Design and Planning of PHCs
|
This is a sample Request For Application (RFA) from USAID. It what donors such as USAID issue when they are seeking application from Private Voluntary Organizations (PVOs), which is an NGO classification USAID uses to implement projects.
In this application an American or International PVO will be partnering with a local NGO from the selected country to implement a Maternal, Neonatal, and Child Health (MNCH) project. The concept is for an experienced PVO to strengthen the national NGO so there will be sustainability beyond the end of the project period through improved capacities of the national NGO.
There will be eight awards of $5 million each for five years, amounting to $1 million per year. This is a good size project and winners should expect to implement MNCH projects in one or more districts in the selected country, a rural or periurban district commonly being between 300,000 and 1 million people. Most MCNH projects are implemented in rural areas, as morbidity and mortality are higher here.
For this proposal, there are many eligible countries. If your team wishes to do an MNCH project, select a country from the list, preferably a country that someone in the group has some knowledge about. Then, you can select a location, devise a local NGO partner and set about collecting information about the health and needs of that location. There are many sources such as DHS surveys and national data from the relevant Ministry of Health. It is good to select a country with easily accessible data to help in your project design. For each country, there are a number of different activities or interventions you can do, so there is something for everyone’s interest in this RFA.
As you go along, you will have to create a few imaginary things, such the local NGO partner you will be working with and the skill sets of various people working for the project.
During the course we will be stepping through each of the stages of project design so you can be designing and writing each part as we go along. And then—Voila!!—the proposal is complete with all of its parts.
The RFA has the fine print about the details the donor wants to be included in the project (e.g. cost share, length of pages, what can or cannot be done, etc.). Study these carefully as you are designing the project! You do not want to do all this work, and lose out because of a silly mistake. This RFA has been greatly simplified from its usual format, which is about twice the length. If you work for NGOs or PVOs, you will learn how to read these carefully, looking for the fine point. Your job will depend on this!
We are here to help you with any problems you have understanding this. After people have been doing this work after some years they become real experts at understanding an RFA.
|
Federal Agency Name: United States Agency for International Development (USAID), Bureau for Global Health (BGH), Office of Health, Infectious Disease and Nutrition (HIDN)
Funding Opportunity Title: Request for Application (RFA): MNCH Grants program.
Announcement Type: Initial
Funding Opportunity Number: RFA-OAA-18-000008
Catalog of Federal Domestic Assistance (CFDA) No.: 98.001
RFA Dates:
Note: All specified times in this RFA are Washington, D.C. time.
RFA Issuance Date: October 29, 2018
RFA Questions Due: November 12, 2018
12:00 Noon RFA Closing Date: December 21, 2018
RFA Closing Time: 12:00 pm (noon)
Executive Summary
Introduction
The success of U.S. Government (USG) initiatives [e.g., Global Health Initiative (GHI) and Feed the Future (FtF)] prioritizes collaboration and effective partnerships with diverse local, national, and global stakeholders in order to implement the core principles guiding these initiatives and accelerate progress towards achieving their goals and targets through country-led and country- owned policies and strategies. U.S. Private Voluntary Organizations (PVO) and their local partners, and local and national NGOs are well poised to contribute to the core principles of these initiatives[footnoteRef:1] as well as key areas within USAID’s reform agenda, including but not restricted to promotion of research and innovation, integration, sustainability and systems strengthening, a focus on women and girls, and new partnerships with civil society as a part of procurement reform. [1: The seven principles underlying the foundation of GHI are the following: Implement a woman- and girl-centered approach; Increase impact through strategic coordination and integration; Strengthen and leverage key multilateral organizations, global health partnerships and private sector engagement; Encourage country ownership and invest in country-led plans; Build sustainability through health systems strengthening; Improve metrics, monitoring and evaluation; and Promote research and innovation. A public consultation document focusing on the GHI may be accessed at: http://www.usaid.gov/ghi/ ]
Through the Maternal, Newborn and Child Health Grants Program (MNCH), USAID’s Bureau for Global Health (BGH) has developed effective partnerships with U.S. PVOs and leveraged their entrepreneurship and expertise for community health and development, particularly for designing, implementing, and evaluating innovative community oriented approaches through local/sub-national/national partnerships in order to effectively and sustainably improve the coverage of high impact MNCH interventions in vulnerable populations.
Specifically, this MNCH Request For Applications (RFA) focuses on the New Partner category which seeks new and diverse partnerships with new partners (U.S. PVOs and national NGOs) and provides opportunities to build technical and organizational capacity for MNCH programming, and contributes to documenting promising models for local capacity and sustainability
General RFA Information
Issuance of this RFA does not constitute an award commitment on the part of the Government, nor does it commit the Government to pay for costs incurred in the preparation and/or submission of an application. Applicants who come under consideration for an award that have never received USAID funding will be subject to a pre-award audit to determine fiscal responsibility, ensure adequacy of financial controls, and establish an indirect cost rate (if applicable). For the purposes of this RFA, the term “Grant” is synonymous with “Cooperative Agreement”; "Grantee" is synonymous with "Recipient;" and "Grant Officer" is synonymous with "Agreement Officer". The authority for this RFA is found in the Foreign Assistance Act of 1961, as amended.
USAID intends to award up to eight (8) Cooperative Agreements in total under this RFA totaling up to $40,000,000. Cooperative Agreements issued under this RFA may have an implementation period of up to five (5) years. Applicants may propose implementation periods of less than five (5) years (cost efficiencies and project effectiveness should be considered) but no more than five (5) years. The Government reserves the right to reject any or all applications received and may or may not award the specified number of Cooperative Agreements in any category.
New Partner Cooperative Agreements: Up to 8 New Partner awards (up to $5 million each, up to five years; total estimated cost of total awards: $12,000,000). The guidance and evaluation criteria for this supports USAID’s procurement reform objectives for increasing direct partnerships with new partners (national, U.S.) and documenting promising practices and processes to advance local capacity building and sustainability.
Eligible Applicants: U.S. PVOs and local/national NGOs.
Application Limitations: Eligible applicant organizations may submit up to one (1) application in the New Partner category..
Estimated Award Period of Performance: Project implementation periods shall begin on October 1 of this year..
Cost Share Minimum Amount: 15% of the total cooperative agreement amount shall be provided by the prime recipient.
Application Specifications
1. Technical Application: All applicants shall submit a Technical Application by the closing date of this RFA. Technical Applications shall be no more than 10 pages (a one page Executive Summary and nine pages of technical approach) in length not to include Technical Application Attachments (not to exceed 12 pages). Any pages in a Technical Application that exceed the specified number of pages for the application or attachments will not be reviewed or considered during evaluations. MNCH Recipients will utilize their Strategic Workplan development phase (which follows initial grant approval) to add detail to the project’s technical approach
Applicants may only propose projects in country(s) listed in the RFA Eligible Country List under each MNCH category a focus on USAID priority countries). Projects proposed in any country(s) not on the Eligible Country List within each specific category will not be considered. See Section III: Eligibility Information for the full country listings.
2. Cost Application: A Cost Application will accompany this proposal. This will follow the guidelines set out in Section IV J. The Cost Application shall be separate companion document to the Technical Application. See Section IV. Application and Submission Information for more specific information.
While it is anticipated that these procedures will be successfully completed, potential applicants are hereby notified of these requirements and conditions for award. No costs chargeable to the proposed Agreement may be incurred before receipt of either a fully executed Agreement or a specific, written authorization from the Agreement Officer.
Key Updates for Previous MNCHGP Applicants
· The RFA continues to recognize the entrepreneurial role of U.S. PVOs and their local partners in designing, testing, evaluating, and facilitating the scale up of new and/or promising solutions that improve maternal, newborn, and child health and survival, particularly at the primary health care and community levels in resource poor
settings.
· The MNCH RFA Eligible Country List has been modified to focus on USAID priority countries. Please see Section III: Eligibility Information.
· Key personnel required in the FY2019 are a Headquarters Technical Backstop, a Project Manager, and a Final Evaluation Consultant. At the time of application, USAID form 1420 are suggested for the Headquarters Technical Backstop and Project Manager.
· Applications for the MNCH RFA will only be accepted through the jhu courseplus dropbox . It is recommended that interested applicants not already registered with course 604.221.86 begin the registration process as soon as possible. Please see Section IV: Application and Submission Information and Annex J.
Thank you for your interest in this USAID initiative. USAID looks forward to your organization’s participation.
