear positive, new smear negative and extra pulmonary)
for 2011 amounts to 1937. Lastly, Guinea-Bissau has a generalized HIV epidemic (prevalence
3.3%), and it is one of the main drivers of the TB epidemic.
Government financial resources allocated to TB response represent 14% of the total funding
provided by the Global Fund. The World Health Organization (WHO) estimates that government
expenditure on TB represented 19% (2011) and 10% (2012) for the respective fiscal years.
Different partners, including the Global Fund, supported the implementation and extension of
coverage to 96.4% of health facilities. Consequently, the treatment success rate for new smearpositive and increased from 69% (2005) to 72% (2010) according to WHO.
Tuberculosis services are provided by 114 health centres and community health units that are
responsible for screening, diagnosis, treatment, and follow-up of patients following National
Tuberculosis Program’s (PNLT) directives. Lab tests, drugs and hospitalization are free of charge
to patients.
The availability of external funding for drugs is unpredictable, non-sustainable and results in
shortage of supplies. Up to 2006, anti-tuberculosis drugs were purchased by the Ministry of Health
using loans from the World Bank. Since 2007, the Global Drug Facility of the WHO has allowed
the acquisition of paediatric formulations and has reduced the supply problems. The gap was
covered by the Government and bilateral donors.
II.
STRATEGY
The Program supports the goal of the National Strategic Plan 2009-2013 (the National Strategic
Plan 2009-2015 is currently being updated) to progressively implement the Stop TB program and
to implement international recommendations, particularly those concerning laboratories and
community Directly Observed Treatment, Short-course (DOTS).
Improving access to quality diagnoses and ensuring patient follow-up is the foundation of this
strategy.
3
Detection rate should also improve by involving community and HIV patients. A cooperative
framework for TB/HIV activities completed in 2009 is expected to allow Guinea-Bissau to readjust
its response. The organization of the response to multi-drug resistance will allow for a response
which is adapted to this understood risk. An appropriate response to multi-drug resistance (MDRTB) started in 2011 with support of the Green Light Committee (GLC) of WHO.
Strengthening the PNLT skills, by involving care givers, the capacities of the community are part of
the approach used in quality improvement and care, and therefore patient follow-up. Operating
studies will allow Guinea-Bissau to respond to any epidemiological or behavioural uncertainties
and barriers to access to service. Phase 1 implementation of the Program made PNLT more
functional with human resources who are better trained and with the essentials required. Support
to the epidemiology department (in charge of National Health Information System – Decree 1994)
developed analytical skills and improved reliability of the data and year improvement in the
coordination between partners.
UNDP is the Principal Recipient for Phase 2 implementing the same activities as PNLT in Phase 1,
with the exception of Practical Approach to Lung Health (PAL) which was considered inadequate
for the current context in Guinea Bissau.
2.
Goal:
To reduce morbidity and mortality caused by TB across the general population of Guinea-Bissau.
3.
•
•
Target Group/Beneficiaries:
All population; and
People Living with HIV/AIDS most exposed to TB.
4.
Strategies:
•
Strengthen quality of DOTS by improving the quality of diagnosis, treatment, supervision
and drug-management, as well as by reducing the default rate;
•
Respond to the challenges of TB/HIV, paediatric TB and MDR-TB; and
•
Improve health care systems, involving health-providers, strengthening health-community
action, and improving local knowledge of TB.
5.
Planned Activities:
•
Detection, treatment and supervision of patients at health facilities and at Community
Based Organizations level;
•
Supervision of new patients and those benefitting from second line treatment
•
HIV screening for TB patients;
•
Procurement of anti-TB drugs (first and second line) and laboratory consumables;
•
Sensitization campaigns supported by Community Based Organizations to increase
awareness within the health community and the population on tuberculosis and HIV/TB;
•
Training of health staff on DOTS, new National Strategy and co-infection (HIV/TB);
•
Transportation of blades; and
•
Quality control.
4
III.
RESULTS AND RESOURCES FRAMEWORK
Intended Outcome as stated in the Country Programme Results and Resource Framework:
Les populations en particulier les groupes vulnérables exercent leurs droits d’accès aux services de santé, d’éducation, d’eau, et d’assainissement de qualité..
Outcome
indicators as stated in the Country Programme Results and Resources Framework, including baseline and targets:
Indicators:
Baselines: (2011-20120)
Target 2013
Target 2014
Target 2015
Notification rate of new smear positive TB cases
81.9 new smear positive TB cases per 100,000
88.9 per 100,000
93.5 per 100,000
100.64 per100,000
Notification rate of all form TB cases
106.44 of all form TB cases per 100,000
135.4 per 100,000
142.4 per 100,000
153.3 per 100,000
Treatment success rate of new smear-positive TB cases
73,4% Treatment success of new smear-positive TB cases
76,0%
80,0%
85,00%
Drop-out rate: Number of new smear-positive TB patients who
stopped their treatment for more than sixty days
13,9% new smear-positive TB patients stopped their treatment
for more than sixty days
8,0%
6,0%
5,0%
Percentage of the population with correct knowledge about TB
(mode of transmission, symptoms, treatment and curability)
28,3% of the population with correct knowledge about TB (mode
of transmission, symptoms, treatment and curability)
33,5%
Applicable Key Result Area (from 2008-11 Strategic Plan): Poverty Reduction and MDG
Partnership Strategy
Project title and ID (ATLAS Award ID): 00075186
INTENDED OUTPUTS
OUTPUT TARGETS
FOR (YEARS)
INDICATIVE ACTIVITIES
RESPONSIBLE
PARTIES
INPUTS
Output 1: The patients have more access to quality Directly Observed Treatment Short course (DOTS) and others services related to tuberculosis.
Baseline: 921 of new smearpositive TB patients who were
successfully treated (2010)
Source: R&R TB system,
quarterly reports
Indicators: Number and percentage
of new smear-positive TB patients
who were successfully treated
Targets (year 1) :1006
(76%)
Targets (year 2): 1180
(80%)
Targets (year 3):1011
(85%)
- Formation de 40 professionnels de la santé en DOTS en deux sessions de
5 jours à Bissau,
- Formation de 18 TS de santé en technique et interprétation de la
radiographie pendant 5 jours
- Recrutement d'une Assistance Technique spécialisée en radiologie
pendant 7 jours
- Achats de médicaments, de réactifs et de cosommables
- PNUD,
- PNLT
71200 = International Consultants : 1 601
72300 = Equipment and Furniture : 210 836
75700 = Training, Workshops and Confe : 10 371
INTENDED OUTPUTS
OUTPUT TARGETS
FOR (YEARS)
Baseline:20 (2012) peripheral
microscopy laboratories receiving a
regular external quality control
Source: Quality control report of
the National Public Health
Laboratory
of peripheral microscopy
laboratories receiving a regular
external quality control on
confirmation of bacteriological
microscopy
Targets (year 1):20
(100%)
Targets (year 2): 20
(100%)
Targets (year 3):20
(100%)
Baseline:1230 new smear positive
TB cases (2012)
Source: R&R TB system, yearly
management report
Indicators: Number of new smear
positive TB cases
Baseline: 34 (73,9%) care units
Targets (year 1): 86%
with TB patients reporting no stock- Targets (year 2):90%
out of first-line anti-TB drugs on the Targets (year 3):95%
last day of the quarter
quarterly reports
Indicators: Percentage of care units
with TB patients reporting no stockout of first-line anti-TB drugs on the
- Envoi semestriel des échantillons au laboratoire de Porto (Portugal) par
world courriel pour le suivi des patients sous DOTS1,
- Réaliser une étude sur l'accès et l'utilisation des services de microscopie
en Guinée-Bissau,
- Recruter une Assistance Technique pendant 2 semaines pour évaluer le
réseau de laboratoires et le plan de transport des échantillons
- Atelier d'une journée pour la révision du réseau de laboratoire de
microscopie et validation du plan de transport des échantillons (35
personnes)
- Assurer la maintenance des motos des transporteurs d'échantillons
- Indemnités des transporteurs de Bissau et des régions: 5jrs/ semaine à
Bissau et 2jrs/ semaine dans le régions,
- Organiser 2 sessions de formation/ recyclage en microscopie. 22
techniciens chacune, 5 jours,
- Assurer 4 visites de supervision trimestrielles des laboratoires
périphériques.
- Organiser annuellement une session de recyclage pendant 5 jours pour les
15 techniciens de laboratoire
- Achats de vingt deux (9) motos tout terrain y compris les casques.
