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LFA_Section 1A _1_ - Fondul Global in Romania

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					                          On-going Progress Update and Disbursement Request
                          Instructions to the Principal Recipient for completing the On-going Progress Update and Disbursement Request

                          Progress Update
                          The Progress Update part of this form requires the Principal Recipient (PR) to provide:

                            - Past expenditure and programmatic performance information for the reporting period just ended

                            - An update on the progress made towards satisfaction of the conditions precedent (if any) set forth in Annex A to the Grant Agreement applicable
                              to the period covered by the Progress Update
                            - A detailed Statement of Sources and Uses of Funds (Cash Flow Statement) for the reporting period just ended

                          For the Statement of Sources and Uses of Funds, the PR may use its own usual format and expenditure line items as derived from its budgeting and
                          accounting records. The Global Fund does not prescribe specific expenditure line items, but prefers that the PR's reporting format is activity-based, in
                          conformity with the proposal's objectives and service delivery areas. The PR is expected to clearly show actual expenditures as compared to budget for both
                          its own expenditures as well as for disbursements to sub-recipients. The Statement of Sources and Uses of Funds should support the information disclosed
                          in this form in Section 1.C (Program Expenditures) and Section 2.A (Cash Reconciliation for Period Covered by Progress Update).


                          Disbursement Request
                          The Disbursement Request part of this form requires the PR to state the cash requirement for meeting on-going program expenditures. The disbursement
                          requested from the Global Fund normally covers the PR's cash requirements for one reporting period, plus one additional quarter as a cash buffer, to ensure
                          the PR has adequate cash on hand for program expenses at all times. The period covered by the Disbursement Request is the period that immediately
                          follows the Reporting Period covered by the Progress Update (as explained above).


                          Upon completion, this form should be submitted (with supporting documentation) to the Local Fund Agent and copied to the
                          Global Fund.




SD 3.1A - Form, Ongoing DR/PU and LFA Review and Recommendation_v2.1 February 2006                                                                                                      Page 1 of 22
        On-going Progress Update and Disbursement Request
        GENERAL GRANT INFORMATION
        Country:                                                             Romania
        Disease:                                                             HIV/AIDS
        Grant Number:                                                        ROM-607-G03-h
        Principal Recipient:                                                 Romanian Angel Appeal Foundation
        Program Start Date:                                                  1-Jul-2007
        Currency:                                                            EUR

        PROGRESS UPDATE PERIOD
        Progress Update - Reporting Period:                               Cycle:                              Semester             Number:          3
        Progress Update - Period Covered:                                 Beginning Date:                     1-Jul-2008           End Date:        31-Dec-2008
        Progress Update - Number:                                           3

        DISBURSEMENT REQUEST PERIOD
        Disbursement Request - Disbursement Period:                       Cycle:                              Semester             Number:          4
        Disbursement Request - Period Covered:                            Beginning Date:                     1-Jan-2009           End Date:        30-Jun-2009
        Disbursement Request - Number:                                      4

        TERMS AND ACRONYMS USED IN THIS PROGRESS UPDATE AND DISBURSEMENT REQUEST HAVE THE MEANING GIVEN TO THEM IN THE GRANT AGREEMENT RELATING TO THE ABOVE GRANT


        Section 1: Programmatic and Financial Progress Update
        A. PROGRAM PROGRESS
        i. Program Objectives

          Objective No.                                                                                                                                           Objective Description

                 1               Increase access of vulnerable and poor populations to prevention and treatment services

                 2               Ensure the adequate combination of services and support for YPLWHA to avoid a second wave of epidemic in Romania

                 3               Ensure the efficient and effective implementation of the Global Fund Grant

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        ii. Impact / Outcome Indicators
                                                                                                                                                                                                Baseline        Intended       Actual
        Impact / Outcome                                                                                               Indicator Description                                                 (if applicable)      Yearly       Yearly                       Reasons for deviation and any other comments
                                                                                                                                                                                           Value         Year    Targets       Results
                                                                                                                                                                                                                                         The source of this indicator is the HIV/AIDS Surveillance Report in Europe, issued by
                                                                                                                                                                                                                                         EUROHIV. However, since the begining of the Rd 6 program, none of the reports issued
                                                                                                                                                                                                                                         indicated the case notification rate in the general population (only in certain vulnerable groups,
                                                                                                                                                                                                                                         such as IDUs, blood donors).
                                                                                                                                                                                                                                         From an alternate source: according to last report of the National AIDS Commision (Romania),
                                                                                                                                                                                                                                         the number of new HIV cases registered during the period January - December 2008 is 425 -
               Impact            Case notification rate - Number of new HIV cases registered yearly per one million of general population                                                   9.4          2005       9.5         19.8
                                                                                                                                                                                                                                         meaning a case notification rate of 19.8 for a 12 months period (calculated at a total population
                                                                                                                                                                                                                                         of 21,500,000 inhabitants, estimated at 31st of December 2008 by the National Statistics
                                                                                                                                                                                                                                         institute).
                                                                                                                                                                                                                                         (Sources: National AIDS Commission Report by 31st December 2008, page 22, www.cnlas.ro;
                                                                                                                                                                                                                                         Press Release by the National Statistics Institute, No. 34, Feb 16th 2009,
                                                                                                                                                                                                                                         http://www.insse.ro/cms/files/statistici/comunicate/populatie/a08/pop12r08.pdf, ).

                                                                                                                                                                                                                                         The Behavioral Sero-Surveillance (based on Response Driven Sampling) is ongoing. It is a
                                                                                                                                                                                                                                         collaborative project by UNODC & the PR, implemented by the National Antidrug Agency. Data
              Outcome            Percentage of injecting drug users (IDUs) who have adopted behaviors that reduce transmission of HIV                                                       2%           2004       5%           N/A
                                                                                                                                                                                                                                         collection started on January 15th 2009. By February 15th 2009, the research team interviewed
                                                                                                                                                                                                                                         3 seeds and about 30 respondents. Phase I results will be available by the end of Y2.

                                                                                                                                                                                                                                         Preliminary results from the "Behavioral Survey in 9 counties, except Bucharest" have become
                                                                                                                                                                                                                                         available at the end of Q6. 5.6% (11/337) is the percentage of SWs who reported using a
                                                                                                                                                                                                                                         condom in 10 out of the latest 10 sexual contacts with the clients and the regular partners. This
                                                                                                                                                                                                                                         result has been obtained from a probabilistic sample of 337 SWs, based on Time Location
                                                                                                                                                                                                                                         Sampling methodology (TLS), while the baseline of 20% has been measured on a non-
              Outcome            Percentage of commercial sex workers (CSWs) reporting condom use with all sexual partners                                                                  20%          2005      25%          5.6%     probabilistic sample (take-all approach) during a survey conducted in 2005 in 12 cities,
                                                                                                                                                                                                                                         including Bucharest. The baseline value measures the percentage of SWs who reported having
                                                                                                                                                                                                                                         used the condom constantly ("every time") with the clients and the regular partner.
                                                                                                                                                                                                                                         A Behavioral Sero-Surveillance (based on Time Location Sampling) will be conducted in
                                                                                                                                                                                                                                         Bucharest starting March 2009. The results will be available by the end of Y2.
                                                                                                                                                                                                                                         For the end of Y3, it is estmated a target of 11.2% (meaning 100% increase) for the behavioral
                                                                                                                                                                                                                                         The percentage reflects the baseline value of this indicator. The Behavioral Survey among
                                                                                                                                                                                                                                         MSM was conducted from October 2007 until March 2008 in 10 cities. The study was planned
                                                                                                                                                                                            TBD                     TBD                  as an RDS, but following the early interruption of the RDS chain it had to be redesigned as a
              Outcome            Percentage of men having sex with men (MSM) reporting condom use at last anal sex                                                                        (baseline      2008   (by baseline    63.5%    survey based on two convenience samples: one sample based on face-to-face interviews, the
                                                                                                                                                                                           survey)                survey)                other based on on line interviewing. It is expected that by the end of Y3 of the program, the
                                                                                                                                                                                                                                         indicator increases by 15%. (Source: "Behavioral Surveillance among MSM", report, May 2008,
                                                                                                                                                                                                                                         PSI &ACCEPT)



SD 3.1A - Form, Ongoing DR/PU and LFA Review and Recommendation_v2.1 February 2006                                                                                                                                                                                                                                                       Page 2 of 22
                                                                                                                                                                                               The baseline value for this indicator will become available by the end of Y2. Data collection for
                                                                                                                                                        TBD                  TBD
                                                                                                                                                                                               a BSS among prisoners, funded by Rd6, is planned to start in April 2009. By the end of Q6 the
              Outcome            Percentage of prisoners who report condom use with all sexual partners                                               (baseline   2008     (baseline     N/A
                                                                                                                                                                                               research team has been contracted and received the terms of refference for the BSS
                                                                                                                                                       survey)              survey)
                                                                                                                                                                                               implementation.