TABLE OF CONTENTS
Table of Contents 6 ACRONYM LIST 7 SECTION I: Funding Opportunity Description 8 Introduction 8 Overview of the MNCHGP 9 Technical Interventions 10 SECTION II: Award Information 14 Type of Award 14 Substantial Involvement 14 Total Estimated Funds Available 14 Anticipated Award Schedule 15 SECTION III: Eligibility Information 15 Eligibility Requirements 15 Project Restrictions 18 SECTION IV: Application and Submission Information 19 Address to Request Application Package 19 Content and Form of Application Submission 19 Summary Document Due Dates 20 Required Format of Application(s) 20 Branding Requirements 20 Cost Application Funding 21 Content Application Document 22 Cost Application Content 26 SECTION V: Application Review Information 27 Evaluation Criteria 29 Technical Evaluation Criteria for New Partner Category Applications 29 Cost Effectiveness and Cost Realism 30 SECTION V: Reporting 30
ANNEX A : RFA APPLICATION SCREENING NEW PARTNER CATEGORIES 30
ANNEX B: ELIGIBILITY CHECKLIST. 30
ANNEX C : POPULATION AND SUB-POPULATION CALCULATION GUIDELINES. 32 ANNEX D : PAST PERFORMANCE SHORT FORM (3 REFERENCES REQUIRED) 33
ANNEX E : RESULTS FRAMEWORK. 34
ANNEX F : TECHNICAL PACKAGE AND LEVEL OF EFFORT (LOE) TABLE 36
ANNEX G : FINANCIAL REPORTING FORMS AND INSTRUCTIONS 37
ANNEX H : FREQUENTLY ASKED QUESTIONS (FAQs) 38
4
ACRONYM LIST
|
AIDS |
Acquired Immune Deficiency Syndrome |
|
|
BGH |
Bureau for Global Health |
|
|
CBO |
Community-based Organization |
|
|
CCM |
Community Case Management |
|
|
DPT |
Diphtheria, Pertussis, Tetanus |
|
|
FtF |
Feed the Future |
|
|
FBO |
Faith-based Organization |
|
|
FY |
Fiscal Year |
|
|
GH |
Global Health |
|
|
GHI |
Global Health Initiative |
|
|
HIDN |
Health, Infectious Diseases, and Nutrition |
|
|
HIV |
Human Immunodeficiency Virus |
|
|
HMIS |
Health Management Information Systems |
|
|
IMCI |
Integrated Management of Childhood Illnesses |
|
|
IPTp |
Intermittent Preventive women Treatment in pregnant |
|
|
|
|
|
|
IRS |
Indoor Residual Spraying |
|
|
ITN |
Insecticide Treated Net |
|
|
IYCF |
Infant and Young Child Feeding |
|
|
KPC |
Knowledge, Practices, and Coverage Survey |
|
|
LOE |
Level of Effort |
|
|
LLIN |
Long Lasting Insecticide Treated Net |
|
|
MAMAN |
Minim um Package for Mothers and Newborns |
|
|
MCH |
Maternal and Child Health |
|
|
MCHIP |
Maternal and Child Health Integrated Program |
|
|
MCP |
Malaria Communities Programs |
|
|
M&E |
Monitoring and Evaluation |
|
|
MNCH |
Maternal, Newborn, and Child Health |
|
|
MNCHGP |
Maternal, Neonatal, and Child Health Grants Program |
|
|
MOH |
Ministry of Health |
|
|
NGO |
Non-Governmental Organization |
|
|
OR |
Operation Research |
|
|
ORS |
Oral Rehydration Salts |
|
PEPFAR |
President’s Emergency Plan for AIDS Relief |
|
PMI |
President’s Malaria Initiative |
|
PMTCT |
Preventing Mother-to-Child Transmission |
|
PVO |
Private Voluntary Organization |
|
RFA |
Request for Application |
|
SBC |
Social and Behavior Change |
|
TRM |
Technical Reference Materials |
|
USAID |
United States Agency for International Development |
|
USG |
United States Government |
|
WHO |
World Health Organization |
SECTION I: Funding Opportunity Description
A. Introduction
Achieving high, equitable and sustained coverage of proven, high impact interventions is critical to reducing mortality and improving nutrition and other health outcomes among women of reproductive age, newborns and children under five years of age in low resource settings. The challenge rests in introducing, evaluating, and scaling up new and/or promising implementation solutions that address key gaps in national and global policies and programs to improve the delivery and use of these proven, high impact interventions in communities most in needIt is important to identify, understand, and address gaps in coverage and quality of care along the continuum of care for maternal, newborn and child health, improve the delivery and use of essential interventions and packages to achieve sustainable impact at scale, and work to eliminate disparities in coverage.
The success of U.S. Government (USG) initiatives [e.g., Global Health Initiative (GHI) and Feed the Future (FtF)] prioritizes collaboration and effective partnerships with diverse local, national, and global stakeholders in order to implement the core principles guiding these initiatives and accelerate progress towards achieving their goals and targets through country-led and country- owned policies and strategies. U.S. Private Voluntary Organizations (PVO and their local partners, and local and national NGOs are well poised to contribute to the core principles of these initiatives[footnoteRef:2] as well as key areas within USAID’s reform agenda4, including but not restricted to promotion of research and innovation, integration, sustainability and systems strengthening, a focus on women and girls, and new partnerships with civil society as a part of procurement reform. [2: The seven principles underlying the foundation of GHI are the following: Implement a woman- and girl-centered approach; Increase impact through strategic coordination and integration; Strengthen and leverage key multilateral organizations, global health partnerships and private sector engagement; Encourage country ownership and invest in country-led plans; Build sustainability through health systems strengthening; Improve metrics, monitoring and evaluation; and Promote research and innovation. A public consultation document focusing on the GHI may be accessed at: http://www.usaid.gov/ghi/]
MNCHGP USAID’s Bureau for Global Health (BGH) has developed effective partnerships with U.S. PVOs and leveraged their entrepreneurship and expertise for community health and development, particularly for designing, implementing, and evaluating innovative community oriented approaches through local/sub-national/national partnerships in order to effectively and sustainably improve the coverage of high impact MNCH interventions in vulnerable populations. The MNCHGP’s strategic focus on operations research for new and/or promising implementation solutions and new partnerships has positioned U.S. PVOs and their partners to significantly advance the science of implementation and contribute to the global and national evidence base for advancing solutions that address critical bottlenecks in policies and strategies for community health. The GH Bureau’s Office of Health, Infectious Diseases and Nutrition (GH/HIDN) supports USAID’s role in USG strategic initiatives (e.g., GHI, FtF) and the Agency’s reform agenda through the several strategies and mechanisms at the global and country levels. This RFA continues to align the guidance for U.S. PVO designed implementation solutions, particularly at the primary health care and community levels, with the principles and priorities of USAID’s broader strategic work. The MNCHGP grantees, MCHIP PVO Support, CORE Group network) are well positioned to contribute to identification, testing, and dissemination of new and/or promising solutions to implementation challenges and research as well as to strengthening dialogue and effective exchange of technical resources, new and/or promising solutions, research methodologies, and use of evidence and lessons within a wider network of innovators supported by USAID.
This Request for Applications (RFA) for the Child Survival and Health Grants Program (MNCHGP) is seeking effective partnerships with U.S. PVO/NGO and non-U.S. NGOs to enable the identification, testing, and scale up of new and/or promising solutions that address the most critical bottlenecks faced by governments in order to improve the implementation of policies and strategies for integrated community health and strengthen the capacity of health systems and their local partners to respond to local needs.
The New Partner program seeks new and diverse partnerships with new partners (U.S. PVOs, international and national NGOs) and provides opportunities to build technical capacities with local partners, and contributes to documenting promising models for local capacity and sustainability. Please see Section IV: Application and Submission Information for additional information on the New Partner categories.
B. Overview of the MNCHGP
Since 1985, USAID has supported community-oriented maternal, neonatal and child health projects implemented by U.S. PVOs and their local partners. The purpose of this program is to contribute to sustained improvements in maternal and child survival and health outcomes, particularly in vulnerable populations, by supporting the innovative, integrated community oriented programming of PVOs and their in-country partners.
MNCHGP Program Model
The Maternal, Neonatal and Child Health Grants Program’s unique program model combines (1) global implementation with (2) specialized PVO technical assistance and (3) collaboration for learning and action to advance the intellectual and technical leadership for integrated, community-oriented health globally and nationally, combining national action with global collaboration and learning through communities of practice.
(1) PVO Cooperative Agreements : Each year, new cooperative agreements are awarded to support community-oriented health projects in specific child survival and health technical areas. Of the 30 integrated MNCH projects in the active portfolio, the primary focus of 23 projects (approximately 80%) is on operations research for new and/or promising solutions to critical challenges for improving and scaling up integrated MNCH service delivery and use, particularly at the community level, in low resource settings; and, seven (7) MNCH projects in the portfolio focus on new partners and previous categories of awards. Prevention and treatment of Tuberculosis is the central focus of four (4) projects in the MNCHGPMNCH portfolio.