- Assurer le carburant pour le transport des échantillons par les motos et la
navette
- Assurer le financement semestriel du service de relecture de 10% de
lames positives et négatives des laboratoires périphériques (soit 2291
lames).
- Atelier de 4 jours (6 participants) pour la révision/adaptation des
directives sur la culture et test de sensibilité avec l'appui d'une Assistance
Technique internationale.
- Atelier de 25 participants de validation des directives sur culture et test de
sensibilité pendant 1 jour(CTS)
- Reproduire 50 exemplaires des directives CTS
- Atelier d'élaboration et validation de modules de formation sur la CTS
- Reproduire en 50 exemplaires des modules de formation sur la CTS
- Assurer l'Assistance Technique annuelle de suivi de l'implantation de la
CTS pendant 1 semaine
- Achats de médicaments
- Frais de Transport international et divers aures frais (agent
d'approvisionnement pour les médicaments et produits medicaux1, Frais de
transit, Contrôle Qualité des médicaments tout le long de la chaine de
distribution (échantillonnage et test)
- Distribution -Stockage CECOME 5%
- Services du GLC
- Contrôle qualité sur la chaine de stockage+ Frais d'inspection de GDF
- Contracter une assistance technique expérimenté en épidémiologie de
terrain de la TB pendant 15 jours
6
RESPONSIBLE
PARTIES
INPUTS
- PNUD,
- PNLT
71200
73400
74100
75700
=
=
=
=
International Consultants : 10 716
Rental & Maint of Other Equip : 30 186
Professional Services : 88 798
Training, Workshops and Confer : 9 630
- PNUD,
- PNLT
71200
72200
74100
75700
=
=
=
=
Equipment and Furniture : 20 851
Training, Workshops and Confer : 4 036
- PNUD,
- PNLT
71200 = International Consultants : 9 616
INTENDED OUTPUTS
OUTPUT TARGETS
FOR (YEARS)
Baseline: 8 (73%) supervisions
realized from health regions to
health areas
Source: Supervisory report by
NPT
Indicators: Number of supervisions
realized from health regions to
health areas
(80%)
(81%)
(81%)
Baseline: ND (2012)
quarterly reports
Indicators: Number of laboratory
confirmed MDR-TB cases enrolled
on second-line anti-TB treatment
during the specified period of
assessment
Targets (year 1):6
laboratory confirmed MDRTB cases enrolled on
second-line anti-TB
treatment
Targets (year 2):12
Targets (year 3):9
- Organiser un atelier de formation de 23 techniciens de santé en
épidémiologie pratique de terrain: 5 jours de terrain et 5 jours de théorie:
(RGE: 11; PNLT: 4; HRF: 1; CG/ PNDS: 2; INASA: 5)
- Assurer la reproduction des supports de gestion des malades de TB
- Formations de 100 personnels soignant au remplissage des nouvelles
fiches de collecte et l'analyse de données au niveau local
- Assistant Technique pour l’évaluation du Plan strategique National de la
TB
- Réunions semestrielles de suivi du plan de suivi évaluation: 2 jours, 50
personnes (DRS: 33, ONGs: 4, INASA: 2, Cumura: 2, HRF: 3, CG/PNDS: 2,
PNLT:4)
- Organiser des supervisions périodiques aux différents niveaux
- Participation du niveau central aux supervisions intégrées du niveau
régional vers les aires sanitaires pendant en moyenne 5 jours/ région
- Organiser des sorties trimestrielles de validation des données: (1INASA
+1 PNLT+1 conducteur) en moyenne 2 jours/ région
- Réaliser une enquêtes sur les connaissances attitudes et comportement
vis-à-vis de la tuberculose dans la population générale
- Réaliser une enquête sur les connaissances attitudes et comportement
vis-à-vis de la tuberculose chez le personnel soignant An 1 T2
- Réaliser une enquête qualitative sur les causes des fausses connaissances
et discriminations vis-à-vis de la tuberculose An 1 T4
- Impression de 100 exemplaires des résultats des enquêtes (environ 20
pages)
- Réunions trimestrielles d'1 journée de l'équipe TB (incluant les
partenaires PNLT )
- Organiser une réunion bilan annuelle
- Assurer l’organisation d'une réunion de coordination par trimestre, par
région
- Assurer le frais d’entretien des équipements du bureau (15% du cout total
des équipements) une fois par trimestre
- Contracter un Assistant technique de 15 jours pour l'élaboration du plan
de suivi évaluation national de la TB.
- Réaliser une enquête sur la prévalence des TB-MR
RESPONSIBLE
PARTIES
- PNUD,
- PNLT
71200
73400
74100
74200
75700
815
- PNUD,
74100 = Professional Services : 28 422
Output 2: The health services respond to the challenge of double infection (TB/HIV) and multi-drug resistant to tuberculosis (MDR-TB).
7
INPUTS
=
=
=
=
=
Audio Visual&Print Prod Costs : 762
Training, Workshops and Confer : 14
INTENDED OUTPUTS
Baseline:385 (67%) of registered
TB patients (women and men) who
had an HIV test and know their
results – 2012
quarterly reports.
of registered TB patients (women
and men) who had an HIV test and
know their results
Baseline: ND (2012)
quarterly reports
Indicators: Number of laboratory
confirmed MDR-TB cases enrolled
on second-line anti-TB treatment
during the specified period of
assessment
OUTPUT TARGETS
FOR (YEARS)
RESPONSIBLE
PARTIES
INPUTS
(70%)
(80%)
(68%)
- Recyclage de 2 personnes dans chaque centre avec laboratoire (19
centres) soit 38 personnes
- Recyclage de 29 personnes dans la PEC du patient et gestion du
programme TB VIH (5 jours) T1 An1
- PNUD,
75700 = Training, Workshops and Confer : 8 889
Targets (year 1):6
laboratory confirmed MDRTB cases enrolled on
second-line anti-TB
treatment during the
specified period of
assessment
Targets (year 2):12
Targets (year 3):9
- Participer aux frais du "Green Light Committee"
- Recruter une assistance technique pour le suivi de la formation en TBMDR pendant 1 semaine
- Recruter une assistance technique pour le contrôle de l'infection pendant
15 jours pour élaborer le matériel d'IEC et le module de formation avec la
Direction de l'assainissement
- Atelier d'élaboration du matériel d'IEC et du module de formation avec la
Direction de l'assainissement durée 5 jours, 10 personnes au T3 de l'an 3
- Formation de 31 formateurs pendant 5 jours, (DRS: 22; HRF: 2; HNSM:
7)2.2.4.4 / Formations des personnels des services de santé: 212
personnes de toutes les structures concernées (incluant le personnel des
consultations de l'Hôpital National Simão Mendes (HNSM) pendant 3 jours.
(Soit CS C: 95; CS B&A: 27; HR & HRF: 30; HNSM: 60)
- Produire les matériaux d'information, éducation et communication (IEC)
- Reproduire 500 exemplaires des fiches de suivi des patients TB-MR
(registre, fiches de traitement, individuelle et fiches de rapport)2
- Production et diffusion du matériel de sensibilisation: foulards:1000,
bassine:1000, nattes:500
- PNUD,
- PNLT
- NGO
74200 = Audio Visual&Print Prod Costs : 42 300
75700 = Training, Workshops and Confer : 55
723
Output 3: The health system strengthened in terms of law and M&E national planning in order to fight against tuberculosis.
Baseline:
of pregnant women who received
two or more doses of IPT
Targets (year 1)
Targets (year 2)
Targets (year 3)
- Atelier de présention des résultats (
- PNLT
- Atelier d'élaboration et de validation d'un guide et des directives
- Appui en carburant pour le fonctionnement du PNLT: 2voitures PNLT;
LNSP: 1; INASA:1 + vedette
- Communication
- Entretien de 4 voitures et une vedette
- Entretien de motos tout terrain des Responsables de GE et motocyclettes
TVS
Output 4: All health service providers including pharmaceutical, private and healers are involved in PNLT activities.
8
73400 = Rental & Maint of Other Equip : 47 219
74100 = Professional Services : 35 908
INTENDED OUTPUTS
OUTPUT TARGETS
FOR (YEARS)
Baseline: 34 (73,9%) care units
Targets (year 1):86%
with TB patients reporting no stock- Targets (year 2):90%
out of first-line anti-TB drugs
Targets (year 3):95%
quarterly reports
Indicators: Percentage of care units
with TB patients reporting no stockout of first-line anti-TB drugs on the
- Assurer l'appui nutritionnel pour 70 % des 14434 malades TB
- Soutien alimentaire aux patients pendant la phase initiale d'hospitalisation
- Soutien au déplacement des patients (100% des malades qui
abandonnent le traitement soit 14% de total des malades) = 2021 malades
pendant 5 ans
RESPONSIBLE
PARTIES
- PNLT
- NGO
INPUTS
Output 5: Those afflicted with Tuberculosis and communities have the ability to react against TB.