                                                                                                                                                        TBD                                    The baseline value for this indicator will become available by the end of Y2. Data collection for
                                                                                                                                                                         TBD (baseline
              Outcome            Percentage of young people living with HIV/AIDS (YPLWHA) who report consistent condom use with all sexual partners   (baseline   2008                   N/A   a behavioral survey among YPLWHAs, funded by Rd6, is planned to start on February 22 and
                                                                                                                                                                           survey)
                                                                                                                                                       survey)                                 resume on March 23rd 20009.


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SD 3.1A - Form, Ongoing DR/PU and LFA Review and Recommendation_v2.1 February 2006                                                                                                                                                                                                             Page 3 of 22
   On-going Progress Update and Disbursement Request
  PROGRESS UPDATE PERIOD
  Grant number:                                                               ROM-607-G03-h
  Progress Update - Reporting Period:                                       Cycle:                           Semester                  Number:                          3
  Progress Update - Period Covered:                                         Beginning Date:                  1-Jul-2008                End Date:                        31-Dec-2008
  Progress Update - Number:                                                   3


  iii. Service Delivery Areas, Indicators, and Targets
                                                                                                                                                                                                                                        Baseline          Intended        Actual
                                                                                                                                                                                                             Directly                (if applicable)
     Objective No.                    Service Delivery Area                                                                    Indicator Description                                                                    Level                              Targets        Results             Reasons for programmatic deviation and any other comments
                                                                                                                                                                                                              Tied?
                                                                                                                                                                                                                                 Value            Year     to date        to date

                                                                                                                                                                                                                                                                                    Target exceeded (104%). The value reflects the number of new IDU clients (unique codes) who
                                                                                                                                                                                                                                                                                    received services in outreach and in the drop in centre since the beginning of the Rd6 program.
                                                                                                                                                                                                                                                                                    The value reflects: 3,759 unique codes from ARAS (IDUs from outreach, IDUs from the drop-in
            1              Prevention: BCC - community outreach                Number of injecting drug users reached with HIV/AIDS prevention programs                                                        Yes       3        7,285           2006       6,000         6,255    centre, SWs who are also IDUs), 2,476 unique codes from ALIAT (IDUs from outreach) and 174
                                                                                                                                                                                                                                                                                    unique codes from INTEGRATION. The total is: 6,409 codes (including duplications among
                                                                                                                                                                                                                                                                                    implementers), 6,255 unique codes (without duplications). Geographic area: Bucharest, Ilfov,
                                                                                                                                                                                                                                                                                    Timisoara.


                                                                                                                                                                                                                                                                                    Target partially met (73%). The value reflects the number of clients (unique codes, only new
                                                                                                                                                                                                                                                                                    clients) who received services since the beginning of the Rd6 program. Explanation: The
                                                                                                                                                                                                                                                                                    mapping activities conducted during Q1-Q6 have showed that the number of street - SWs has
                                                                                                                                                                                                                                   7,862                                            decreased, sex work being solicited more often indoors (massage parlours, apartments, hotels,
            1              Prevention: BCC - community outreach                Number of commercial sex workers reached with HIV/AIDS prevention programs                                                      Yes       3      (including        2006       3,400         2,472    bars etc.). In result, ARAS has initiated mapping activities for indoor sex work and sex work
                                                                                                                                                                                                                                  clients)                                          advertised through the internet. We expect that the BSS report that will be finalized in Q7, will
                                                                                                                                                                                                                                                                                    point at some to the factors that are responsible for the decrease in the number of street - SWs.
                                                                                                                                                                                                                                                                                    Implementer: ARAS. Geographic coverage: Bucharest, Ilfov, Bacau, Brasov, Cluj, Constanta,
                                                                                                                                                                                                                                                                                    Dolj, Iasi, Neamt, Timis, Arad.


                                                                                                                                                                                                                                                                                    Target exceeded (245%). Both ACCEPT & PSI target MSM from the same 10 cities. ACCEPT
                                                                                                                                                                                                                                                                                    reaches them through face-to-face outreach interventions, while PSI through online IEC.
                                                                                                                                                                                                                                                                                    Therefore, the value counted for the key indicator represents only the number of person-
                                                                                                                                                                                                                                                                                    contacts reported by ACCEPT.
                                                                                                                                                                                                                                                                                    Besides ACCEPT, PSI reported 23,107 person-contacts in Q1-Q6 . The number reflects: # of
                                                                                                                                                                                                                                                                                    chat room users who engage in discussions with the chat moderator (2,130 Y1 + 79 Q5-Q6) + #
                                                                                                                                                                                                                                 41,403                                             of users of the online portal (10,046 Y1 + 7,468 Q5-Q6) + # of online users (on hi5.com,
            1              Prevention: BCC - community outreach                Number of men having sex with men reached with HIV/AIDS prevention programs                                                     Yes       3      (person-          2005      10,500        25,795    plantromeo.com) with MSM identified personal profiles, who receive sexual health messages
                                                                                                                                                                                                                                contacts)                                           (620 Q5-Q6) + # of recipients of the email newsletter Total Gay (2,764 Q1-Q6) . The chat
                                                                                                                                                                                                                                                                                    rooms, as well as the Internet portal, address issues related to sexual health, HIV prevention,
                                                                                                                                                                                                                                                                                    referral to and information about health and psychosocial support services. Using a capture-
                                                                                                                                                                                                                                                                                    recapture method (starting Q6), PSI & ACCEPT reached with prevention services reportedly
                                                                                                                                                                                                                                                                                    876 MSM counted as unique individuals. Implementers: ACCEPT & PSI. Geographic
                                                                                                                                                                                                                                                                                    coverage: Bucharest, Cluj, Constanta, Dolj, Timis, Mures, Buzau, Brasov, Galati, Iasi and
                                                                                                                                                                                                                                                                                    visitors of the online prevention resources.


                                                                                                                                                                                                                                                                                    This is the correct value of the indicator ( 182 MSM who have been tested and know the test
                                                                               Percentage of men having sex with men (MSM) reporting having ever been counseled and tested for HIV (including provision of
            1              Prevention: Testing and Counseling                                                                                                                                                  Yes       3        29%             2005   not applicable    54.0%    results/ 337 MSM in the sample). The value indicated in the second progress report (98.4%) is
                                                                               results)
                                                                                                                                                                                                                                                                                    not referring to this indicator. Source: BSS among MSM, research report, May 2008.



                                                                                                                                                                                                                                                                                    Target exceeded (172,5%). The value represents the number of individual Roma persons
                                                                                                                                                                                                                                                                                    participating in group IEC sessions organized in their communities. Explanation: Save the
                                                                                                                                                                                                                                                                                    Children increased the number of project locations (villages or neighborhoods) from the planned
            1              Prevention: BCC - community outreach                Number of Roma reached with HIV/AIDs prevention programs                                                                        Yes       3       22,091           2006       6,000        10,355    15, to 56. The three implementing organizations work in different counties (there is no danger of
                                                                                                                                                                                                                                                                                    clients' overlap). Implementers: ARAS, Save the Children, DGASPC Hunedoara. Geographic
                                                                                                                                                                                                                                                                                    coverage: Bucharest, Ilfov, Timis, Dambovita, Vrancea, Hunedoara, Craiova, Bacau, Iasi,
                                                                                                                                                                                                                                                                                    Neamt, Constanta, Brasov, Cluj, Arad.