(2) Specialized Technical Assistance from the Maternal and Child Health Integrated Program (MCHIP): MCHIP is the GH Bureau’s flagship project for MNCH. It is a Leader with Associates Cooperative Agreement with a JHPIEGO-led consortium, which includes ICF International and JHUIIP. MCHIP is designed to support the introduction, scale-up, and further development of high impact MNCH interventions, including program approaches to effectively deliver these interventions to achieve measurable reductions in under-five and maternal mortality and morbidity in focal countries. Illustrative examples of MCHIP priority areas include: prevention or management of pre-eclampsia/eclampsia; skilled birth attendance; newborn infection prevention and management; handwashing for newborn health; postpartum hemorrhage prevention; home-based management of asphyxia; postnatal care/essential newborn care; specialized care for low birth weight infants; new vaccine introduction and routine immunization systems strengthening; community case management (pneumonia, malaria, diarrhea, and malnutrition); and expansion of the reaching every district (RED) approach. One of MCHIP’s strategic objectives focuses on assisting PVOs and their local partners MNCHGP and the President’s Malaria Initiative (PMI) Malaria Communities Programs (MCP) to design, implement, monitor, and evaluate innovative, effective, and scalable community-oriented strategies. The MCHIP PVO Support Team provides technical assistance for refining MNCHGPOR questions and designs to ensure alignment and contribution of MNCHGP research to USAID/USG priorities for program learning at the global and national levels. In addition, MCHIP supports technical assistance to Missions interested in strengthening their local NGO partners through direct consultation and through access to a wide range of program design, monitoring, and evaluation tools that are publicly accessible5. For more information, see the MCHIP website: http://www.mchip.net/.
(3) The CORE Group: CORE Group is a network of international health and development organizations that fosters collaborative action and learning to improve and expand community-focused public health practices. CORE Group is an independent organization that currently has over 55 NGO members with extensive experience implementing community-oriented health and development programs in 180 countries. CORE Group is home to the Community Health Network, which brings together CORE Group member organizations, associates, partners, scholars, advocates and donors to support the health of underserved mothers, children and communities around the world. This dynamic hub includes eight technical Working Groups, a Practitioner Academy for Community Health, and an ongoing series of technical exchanges and updates through in-person and Web-based events and virtual means of communication, coordination and collaboration. Organizations interested in participating in CORE Group activities and learning more about the child survival community should consider joining the network. For more information, see the CORE Group website: http://www.coregroup.org/.
C. Technical Interventions
Technical guidance and relevant tools for designing, implementing, and evaluating the MNCHGP interventions can be found on http://www.mchipngo.net [e.g. Technical Reference Materials (TRMs), Minimum Package for Mothers and Newborns (MAMAN) framework, Rapid Health Service Provision Assessment (R-HSPA), and Knowledge, Practice, and Coverage (KPC) survey.[footnoteRef:3] In addition, applicants may consult USAID’s strategic programming initiative for MCH.[footnoteRef:4] Applicants should familiarize themselves with these materials, which provide guidance for developing strategic high impact intervention packages. [3: A summary of these tools can be found at http://www.mchipngo.net/lib/components/documents/PVOCenter/Tools- and-Resources-for-Local-Institutions.pdf] [4: http://pdf.usaid.gov/pdf_docs/PDACL707.pdf]
Applicants must select one or more interventions for their proposal from the following list of high impact interventions (illustrative examples and selected guidance for activities are provided below). Selection of interventions should be guided by the disease burden and health system capacity. The Level of Effort (LOE) is a percentage assigned to each technical intervention area with a maximum total of 100 percent for the proposed technical package. The LOE should reflect the applicant’s best estimate of the amount of time and resources that will be required for the proposed activities per intervention area over the life of the project. Please note that healthy timing and spacing of pregnancy activities may be incorporated into any intervention mix or platform (immunization, IMCI or other child health, or other areas), and is not only restricted to activities related to maternal and newborn care. While technical interventions are listed and communicated separately, applicants are strongly encouraged to consider smart integration of several interventions, where integration makes technical, financial, and cultural sense and contributes to improving service delivery and use. However, integration must be based on context specific circumstances and the understanding that integration coordination has a cost — it adds complexity and administrative burden that should be weighed against the urgency and focus of rapid, disease-specific results. Applicants may choose to phase in integration gradually over the life of the project, as relevant.
High Impact MNCH Intervention Areas:[footnoteRef:5] [5: http://www.mchip.net/node/773 ]
· Nutrition : With an objective to improve nutritional status, particularly during pregnancy and the first two years of life, especially for the prevention of under nutrition, illustrative nutrition activities include the following: social and behavior change communication on maternal nutrition actions, improving dietary diversity, and exclusive breastfeeding and appropriate infant and young child feeding (IYCF) practices; increasing access to quality foods; targeting of micronutrient supplementation; preventing and addressing child anemia; improving delivery of preventive and curative nutrition services, such as community management of acute malnutrition through sustainable platforms; and integrating nutrition across health and agriculture with water, sanitation, and hygiene activities. In addition, efforts to improve the enabling environment for nutrition such as strengthening host country capacity by advancing comprehensive nutrition and food security policies and improving relevant data collection and information systems may be included.
· Immunization : Strengthening routine immunization systems (DPT, BCG, Measles); expanding coverage and assessment; improving surveillance methods; improving quality and safety of products; strengthening the cold chain; and supporting polio vaccination programs.
· Control of Diarrheal Disease : Improving family and community practices for diarrheal disease prevention, including hand washing with soap; safe transport, correct storage and handling of drinking water; promotion of point-of-use treatment of water; safe disposal of feces; hygiene promotion and improving water and sanitation technologies; strengthening
enabling environments to reduce the incidence of diarrheal disease; improving recognition and appropriate treatment of diarrheal disease at the facility and community level; breastfeeding for infants and young children; supporting the revision of policy guidelines to endorse the use of low osmolarity Oral Rehydration Salts (ORS) with zinc treatment to improve diarrhea case management for children; and expanding access to and use of low osmolarity ORS and zinc treatment; and reinvigorating Oral Rehydration Therapy (ORT) practices.
· Pneumonia Case Management: Ensuring adequate access to pneumonia case management, which includes high quality facility- and community-based treatment; promoting timely recognition of pneumonia by caretakers and prompt care seeking from appropriate health providers; supporting an integrated package to strengthen case management such as improving skills of health workers, improving health system support, and improving family practices and community services.
· Prevention and Treatment of Malaria : Promoting intermittent preventive treatment in pregnant women (IPTp);[footnoteRef:6] expanding ownership and use of long-lasting insecticide treated bednets (ITNs), including supporting country-led efforts to achieve and maintain universal coverage; improving malaria case management (diagnosis and treatment) at the facility and community levels, including training of health care workers to correctly use [6: Promoting IPTp should be done in the context of ANC visits; community delivery of IPTp with SP should not be included.]
RDTs for diagnosis of malaria particularly in settings where microscopy is unavailable and in the correct use of ACTs; promoting care-taker recognition of fever in children under five and prompt care-seeking behavior; applications should not include activities related to indoor residual spraying (IRS).[footnoteRef:7] [7: In PMI countries (Angola, Benin, Democratic Republic of Congo, Ethiopia-Oromiya Region, Ghana, Guinea, Kenya, Liberia, Madagascar, Malawi, Mali, Mozambique, Nigeria, Rwanda, Senegal, Tanzania, Uganda, Zambia, and Zimbabwe). MNCHGP projects should be implemented in collaboration with PMI efforts and priorities in country, which are based on close planning with National Malaria Control Programs (NMCPs). See the PMI website at www.pmi.gov for more information, including annual PMI country malaria operational plans for each PMI country. Technical resources on behavior change are available at www.pmi.gov/technical/bcc/index.html In all countries, projects should be consistent with NMCP strategies and approaches. Please note that malaria interventions are not restricted to PMI focus countries or regions. ]
· Maternal and Newborn Care : Improving birth preparedness and complication-readiness planning; access to focused antenatal care (including education and counseling for
healthy timing and spacing of pregnancy), nutrition, infection prevention, and provision of tetanus toxoid immunization and iron folate; promoting skilled attendants for birth and improving skills of providers; promotion of clean delivery and infection control; employing appropriate household- and community-based strategies where access to skilled care is difficult, including referral; promotion, prevention, and management of post-partum hemorrhage including active management of third stage of labor (for SBAs) for facility-based care and misoprostol for community-based care in those countries where it is supported by the MOH and registered for PPH prevention; prevention and management of pre-eclampsia/eclampsia; improving access to quality
· postnatal/postpartum care (including education and counseling for signs of complications, nutrition, activity and infection prevention, healthy timing and spacing of pregnancy, Lactational Amenorrhea counseling, and referral to family planning services); promoting essential newborn care practices for all newborns including thermal care, cord care, and immediate and exclusive breastfeeding; and sick newborn care including identification and treatment of neonatal infection and complications, resuscitation, and special care of preterm and low birth weight infants.