Baseline:627 TB patients (all
forms) under treatment who are
receiving food support during
intensive and ambulatory phases
(2012)
Source: Activity Report by the
NGOs
Indicators: Number of TB patients
(all forms) under treatment who are
receiving food support during
intensive and ambulatory phases
- Prévention Mass media(Campagne media sous le parrainage d'une vedette - NGO
- Sensibilisation communautaire (organisation de la Journée Mondiale de
lutte contre la Tuberculose dans toutes les régions
- Sensibilisation communautaire pour la prévention de TB, co-infection
TB/VIH et orientation pour le dépistage (pair éducateurs dans les régions
d'intervention)
- Sensibilisation communautaire pour la prévention de TB, co-infection
TB/VIH et orientation pour le dépistage (leaders communautaires dans les
régions d'intervention)
- Sensibilisation communautaire pour la prévention de TB et orientation
pour lé dépistage (ONG/OCB dans les régions d'intervention)
- Sensibilisation communautaire pour la prévention de TB et orientation
pour le dépistage (projection de films dans les régions d'intervention)
Output 6: The knowledge of health-providers on the disease (tuberculosis) is improved.
Baseline:
Indicators:
Targets (year 1)
Targets (year 2)
Targets (year 3)
- Gestion et supervision du programme et des ONGs
- Achat de plages de temps sur les radios communautaires et nationales
- Prise en charge des émoluments
- Prise en charge des frais de fonctionnement (consommables, carburant,
...)
- Maintenance d'équipement de laboratoire et de radiographie
- Maintenance de six voitures
- Audit annuel
9
- PNUD
- PNLT
- NGO
71400 = Contractual Services - Individ : 561 725
72400 = Communic & Audio Visual Equip : 10 249
72500 = Supplies : 28 813
73400 = Rental & Maint of Other: 89 504
Equip74100 = Professional Services : 81 117
INTENDED OUTPUTS
OUTPUT TARGETS
FOR (YEARS)
RESPONSIBLE
PARTIES
INPUTS
Output 7 : PMU
Baseline:
Indicators:
Targets (year 1)
Targets (year 2)
Targets (year 3)
- Atelier pour le renforcement des capacités dans le cadre du suivi
évaluation pour le démarrage du projet (MESS),
- Paiement des Charges salariales,
- Achat de matériel et mobilier de bureau,
- Suivi et évaluation des activités de la campagne,
- frais de fonctionnement,
- GMS
10
- PNUD
71100
73400
74100
74500
75100
=
=
=
=
=
ALD Employee Costs : 1 694 626
Miscellaneous Expenses : 116 897
Facilities & Administration : 408 070
IV.
ANNUAL WORK PLAN
Year: July 1rst, 2013 to October 31, 2015
EXPECTED OUTPUTS
2013
2015
Q20
Q19
Q18
Q17
Related CP outcome:
Q16
Baseline:
Q15
1.2.1.1 / Réaliser une étude sur l'accès et l'utilisation
des services de microscopie en Guinée-Bissau.
2014
Q14
1.1.1 / Formation de 40 professionnels de la santé en
DOTS en deux sessions de 5 jours à Bissau
Q13
List activity results and associated actions
Output 1: The patients
have more access to
quality Directly Observed
Treatment Short course
(DOTS) and others
services related to
tuberculosis.
Indicators:
Targets:
TIMEFRAME
Q12
And baseline, associated
indicators and annual targets
PLANNED ACTIVITIES
PLANNED BUDGET
Funding
Budget Description
Source
Amount
PNLT
GFTAM
75700 = Training, Workshops and Confer
5 926
PNLT
GFTAM
74100 = Professional Services
3 811
X
PNLT
GFTAM
17 454
1.2.2.1 / Recruter une Assistance Technique pendant 2
semaines pour évaluer le réseau de laboratoires et le
plan de transport des échantillons
X
PNLT
GFTAM
71200 = International Consultants
10 716
1.2.2.3 / Atelier d'une journée pour la révision du
réseau de laboratoire de microscopie et validation du
plan de transport des échantillons (35 personnes)
X
PNLT
GFTAM
PNUD
GFTAM
72200 = Equipment and Furniture
20 581
1.1.2 / Envoi semestriel des échantillons au laboratoire
de Porto (Portugal) par world courriel pour le suivi des
patients sous DOTS
1.2.3.1 / Achats de vingt deux (9) motos tout terrain y
compris les casques.
1.2.3.2 / Assurer la maintenance des motos des
transporteurs d'échantillons
1.2.3.3 / Indemnités des transporteurs de Bissau et des
régions: 5jrs/ semaine à Bissau et 2jrs/ semaine dans
les régions.
1.2.3.4 / Assurer le carburant pour le transport des
échantillons par les motos et la navette
1.2.4 / Recrutement d'une Assistance Technique
spécialisée en radiologie pendant 7 jours
1.2.4.1 / Formation de 18 TS de santé en technique et
interprétation de la radiographie pendant 5 jours
1.2.5 / Organiser 2 sessions de formation/ recyclage en
microscopie. 22 techniciens chacune, 5 jours.
1.2.6.1 / Assurer 4 visites de supervision trimestrielles
des laboratoires périphériques. (Elles se feront
conjointement avec les visites de supervision du PNLT).
X
RESPONSIBLE
PARTY
X
X
X
X
X
X
1 728
X
X
X
X
X
X
X
X
X
PNUD/PNLT
GFTAM
73400 = Rental & Maint of Other Equip
30 186
X
X
X
X
X
X
X
X
X
PNUD/PNLT
GFTAM
37 045
X
X
X
X
X
X
X
X
X
PNUD/PNLT
GFTAM
160 366
X
PNUD/PNLT
GFTAM
1 601
X
PNLT
GFTAM
4 445
PNLT
GFTAM
3 457
PNLT
GFTAM
X
X
X
X
X
X
11
X
X
X
30 488
EXPECTED OUTPUTS
TIMEFRAME
2013
2015
Q20
X
Q19
X
Q18
Q17
Q16
X
Q15
X
2014
Q14
1.2.6.2 / Assurer le financement semestriel du service
de relecture de 10% de lames positives et négatives
des laboratoires périphériques (soit 2291 lames).
Q13
Q12
PLANNED ACTIVITIES
X
RESPONSIBLE
PARTY
PLANNED BUDGET
Funding
Budget Description
Source
Amount
PNLT
GFTAM
1 791
1.2.7.1 / Atelier de 4 jours (6 participants) pour la
révision/adaptation des directives sur la culture et test
de sensibilité avec l'appui d'une Assistance Technique
internationale.