                                                                                                                                                                                                                                                                                    Target exceeded (335%). Explanation: 1) The implementer identified and opened more project
                                                                                                                                                                                                                                                                                    areas (railway stations, sewers system, abandoned buildings etc.). 2) The indicator includes
                                                                                                                                                                                                                                                                                    also the growing number of children and youth who choose to be with their peers in the streets,
            1              Prevention: BCC - community outreach                Number of street children and youth reached with HIV/AIDS prevention programs                                                   Yes       3        2,356           2006        500          1,674    but who, in fact, have (dysfunctional) families, a place to stay occasionally or live in institutions.
                                                                                                                                                                                                                                                                                    To explore the characteristics of this new category, ARAS will conduct a small study starting
                                                                                                                                                                                                                                                                                    Q7. Implementer: ARAS. Geographic coverage: Bucharest, Bacau, Brasov, Ilfov, Cluj,
                                                                                                                                                                                                                                                                                    Constanta, Dolj, Iasi, Neamt, Timis, Arad.


                                                                                                                                                                                                                                                                                    Target not met (27.3%). The number includes 1,013 individual prisoners trained as peer
                                                                                                                                                                                                                                                                                    educators and other 6,305 individual prisoners who participated in group IEC sessions,
                                                                                                                                                                                                                                                                                    conducted by health educators. Explanation: The interventions started at the end of Q5 (sub-
                                                                                                                                                                                                                                                                                    grant agreements have been signed at the beginning of Q4 and have been followed by a period
                                                                                                                                                                                                                                                                                    of preparation and summer holidays). Following negotiations with the implementers, the
                                                                                                                                                                                                                                                                                    interventions have been designed to achieve cumulative targets over the program term -
                                                                                                                                                                                                                                                                                    reaching only 11,570 by Q6 and the total population by Q8. Moreover, according to the latest
            1              Prevention: BCC - community outreach                Number of prisoners reached with HIV/AIDS prevention programs                                                                   Yes       3       73,662           2006      26,800         7,138    statistic from the National Administration of Penitentiaries (Feb 10th 2009), the total prison
                                                                                                                                                                                                                                                                                    population is 26,200 (and not 28,000 as expected by Q8). If we compare the achieved results to
                                                                                                                                                                                                                                                                                    the actual cumulative targets from the implementer's sub-grant agreements, the achievement
                                                                                                                                                                                                                                                                                    by Q6 is in fact of 63.2% (7,318/11,570*100). Implementers: Romanian Harm Reduction
                                                                                                                                                                                                                                                                                    Network, ALIAT, ARAS, INTEGRATION, Close to You. Geographic coverage: all the
                                                                                                                                                                                                                                                                                    penitentiary units in the country. More details on the development of the Rd6 prevention
                                                                                                                                                                                                                                                                                    program in penitentiaries, in the document " Clarification on HIV prevention activities in the
                                                                                                                                                                                                                                                                                    penitentiary system”




SD 3.1A - Form, Ongoing DR/PU and LFA Review and Recommendation_v2.1 February 2006                                                                                                                                                                                                                                                                                            Page 4 of 22
                                                                                                                                                                                                                                                                                  Target exceeded ( 207% ) for IDUs and target not met (2,6%) for SWs. Explanation:
                                                                                                                                                                                                                                                                                  Starting Q4, the HIV prevention services have been provided to IDUs and SWs in the form of
                                                                                                                                                                                                                                                                                  face-to-face information sessions and referral to prevention services (both delivered by the
                                                                                                                                                                                                                                                                                  arrests' staff trained within the program). Starting Q6, the IEC materials for the IDUs & SWs
                                                                                                                                                                                                                                                                                  have become available in police arrests. In total, 3 SWs and 104 IDUs have received face-to-
                                                                                                                                                                                                                                                                                  face information, referral AND IEC materials. According to the MIRA, it is expected that the
                                                                               Number of injecting drug users (IDUs) and commercial sex workers (CSWs) temporarily in police arrests reached with HIV                                                250 IDUs and   518 IDUs, 8
            1              Prevention: BCC - community outreach                                                                                                                                                 Yes       3          0        2006                                target for IDUs reached will be exceeded, while the one for SWs will be underachieved. The
                                                                               prevention programs                                                                                                                                                    300 CSWs      SWs (526)
                                                                                                                                                                                                                                                                                  IDU status of a person can be easily identified by the medical staff in the police arrest, while the
                                                                                                                                                                                                                                                                                  sex worker status is self-declared or assigned by the staff based on a sex-work charge. Most
                                                                                                                                                                                                                                                                                  sex-workers in the street are fined and let go. Those who reach however the police arrest, are
                                                                                                                                                                                                                                                                                  usually brought in for other offences than sex-work, therefore do not declare themselves as sex-
                                                                                                                                                                                                                                                                                  workers. Implementer: Ministry of Interior and Administrative Reform. Geographic coverage:
                                                                                                                                                                                                                                                                                  police arrests in 22 counties.


                                                                                                                                                                                                                                    6,078                                         Target exceeded (113%). The value represents the number of Roma, street children, PLWHAs,
                                                                                                                                                                                                                                 (prisoners
                                                                               Number of people from vulnerable groups trained to deliver HIV prevention through peer education and community outreach                                                                            MSM and prisoners trained as peer-educators. Implementers: ARAS, ALIAT, INTEGRATION,
            1              Prevention: BCC - community outreach
                                                                               programs                                                                                                                         Yes       3      trained as   2006      1,220         1,375
                                                                                                                                                                                                                                                                                  CLOSE TO YOU, PSI, ACCEPT, LIZUCA ASSOCIATION, SAVE THE CHILDREN. Geographic
                                                                                                                                                                                                                                    peer
                                                                                                                                                                                                                                                                                  area: all the counties.
                                                                                                                                                                                                                                 educators)


                                                                                                                                                                                                                                                                                  Target partially met (61%). The condoms distributed during Periods 1-3 are not from GF
                                                                                                                                                                                                                                                                                  funding, they are from donations facilitated by PR (sources: John Snow Institute, Trojan
                                                                                                                                                                                                                                                                                  distribution in Romania) or obtained by SRs directly from donors (e.g. PSI condoms). In prisons,
                                                                                                                                                                                                                                                                                  besides the condoms, have beend distributed 45,230 lubricants (source: PSI). Explanation: 1)
                                                                                                                                                                                                                                                                                  The PR had difficulties finalizing the first procurement of condoms procurement as planned; 2)
            1              Prevention: Condon distribution                     Number of condoms distributed to vulnerable groups (IDUs, CSWs, Roma, street children and prisoners)                             Yes       3      2,945,275    2006    1,758,000     1,071,478
                                                                                                                                                                                                                                                                                  As ARAS reached significantly fewer SWs than planned (2,742 instead of 3,400), the number of
                                                                                                                                                                                                                                                                                  condoms distributed in this group was much lower than the target (422,018 instead of
                                                                                                                                                                                                                                                                                  1,650,000). Implementers: ARAS, ALIAT, ACCEPT, PSI, Save the Children, INTEGRATION,
                                                                                                                                                                                                                                                                                  Close to You, Red Ribbon Falticeni, New Hope Against AIDS Association. Geographic area: all
                                                                                                                                                                                                                                                                                  the counties.




                                                                                                                                                                                                                                                                                  Target not met (20%). The value reflects the number of IDUs, Roma, CSWs and prisoners who
                                                                                                                                                                                                                                                                                  tested for HIV with a rapid test and know the test result. Explanation: the National Antidrug
                                                                               Number of injecting drug users, commercial sex workers, Roma and prisoners who have received HIV pre-test
            1              Prevention: Testing and Counseling                                                                                                                                                   Yes       3        5,408      2005      8,710         1,721       Agency (ANA), implementer of HIV testing in prisons reported only 927 prisoners of the 4,070
                                                                               counseling/information, were tested and received test results
                                                                                                                                                                                                                                                                                  targeted by the end of Q6. Implementers: ARAS, ALIAT, ANA. Geographic area: all the
                                                                                                                                                                                                                                                                                  counties.