· Family Planning : The addition of family planning funding will support an expanded set of activities that includes as the provision of family planning services and commodities, training and supervising community workers and facility based health personnel to deliver FP services and commodities. As such, plans for FP service provision must be included as activities in the narrative. Applicants are encouraged to consult the following technical resources in the development of their FP component and approach to integration: Community-Based Family Planning (CBFP) Toolkit http://www.k4health.org/toolkits/communitybasedfp;
Technical Reference Materials for Family Planning and Reproductive Health http://www.mchipngo.net/controllers/link.cfc?method=tools_tech; Family Planning 101 and other FP courses on USAID e-learning modules http://www.globalhealthlearning.org/programs.cfm.
Please see Annex A for exemptions on Family Planning programming..
· HIV/AIDS[footnoteRef:8],[footnoteRef:9] Strengthening or establishing timely linkages between MNCH services and HIV/AIDS related services for women and children, where these linkages will serve to strengthen: 1) both types of services based upon an evidence-based package of services;[footnoteRef:10] 2) community-facility linkages such as routine child health services, including community-based services, to support improved detection, care, and treatment of HIV- [8: HIV/AIDS cannot be proposed above 30% level of effort] [9: To the extent possible, proposed projects should coordinate with PEPFAR efforts and priorities in relevant countries. Please note that HIV/AIDS interventions and/or integration activities are not restricted to PEPFAR focus countries. www.pepfar.gov] [10: MAMAN package www.mchipngo.net; http://www.who.int/making_pregnancy_safer/documents/fch_10_06/en/]
positive infants and children including referral to Orphan and Vulnerable Child programs (particularly children under five); 3) a broad array of evidence-based interventions including those that may be considered beyond health per se such as the integration of safe water, hygiene, and sanitation into PMTCT services as well as into the care and support of HIV-positive mothers and HIV-exposed children; and 4) the follow-through of services along the MNCH continuum of care such as the link of MNCH services providing antenatal, delivery, and post-partum care with preventing mother-to-child transmission (PMTCT) services, to produce improvement in those maternity and newborn/child services as well as increased uptake of PMTCT and improved follow-up, care, and treatment of HIV-exposed infants and HIV-positive mothers. In addition, interventions should support country efforts to incorporate new WHO HIV guidelines for PMTCT, infant feeding, and ART [footnoteRef:11]and these may include combination therapy, cotrimoxazole prophylaxis, and long-term follow-up. Since MNCHGP funding is MCH element funding, rather than HIV specific, it is important that any proposed activities related to HIV detection, care, and treatment be designed in ways that also strengthen routine MNCH services for the broader population of women and children in the target population. [11: WHO recommendations on integrated service packages http://www.who.int/hiv/topics/mtct/en/index.html]
NOTE: Environmental compliance terms and conditions apply to these activities. See Section
III. Eligibility Information for more information.
End of Section I
SECTION II: Award Information
A. Type of Award
The anticipated type of assistance instrument(s) to be awarded under this RFA is a cooperative agreement(s).
B. USAID’s Substantial Involvement in implementation of this award
USAID’s involvement during the implementation of the program will be limited to approval of the elements listed below:
1. Strategic Workplan - Approval of the Strategic Workplan, submitted to USAID/GH/HIDN, and any subsequent revisions. Substantial changes resulting in any revisions to specific activities, locations, beneficiary population, international training costs, international travel, indirect cost elements, or the procurement plan may require a formal modification to the Agreement by the Agreement Officer.
2. Key Personnel - Approval of key personnel to include the following positions:
a. Headquarters Technical Backstop
b. Program Manager
c. Final Evaluation Consultant
3. Subawards - All subsequent subawards not included and approved in the original Cooperative Agreement require approval.
C. Total Estimated Funds Available
The total estimated funding available under this RFA for new partners is $40,000,000. Pending the availability of funds, USAID expects to award up to eight (8) cooperative agreements in the following category:
1. New Partners: Up to 8 awards in the New Partner category (up to $5 million each, up to five years; total estimated cost of eight awards: $40,000,000). The focus of this category is to support USAID’s procurement reform objectives for increasing direct partnerships with new partners (national, U.S.) and documenting promising practices and processes to advance local capacity building and sustainability.
Application Limitations:
New Partner: Eligible applicants may submit up to one (1) application in the New Partner category.
See Section IV. Application and Submission Information for a detailed description of this category and application limitations, New Partner.
D. Anticipated Award Schedule
It is anticipated that awards will be made by September of this year. Applicants have the option to propose projects that have periods of performance of up to five (5) years starting in September of this year. Applicants may propose projects with implementations periods of less than five years but no more than five years. For projects proposed of less than five years, cost efficiencies and project effectiveness should be considered. When estimating the start date of a project implementation period, use a start date estimate at least six months from the closing date of this RFA.
End of Section II
SECTION III: Eligibility Information
A. Eligibility Requirements
To be eligible for a MNCH Cooperative Agreement under this RFA, principal applicants must meet the below applicable eligibility requirements.
1. Eligible Applicants
Applicants are advised to read section a (1-4) carefully.
a) Organizational Status and Experience: Principal applicants must be a U.S. PVO (any category) or a partnering local/national NGO. See below for additional information on organizational status.
1. Definition of New Partner:
To be eligible as a New Partner, both U.S. PVOs and local/national NGOs must have been awarded no more than $1.5 million in total, USAID direct assistance funding over the three fiscal years prior to the submission of an application.
Furthermore, for a non-U.S. local/national NGO to be eligible as a New Partner, it 3must:
1) Be a local non-governmental organization organized under the laws of the country or region of the proposed activity;
2) Have its principal place of business in the country or region of the proposed activity;
3) Be managed by a governing body, the majority of whom are citizens or lawful permanent residents of the country or region of the proposed activity;
4) Not be controlled by a foreign entity or by an individual or individuals who are not citizens or permanent residents of the recipient country; and
5) Attach official documentation of their formal legal status as an NGO in the host country or in a country in the region. Local/national NGOs are not required to register with USAID. Local/national NGO applicants must be non-profit organizations.
2. Project Eligibility Requirements
1) Documented Legal Presence: The prime applicant must have legal presence in the country where the MNCH project is proposed.
2) Eligible Country List: The eligible country list is prepared in conjunction with Bureau of Global Health leadership and selected Missions in order to align the potential contributions of PVOs/NGOs supported through the MNCHGP with USG/USAID strategic initiatives in focal countries and coordination at the global level to address country needs.
New Partner Eligible Countries for MNCH projects:
|
Africa |
Asia and Middle East |
Latin America and Caribbean |
|
Ethiopia Ghana Kenya Liberia Madagascar Malawi Mali Mozambique Rwanda Senegal South Sudan Tanzania Uganda Zambia |
Afghanistan Bangladesh Cambodia India Indonesia Nepal Pakistan |
Guatemala Haiti |
b) Application Submission Limitations:
New Partner
Applicants to the New Partner category may submit up to one (1) application total.
b) Level of Effort (LOE) Restrictions:[footnoteRef:12] An HIV/AIDS intervention may be proposed up to a 30% LOE under the New Partner funding category m. (e.g. 40% LOE for HIV/AIDS would be deemed ineligible). For all intervention areas, including HIV/AIDS, the LOE proposed is an estimate determined by the applicant. MNCHGPUSAID expects that the value proposed reflects the applicant’s best estimate of the amount of time and resources that will be required for the proposed activities per intervention area over the life of the project. [12: Please see definition for LOE under Section I (C) Technical Interventions.]
c) Page Limitations:
Technical Applications shall contain a total of 10 pages (1 page executive summary
+ 9 pages). Technical Applications submitted with pages that exceed 10 pages will not be reviewed. This page limit restriction for the body of the Technical Application does not include attachments, preliminary matter (title page, table of contents, acronym list), or the Application Screening Form. [Technical Attachments cannot exceed 12 pages in length.] Information required in the Technical Application per the RFA guidance cannot be included as an attachment and will NOT be reviewed unless it is specified that this information may be provided as an attachment.
d) Local Partnerships:
The applicant must work in partnership and/or coordinate with a range of partners, such as local government, local community and faith-based organizations, networks of C/FBOs, local or regional academic or research institutions, private sector groups, or other local organizations at the regional, national and sub-national level, on the design and overall implementation of projects, including monitoring and evaluation and OR efforts.
Applicants are encouraged to partner with and build the capacity of women’s civil society organizations, as relevant. All applications must be prepared in collaboration with the project partners in the proposed site or country.