X
PNLT
GFTAM
1 185
1.2.7.2 / Atelier de 25 participants de validation des
directives sur culture et test de sensibilité pendant 1
jour(CTS)
X
PNLT
GFTAM
1 235
1.2.7.3 / Reproduire 50 exemplaires des directives CTS
X
PNLT
GFTAM
381
X
PNLT
GFTAM
1 235
X
PNLT
GFTAM
PNLT
GFTAM
4 445
PNUD/PNLT
GFTAM
6 851
1.2.7.4 / Atelier d'élaboration et validation de modules
de formation sur la CTS
1.2.7.5 / Reproduire en 50 exemplaires des modules de
formation sur la CTS
1.28 / Organiser annuellement une session de recyclage
pendant 5 jours pour les 15 techniciens de laboratoire
1.2.9 / Assurer l'Assistance Technique annuelle de suivi
de l'implantation de la CTS pendant 1 semaine
X
X
X
X
381
1.3.1.1 / Médicaments de première ligne
X
X
PNUD
GFTAM
131 390
1.3.1.2 / Médicaments de deuxième ligne
X
X
X
PNUD
GFTAM
60 322
1.3.1.5 / HIV 1+2, Determine Complete Kit, 100 Tests
X
X
X
PNUD
GFTAM
5 945
1.3.1.61 / HIV 1-2-O, First Response v.3.0, Cards, Kit,
30 Tests
X
X
X
PNUD
GFTAM
1 803
1.3.1.62 / Médicaments de l'APSR
X
X
X
PNUD
GFTAM
420
1.3.3.1 / Amitriptyline boite de 500 comp
X
X
PNUD
GFTAM
67
1.3.3.2 / Diazépam boite de 100 comp
X
X
PNUD
GFTAM
33
1.3.3.3 / Metoclopramide boite de 1000 comp
X
X
PNUD
GFTAM
352
PNUD
GFTAM
0
1 617
1.3.3.4 / Phenytoine boite de 5 comp
1.3.3.5 / Pyridoxine (VitB6) boite de 100 comp
X
X
PNUD
GFTAM
1.3.3.61 / Ibuprofene boite de 100 comp
X
X
PNUD
GFTAM
533
1.3.3.62 / Seringues et aiguilles
X
X
X
PNUD
GFTAM
1 893
1.3.4.56 / Réactifs et consommables pour la culture
1.3.4.57 / Réactifs et consommables pour la
microscopie
1.3.4.58 / Réactifs et consommables pour la PCR
X
X
X
PNUD
GFTAM
25 896
X
X
X
PNUD
GFTAM
18 297
X
X
X
PNUD
GFTAM
12 608
12
EXPECTED OUTPUTS
TIMEFRAME
2013
2014
2015
Q20
Q19
Q18
Q17
Q16
Q15
Q14
Q13
Q12
PLANNED ACTIVITIES
RESPONSIBLE
PARTY
PLANNED BUDGET
Funding
Budget Description
Source
Amount
1.3.4.59 / Réactifs et consommables pour le dépistage
de la MDR-TB au GeneXpert
X
X
X
PNUD
GFTAM
26 253
1.3.4.60 / Matériel et consommables pour le laboratoire
X
X
X
PNUD
GFTAM
15 927
1.3.4.61 / Matériel et consommables pour la radiologie
X
X
X
PNUD
GFTAM
6 322
1.3.4.62 / Masques FFP1 Boîte/50
X
X
X
PNUD
GFTAM
90 418
1.3.4.63 / Masques FFP3 Boîte/ 50
X
X
X
PNUD
GFTAM
9 242
1.3.4.64 / Peak flow meter
X
X
X
PNUD
GFTAM
1 380
1.3.6.1 / Transport international (assurance inclus)
X
X
X
PNUD
GFTAM
138 679
X
X
X
PNUD
GFTAM
7 302
X
X
X
PNUD
GFTAM
10 799
1.3.6.31 / Frais de transit
X
X
X
PNUD
GFTAM
20 536
1.3.6.4 / Contrôle Qualité des médicaments tout le long
de la chaine de distribution (échantillonnage et test)
X
X
PNUD
GFTAM
40 500
1.3.6.51 / Distribution -Stockage CECOME 5%
X
X
X
PNUD
GFTAM
20 536
X
X
PNUD
GFTAM
38 112
X
PNUD
GFTAM
22 984
X
PNUD
GFTAM
9 616
PNUD
GFTAM
56 297
PNUD
GFTAM
7 487
PNUD
GFTAM
PNUD/PNLT
GFTAM
7 340
PNUD/PNLT
GFTAM
7 340
1.3.6.21 / Frais de l'agent d'approvisionnement pour les
médicaments
1.3.6.22 / Frais de l'agent d'approvisionnement pour les
produits médicaux
X
1.3.6.52 / Services du GLC
1.3.6.6 / Contrôle qualité sur la chaine de stockage+
Frais d'inspection de GDF (746 Euro à payer 2 fois /an
soit 1492 Euro / an)
X
1.4.1.1 / Contracter une assistance technique
expérimenté en épidémiologie de terrain de la TB
pendant 15 jours
X
1.4.1.3 / Organiser un atelier de formation de 23
techniciens de santé en épidémiologie pratique de
terrain: 5 jours de terrain et 5 jours de théorie: (RGE:
11; PNLT: 4; HRF: 1; CG/ PNDS: 2; INASA: 5)
X
1.4.1.4 / Assurer la reproduction des supports de
gestion des malades de TB
X
1.4.2 / Formations de 100 personnels soignant au
remplissage des nouvelles fiches de collecte et l'analyse
de données au niveau local
X
1.4.3 / Assistant Technique pour l’évaluation du Plan
stratégique National de la TB
X
1.4.4.1 / Contracter un Assistant technique de 15 jours
pour l'élaboration du plan de suivi évaluation national
de la TB.
X
X
X
13
14 815
EXPECTED OUTPUTS
TIMEFRAME
2013
2015
X
Q20
Q19
X
Q18
Q17
X
Q16
1.4.5.1 / Réaliser une enquête sur la prévalence des
TB-MR _
1.4.6 / Organiser une supervision trimestrielle du
niveau central vers le niveau intermédiaire dans 11
Régions en moyenne 5 jours/ région (1 élément du
service financier de la CG/ PNDS+ 1 Technicien du
PNLT + 1 conducteur)
1.4.6.1 / Organiser une visite de supervisions
trimestrielles du niveau régional vers les aires
sanitaires des 11 régions pendant 5 jours chaque
trimestre par les responsables des grandes endémies
Q15
X
2014
Q14
1.4.4.4 / Réunions semestrielles de suivi du plan de
suivi évaluation: 2 jours, 50 personnes (DRS: 33, ONGs:
4, INASA: 2, Cumura: 2, HRF: 3, CG/PNDS: 2, PNLT:4)
Q13
Q12
PLANNED ACTIVITIES
X
X
RESPONSIBLE
PARTY
PLANNED BUDGET
Funding
Budget Description
Source
Amount
PNUD
GFTAM
24 692
PNUD
GFTAM
28 422
X
X
X
X
X
X
PNUD
GFTAM
53 898
X
X
X
X
X
X
PNUD
GFTAM
8 527
X
PNUD
GFTAM
26 949
1.4.6.2 / Participation du niveau central aux
supervisions intégrées du niveau régional vers les aires
sanitaires pendant en moyenne 5 jours/ région
X
1.4.6.3 / Organiser 12 supervisions du niveau des Aires
sanitaires vers les agents de santé communautaires
(ASC), communautaires
X
X
X
X
X
X
X
X
X
PNUD
GFTAM
159 072
1.4.6.4 / Organiser des sorties trimestrielles de
validation des données: (1INASA +1 PNLT+1
conducteur) en moyenne 2 jours/ région
X
X
X
X
X
X
X
X
X
PNUD
GFTAM
32 339
X
1.4.7.1 / Réaliser une enquêtes sur les connaissances
attitudes et comportement vis-à-vis de la tuberculose
dans la population générale
X
PNUD
GFTAM
17 688
1.4.7.2 / Réaliser une enquête sur les connaissances
attitudes et comportement vis-à-vis de la tuberculose
chez le personnel soignant An 1 T2
X
PNUD
GFTAM
17 688
1.4.7.3 / Réaliser une enquête qualitative sur les causes
des fausses connaissances et discriminations vis-à-vis
de la tuberculose An 1 T4
X
PNUD
GFTAM
17 688
X
PNUD
GFTAM
74200 = Audio Visual&Print Prod Costs
PNUD
GFTAM
1.4.8.1 / Impression de 100 exemplaires des résultats
des enquêtes (environ 20 pages)
1.4.10.2 / Réunions trimestrielles d'1 journée de
l'équipe TB (incluant les partenaires PNLT): 20
personnes
X
X
X
X
X
14
X
X
X
X
762
8 109
EXPECTED OUTPUTS
2014
2015
1.4.10.3 / Organiser une réunion bilan annuelle des
activités de lutte contre la tuberculose à partir de l’an 1.