                                                                                                                                                                                                                                                                                  Target exceeded (148%). The number represents YPLWHAs counted as unique clients.
                                                                                                                                                                                                                                                                                  Reasons: the overachievement is due to the activity of UNOPA's 20 member organizations;
                                                                                                                                                                                                                                                                                  they implemented the Education for Life program using monthly group sessions with 6-10
                                                                                                                                                                                                                                                                                  YPLWHAs as participants. Implementers: UNOPA, Foundation for People Development, Inima
                           Care and support: Care and support for the          Number of young people living with HIV/AIDS reached with information and education activities within the "Education for life"
            2                                                                                                                                                                                                   Yes       3          0        2006      1,193         1,762       de Copil, New Hope Against AIDS Association, Lizuca Association, Baylor Black Sea
                           chronically ill                                     framework
                                                                                                                                                                                                                                                                                  Foundation, I Nostri Bambini Association, Red Ribbon Association, SCOP, Close to You, Health
                                                                                                                                                                                                                                                                                  Aid Romania, Romanian Children's Appeal. Geographic area: Bucharest, Arad, Dambovita,
                                                                                                                                                                                                                                                                                  Galati, Hunedoara, Bacau, Constanta, Dolj, Suceava, Timis, Iasi, Neamt, Caras Severin, Vaslui,
                                                                                                                                                                                                                                                                                  Botosani, Sibiu, Mures, Giurgiu, Prahova.


                                                                                                                                                                                                                                                                                  Target exceeded (117%). Explanation: According to the implementers, more YPLWHAs than
                                                                                                                                                                                                                                                                                  expected have showed interest in receiving counseling for aspects such as writing the resume,
                                                                                                                                                                                                                                                                                  finding a job, identifying and registering for vocational trainings etc. Implementers: Heart of a
                           Care and support: Care and support for the
            2                                                                  Number of PLWHA receiving professional and occupational integration counseling                                                   Yes       3          0        2006       510           599        Child, Close to You, Baylor Black Sea Foundation, Foundation of People Development, Health
                           chronically ill
                                                                                                                                                                                                                                                                                  Aid Romania, Romanian Children's Appeal, SCOP, Children's Smile, I Nostri Bambini.
                                                                                                                                                                                                                                                                                  Geographic area: Bucharest, Iasi, Constanta, Arad, Dambovita, Galati, Timis, Targu Mures,
                                                                                                                                                                                                                                                                                  Dolj, Falticeni, Bacau, Petrosani.



                                                                                                                                                                                                                                                                                  Target met (99,9%). The value represents the number of specialists trained in family planning
                                                                                                                                                                                                                                                                                  (trainees: family planning doctors, gynecologists, general practitioners) and counseling for the
                                                                                                                                                                                                                                                                                  professional integration PLWHAs (trainees: psychosocial personnel). Other results: 138 clergy
                                                                                                                                                                                                                                                                                  men and psychosocial specialists from faith-based organizations, have received training on how
                           Care and support: Care and support for the                                                                                                                                                                                                             to reduce the AIDS related stigma at the community level; 127 medical and psychosocial
            2                                                                  Number of service providers trained in family planning and professional integration for PLWHA                                    Yes       1          0        2006       292           291
                           chronically ill                                                                                                                                                                                                                                        specialists have been trained on how to reduce discrimination in the medical & psychosocial
                                                                                                                                                                                                                                                                                  services attended by MSM (infected or not infected with HIV). Implementers: Romanian
                                                                                                                                                                                                                                                                                  Children's Appeal, SECS, Foundation for Peoples' Development . Geographic area: training
                                                                                                                                                                                                                                                                                  participants from Bucharest, Bihor, Vaslui, Cluj, Iasi, Dambovita, Hunedoara, Covasna, Brasov,
                                                                                                                                                                                                                                                                                  Constanta.


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SD 3.1A - Form, Ongoing DR/PU and LFA Review and Recommendation_v2.1 February 2006                     Page 6 of 22
                 On-going Progress Update and Disbursement Request
                 PROGRESS UPDATE PERIOD
                 Grant number:                                                ROM-607-G03-h
                 Progress Update - Reporting Period:                        Cycle:              Semester              Number:                 3
                 Progress Update - Period Covered:                          Beginning Date:     1-Jul-2008            End Date:               31-Dec-2008
                 Progress Update - Number:                                    3


                 iv. Overall evaluation of performance
                   The first six months of the grant were featured by a massive revision of the selected SRs annexes to the sub-grant agreements, evaluation of SRs and preparatory work such as delivery by the PR of technical assistance sessions for SR as well as numerous approaches of the
                   national stakeholders re. co-funding for the VAT-value of the procurement of goods and services from the grant.
                   The second semester was marked by: SRs efforts to reach the planned targets; numerous monitoring visits conducted by the M&E team and the financial team (all sub-contracted projects and SRs were covered); the financial audit for 2007 was successfully finalized; the PR's
                   efforts to select and contract new implementers for the program in prisons; the PR's efforts to identify and contract a new implementer able to continue the project "Emergency Centre for YPLWHAs" in Galati.
                   The third semester of the HIV/AIDS Grant has been generally featured by accelerated implementation at the level of SRs, based on the implementation plans revised by the PR and the meetings conducted with SRs: 8 indicators (57%) have been overachieved, 1 indicator was
                   met (7%), 2 indicators have been partially met (14%) and 2 indicators not met (14%). Basically, all the activities except the VCT in prisons are implemented either at a very good level of performance or on a good track (for more details on the prevention program in prisons,
                   consult the Appendix 1. Clarification ref. prevention activities in the penitentiary system). The PR successfully organized all the centralized procurement, according to the schedule and to the SRs’ storage capacity. This semester the PR informed the SRs about the requirements
                   of the Phase II request and continued the monitoring visits (11 organizations visited).


                 v. Planned changes in the program, if any.


                   1. There are SRs (especially among PLWHAs’ organizations) that proved to be less experienced in planning ahead their activities and expenditures. For these cases, the PR had to provide and propose revised implementation plans (including new activities, timeline, targets). The
                   role of these plans is to help the organizations catch up with their initial work plans and targets. To monitor closely these cases, starting July 2008, the M&E team requested from these organizations monthly progress reports. This practice will go on as long as it will be necessary.
                   2. The SRs implementing IEC sessions in prisons planned to reach gradually the total number of prisoners (11,700 cumulatively by Q6, 26,200 cumulatively by Q8), as opposed to the planning from the original proposal (26,800 by Q6, 28,000 by Q8). According to the latest
                   statistics of the National Administration of Penitentiaries (February 10, 2009) the penitentiary population is of 26,200 individuals.
                   3. The following implementation periods have been established for the surveys funded under Rd6: Behavioral Surveillance among YPLWHAs (preparatory work ready; data collection starts on February 23rd); Behavioral Sero-Surveillance among SWs in Bucharest (principal
                   investigator contracted; formative research will start on February 23, data collection planned to start on April 1st); Behavioral Sero-Surveillance among IDUs in Bucharest and Ilfov (data collection started on January 15, 2009); Behavioral Sero-Surveillance among prisoners
                   (research team contracted; data collection planned to start during the first week of April).




                 vi. Other program results, success stories, issues or lessons learned
                   1. On 13th September 2008, the Ministry of Public Health has uploaded on its website, for public debate, the draft Government Decision regarding the VAT co-funding for the GFATM R6 grants implemented by RAA. On 24th September, the Government approved the Decision
                   which was published on 29th September in the Official Gazette (Monitorul Oficial Issue No. 670 - 29/09/2008). At the end of the semester (November-December), the PR was instrumental in the design of VAT co-funding methodology issued by the Ministry of Health, by working
                   closely with the Budgets department of the MoH. At the date of submission of this Progress Report, the PR has already received from the Ministry of Health the co-funding for the VAT for goods and services procured during 1st July 2007 – 31 December 2008.
                   2. The PR established with the National Institute for Infectious Diseases “Prof. Dr. Matei Bals” the terms of their collaboration for the implementation of the Behavioral Surveillance among YPLWHAs. The PR’s research consultants participated to a meeting organized by the
                   Institute, where all the managers of HIV Monitoring Centers were explained how the surveillance will be implemented using the Centers as sampling units.