For the purposes of this RFA local organizations are those organizations that have been locally conceived, supported and staffed, whose inception was initiated by nationals from the country of application and whose headquarters originated and currently resides in the country of application. Partnerships with women-led organizations are encouraged.
Regional organizations are those organizations that have been conceived, supported and staffed in the broader sub-region or region of the world.
e) Key Personnel: The following positions must be included as key personnel in the applications and require USAID approval upon award:
Headquarters Technical Backstop : Assign at least one public health professional at the applicant organization’s U.S. headquarters with at least 20% LOE devoted toward MNCHGPMCNH activities. This staff person must be employed by the principal applicant, and will have responsibility for coordinating with the project team, principal investigator, the final evaluation consultant and any implementing partner(s). In addition, the Headquarters Technical Backstop will ensure quality in the deliverables as well as responsiveness to USAID guidelines (e.g. project workplans, the operations research protocol, budgets, annual reports and other project deliverables) submitted to USAID. The Headquarters Technical Backstop is the primary point of contact for all coordination with USAID/Washington regarding the progress of the project. coordinating with the project team, principal investigator, the final evaluation consultant and any implementing partner(s). The Headquarters Technical Backstop is the primary point of contact for all coordination with USAID/Washington regarding the progress of the project.
Project Manager The designated Project Manager assumes oversight for the quality of the implementation and outcomes of the project.
3. Cost Share
Each organization must propose to contribute a percentage of the cost of the proposed project in non-U.S. Government resources, in cash or in-kind. U.S. Government resources of any type or source do not count toward the applicant’s cost share contribution for the MNCHGP.
4. Other Project Reuirements Reporting Requirements
The following are reporting requirements for all MNCHGP grantees. All grantees must be able to comply with the requirements as set forth below:
a) Strategic Workplan: To be submitted per MNCHGP reporting guidelines within the first project year. Grantees must complete an in-depth assessment and analysis of the current health situation in the project site through qualitative and quantitative baseline surveys. Grantees must establish strong partnerships with local counterparts and jointly prepare the Strategic Workplan for submission to USAID for approval. The Strategic Workplan will provide a plan for the program, including plans for baseline and final surveys and collection of required indicators.
b) Annual Reports: Per MNCHGP reporting guidelines, annual reports are to be submitted 90 calendar days after the award year.
c) Final Evaluation Report: Per MNCHGP reporting guidelines, final evaluations are to be submitted 90 calendar days after the expiration or termination of the award.
d) Financial Reporting: Financial Reports will be required on a quarterly basis. (See Annex I for Financial Reporting Forms.)
B. Project Restrictions
All proposed activities must directly contribute to improved maternal, neonatal and child survival and health outcomes. Applications for which the main purpose is: equipping hospitals, orphanages, or other residential facilities; curative care in hospitals; surgical procedures and prosthetics; construction; manufacturing of pharmaceuticals, or other health aids; evacuation of children to the U.S. for medical treatment; emergency relief activities; or adoptions are beyond the scope of the the program.
End Section III
SECTION IV: Application and Submission Information
A. Address to Request Application Package
This RFA and any future amendments can be downloaded from the CourePlus website.
B. Content and Form of Application Submission
The following are general instructions for what constitutes a complete, full application. The instructions include the required contents on an application(s), required format of an application(s), the contents of application(s) documents, and how applications shall be submitted.
A complete application shall consist of the following documents
1. To be submitted by the closing date of this RFA:
a) Full Technical Application consisting of:
i. Technical Approach—general discussion of the points in the required parts of the proposal with special details on the deliverables requested
2. Full Cost Application consisting of:
i. Budget Narrative in Word Format
ii. Detailed Budget in Excel Format
21
C. Summary of Document Due Dates
|
Document |
Due Date |
|
Technical Application |
Closing date of the RFA |
|
Cost Application |
Closing data of the RFA |
Further specification of the contents that are required in each of these documents is described in the section below entitled Content of Application Documents Guidance.
D. Required Format of Application
General
1. All information shall be presented in the English language.
2. The Application shall use the Letter Format 8 ½” x 11” (There are two exceptions to the aforementioned instruction: 1) budgets may be in a slightly smaller font (10 point) with smaller margins, and 2) tables may use smaller fonts and margins, however, must be easily readable).
3. 12-point font
4. 1” margins on standard, letter-sized paper (8½” x 11”).
Title Page Format
The title page of the application should include:
1. The name and address of the PVO/NGO applicant
2. The country for which the project is proposed.
.
Technical Application Format
The following are formatting instructions for the Technical Application:
1. The Technical Application shall be formatted Microsoft Word.
2. The Technical Application shall not contain any cost information.
3. Number of Overall Pages: All applicants shall submit a maximum 10 page Technical Application, INCLUDING a one-page Executive Summary and no more than nine additional pages which respond to the evaluation criteria for New Partner applications This page number restriction does not include attachments, preliminary matter (title page, table of contents, acronym list) or the Application Screening form.
4. Technical Attachments: All Technical Attachments should be 12 pages or less (EXCLUDING Past Performance Short Forms). All Technical Attachments should be clearly marked, included at the end of the application, and listed in the table of contents.
Technical Attachments (annexes) (cannot exceed 12 pages EXCLUDING Past Performance Short forms) can consist of the following documents:
· Map of Program Area
· Letters of Support (e.g. MOH or other host country government, local/international NGOs, research institutions, private sector partners).
· Technical Package and LOE Table
· Brief summary of biographic information of the two key positions
· Past Performance Short Form References (3)
E. Branding Strategy and Marking Plan Format
A Branding Strategy and Marking plan template will be provided to the successful applicants at the time of notification of a successful application.
F. Cost Application Format General
The following are formatting instructions for the Cost Application:
1. There is no page limit for the cost application. However, Applicants are encouraged to be as concise as possible and still provide the necessary details.
2. The Cost Application shall be completely separate from the Technical Application.
3. The Cost Application Detailed line-item budget shall be formatted in Microsoft Excel. Budgets shall display all formulas (to illustrate method of calculation) with unlocked cells.
4. The Cost Application Budget Narrative shall be formatted in Microsoft Word.
Budget Narrative and Detailed Budget Format
The Budget Narrative shall have appropriate headings that match those of the Detailed Budget. For example, the Budget Narrative shall explain how salaries and wages were determined and give the appropriate rational under the Salaries and Wages heading. And the Detailed Budget shall display the estimated costs for salaries and wages under the Salaries and Wages budget line item. The Budget Narrative shall explain in t detail how costs were derived and the methodologies used to derive and estimate costs. The Detailed Budget shall display the estimated costs proposed for each budget line item.
G. Content of Application Documents Guidance
This section provides guidance on the contents of the required documents such as the Technical Application, Cost Application, and the Past Performance Short forms.
Technical Application Content
The New Partner application is for an amount up to five years, up to $5 million.
Category Purpose and Scope
This category expands and strengthens USAID’s partnerships with civil society in response to procurement reform and advances effective and sustainable approaches and models for integrated maternal, newborn, and child health. New Partners (U.S. NGO/PVOs or local/national NGOs) have an opportunity to develop partnerships with organizations that contribute to strengthening their technical and organizational capacity as well the capacity building needs identified by local partners engaged in implementation, as relevant (e.g. MOH, private sector, civil society).
New Partners are expected to design and implement effective MNCH projects that are replicable, and that complement USAID Mission and national health programming. Applicants are expected to work in close coordination with the national/local MOH to support MOH priorities, MOH ownership; and “mainstreaming” of MOH supported interventions and delivery platforms New Partner applicants are encouraged to integrate high impact MNCH interventions as relevant and feasible within existing programmatic platforms for project they are already implementing. Eligible LOEs are the following: Nutrition, Immunization, Control of Diarrheal Disease, Pneumonia Case Management, Prevention and Treatment of Malaria, Maternal and Newborn Care, HIV/AIDS. Please see Section I (C) Technical Interventions for more information.
Budget Requests: New Partner category applicants may submit budget requests for up to five year projects for up to $5 million total. Applicants should adequately budget for capacity building activities.
Who Should Apply: U.S. PVOs and non U.S. local/national NGOs who meet the eligibility, organizational, and program requirements identified in Section III: Eligibility Information of this RFA.
Technical Application Guidance
Applicants must follow the format and guidance described below to prepare their application in response to this RFA. Suggested content is provided as a guide and is only illustrative; applicants may distribute the pages and develop the content of the narrative as appropriate and relevant to their submission.
a) A Technical Application shall include the following sections and address the identified bullets unless otherwise specified:
1. Executive Summary This will summarize your proposal, the problems identified and what you intend to do about them
This section should be a succinct one-page summary and must contain the following information as applicable and any additional information the Applicant believes necessary to best represent its proposed project.