3 jours) : 22 personnes des régions+ 10 niveau central
soit 32 personnes
X
1.4.11.1 / Assurer l’organisation d'une réunion de
coordination par trimestre, par région pour toute la
durée du projet
X
X
X
X
X
X
X
X
1.4.12.3 / Assurer le frais d’entretien des équipements
du bureau (15% du cout total des équipements) une
fois par trimestre
X
X
X
X
X
X
X
X
X
X
2.2.4.1 / Recruter une assistance technique pour le
contrôle de l'infection pendant 15 jours pour élaborer
le matériel d'IEC et le module de formation avec la
Direction de l'assainissement
2.2.4.2 / Atelier d'élaboration du matériel d'IEC et du
module de formation avec la Direction de
l'assainissement durée 5 jours, 10 personnes au T3 de
l'an 3
2.2.4.3 / Formation de 31 formateurs pendant 5 jours,
(DRS: 22; HRF: 2; HNSM: 7)
2.2.4.4 / Formations des personnels des services de
santé: 212 personnes de toutes les structures
concernées (incluant le personnel des consultations de
l'Hôpital National Simão Mendes (HNSM) pendant 3
jours. (Soit CS C: 95; CS B&A: 27; HR & HRF: 30;
HNSM: 60)
2.2.4.5 / Produire les matériaux d'information,
éducation et communication (IEC) : Affiches (1000
pour chaque structure concernée)
X
RESPONSIBLE
PARTY
PLANNED BUDGET
Funding
Budget Description
Source
Amount
PNUD
GFTAM
9 928
X
PNUD
GFTAM
4 849
X
PNUD
GFTAM
8 232
PNUD
GFTAM
5 630
PNUD
GFTAM
3 259
PNUD/PNLT
GFTAM
74500 = Miscellaneous Expenses
PNUD/PNLT
GFTAM
6 851
X
PNUD/PNLT
GFTAM
7 340
X
PNUD
GFTAM
2 469
X
PNUD
GFTAM
7 654
X
PNUD
GFTAM
31 408
X
NGO
GFTAM
2 592
2.1.1.1 / Recyclage de 2 personnes dans chaque centre
avec laboratoire (19 centres) soit 38 personnes
2.1.1.2 / Recyclage de 29 personnes dans la PEC du
patient et gestion du programme TB VIH (5 jours) T1
An1
2.2.2 / Participer aux frais du "Green Light Committee"
2.2.3 / Recruter une assistance technique pour le suivi
de la formation en TB- MDR pendant 1 semaine
Q20
Q19
Q18
Q17
Q16
Q15
Q14
Targets:
Related CP outcome:
Q13
Output 2: The health
services respond to the
challenge of double
infection (TB/HIV) and
multi-drug resistant to
tuberculosis (MDR-TB).
Baseline:
Indicators:
TIMEFRAME
2013
Q12
PLANNED ACTIVITIES
X
X
X
X
X
0
2.2.4.6 / Camisolas + chapéus
X
NGO
GFTAM
2 717
2.2.4.6B / Camisolas + chapéus
X
NGO
GFTAM
2 470
15
EXPECTED OUTPUTS
TIMEFRAME
2013
2014
Q20
Q19
Baseline:
Indicators:
Targets:
Q18
Output 4: All health
service providers
including pharmaceutical,
private and healers are
involved in PNLT
activities.
PLANNED BUDGET
Funding
Budget Description
Source
Amount
X
X
NGO
GFTAM
11 205
2.2.4.8B / Produire les matériaux d'information,
éducation et communication (IEC) : (150 boîtes à
images pour chaque structure concernée)
X
X
NGO
GFTAM
11 205
X
PNUD
GFTAM
7 622
X
NGO
GFTAM
2 245
X
PNUD
GFTAM
2 245
X
2.2.6.1 / Production et diffusion du matériel de
sensibilisation: foulards:1000, bassine:1000, nattes:500
2.2.6.1B / Production et diffusion du matériel de
sensibilisation: foulards:1000, bassine:1000, nattes:500
Targets:
Related CP outcome:
RESPONSIBLE
PARTY
2.2.4.8 / Produire les matériaux d'information,
éducation et communication (IEC) : (150 boîtes à
images pour chaque structure concernée)
2.2.5.1 / Reproduire 500 exemplaires des fiches de suivi
des patients TB-MR (registre, fiches de traitement,
individuelle et fiches de rapport)
Output 3: The health
system strengthened in
terms of law M&E national
planning in order to fight
against tuberculosis.
Baseline:
Indicators:
2015
Q17
Q16
Q15
Q14
Q13
Q12
PLANNED ACTIVITIES
3.2.2.2 / Atelier de présention des résultats (11
personnes: équipe de coordination du PNLT, infirmiers
responsables des services visites) 1 jour
3.2.2.3 / Atelier d'élaboration d'un guide et des
directives : 5 jours 6 personnes
3.2.2.4 / Atelier de validation du guide et des directives.
(20, dont 8 des régions) 1 jour
3.2.4.1 / Appui en carburant pour le fonctionnement du
PNLT: 2voitures PNLT; LNSP: 1; INASA:1 + vedette
X
X
PNLT
GFTAM
1 086
X
X
PNLT
GFTAM
2 963
X
X
PNLT
GFTAM
1 975
29 883
X
X
X
X
X
X
X
X
X
PNLT
GFTAM
3.2.4.2 / Communication
X
X
X
X
X
X
X
X
X
PNLT
GFTAM
8 918
3.2.4.3 / Entretien de 4 voitures et une vedette
X
X
X
X
X
X
X
X
X
PNLT
GFTAM
13 720
3.2.4.4 / Entretien de 11 motos tout terrain des
Responsables de GE
X
X
X
X
X
X
X
X
X
PNLT
GFTAM
19 093
3.2.4.5 / Entretien de 14 motocyclettes TVS
X
X
X
X
X
X
X
X
X
PNLT
GFTAM
14 406
X
X
X
X
X
X
X
X
X
NGO
GFTAM
206 778
X
X
X
X
X
X
X
X
X
NGO
GFTAM
248 114
X
X
X
X
X
X
X
X
X
NGO
GFTAM
27 342
X
X
X
X
X
X
X
X
X
PNLT
GFTAM
3 746
4.1.1.1 / Assurer l'appui nutritionnel pour 70 % des
14434 malades TB
4.1.1.1B / Assurer l'appui nutritionnel pour 70 % des
14434 malades TB
4.1.1.2 / Soutien alimentaire aux patients pendant la
phase initiale d'hospitalisation
4.1.1.3 / Soutien au déplacement des patients (100%
des malades qui abandonnent le traitement soit 14%
de total des malades) = 2021 malades pendant 5 ans
Related CP outcome:
16
EXPECTED OUTPUTS
2015
Q20
Q19
Q18
Q17
Q16
RESPONSIBLE
PARTY
PLANNED BUDGET
Funding
Budget Description
Source
Amount
5.1.1.1 / Prévention Mass media (Campagne media
sous le parrainage d'une vedette
X
X
NGO
GFTAM
1 829
5.1.1.1 B / Prévention Mass media (Campagne media
sous le parrainage d'une vedette
X
X
NGO
GFTAM
1 829
5.1.1.2 / Sensibilisation communautaire (organisation
de la Journée Mondiale de lutte contre la Tuberculose
dans toutes les régions
X
X
NGO
GFTAM
14 175
5.1.1.2 B / Sensibilisation communautaire (organisation
de la Journée Mondiale de lutte contre la Tuberculose
dans toutes les régions
X
X
NGO
GFTAM
14 175
5.1.1.4. / Sensibilisation communautaire pour la
prévention de TB, coïnfection TB/VIH et orientation
pour le dépistage (pair éducateurs dans les régions
d'intervention)
5.1.1.4.1.B / Sensibilisation communautaire pour la
prévention de TB, co-infection TB/VIH et orientation
pour le dépistage (pair éducateurs dans les régions
d'intervention)
5.1.1.5 / Sensibilisation communautaire pour la
pour le dépistage (leaders communautaires dans les
5.1.1.5B / Sensibilisation communautaire pour la
pour le dépistage (leaders communautaires dans les
Output 6: The knowledge
Q15
Related CP outcome:
2014
Q14
Indicators:
Targets:
Q13
Output 5: Those afflicted
with Tuberculosis and
communities have the
ability to react against TB.
Baseline:
TIMEFRAME
2013
Q12
PLANNED ACTIVITIES
X
X
X
X
X
X
X
X
X
NGO
GFTAM
61 742
X
X
X
X
X
X
X
X
X
NGO
GFTAM
61 742
X
X
X
X
X
X
X
X
X
NGO
GFTAM
8 016
X
X
X
X
X
X
X
X
X
NGO
GFTAM
8 016
prévention de TB et orientation pour lé dépistage
(ONG/OCB dans les régions d'intervention)
X
X
NGO
GFTAM
1 348
5.1.1.6 B / Sensibilisation communautaire pour la
prévention de TB et orientation pour lé dépistage
(ONG/OCB dans les régions d'intervention)
X
X
NGO
GFTAM
1 348
19 216
prévention de TB et orientation pour le dépistage
(projection de films dans les régions d'intervention)
X
X
X
X
X
X
X
X
X
NGO
GFTAM
5.1.1.7 B / Sensibilisation communautaire pour la
prévention de TB et orientation pour le dépistage
(projection de films dans les régions d'intervention)
X
X
X
X
X
X
X
X
X
NGO
GFTAM
6.1.1 / Gestion et supervision du programme et des
X
X
X
X
X
X
X
X
X
NGO
GFTAM
17
19 216
22 049
EXPECTED OUTPUTS
Q16
Q17
Q18
Q19
Q20
Related CP outcome:
Q15
Indicators:
Targets:
2015
Q14
Baseline:
2014
Q13
of health-providers on the
disease (tuberculosis) is
improved.