                 B. PR COMMENTS ON THE FULFILLMENT OF CONDITIONS PRECEDENT AND/OR SPECIAL CONDITIONS UNDER GRANT AGREEMENT
                                                                                                                                                 Fulfilled?
                                                  Conditions Precedent and/or other special conditions                                                                                                                          PR Comments
                                                                                                                                                 (Yes/No)

                   C.1. Not later than 12 months from the Phase 1 Starting Date (as stated in Block 5 of the Face Sheet of
                   this Agreement), the Principal Recipient shall provide to the Global Fund, in form and substance
                   satisfactory to the Global Fund, the baseline values for any indicators, which are indicated as                                                 For a more detailed presentation of the status of this condition, please consult the attached document Appendix 2. STATUS OF BSS
                                                                                                                                                  Partially
                   “TBD” in Attachment 1 to this Annex A. Following receipt of such baseline values, the Principal                                                 PROJECTS AT THE END OF Q6.
                   Recipient and the Global Fund shall cooperate to establish and agree appropriate targets for those
                   indicators which are indicated as “TBD” in Attachment 1 to this Annex A.

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SD 3.1A - Form, Ongoing DR/PU and LFA Review and Recommendation_v2.1 February 2006                                                                                                                                                                                                                                Page 7 of 22
                                    On-going Progress Update and Disbursement Request
                                    PROGRESS UPDATE PERIOD
                                    Grant number:                                             ROM-607-G03-h
                                    Progress Update - Reporting Period:                     Cycle:               Semester            Number:                   3
                                    Progress Update - Period Covered:                       Beginning Date:      1-Jul-2008          End Date:                 31-Dec-2008
                                    Progress Update - Number:                                 3


                                    C. PROGRAM EXPENDITURES

                                                                                                                                                                                                                   Cumulative Budget    Actual through
                                                                                              Budget for           Actual for
                                                            All amounts are in: EUR                                                      Variance                         Reason for Variance                       through period of period of Progress   Variance                      Reason for Variance
                                                                                            Reporting Period    Reporting Period
                                                                                                                                                                                                                    Progress Update         Update

                                    1. Total actual expenditures vs. budget                      1,638,726.00        1,497,519.96            141,206.04                                                                  5,268,605.00       4,554,900.15      713,704.85
                                                                                                                                                                                                                                                                             18,296 Euros represents not contracted funds
                                                                                                                                                                                                                                                                             from the CCM Secretary budget. Part of this
                                                                                                                                                                                                                                                                             amount will be used to cover the travel
                                                                                                                                                                                                                                                                             expenditure for SR’s at the GFATM’s meetings
                                                                                                                                                                                                                                                                             (according with FPM approval).
                                                                                                                                                                                                                                                                             8,210 Euros represents undisbursed funds to
                                                                                                                                                                                                                                                                             CCM Secretary (the amount represents the
                                                                                                                                                                                                                                                                             difference between the budget contracted with
                                                                                                                                                                                                                                                                             CCM and the funds disbursed up to date)
                                                                                                                                                                                                                                                                             The 69,604 Euros variance (unspent funds from
                                                                                                                                                                                                                                                                             the PR budget) is due to the following: the web
                                                                                                                                                                                                                                                                             based system development cost was
                                                                                                                                                                                                                                                                             negotiated at a lower amount than the
                                                                                                                                                                                                                                                                             estimated one due to the fact that the supplier is
                                                                                                                                                             The amount represents undisbursed funds for
                                       1a. PR's total expenditures                                 112,938.00          104,037.15                 8,900.85                                                                 379,022.00         295,061.15       83,960.85     one of RAA traditional suppliers. These savings
                                                                                                                                                             CCM Secretary.
                                                                                                                                                                                                                                                                             will be used to improve the web based system
                                                                                                                                                                                                                                                                             in order to produce more additional report types.
                                                                                                                                                                                                                                                                             Secondly, not all PR’s staff has been employed
                                                                                                                                                                                                                                                                             in Q1, for example the Procurement Officer has
                                                                                                                                                                                                                                                                             been hired and remunerated only in the second
                                                                                                                                                                                                                                                                             part of Q2. Thirdly, the consultancy services
                                                                                                                                                                                                                                                                             have also been reduced to a minimum and
                                                                                                                                                                                                                                                                             negotiated at a lower cost than estimated (i.e.
                                                                                                                                                                                                                                                                             part of the translation services have been
                                                                                                                                                                                                                                                                             performed by RAA staff; the legal services have
                                                                                                                                                                                                                                                                             been also provided by RAA traditional law office
                                                                                                                                                                                                                                                                             at a very reasonable cost).



                                                                                                                                                                                                                                                                             The reasons for variance are the following: the
                                                                                                                                                                                                                                                                             negotiations with the Governmental institutions
                                                                                                                                                                                                                                                                             have lasted more than it was estimated
                                                                                                                                                                                                                                                                             originally and these led to rather late Sub-
                                                                                                                                                                                                                                                                             agreement countersigning and savings for this
                                                                                                                                                                                                                                                                             period. The situation with Children's Smile
                                                                                                                                                                                                                                                                             Association of Galati made the Sub-agreement
                                                                                                                                                                                                                                                                             to be suspended and a new NGO took over but
                                                                                                                                                                                                                                                                             the negotiations lasted approximately 6 months
                                                                                                                                                               All activities initially planned for the National
                                                                                                                                                                                                                                                                             and savings have been realized. All the
                                                                                                                                                               Administration of Penitentiaries were had to be
                                       1b. Disbursements to sub-recipients                       1,525,788.00        1,393,482.81            132,305.19                                                                  4,889,583.00       4,259,839.00      629,744.00     apparent savings made, have been reallocated
                                                                                                                                                               taken over by other Sub-Recipients have been
                                                                                                                                                                                                                                                                             to the next period (by negotiations with the Sub-
                                                                                                                                                               delayed.
                                                                                                                                                                                                                                                                             Recipients) in order to achieve target and
                                                                                                                                                                                                                                                                             indicators planned. Project implemented by I
                                                                                                                                                                                                                                                                             nostril Bambini were suspended and indicators
                                                                                                                                                                                                                                                                             were had to be taken over by another SRs.
                                                                                                                                                                                                                                                                             The third reason for the variance: condoms
                                                                                                                                                                                                                                                                             procurement initially planned for Q5 (35,061
                                                                                                                                                                                                                                                                             Euros budget) was postponed due to long
                                                                                                                                                                                                                                                                             negotiation with UNFPA (procurement agent).



                                    2. Health product expenditures vs. budget
                                                                                                   240,030.00          207,886.81                32,143.19                                                                 652,070.00         505,074.00      146,996.00
                                      (already included in '"Total actual" figures above)

                                       2a. Pharmaceuticals                                               0.00                 0.00                    0.00                                                                       0.00               0.00              0.00




SD 3.1A - Form, Ongoing DR/PU and LFA Review and Recommendation_v2.1 February 2006                                                                                                                                                                                                                                                Page 8 of 22
                                                                                                                                                                                                                                                    Apart from the reasons pertaining to this
                                                                                                                                                                                                                                                    semester, the variance is due to following:
                                                                                                                                                                                                                                                    - The procurement of medical consumables has
                                                                                                                                                                                                                                                    benefited of discounts provided by suppliers
                                                                                                                                                                                                                                                    (insulin syringes), negotiations and obtaining of
                                                                                                                                                                                                                                                    lower unit costs than the ones originally
                                                                                                                                                            Condoms procurement, initially planned for Q5,                                          estimated for other medical consumables. The
                                       2b. Health products, commodities and equipment                    240,030.00          207,886.81         32,143.19   was postponed due to long negotiation with       652,070.00   505,074.00   146,996.00   exception is made by distilled water vials where
                                                                                                                                                            UNFPA (procurement agent).                                                              it was procured a quantity in accordance to the
                                                                                                                                                                                                                                                    available budget, but the savings resulted from
                                                                                                                                                                                                                                                    the other medical consumables will be used with
                                                                                                                                                                                                                                                    the Global Fund permission to procure the
                                                                                                                                                                                                                                                    actual necessary quantity of distilled water vials.