The summary should include:
· Problem statement What problem will the project address?
· State the problem and challenge, who it affects (individuals/group), project location, context, and magnitude. What are the current efforts locally or nationally to address this problem, by whom, and what are the gaps in terms of existing options and strategies?
· Description of and the rationale for the proposed partnership, including plans for organizational/local capacity building needs and sustainability.
· Approach: What approach(es) or strategy does this project take to address the problem?
· Key technical package, delivery strategies and nature of integration if applicable (both technical and within systems).
· Goal(s), Key Objective(s) and Impact or outcomes: What are the main goals and objectives? What is the expected impact of the project if successful?
As part of the above, please include the following information;
· Estimated total population in the project location and number of children under five and women of reproductive age (see calculation guidelines in Annex C.
· Local partners involved in project implementation, including name and type of any sub-grantees and total level of USAID funding to be sub-granted.
· Level of USAID funding requested for the project and cost-share amount..
· Proposed start/end dates.
b) Body of the proposal
Organizational and Local Capacity Building Needs. Information on local partner(s) please summarize how you would approach this
This section outlines the organizational and local capacity building needs of the local NGO applicant. This section also describes plans for measuring and documenting the proposed partnership model designed to promote local capacity building and sustainability. Since the US applicant will be engaged in local partnerships, this section must also describe the selected local partner(s) and their role(s) and responsibilities in the proposed project implementation. This should describe:
● Identify specific technical and organizational capacity development needs of the New Partner organization, to be addressed through the proposed project.
● Describe each area of capacity building specifically (e.g. M&E, sustainability planning and measurement, financial or human resources management, etc.).
● Describe how these needs were determined as well as the feasibility of addressing these needs during the course of the project. Reference any institutional assessments the organization may have already conducted.
· Discuss the proposed project’s approach to and use of local partnerships.
· Discuss how the applicant will build and/or leverage the capacity of any local partner(s) to contribute to expected project results, as appropriate or relevant to the partner and proposed programming and partner(s).
· Describe the role of local partners in project activities, and as relevant, the role of local partners in sustainability planning and measurement.
· Describe the approach to measuring and documenting the partnerships that promote local capacity and sustainability. New Partner applicants must develop plans to disseminate findings with in-country and global stakeholders. For guidance on planning for and measuring sustainability, New Partner applicants are encouraged to review the “Taking the Long View” Sustainability Manual: http://www.mchipngo.net/controllers/link.cfc?method=tools_sustain .
· In an attachment, include any letters showing specific support for the proposed project from each of the cooperating governmental and/or other organizations with which the project will establish a formal relationship. The letter must outline the specific role in the proposed project of each of the cooperating governmental and/or other organizations with which the project will establish a formal relationship. In addition, a letter from the MOH must demonstrate that the MOH is supportive of the proposed program approach.
3. Project Context, Strategy Methods and Results Framework
· Context: This section of the application presents an overview of the context in which the proposed community-oriented project will operate. It should provide a clear and comprehensive picture of the health context in the selected project area to serve as the basis for the selection of interventions, strategies, and key project partners.
· Provide a description of the current health status of the target population and factors that are particularly relevant to the project strategy including key causes of mortality and morbidity and socio-cultural, economic, gender, and behavioral factors that influence care-seeking and self-care practices, vulnerability and exposure to disease, and the access to, use, and quality of services. Please cite sources of data.
· Discuss the implementation status and role of relevant national policies and strategies related to the proposed programming, including both technical interventions and cross-cutting or delivery strategies. Provide an explanation of, and justification for, any proposed approach that differs from the MOH policy in the proposed country.
· Describe relevant programming that the applicant organization and/or other groups (including USG/USAID Mission) are implementing in the same geographic area, highlighting synergies and ensuring no duplication of effort. Indicate how the proposed project will engage and/or complement existing programs.
· Interventions proposed:
· Provide a table in an attachment that specifies the technical intervention package that will be implemented, which must include high impact, technical interventions (see Section I (C) Technical Interventions and technical reference). Please see Annex G for the table format.
· Goals and objectives with indicators and log frame. This is a deliverable so full details will be expected.
Provide a logical framework of the goal, strategic objective(s), and expected results of the proposed project. Also include a results framework diagram to show how the interventions will produce the desired results or outcomes. Demonstrate how selected high impact, technical interventions (e.g., skilled birth attendance, antenatal care, immunization, etc.)[footnoteRef:13] and project strategies support stated goal, strategic objectives, and results/outcomes. Applicants are encouraged to incorporate aspects of a logic model, which depict the context.[footnoteRef:14] Please see Annex F for definitions of terms and resources for developing a results framework. [13: http://www.mchipngo.net/controllers/link.cfc?method=tools_tech] [14: Please see page 9-10 of the Report to Congress “Working Toward the Goal of Reducing Maternal and Child Mortality: USAID Programming and Response to FY08 Appropriations.” http://pdf.usaid.gov/pdf_docs/PDACL707.pdf]
· Monitoring plan This is a deliverable so full details will be expected.
Indicate your monitoring plan and how this will track the interventions of your project to attain the overall objectives and results.
· Proposed project strategy and implementation plan. Outline how you will address this.
Strategy
Clearly describe the overall project strategy, including the high impact, technical intervention package and cross-cutting approaches/activities at multiple levels as relevant (e.g. individual/household, community, facility, policy, other) that the project will implement to achieve the expected results by the end of the project. Discuss cross-cutting approaches and strategies only as relevant and appropriate to the proposed programming (e.g., behavior change communication, community mobilization, community-facility linkages, local capacity building and sustainability, policy, etc.).[footnoteRef:15] [15: See page 36 of Using Logic Models to Bring Together Planning, Evaluation, and Action https://apps.publichealth.arizona.edu/CHWToolkit/PDFs/Logicmod/executiv.pdf]
Methods including the management plan Outline how you will address the management of this project
Indicate the methods the project will use to implement its goals and objectives using the strategy selected. The management approach using various level of technical staff and community members should be explained. The management plan should indicate how the primary PVO will work effectively with the national NGO to make this project work effectively. Explain how the decision making process will function.
As an attachment, provide a management/human resources table of the key project staff and partners who will contribute to achieving the results of the project. This may include, but is not limited to: PVO/NGO headquarters and field staff, including project manager, local partner staff, MOH staff, community health workers, and private sector providers. For each type of worker provide: 1) the number of workers in that category; 2) organizational affiliation; 3) main responsibilities; 4) percent of effort devoted to project activities; and 5) entity responsible for remunerating the worker (e.g. PVO/NGO, MOH, community, volunteer); and 6) brief description of the role the individual will play within the project.
Evaluation plan This is a deliverable so full details will be expected
Indicate what are the key points which should be included in the final evaluation of the project. What are approaches which should be considered as appropriate given the nature of this proposal?
4. PVO Organizational Capacity Outline this in your proposal
This section provides evidence that applicants have the ability to carry out successful projects. See the Technical Reference Materials (TRMs) for information and resources on organizational development and capacity building.[footnoteRef:16] [16: http://www.classtoolkit.org/sites/default/files/documents/Capacity_Building_for_PVOs.pdf ]
The Organizational Capacity section shall provide the following:
· Discuss the organization’s experience in designing, implementing, monitoring and evaluating community-level projects, specifically organizational successes in the proposed intervention areas and approaches.
·
Provide any relevant information around the organization’s operations, current agreements, and working relationships with the host country government and other organizations within the country proposed in this application
c) Past Performance References (Attachments) Annex D Just add a few lines about the wonderful last three project that your organization did
As an attachment, the applicant shall submit three (3) past performance references forms for any contracts, grants, and/or cooperative agreements which the applicant has implemented involving similar or related projects over the past three years before the application. Note the following: on the past performance form: Part I should be completed by the applicant; Part II should be completed by the reference. Applicants are required to attach the Microsoft Word format version of this form to their submission.
H. Cost Application Content
USAID will evaluate the Cost Application separately for cost effectiveness and realism. While there is no page limit for this portion, applicants are encouraged to be as concise as possible, and still provide the necessary details. Applicants shall submit a completed the budget in and Excel worksheet.
Budget Narrative and Detailed Budget Contents
The contents of the Budget Narrative and Detailed Budget documents shall mirror and reflect one another. The Budget Narrative shall have appropriate headings that match those of the Detailed Budget. For example, the Budget Narrative shall explain how salaries and wages were determined and give the appropriate rational under the Salaries and Wages heading. And the Detailed Budget shall display the estimated costs for salaries and wages under the Salaries and Wages budget line item. The Budget Narrative shall explain in great detail how costs were derived, and the methodologies used to derive and estimate costs. The Detailed Budget shall display the estimated costs proposed for each budget line item.