TIMEFRAME
2013
Q12
PLANNED ACTIVITIES
X
X
X
X
X
X
X
X
X
RESPONSIBLE
PARTY
PLANNED BUDGET
Funding
Budget Description
Source
Amount
ONGs
6.1.1 B / Gestion et supervision du programme et des
ONGs
6.1.2 / Achat de plages de temps sur les radios
communautaires et nationales
X
NGO
GFTAM
26 459
X
X
X
X
X
X
X
NGO
GFTAM
22 245
6.1.3 / Coordonnateur
X
X
X
X
X
X
X
X
X
NGO
GFTAM
71400 = Contractual Services - Individ
22 639
6.1.3. Bis / Coordonnateur
X
X
X
X
X
X
X
X
X
NGO
GFTAM
22 639
6.1.4 / Responsable administratif et financier
X
X
X
X
X
X
X
X
X
NGO
GFTAM
18 523
6.1.4. Bis / Responsable administratif et financier
X
X
X
X
X
X
X
X
X
NGO
GFTAM
18 523
6.1.5 / Chargé du suivi évaluation
X
X
X
X
X
X
X
X
X
NGO
GFTAM
12 348
6.1.5. Bis / Chargé du suivi évaluation
X
X
X
X
X
X
X
X
X
NGO
GFTAM
12 348
6.1.6 / Chargé de la base de données
X
X
X
X
X
X
X
X
X
NGO
GFTAM
8 232
6.1.6. Bis / Chargé de la base de données
X
X
X
X
X
X
X
X
X
NGO
GFTAM
8 232
6.1.7 / Logisticien
X
X
X
X
X
X
X
X
X
NGO
GFTAM
8 232
6.1.7. Bis / Logisticien
X
X
X
X
X
X
X
X
X
NGO
GFTAM
8 232
6.1.8 / Comptable moyen
X
X
X
X
X
X
X
X
X
NGO
GFTAM
12 348
6.1.8. Bis / Comptable moyen
X
X
X
X
X
X
X
X
X
NGO
GFTAM
12 348
6.1.9 / Chauffeur mecanicien
X
X
X
X
X
X
X
X
X
NGO
GFTAM
3 705
6.1.9. Bis / Chauffeur mecanicien
X
X
X
X
X
X
X
X
X
NGO
GFTAM
3 705
6.1.10 / Chargé de Programme et formation
X
X
X
X
X
X
X
X
X
NGO
GFTAM
10 290
6.1.10. Bis / Chargé de Programme et formation
X
X
X
X
X
X
X
X
X
NGO
GFTAM
10 290
NGO
GFTAM
20 553
14 406
6.1.11 / Assistance Internationale spécialiste du volet
communautaire
X
X
6.1.11.1 / Consommables de bureau
X
X
X
X
X
X
X
X
X
NGO
GFTAM
72500 = Supplies
6.1.11.2 / Internet
X
X
X
X
X
X
X
X
X
NGO
GFTAM
72400 = Communic & Audio Visual Equip
2 037
X
X
X
X
X
X
X
X
X
NGO
GFTAM
3 087
6.1.11.4 / Maintenance de d'une voiture
X
X
X
X
X
X
X
X
X
NGO
GFTAM
2 747
6.1.11.5 / Maintenance du groupe électrogene
X
X
X
X
X
X
X
X
X
NGO
GFTAM
1 202
6.1.11.6 / Carburant véhicule
X
X
X
X
X
X
X
X
X
NGO
GFTAM
7 468
6.1.11.7 / Carburant groupe électrogene
X
X
X
X
X
X
X
X
X
NGO
GFTAM
6.1.11.9 / Consommables de bureau
X
X
X
X
X
X
X
X
X
NGO
GFTAM
72500 = Supplies
6.1.11.10 / Internet
X
X
X
X
X
X
X
X
X
NGO
GFTAM
2 037
X
X
X
X
X
X
X
X
X
NGO
GFTAM
3 087
18
6 874
14 406
EXPECTED OUTPUTS
TIMEFRAME
2013
PLANNED BUDGET
Q16
Q17
Q18
Q19
Q20
Amount
Q15
Funding
Budget Description
Source
Q14
Targets:
Related CP outcome:
RESPONSIBLE
PARTY
6.1.11.12 / Maintenance d'une voiture
X
X
X
X
X
X
X
X
X
NGO
GFTAM
2 747
6.1.11.13 / Maintenance du groupe électrogene
X
X
X
X
X
X
X
X
X
NGO
GFTAM
1 202
6.1.11.14 / Carburant véhicule
X
X
X
X
X
X
X
X
X
NGO
GFTAM
7 468
6.1.11.15 / Carburant groupe électrogène
X
X
X
X
X
X
X
X
X
NGO
GFTAM
6 874
6.1.11.16 / Appui au fonctionnement de 10 ONGS
régionales
X
X
X
X
X
X
X
X
X
NGO
GFTAM
27 372
6.2.1.1 / Audit annuel
X
X
PNUD
GFTAM
32 609
6.2.1.11 / Medecin Specialiste TB MR
X
X
X
X
X
X
X
X
PNUD/PNLT
GFTAM
61 742
PNUD
GFTAM
3 528
PNLT
GFTAM
49 393
PNUD/PNLT
GFTAM
227 573
6.2.1.16 / Maintenance d'équipement de laboratoire et
de radiographie
Output 7 : PMU
Baseline:
Indicators:
2015
Q13
2014
Q12
PLANNED ACTIVITIES
X
X
X
X
X
X
6.2.1.18 / Maintenance de six voitures
X
X
X
X
X
X
X
X
6.2.1.25A / Assistance Technique
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
PNUD/PNLT
GFTAM
13 830
X
X
X
X
X
X
X
X
X
PNUD/PNLT
GFTAM
45 393
PNUD
GFTAM
20 000
PNUD
GFTAM
71100 = ALD Employee Costs
1 694 626
PNUD
GFTAM
6.2.1.25B / Assurer le paiement des émoluments des
agents
6.2.1.25C/ Assurer le paiement des émoluments des
agents
7.0 / Atelier pour le renforcement de capacité en suivi
évaluation
X
X
7.1 / Charges salariales
X
X
7.2 / matériel et mobilier de bureau
X
X
X
X
X
7.3 / Suivi et évaluation des activités
X
X
X
X
X
X
X
X
X
PNUD
GFTAM
628 801
7.4 / frais de fonctionnement
X
X
X
X
X
X
X
X
X
PNUD
GFTAM
74500 = Miscellaneous Expenses
116 897
7.5 / 991.GMS
X
X
X
X
X
X
X
X
X
PNUD
GFTAM
75100 = Facilities & Administration
408 070
TOTAL
X
X
X
X
73 422
6 237 642
19
V.
MANAGEMENT ARRANGEMENTS
The Country Office of the United Nations Development Programme (UNDP) in Guinea-Bissau,
identified as Principal Recipient is responsible for executing the project and will report to the
Global Fund for the management of the funds allocated. The project will be implemented under the
terms of Direct Implementation (DIM) in close collaboration and partnership with the CCM and the
National Program for the Fight against Malaria and Tuberculosis, and continuous supervision by
the Local Fund Agent (LFA) representing the Global Fund
While implementing on the DIM modality, UNDP will be consistent with its overall strategy in
ensuring national ownership and leadership, participation and transparency, advocacy and rightsbased approach and multi-stakeholder approach. This will be ensured particularly through close
collaboration with CCM, to which UNDP will keep informed about the project activities and will
consult on key decisions.
More specifically, in terms of management arrangements for this project:
• UNDP will sign contracts with identified sub-contracts (SB) . A preliminary list of sub-recipients
which is constituted by the same SB as in Phase 1 provided later in this document. The contracts
will be negotiated directly with each of its sub-recipients, based on standard contracts used by
UNDP projects with the Global Fund. The results-oriented business plan will be an integral part of
each agreement and will constitute annexe to contracts to be signed between UNDP and subrecipients. These contracts will be governed by the UNDP POPP and specific arrangements for
UNDP projects with the Global Fund.