                                    Program expenditures were used for the procurement of health products:                                                       Yes

                                    If yes, information about procurements have been included in the Global Fund's Price Reporting Mechanism:                    N/A




SD 3.1A - Form, Ongoing DR/PU and LFA Review and Recommendation_v2.1 February 2006                                                                                                                                                                                                                        Page 9 of 22
        On-going Progress Update and Disbursement Request
        DISBURSEMENT REQUEST PERIOD
        Grant number:                                                                    ROM-607-G03-h
        Disbursement Request - Disbursement Period:                                     Cycle:                         Semester                 Number:                 4
        Disbursement Request - Period Covered:                                          Beginning Date:                1-Jan-2009               End Date:               30-Jun-2009
        Disbursement Request - Number:                                                   4


        Section 2: Cash Reconciliation and Disbursement Request
        A: CASH RECONCILIATION FOR PERIOD COVERED BY PROGRESS UPDATE

        1. Cash Balance: Beginning of period covered by Progress Update (line 6 from Cash Reconciliation section of the period covered
           by the previous Progress Update):                                                                                                                                                                                                                                    1,382,813.07

                                                                                                                                                         (1)
                             2. Cash disbursed to the PR by the Global Fund during the period covered by this progress update:                                                                                                                     1,113,796.00
               Add:
                             3. Interest received on bank account and other income received:                                                                                                                                                            9,578.14                1,123,374.14


                             4. Total program expenditures during period covered by Progress Update (value entered in Section 1C. "Total actual expenditures"):                                                                                    1,497,519.96
              Less:
                             5. Other expenditures incurred (bank fees, other transaction costs, net exchange rate gains/losses):                                                                                                                       (268.47)                1,497,251.49


        6. Cash Balance: End of period covered by Progress Update:                                                                                                                                                                                                              1,008,935.72


        B: DISBURSEMENT REQUEST

        Total forecasted net cash expenditures by the Principal Recipient for the period immediately following the period covered
        by the Progress Update (2, 3):
        7. Period beginning date:                        1-Jan-2009                            end date:            30-Jun-2009                                      amount as originally budgeted:     1,335,355.00   forecasted amount:          2,077,294.00
        8. Additional quarter
           (cash "buffer") beginning date (4):           1-Jul-2009                            end date:            30-Sep-2009                                      amount as originally budgeted:                    forecasted amount:                                       2,077,294.00


                                                                                                  The variance between the forecasted amounts and the originally budgeted amounts is due to the reviews of the SRs’ budgets during the negotiation phase – prior to signing the sub-grant
        Please explain any variance between the forecasted amounts and the
                                                                                                  agreements. RAA reviewed all contracted SRs’ budgets in order to meet the criteria of accuracy, reasonability and feasibility.
        amounts as originally budgeted




                             Cash Balance: End of period covered by Progress Update (number 6 above):                                                                                                                                              1,008,935.72
              Less:
                                                                                                                                                               (5)
                             9. Cash received from the Global Fund after the period covered by Progress Update or cash "in transit"                                  (if any):                                                                              0.00                1,008,935.72


        10. PR's Disbursement Request from the Global Fund for the period immediately following the period covered by the Progress Update, plus additional period (cash buffer):                                                                                               1,068,358.28


        11. Does the PR's Disbursement Request include funds for health product procurement?                                                          Yes

        12. Exchange Rate (used to translate local currency into EUR):                                     3.6377



        Footnotes:
        1 - Gross amount disbursed by the Global Fund (i.e., any associated bank fees or transaction costs should not be deducted in this line, but included in line 5. “Other expenditures incurred”




SD 3.1A - Form, Ongoing DR/PU and LFA Review and Recommendation_v2.1 February 2006                                                                                                                                                                                                          Page 10 of 22
        2 - Expenditures listed must be covered by current budget forecasts
        3 - Total forecasted net cash expenditures should include any commitments made in the period covered by the Progress Update that are forecasted to be spent during the period covered by the Disbursement Request
        4 - Additional period (cash "buffer"): disbursement of funds for Q9 is contingent upon the signing of Phase 2 or as otherwise stipulated per implementation letter
        5 - “Cash in transit” includes amounts disbursed but not yet received by the PR and disbursement requests not yet approved by the Global Fund.




SD 3.1A - Form, Ongoing DR/PU and LFA Review and Recommendation_v2.1 February 2006                                                                                                                                          Page 11 of 22
            On-going Progress Update and Disbursement Request
            GENERAL GRANT INFORMATION
            Country:                                                            Romania
            Disease:                                                            HIV/AIDS
            Grant number:                                                       ROM-607-G03-h
            Principal Recipient:                                                Romanian Angel Appeal Foundation
            Program Start Date:                                                 1-Jul-2007
            Currency:                                                           EUR

            PROGRESS UPDATE PERIOD
            Progress Update - Reporting Period:                               Cycle:                                 Semester             Number:       3
            Progress Update - Period Covered:                                 Beginning Date:                        1-Jul-2008           End Date:     31-Dec-2008
            Progress Update - Number:                                          3

            DISBURSEMENT REQUEST PERIOD
            Progress Update - Reporting Period:                               Cycle:                                 Semester             Number:       4
            Progress Update - Period Covered:                                 Beginning Date:                        1-Jan-2009           End Date:     30-Jun-2009
            Progress Update - Number:                                          4



            Section 3: Cash Request and Authorization
            A: CASH REQUEST

            On behalf of the PR, the undersigned hereby requests the Global Fund to disburse funds under the above-referenced Grant Agreement as follows:


            1. Cash amount requested from the Global Fund (from Section 2.B line 10, in: EUR):                                           1,068,358.28

            2. Amount requested in words (in: EUR):                                                                One million, sixty-eight thousand, three hundred fifty-eighty EUROS and twenty-eight eurocents


            B: AUTHORIZATION

            The undersigned acknowledges that: (i) all the information (programmatic, financial, or otherwise) provided in this Progress Update and Disbursement Request is complete and accurate; (ii) funds disbursed in accordance with this request shall be deposited
            in the bank account specified in block 9 of the face sheet of the Grant Agreement unless otherwise specified herein; and (iii) funds disbursed under the Grant Agreement shall be used in accordance with the Grant Agreement.


            Signed on behalf of the Principal Recipient:
            (signature of Authorized Designated Representative)


            Name:                                                               Silvia Asandi; Dana Marin

            Title:                                                              Program Coordinator; Financial Coordinator

            Date and Place:                                                     February 15th, 2009 - Bucharest




            Bank Account Details (if different than the account details specified on block 9 of the face sheet of the Grant Agreement)                                 Comments (e.g. changes to PR's bank account details, "split disbursements" to the PR and third parties etc.):

            Owner of Bank Account:          Romanian Angel Appeal Foundation
            Account Title:                  Not applicable
            Account number:                 RO27BRDE441SV31765634410
            Bank name:                      BRD GROUPE SOCIETE GENERALE - CALEA CALARASILOR AGENCY
            Bank address:                   Calea Calarasilor, no. 177, bl. 45, Bucharest, Romania
            Bank SWIFT Code:                BRDEROBU
            Bank Code:                      Not applicable

            Routing instructions:           At the GFATM discretion




SD 3.1A - Form, Ongoing DR/PU and LFA Review and Recommendation_v2.1 February 2006                                                                                                                                                                                                     Page 12 of 22
 LFA On-going Progress Review and Disbursement Recommendation
 Instructions to the LFA for completing the LFA On-Going Progress Review and Disbursement Recommendation

The Principal Recipient (PR) is required, through the On-Going Progress Update and Disbursement Request , to:
   1. Provide past expenditure and programmatic performance information for the Reporting Period just ended; and
     2. State its cash requirement for meeting on-going program expenditures.