Budget Narrative Contents
To support proposed costs for your project, all applicants must provide a detailed Budget Narrative for all costs that explain how the costs were derived and the methodologies used. The Budget Narrative must provide:
1. The breakdown of all costs associated with the program.
2. The breakdown of all costs according to each partner organization involved in the program.
3. The costs associated with external, expatriate technical assistance and those associated with local in-country technical assistance.
4. The breakdown of any financial and in-kind contributions of all organizations involved in implementing this program.
Detailed Budget Contents
The Detailed Budget should be broken out by the projects implementation period (e.g. If the project implementation period is for five years, the applicant would propose a Detailed Budget which explains the project costs for a total of five years, broken out by annual rates).
Additionally, the Detailed Budget shall clearly state the Applicant’s required cost share portion of the budget. Applicants to the New Partner category must contribute at least 15% of the cost of the proposed project in non-U.S. Government resources.
The Detailed Budget Excel Worksheet should contain the following budget categories at a minimum (other categories may be added as the applicants feel necessary):
Salary and Wages: Direct salaries and wages should be proposed in accordance with the Applicant’s personnel policies; USAID requires that salary daily rates are calculated 260 working days per year. The Budget Narrative should explain how daily rates are calculated.
1. Fringe Benefits: If the Applicant has a fringe benefit rate that has been approved by a U.S. Federal Agency, such rate should be used and evidence of its approval shall be provided. If a fringe benefit rate has not been so approved, the Application should propose a rate and explain how the rate was determined. If the latter is used, the narrative should include a detailed breakdown comprised of all items of fringe benefits (e.g. unemployment insurance, workers compensation, health and life insurance, retirement, FICA, etc.) and the costs of each, expressed in dollars and as a percentage of salaries. You may consider the fringe benefit rates as 34% of the salary level
2. Travel and Transportation: The budget should indicate the number of trips, domestic, regional, and international, and the estimated costs. Specify the origin and destination for proposed trips, duration of travel, and number of individuals traveling. Per Diem shall be based on the Applicant’s normal travel policies.
3. Equipment: The budget should provide the estimated types of vehicles and equipment to be used on this project. Be sure to include all costs associated with equipment such as safety gear (e.g. helmets), estimated fuel for the project life, tax/tag, maintenance and insurance premiums as applicable under an appropriate budget category. The equipment model number, cost per unit and quantity shall be provided.
4. Supplies: The budget shall specify the supply items related to this activity (e.g. specimen collection, training materials, sample transport, administrative).
5. Contractual: The budget shall identify any goods and services being procured through a contract mechanism.
6. Other Direct Costs: The budget shall identify the following but is not limited to: staff housing, communications, report preparation costs, passports, visas, medical exams and inoculations, insurance (other than insurance included in the Applicant’s fringe benefits). The narrative shall support and provide a breakdown for all other direct costs.
7. Indirect Costs: The Applicant shall support the proposed indirect cost rate with a letter from a cognizant U.S. Federal audit agency, a Negotiated Indirect Cost Agreement (NICRA), or with sufficient information for USAID to determine the reasonableness of the rates (For example, a breakdown of labor bases and overhead pools, the method of determining the rate, etc.). For this proposal consider a NICRA rate to be 29%.
End of Section IV
29
SECTION V: Application Review Information
A. Evaluation Criteria
The Technical Applications will be evaluated in accordance with the Technical Evaluation Criteria set forth below. If an application is recommended for award following the technical review, a Cost Application will be requested, and cost negotiations will be conducted based on a detailed budget (to be requested upon notification of successful applicant status).
Applicants should note that the technical evaluation criteria serve to: (a) identify the significant issues which applicants should address in their applications; and (b) set the standard against which all applications will be evaluated. To facilitate the review of applications, applicants should organize the narrative sections of their applications in the same order as the evaluation criteria. Awards will be recommended based on the ranking of applications according to the technical evaluation criteria and the quality of the response to these criteria.
B. Technical Evaluation Criteria for Applications
All criterion are weighted equally within each of the four (4) sections (see the breakout of points below). These criteria apply to each of the sub-categories detailed in Section IV: Application and Submission Information. Please see Section IV for further guidance. Annex B will provide assistance for completeness during preparation.
1. Organizational and Local Capacity Building Needs and Partnership (45 points total)
1a. Clear description of technical and capacity building needs of applicant and relevant local partners. Clear description of the organization’s characteristics and experience to adequately address identified capacity building needs during the course of the project, as well as sustainability planning and measurement.
1b. Compelling rationale for proposed local organizational partnerships for advancing capacity building and sustainable programming.
1c. Clear description of plans for measuring and documenting partnership models that promote local capacity building and sustainability.
2. Project Context, Strategy, and Logical Framework (30 points total)
2a. Clear and concise situation analysis that presents a strong rationale for prioritization of the proposed project strategy (technical interventions, delivery strategies, local partnerships) responsive to the local/national health systems and national policy and strategy contexts, including USG/USAID strategic priorities in-country.
2b. Logical framework is comprehensive and consistent with a goal, objective(s), and expected results appropriate to the proposed project. Proposed technical interventions and strategies effectively contribute to the proposed project outcomes. These should be illustrated by a results based framework matrix showing strategic (main) objectives, intermediate results, and results or outcomes.
2c. Clear discussion of how the proposed local partnership(s) will contribute to the implementation of effective and sustainable MNCH programming. Support and/or engagement of local/national partners in project implementation is demonstrated in letters of support.
3. Organizational Capacity (20 points total)
3a. Clear description of organizational capacity to implement the proposed activities through discussion of past relevant programming experience.
3b. Clear demonstration of a management plan that is feasible and appropriate to carry out the proposed activities. Clear demonstration that proposed HQ Technical backstop meets the criteria described in Section III.
4. Past Performance (5 total possible points)
4a. Information obtained demonstrates successful past performance implementing previous health projects based on references.
End of Technical Evaluation Criteria for New Partner
C. Cost Effectiveness and Cost Realism
The Applicant’s Cost Application are expected to allowable, allocable to the project, fair and reasonable, and cost effective. They are expected to follow the format provided in Section IV J. with the financial over view provided separately in SF 424 (JHU). The budgets will be weighed carefully against the budget narrative provided. All Cost Applications are subject to a cost realism analysis. Information gathered from such considerations will clarify the evaluators’ understanding of various application details and lend itself to an adjustment of scores. In the event Technical Applications are ranked/scored substantially the same, the applicant that represents the best value in terms of cost may be the determining factor for award.
End of Section V
SECTION IV: Reporting
1. Reporting Requirements : The following are reporting requirements for MNCHGP grantees:
a. Strategic Workplan: to be submitted per MNCHGP reporting guidelines within the first project year.
b. Annual Reports: to be submitted 90 calendar days after the award year which is in accordance with 22 CFR 226.51(b).
c. Final Evaluation Report: to be submitted 90 calendar days after the expiration or termination of the award which is in accordance with 22 CFR 226.51(b).
d. Financial Reporting: in accordance with 22 CFR 226.52, the SF 425 and SF 272 will be required on a quarterly basis. (See Annex H for Financial Reporting Forms.)
RFA ANNEXES
ANNEX A: RFA APPLICATION SCREENING FORM FOR NEW PARTNER CATEGORIES
30
Name of Applicant Organization:
Country Applying For:
Duration of Program: years Funding Category:
New Partner
(MNCH), sub-category 1-B (PMI/Malaria), sub-category 1-C (FP Integration))
Technical Interventions (must include %): (Total = 100%)
|
Nutrition |
Immunization |
Diarrhea |
Pneumonia |
Malaria |
Maternal/ Newborn |
Family Planning |
HIV/AIDS |
TOTAL |
|
|
|
|
|
|
|
|
|
100% |
ANNEX B: ELIGIBILAITY CHECK LIST
Eligibility Criteria from RFA
Indicate yes, no, or not applicable and cite the page number or location in application as appropriate for numbers 1-10..
1.
Status 1: U.S. PVO registered, or in the process of registration, with USAID
or
Status 2: U.S. non-profit NGO/non-U.S. non-profit NGO (New Partner applicants only)
2.
New Partner category Applicant Financial Restriction: Applicant is within USG funding restriction of < $1.5 million in the last three (3) fiscal years.
3.
PVO/NGO proposes Cost Share at 15% (New Partner) of total cooperative agreement budget
4.
Applicant has Country Presence (Attachments –include page numbers and signed document from host country government providing organization with legal status to operate in country)
5.
Eligible Country (Proposed program is in an eligible country, see RFA eligible country lists)
6.
If HIV/AIDS is proposed in New Partner CategorieY, it is at a level of effort not higher than 30%.
7.