• The procurement of goods and services will be governed by UNDP policies and procedures for
procurement of goods and services and specific arrangements for projects between UNDP and the
Global Fund.. The purchases will be made in accordance with the Purchasing and Supply
Management (PSM) Plan approved by the Global Fund.
• UNDP will develop and implement a capacity building program to be developed and implemented
for domestic partners.
• • On a quarterly basis, the sub-recipients will provide UNDP with a brief financial report with
support documents for incurred expenses (directly paid by UNDP), a report of activities and an
evaluation of the progress achieved on the impact targets the in business plans.
• A systematic on-site verification of these results will be done.
• UNDP will submit regular reports to the CCM to enable it to evaluate and guide the project
Project Organization Structure UNDP provides comprehensive fiduciary management of the
project in the direct implementation modality and without cash transfer to secondary recipients. It
was therefore important to develop expanded project management unit and fully supported
financially by the Global Fund.
The management unit provides a strong team where the areas of finance, procurement, monitoring
and evaluation, and reporting to the Global Fund (through its coordination) are included, but also
responsible for monitoring and capacity
Project Organisation Structure
Project Board
Senior Beneficiary
GoGB (Ministry of
Health); CCM
Executive
UNDP-DRR/P
Senior Supplier
Global Fund
UNDP
Project Assurance
LFA
Project Manager
Global Fund Project
Coordinator
.
TEAM A- Finance
-Finance Specialist
-Finance Officer
TEAM B- Procurement
-Procurement Specialist
-Procurement Officer
Project Support
Project Assistant
TEAM C- M & E
-M & E Specialist
-M & E Officer
.....
Some elements of the structure of the Management Unit will be subject to change, depending on
the needs and changing operational environment, when starting the project. The Management Unit
will serve both the Project on Malaria Grant and the Project on Tuberculosis.
The Project Coordinator will report directly to the DRR-Programme.
In addition to the project staff, UNDP Guinea-Bissau will provide additional means within the
funding the Global Fund, to follow (and support) the team of the Project Unit by recruiting three
additional national staff for the Operations Department (purchases, finance, M&E). This staff report
directly to the DRR-Operations.
UNDP will also sponsor three to four annual consultancy missions (one to two weeks each) to
assess and validate the direction and results of the project. The consultant will report directly to the
Resident Representative
The CCM will hold quarterly meetings to monitor the implementation of the project on the basis of
information developed and the reports prepared by the UNDP. The CCM endorse the work plan
and budget of the program before the implementation of activities, and subject to the approval by
the Global Fund.
The CCM will play the role of interface between the Government of Guinea-Bissau and the UNDP.
The CCM also provide the official administrative liaison with the UNDP Global Fund and regularly
with the Local Global Fund (LFA) Agent
The Secondary Beneficiaries will be approved by the UNDP (after evaluation) and will implement
activities on the basis of agreed activity plans. The payments will be based on the results obtained.
The project will work with three major categories of Secondary Recipients: the public sector and
civil society (including the private sector).
21
22
VI.
MONITORING FRAMEWORK AND EVALUATION
Regular monitoring and evaluation of the project will be conducted in accordance with procedures
established by the UNDP and the Global Fund for the supervision of programs and projects.
They will be in accordance with the Monitoring and Evaluation Plan developed for the purpose
approved by the Global Fund and attached hereto, as part of the overall submission to the Global
Fund.
Meetings between the various parties involved will be held each month or quarter as required to
assessing progress, the impact of activities and possible remedies.
The Global Fund will establish with the CCM and UNDP schedule site visits to be carried out
follow-up activities. UNDP will undertake regular monitoring visits and evaluation (and control) of
land, including the 'surprise visits'.
Audits and checks will be held according to the schedule and procedures agreed with the Global
Fund. Close collaboration will be continued with the Local Fund Agent in respect of each party and
the
agreements
between
UNDP
and
the
Global
Fund
procedures.
23
Quality Management for Project Activity Results
OUTPUT 1:
Activity Result
Quality DOTS expanding
Start Date: July 1rst, 2013
End Date: October 31, 2015
(Atlas Activity ID)
Purpose
Continue to expand a quality DOTS
- Assurer la formation de professionnels de la santé en DOTSen technique et interprétation de la
radiographie
- Envoyer semestriellement des échantillons au laboratoire de Porto (Portugal) pour le suivi des
patients sous DOTS,
- Recruter d'une Assistance Technique spécialisée (en radiologie / en épidémiologie / pour évaluer
le réseau de laboratoires et le plan de transport des échantillons)
- Achat de médicaments et produits pharmaceutiques,
- Doter les agents de moyens de déplacement,
- Assurer l'entretien, la maintenance et le fonctionnement des moyens de transport ,
- Réaliser des études et des enquêtes,
- Assurer des visites de supervision trimestrielles des laboratoires périphériques,
- Contrôler la Qualité des médicaments tout le long de la chaine de distribution (échantillonnage et
test),
- Organiser une visite de supervisions trimestrielles à tous les niveaux,
- Organiser des sorties trimestrielles de validation des données: (1INASA/PNLT),
- Atelier pour la révision du réseau de laboratoire de microscopie et validation du plan de transport
des échantillons,
- Assurer les frais de fonctionnement.
Quality Criteria
Quality Method
Date of Assessment
how/with what indicators the quality of the Means of verification. What method will
When will the assessment of
activity result will be measured?
be used to determine if quality criteria
quality be performed?
has been met?
Description
Number and percentage of new smearpositive TB patients who were successfully
treated
R&R TB system, quarterly reports
Quarterly
Number and percentage of peripheral
microscopy laboratories receiving a regular
external quality control on confirmation of
bacteriological microscopy
Quality control report of the National
Public Health Laboratory
Quarterly
Number of new smear positive TB cases
R&R TB system, yearly management
report
Quarterly
Number of TB cases (all forms) registered
and reported
Quarterly
Percentage of care units with TB patients
reporting no stock-out of first-line anti-TB
drugs on the last day of the quarter
Quarterly
Number of supervisions realized from
health regions to health areas
Supervisory report by NPT
Quarterly
Number of laboratory confirmed MDR-TB
cases enrolled on second-line anti-TB
treatment during the specified period of
assessment
Quarterly
OUTPUT 2:
Activity Result
(Atlas Activity ID)
Purpose
Challenge of TB/HIV, MDR-TB and other challenges
Description
- Participer aux frais du "Green Light Committee"
Respond to the challenge of TB/HIV, MDR-TB and other challenges
24
- Recyclage d'agents de santé dans chaque centre avec laboratoire
- Recyclage de personnes dans la PEC du patient et gestion du programme TB VIH
- Produire et diffuer les matériaux d'information, éducation et communication et de
sensibilisation
- Formations des personnels des services de santé et des formateurs
- Recruter une assistance technique (suivi de la formation en TB- MDR / contrôle de l'infection
pendant / élaborer le matériel d'IEC et le module de formation avec la Direction de
l'assainissement)
Quality Criteria
Quality Method
Date of Assessment
how/with what indicators the quality of the Means of verification. What method
will be used to determine if quality
criteria has been met?
Number and percentage of registered TB patients
(women and men) who had an HIV test and know
their results
Quaterly
Number of laboratory confirmed MDR-TB cases
enrolled on second-line anti-TB treatment during
the specified period of assessment
Quaterly
OUTPUT 3:
Activity Result
(Atlas Activity ID)
Purpose
Health system strengthening
Contribute to health system strengthening
- Recruter une Assistance technique,
- Organiser des ateliers (présention des résultats / élaboration et validation d'un guide et des
directives),
- Assurer le fonctionnement (carburant, entretien moyens de transport).
Quality Criteria
Quality Method
Date of Assessment
Description
Number of supervisions realized from health
regions to health areas
Supervisory report by NPT
Quaterly
Number of laboratory confirmed MDR-TB
cases enrolled on second-line anti-TB
treatment during the specified period of
assessment
Quaterly
OUTPUT 4:
Activity Result
(Atlas Activity ID)
Purpose
Involve all health service providers
Description
- Assurer le soutien au déplacement des patients (100% des malades qui abandonnent le
traitement soit 14% de total des malades) = 2021 malades pendant 5 ans,
- Soutien alimentaire aux patients pendant la phase initiale d'hospitalisation,
- Assurer l'appui nutritionnel pour 70 % des 14434 malades TB.