The LFA is required, using this form, to verify progress and make recommendations on the cash amount requested.

 Progress Update
The PR will report past expenditure and programmatic performance information for the Reporting Period just ended as well as progress made towards
fulfillment of any conditions precedent/special conditions. The LFA is required to review and verify this information and, in accordance with the information
fields set out in this form, to comment on current and cumulative progress.


 Disbursement Recommendation
The PR will normally make a disbursement request from the Global Fund covering the PR's cash requirements for one Reporting Period, plus one
additional quarter as a cash buffer, to ensure that the PR has adequate cash on hand for program expenses at all times. The Reporting Period for which
the Disbursement Request is being made should be the period that immediately follows the Reporting Period covered by the PR's progress update (as
explained above). The LFA is required to verify the PR's Cash Reconciliation and to ensure that the cash request is properly calculated. The LFA should
recognize that the cash request should be based on the most up-to-date budgets for the relevant periods which the LFA should review for reasonableness.


 Documents to be attached/retained
When submitting this form to the Global Fund, the LFA should attach the following:
  1. PR On-Going Progress Update and Disbursement Request form (by email with originals to follow by mail)
     2. Any supplementary information, as appropriate, to inform the Global Fund of the review and verification process and to support the review and recommendation
The LFA should also retain the PR's detailed Statement of Uses of Funds (Cash Flow Statement) for the Reporting Period just ended as well as any
additional relevant documentation of verifications performed (to be provided upon request by the Global Fund).




SD 3.1A - Form, Ongoing DR/PU and LFA Review and Recommendation_v2.1 February 2006                                                                              Page 13 of 22
LFA On-going Progress Review and Disbursement Recommendation
LFA Organization / Responsible office:

GENERAL GRANT INFORMATION
Country:                                                                      Romania
Disease:                                                                      HIV/AIDS
Grant Number:                                                                 ROM-607-G03-h
Principal Recipient:                                                          Romanian Angel Appeal Foundation
Program Start Date:                                                           1-Jul-2007
Currency:                                                                     EUR

PROGRESS UPDATE PERIOD
Progress Update - Reporting Period:                                      Cycle:                       Semester                Number:     3
Progress Update - Period Covered:                                        Beginning Date:              1-Jul-2008              End Date:   31-Dec-2008
Progress Update - Number:                                                   3

DISBURSEMENT REQUEST PERIOD
Disbursement Request - Disbursement Period:                              Cycle:                       Semester                Number:     4
Disbursement Request - Period Covered:                                   Beginning Date:              1-Jan-2009              End Date:   30-Jun-2009
Disbursement Request - Number:                                              4

TERMS AND ACRONYMS USED IN THIS PROGRESS REVIEW AND DISBURSEMENT RECOMMENDATION HAVE THE MEANING GIVEN TO THEM IN THE GRANT AGREEMENT RELATING TO THE ABOVE GRANT


Section 1: LFA Review and Verification of the Principal Recipient's Programmatic and Financial Progress
A. PROGRAM PROGRESS
i. Program Objectives
 Objective                                                                                                                                                  Objective Description
   No.
     1             Increase access of vulnerable and poor populations to prevention and treatment services

     2             Ensure the adequate combination of services and support for YPLWHA to avoid a second wave of epidemic in Romania

     3             Ensure the efficient and effective implementation of the Global Fund Grant




ii. Impact / Outcome Indicators
                                                                                                                                                          Intended Yearly          Actual Yearly
 Impact /                                                                                                                                                                                             Verification   Modified Results       LFA analysis on impact and outcome, any variance between targets and results
                                                                                     Indicator Description                                                    Targets                 Results
 Outcome                                                                                                                                                                                                Method       (after verification)        (this should not be a “Copy and Paste” of the reasons provided by the PR)
                                                                                                                                                         (from Attachment)      (as reported by PR)

   Impact          Case notification rate - Number of new HIV cases registered yearly per one million of general population                                      10                     20               Select

  Outcome          Percentage of injecting drug users (IDUs) who have adopted behaviors that reduce transmission of HIV                                           0                    N/A               Select

  Outcome          Percentage of commercial sex workers (CSWs) reporting condom use with all sexual partners                                                      0                     0                Select
                                                                                                                                                                 TBD
  Outcome          Percentage of men having sex with men (MSM) reporting condom use at last anal sex                                                                                    1                Select
                                                                                                                                                         (by baseline survey)
                                                                                                                                                                 TBD
  Outcome          Percentage of prisoners who report condom use with all sexual partners                                                                                              N/A               Select
                                                                                                                                                           (baseline survey)
  Outcome          Percentage of young people living with HIV/AIDS (YPLWHA) who report consistent condom use with all sexual partners                   TBD (baseline survey)          N/A               Select

                                                                                                                                                                                                         Select

                                                                                                                                                                                                         Select

                                                                                                                                                                                                         Select

                                                                                                                                                                                                         Select

                                                                                                                                                                                                         Select

                                                                                                                                                                                                         Select




         SD 3.1A - Form, Ongoing DR/PU and LFA Review and Recommendation_v2.1 February 2006                                                                                                                                                                                                                                  Page 14 of 22
LFA On-going Progress Review and Disbursement Recommendation
PROGRESS UPDATE PERIOD
Grant number:                                                ROM-607-G03-h
Progress Update - Reporting Period:                       Cycle:                        Semester             Number:                     3
Progress Update - Period Covered:                         Beginning Date:               1-Jul-2008           End Date:                   31-Dec-2008
Progress Update - Number:                                    3


iii. Service Delivery Areas, Indicators, and Targets
                                                                                                                                                                      Intended Targets       Actual Results
 Objective                                                                                                                                                                                                        Verification   Modified Results       LFA analysis on progress to date, any variance between targets and results
                       Service Delivery Area                                                         Indicator Description                                                 to date               to date
   No.                                                                                                                                                                                                              Method       (after verification)      (this should not be a “Copy and Paste” of the reasons provided by the PR)
                                                                                                                                                                      (from Attachment)    (as reported by PR)

     1          Prevention: BCC - community outreach          Number of injecting drug users reached with HIV/AIDS prevention programs                                      6,000                6,255               Select

     1          Prevention: BCC - community outreach          Number of commercial sex workers reached with HIV/AIDS prevention programs                                    3,400                2,472               Select

     1          Prevention: BCC - community outreach          Number of men having sex with men reached with HIV/AIDS prevention programs                                  10,500                25,795              Select
                                                              Percentage of men having sex with men (MSM) reporting having ever been counseled and tested for
     1            Prevention: Testing and Counseling                                                                                                                    not applicable             1                 Select
                                                              HIV (including provision of results)
     1          Prevention: BCC - community outreach          Number of Roma reached with HIV/AIDs prevention programs                                                      6,000                10,355              Select

     1          Prevention: BCC - community outreach          Number of street children and youth reached with HIV/AIDS prevention programs                                  500                 1,674               Select