Technical Application with executive summary is 10 pages or less (excluding attachments, preliminary matter, and this screening form).
8.
9.
Key Personnel is proposed. HQ Technical Backstop (New Partner)
Three (3) completed past performance short forms
9.
Point of Contact at Applicant Organization for Notification of Application Status: Name
Address, Phone Number, Email for notifying Applicant of Application Status:
ANNEX C: POPULATION AND SUB-POPULATION CALCULATION GUIDELINES
Population numbers help reviewers determine if proposals target a reasonable number of people in relation to the project area and proposed interventions. Population numbers are also used to calculate cost per beneficiary. MNCHGP reports on the total number of beneficiaries reached by the program since its inception in 1985. Grantees need to know the number of beneficiaries in order to plan activities on a yearly basis and over the life of the project. This document contains recommended guidance to help applicants report beneficiary numbers in a standardized manner.
It is expected that MNCHGP projects, either directly or indirectly, benefit all children less than 5 years and women of reproductive age (15-49) in the project area; therefore, for these grants the following definition of the beneficiary population is used:
Definition: A beneficiary is a child under the age of 5 or women of reproductive age (15-49) who lives in the project target area.
Guidance:
· Applicants must provide information on beneficiary population based on the population in the target geographic area (or areas) at the beginning of the project .
· Applicants must state the source of population numbers for the project area, the date when this information was collected, and information as to whether or not these numbers were determined by official projections. For example, did they perform a census of the project area or did they use an official source? How is percent of total population for women of reproductive age and children under 5 determined? Below are links to sites for population figures:
· CENSUS BUREAU SITE: http://www.census.gov/ipc/www/idb/index.html
· UNICEF: http://childinfo.org/
Illustration of Beneficiary Calculation for Project X:
Explanation of calculation: Numbers are calculated before the initiation of the project. The Project X team calculated the population breakdown based on official guidance from the regional health office, which stated that of the total population in the district where the population operates, 4% are infants 0-11 months, 4% are children 12-23 months, 20% are children 0-59 months, and 22% are women of reproductive age (15-49). They obtained the total population numbers from the National Census Bureau.
Beneficiary Population Numbers for Project X:
|
Number |
|
|
Infants: 0-11 months |
5,193 |
|
Children: 12-23 months |
5,193 |
|
Children: 24-59 months |
15,580 |
|
Children 0-59 months |
25,966 |
|
Women 15-49 years |
28,561 |
|
Total Population |
129,830 |
ANNEX D: PAST PERFORMANCE SHORT FORM (3 REFERENCES REQUIRED)
Note: Part I is to be completed by the applicant. USAID will obtain the information to complete Part II.
|
PERFORMANCE REPORT - SHORT FORM |
|
PART I: Award Information (to be completed by Applicant) |
|
1. Name and Address of Organization for which the work was performed: |
|
2. Award Number: |
|
3. Award Type: |
|
4. Award Value (TEC): (if subagreement, subagreement value) |
|
5. Contacts: (Name, Telephone Number and E-mail address) |
|
6. Period of Performance: |
|
7. Title/Brief Description of Product/Service Provided/ Results Achieved to Date: |
|
8. Problems: (if problems encountered on this award, explain corrective action taken) |
|
PART II: Performance Assessment (to be obtained by USAID—DO NOT COMPLETE) |
|
1. Quality of product or service, including consistency in meeting goals and targets, and cooperation and effectiveness of the Prime in fixing problems. Comment: |
|
2. Cost control, including forecasting costs as well as accuracy in financial reporting. Comment: |
|
3. Timeliness of performance, including adherence to contract schedules and other time-sensitive project conditions, and effectiveness of home and field office management to make prompt decisions and ensure efficient operation of tasks. Comment: |
|
4. Customer satisfaction, including satisfactory business relationship to clients, initiation and management of several complex activities simultaneously, coordination among subcontractors and developing country partners, prompt and satisfactory correction of problems, and cooperative attitude in fixing problems. Comment: |
|
5. Effectiveness of key personnel including: effectiveness and appropriateness of personnel for the job; and prompt and satisfactory changes in personnel when problems with clients where identified. Comment: |
ANNEX E: RESULTS FRAMEWORK
For more information on developing a results framework or for illustrative examples, please consult the USAID Program Design and Monitoring and Evaluation Participant’s Guide at https://usaidlearninglab.org/sites/default/files/resource/files/RF_Technical_Note_Final_2013_0722.pdf
Defining Terms
Goals: Big picture, long-term, ultimate ambitions to alter health status in a population. Goals are at the highest level and are typically not measured in the program context. For example, reducing morbidity and mortality in the general population are usually considered to be at the goal level.
While the fulfillment of a goal may not be possible or verifiable within the life-span of the project, the achievement of the project's more specific objectives should contribute to the realization of the goal.
Strategic Objective: A statement of what the program plans to achieve during the life of the project. This achievement is the highest-level result that a program can materially affect with its efforts within the given restraints (such as time and funding). For example, “increased use of contraception,” or “reduced unmet need for family planning,” or “increased utilization of antenatal services.” Results are stated in terms of changes in condition of targeted beneficiaries or changes in conditions that affect them such as deliveries with a skilled attendant, or appropriate case management of common childhood illnesses.
Intermediate Results (IR): A discrete result or outcome necessary to achieve an objective or another intermediate result critical to achieving the objective. For example, “Increased access to contraceptive counseling and services,” “improved quality RH services,” and “increased motivation for use of family planning and selected reproductive health information and services” could be a set of intermediate results necessary for achieving the desired higher result or strategic objective of “adequate child spacing practiced.”
Outcomes: Outcomes are anything clearly intended to be achieved. For example, program outcomes may be, “improved service delivery by health providers,” or “community outreach services at levels beyond the household or beneficiary.” They are intermediate effects that often occur at several levels in a series of cause and effect relationships. Outcomes have an ultimate effect on the target population/clients (results). Outcomes are sometimes described as better knowledge or changed attitudes, leading to adoption of desirable behavior (results). Whether an objective is a result or outcome depends on where in the chain of results it is.
· Results describe the longer-term impact on the beneficiaries (or customers).
Adoption of healthy behaviors and practices by caretakers are often the objective at the level of results.
· Outcomes describe more immediate effects on the beneficiaries (or customers). Outcomes may include increased knowledge or changed attitudes of the child’s caretaker or improved quality of care by a health service provider at the community or health facility level.
33
ANNEX F: TECHNICAL PACKAGE AND LEVEL OF EFFORT (LOE) TABLE TO BE SPECIFIED IN PROPOSAL
Please note: entries in italics are illustrative.
|
Level of Effort (LOE) |
High Impact Technical Interventions30 |
Level of Delivery |
Policy/Strategy |
|||
|
|
|
Facility (Referral) |
Facility (1stLevel/ Outreach) |
Community |
District |
National |
|
LOE 1 (e.g. Maternal and Newborn Care – 50%) |
Skilled care at birth |
X |
X |
X |
|
|
|
|
Essential Newborn Care |
X |
X |
X |
|
|
|
LOE 2 (e.g. Nutrition – 25%) |
Infant and young child feeding |
|
X |
X |
X |
|
|
LOE 3 (e.g. Pneumonia Case Management – 25%) |
Treatment of pneumonia |
X |
X |
X |
X |
X |
ANNEX G FREQUENTLY ASKED QUESTIONS (FAQs)
Frequently Asked Questions (FAQs)
Note: Questions are listed under the corresponding relevant section of the RFA.
Eligibility Information
Question: My non-profit organization is not a U.S. based organization. Can I apply to this opportunity?
Answer: Yes. The MNCHGP RFA is open to both U.S. and non-U.S. Non-Profit organizations. See the Section III, Eligibility Information for the complete set of criteria that a prospective NGO must meet in order to be eligible to apply for funding under this RFA.
Question: My organization wants to submit more than one application. Can I do this?
Answer: Applicants may submit up to one application to the New Partner category.
Question: I am considered a new partner to USAID. Do I have to provide cost share?
Answer: Yes. The MNCHGP FY16 RFA requires applicants who are applying to the New Partner category to provide a 15% cost share. Applicants who propose less than 15% cost share will be considered ineligible for award.
Question: Does my organization need to be already registered in the country in which I want to propose to compete for this grant?
Answer: Prime applicants must demonstrate that they have begun the process of establishing legal presence in the proposed country by the time of application submission. However, before an agreement can be awarded, the applicant must have proof that this process has been finalized and they possess documented legal presence.
Application and Submission Information
Question: My organization plans to submit an application to conduct a project in Benin. Can we submit our application in French?
Answer: No. All information in the technical proposal should be presented in the English language, and attachments and/or supplementary documents must be in English or accompanied by an English translation.
38