All health service providers are involved
Quality Criteria
Quality Method
Percentage of care units with TB patients
reporting no stock-out of first-line anti-TB
drugs on the last day of the quarter
OUTPUT 5:
25
Date of Assessment
Quaterly
Activity Result
(Atlas Activity ID)
Purpose
Provide those afflicted with TB and communities with the Start Date: July 1rst, 2013
ability to react
Provide those afflicted with TB and communities with the ability to react
- Sensibilisation communautaire pour la prévention de TB, co-infection TB/VIH et orientation
pour le dépistage (pair éducateurs et leaders communautaires , dans les régions d'intervention,
ONG/OCB),
- Sensibilisation communautaire pour la prévention de TB et orientation pour le dépistage
(projection de films dans les régions d'intervention),
- Organisation de la journée mondiale de la Tuberculose,
- Prévention Mass media (Campagne mediatique).
Quality Criteria
Quality Method
Date of Assessment
Description
Number of TB patients (all forms) under
treatment who are receiving food support
during intensive and ambulatory phases
Activity Report by the NGOs
Quaterly
OUTPUT 6
Activity Result
(Atlas Activity ID)
Purpose
Improve knowledge of the disease
Description
- Assurer la gestion et supervision du programme et des ONGs
- Assurer l'ahat de plages de temps sur les radios communautaires et nationales
- Assistance Internationale spécialiste du volet communautaire
- Assurer la Maintenance d'équipement de laboratoire et de radiographie
- Assurer le paiement des émoluments des agents
- Réaliser l'audit annuel
Improve knowledge of the disease
Quality Criteria
Quality Method
Number of new smear positive TB cases
Date of Assessment
R&R TB system, yearly management
Quaterly
report
OUTPUT 7:
Activity Result
(Atlas Activity ID)
Purpose
Project Management Unit
Description
- Organiser un atelier pour le renforcement de capacité en suivi évaluation,
- recruter le personnel de l'Unité de Gestion et assuer la paiement des salaires,
- Aquérir les équipements de lunité de Gestion,
- Assurer le suivi évaluation de l'ensemble du projet,
- Assurer les frais de fonctionnement de l'Unité de Gestion.
Implementation of the Project Management Unit
Quality Criteria
Quality Method
26
Date of Assessment
VII.
LEGAL CONTEXT
This project document shall be the instrument referred to as such in Article 1 of the Standard Basic
Assistance Agreement between the Government of Guinea-Bissau and UNDP, signed on 29 July
1975
United Nations Development Programme (UNDP-Guinea-Bissau) as the Implementing Partner shall
comply with the policies, procedures and practices of the United Nations safety and security
management system.
United Nations Development Programme (UNDP-Guinea-Bissau) agrees to undertake all
reasonable efforts to ensure that none of the 8,183,250 USD are used to provide support to
individuals or entities associated with terrorism and that the recipients of any amounts provided by
UNDP hereunder do not appear on the list maintained by the Security Council Committee
established pursuant to resolution 1267 (1999). The list can be accessed via
hthttp://www.un.org/sc/committees/1267/aq_sanctions_list.shtml. This provision must be included in
all sub-contracts or sub-agreements entered into under this Project Document.
ANNEXES
Risk Analysis.
Particular attention was paid to risk management, this part of each project financing UNDP Global
Fund. The overall for the project can be considered high.
Project risks will be reviewed regularly and the management strategy for the project
implementation will be adjusted accordingly.
The project will support implementation of the various capacity building activities, as mentioned
before, for better planning and improving the skills of health providers to sustain higher-quality
services.
27
Risk Log Matrix
#
Description
Category
Impact
Probability
1
CCM cannot exercise its
oversight
mandate
properly
Operational
High/Likely
2
Misunderstanding of the
role of UNDP by national
stakeholders can slow
down the overall grant
implementation
Operational
3
Former SRs or SSRs
concerned that they are
not
considered
as
implementing partners by
UNDP and not willing to
cooperate / risk of
sabotage
4
Data
Identified
Last
Updated
Status
UNDP proposes a communication protocol
to CCM / Training of CCM members in their
role and responsibilities
Project
Formulation
NA
NA
High/Likely
Information sessions to key stakeholders
Project
Formulation
NA
NA
Strategic
High/Likely
Meeting with NGOs explaining UNDP rules
and regulation regarding selection process
of private SR and SSRs / evaluation of SRs
and SSRs by UNDP and LFA can allow for
a better understanding of UNDP’s role as a
transition PR
Project
Formulation
NA
NA
Roles unclear between
former PRs and UNDP
Organizational
High/Likely
Meeting with NGOs explaining UNDP rules
and regulation regarding selection process
of private SR and SSRs / evaluation of SRs
and SSRs by UNDP and LFA can allow for
a better understanding of UNDP’s role as a
transition PR
Project
Formulation
NA
NA
5
Weak public institutions,
unclear division of labour
between them, workflows
between UNDP and the
Sub Recipients unclear
Organizational
Extremely
High
(Possible delay at all
stages
of
programme)/Very
likely
In the short term, possibly before
grant implementation initiates, standard
operating procedures should be presented
and discussed with the sub-recipients.
Training sessions should be organised.
Procedures implemented in other PR
countries and systematized by the
Management Consulting Team could be
used as a starting point
In the longer term, a capacity
development plan should be formulated, to
address the major bottlenecks in the
national response to the diseases
Project
Formulation
NA
NA
6
Communication
Gossips,
information
Strategic
High(can
be
harmful, takes a lot
of
time
to
Clear communication procedures defined
in the SOPs. Regular communication with
CCM, major stakeholders of the GF (donor
Project
Formulation
NA
NA
issues.
false
& Countermeasures/Mngt
response
Owner
Author
#
Description
Category
Impact
Probability
response
mitigate)/Likely
countries present in Bissau).
Owner
Author
Data
Identified
Last
Updated
Status
7
Perception of UNDP as
not willing to develop
capacities
Strategic
Moderate/Possible
A Capacity Development plan should be
formulated as soon as circumstances
permit ( in the 6 months following grant
signature)
Project
Formulation
NA
NA
8
Sub-Recipients and Subsub-recipients are not
reporting
their
expenditures according
to UNDP / Global Fund
Rules and regulations
Operational
Extremely
high
(blocking
disbursements)/Very
likely
Contracts signed with SRs, and between
SRs and SSRs, clearly spell out the
timeframe of financial reporting, the
expected documents, the process of
approval of financial reports and the
measures to be taken in case of noncompliance
Project
Formulation
NA
NA
9
SRs and SSRs are not
using management tools
that ensure a robust
accountability framework
(use of vehicles, per
diems, service for cars,
training
cost,
annual
audits...)
Operational
Extremely
high
(blocking
disbursements)/Very
likely
Contracts signed with SRs, and between
SRs and SSRs, clearly spell out the
timeframe of financial reporting, the
expected documents, the process of
approval of financial reports and the
measures to be taken in case of noncompliance
Project
Formulation
NA
NA
10
Financial
issues
Financial
Extremely
high
(blocking
disbursements)/Very
likely
Implement as much as possible a zero
cash policy, with no disbursements to sub
recipients (it is however not a requirement
of the Global Fund)
Project
Formulation
NA
NA
11
Weak data collection
systems, poor accuracy
of data, delays in the
transmission of data
Operational
Extremely
high
(blocking
disbursements)/Very
likely
Implement spot checks with M&E staff in
major health facilities. The small size of the
country and concentration of the population
allows for frequent on site data verification.
Training and participative assessment of
the quality of data necessary
Project
Formulation
NA
NA
12
Delays in the take over
Operational
High/Likely
Hire an interim team of 3 to 4 persons to
accelerate the preparation of the grant
agreements
Project
Formulation
NA
NA
13
Weak identification of
stock levels at the
national and regional
level/ Deficient estimation
of needs
Logistical
Very High/Likely
-
Project
Formulation
NA
NA
Delays in procurement
Operational
Project
NA
NA
14
management
-
Very High/Likely
UNDP creates a procurement and
logistics working group (monthly
meeting)
UNDP undertakes a regular stock
verification, and verifies stock level
before the signing of the grants
Every quarter, a workshop can be held with
29
#
15
Description
Delayed contracting
SRs by UNDP
Category
of
Operational
Impact
Probability
response
Very High/Possible
Owner
Author
Data
Identified
SRs and SSRs to share procurement lead
times of UNDP and requirements for TORs
and Technical Specifications.
Formulation
Planning for contracting and strong
communication on contracting timelines to
country stakeholders
Project
Formulation
30
Last
Updated
Status
NA
NA

Project Document Template

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