     1          Prevention: BCC - community outreach          Number of prisoners reached with HIV/AIDS prevention programs                                                26,800                7,138               Select
                                                              Number of injecting drug users (IDUs) and commercial sex workers (CSWs) temporarily in police arrests   250 IDUs and 300
     1          Prevention: BCC - community outreach                                                                                                                                      518 IDUs, 8 SWs (526)      Select
                                                              reached with HIV prevention programs                                                                          CSWs
                                                              Number of people from vulnerable groups trained to deliver HIV prevention through peer education and
     1          Prevention: BCC - community outreach                                                                                                                        1,220                1,375               Select
                                                              community outreach programs
                                                              Number of condoms distributed to vulnerable groups (IDUs, CSWs, Roma, street children and
     1              Prevention: Condon distribution                                                                                                                      1,758,000             1,071,478             Select
                                                              prisoners)
                                                              Number of injecting drug users, commercial sex workers, Roma and prisoners who have received HIV
     1            Prevention: Testing and Counseling                                                                                                                        8,710                1,721               Select
                                                              pre-test counseling/information, were tested and received test results
                Care and support: Care and support for        Number of young people living with HIV/AIDS reached with information and education activities within
     2                                                                                                                                                                      1,193                1,762               Select
                           the chronically ill                the "Education for life" framework
                Care and support: Care and support for
     2                                                        Number of PLWHA receiving professional and occupational integration counseling                                 510                  599                Select
                           the chronically ill
                Care and support: Care and support for
     2                                                        Number of service providers trained in family planning and professional integration for PLWHA                  292                  291                Select
                           the chronically ill
                                                                                                                                                                                                                     Select

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         SD 3.1A - Form, Ongoing DR/PU and LFA Review and Recommendation_v2.1 February 2006                                                                                                                                                                                                                                Page 15 of 22
LFA On-going Progress Review and Disbursement Recommendation
PROGRESS UPDATE PERIOD
Grant number:                                              ROM-607-G03-h
Progress Update - Reporting Period:                      Cycle:                    Semester     Number:     3
Progress Update - Period Covered:                        Beginning Date:           1-Jul-2008   End Date:   31-Dec-2008
Progress Update - Number:                                  3


B. LFA COMMENTS ON THE FULFILLMENT OF CONDITIONS PRECEDENT AND/OR SPECIAL CONDITIONS UNDER THE GRANT AGREEMENT
                                                                                                                                                          LFA Analysis
                               Conditions Precedent and/or other special conditions                           Fulfilled?
                                                                                                                           (this should not be a “Copy and Paste” of the comments provided by the PR)
   #REF!                                                                                                       Select

   #REF!                                                                                                       Select

   #REF!                                                                                                       Select

                                                                                                               Select

                                                                                                               Select

                                                                                                               Select

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   #REF!                                                                                                       Select

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   #REF!                                                                                                       Select




   SD 3.1A - Form, Ongoing DR/PU and LFA Review and Recommendation_v2.1 February 2006                                                                                                                   Page 16 of 22
LFA On-going Progress Review and Disbursement Recommendation
PROGRESS UPDATE PERIOD
Grant number:                                                                  ROM-607-G03-h
Progress Update - Reporting Period:                                         Cycle:                      Semester            Number:                 3
Progress Update - Period Covered:                                           Beginning Date:             1-Jul-2008          End Date:               31-Dec-2008
Progress Update - Number:                                                      3


C. PROGRAM EXPENDITURES
                                                                                                                                                                                                                      Cumulative
                                                                                                                                                                           LFA's Analysis of Variance                                  Actual through                                LFA's Analysis of Variance
                                                                               Budget for                Actual for                                LFA Verified                                                    Budget through
       All amounts are in: Please select currency on Page 1                                                                     Variance                          (this should not be a “Copy and Paste” of the                      period of Progress   Variance          (this should not be a “Copy and Paste” of the
                                                                             Reporting Period         Reporting Period1                               (Y/N)
                                                                                                                                                                           reasons provided by the PR)
                                                                                                                                                                                                                  period of Progress
                                                                                                                                                                                                                                                                                     reasons provided by the PR)
                                                                                                                                                                                                                                          Update
                                                                                                                                                                                                                       Update
1. Total actual expenditures vs. budget                                             1,638,726.00           1,497,519.96            141,206.04                                                                           5,268,605.00       4,554,900.15      713,704.85                           v

  1a. PR's total expenditures                                                         112,938.00             104,037.15                 8,900.85      Select                                                              379,022.00        295,061.15        83,960.85

  1b. Disbursements to sub-recipients                                               1,525,788.00           1,393,482.81            132,305.19         Select                                                            4,889,583.00       4,259,839.00      629,744.00


2. Health product expenditures vs. budget
                                                                                      240,030.00             207,886.81             32,143.19         Select                                                              652,070.00        505,074.00       146,996.00
 (already included in "Total actual" figures above)

  2a. Pharmaceuticals                                                                          0.00                  0.00                  0.00       Select                                                                    0.00               0.00              0.00

  2b. Health products, commodities and equipment                                      240,030.00             207,886.81             32,143.19         Select                                                              652,070.00        505,074.00       146,996.00


Program expenditures were used for the procurement of health products:                                                                                Select

If yes, information about procurements have been included in the Global Fund's Price Reporting Mechanism:                                             Select




          SD 3.1A - Form, Ongoing DR/PU and LFA Review and Recommendation_v2.1 February 2006                                                                                                                                                                                                      Page 17 of 22
LFA On-going Progress Review and Disbursement Recommendation
PROGRESS UPDATE PERIOD
Grant number:                                                        ROM-607-G03-h
Progress Update - Reporting Period:                                Cycle:                     Semester                        Number:                     3
Progress Update - Period Covered:                                  Beginning Date:            1-Jul-2008                      End Date:                   31-Dec-2008
Progress Update - Number:                                            3


D. LFA RATING AND COMMENTS ON PROGRAMMATIC AND FINANCIAL PROGRESS


1. LFA's Rating of PR's overall performance (1)                            Select

2. Reasons for this Rating (including key issues and potential future risks):




3. LFA comments on PR planned changes in the program, if any (please refer to section 1.A.v of the PR's Progress Update / Disbursement Request ):




4. LFA comments on data quality and reporting:




5. LFA comments on other program results, success stories, issues or lessons learned (please refer to section 1.A.vi of the PR's Progress Update / Disbursement Request ):




1 - This rating should pertain to the cumulative progress (from the beginning of the Program to the end of the period covered by the Progress Update). It should take into consideration programmatic, financial and contextual factors.
 - LFA ratings have been modified to be consistent with the Global Fund's new rating system. The new ratings relate to the previous ratings as follows:

                           New Scale                                                       Old Scale
     Rating        Description                                             Rating          Description
                                                                              5            Exceptional
        A          Expected or exceeding expectations
                                                                              4            Expected
       B1          Adequate                                                   3            Minor adjustments needed
                                                                              2            Major adjustments needed
       B2          Inadequate but potential demonstrated
                                                                              1            Little progress made
        C          Unacceptable                                               0            Major program issues




     SD 3.1A - Form, Ongoing DR/PU and LFA Review and Recommendation_v2.1 February 2006                                                                                                                                                    Page 18 of 22
LFA On-going Progress Review and Disbursement Recommendation
DISBURSEMENT REQUEST PERIOD
Grant number:                                                                      ROM-607-G03-h
Disbursement Request - Disbursement Period:                                      Cycle:            Semester       Number:                4
Disbursement Request - Period Covered:                                           Beginning Date:   1-Jan-2009     End Date:              30-Jun-2009
Disbursement Request - Number:                                                     4


Section 2: LFA Review and Verification of the Principal Recipient's Cash Reconciliation and Disbursement Request
LFA COMMENTS ON THE CASH RECONCILIATION AND DISBURSEMENT REQUEST

1. The PR cash reconciliation is calculated correctly and is supported by a detailed Statement of Sources and Uses of Funds (i.e., Cash Flow statement):           Select
Comments:




2. The PR Cash Request is calculated correctly and is supported by appropriate current budget forecasts:                                                           Select
Comments:




3. The LFA has identified expenditures (incurred or forecasted) that should not be financed by the Global Fund:                                                    Select
Comments:




4. The LFA has identified variance between the forecasted expenditures and the original budget for the disbursement period, including variance in line items:      Select
Comments:




    SD 3.1A - Form, Ongoing DR/PU and LFA Review and Recommendation_v2.1 February 2006                                                                          Page 19 of 22
LFA On-going Progress Review and Disbursement Recommendation
DISBURSEMENT REQUEST PERIOD
Grant number:                                                                       ROM-607-G03-h
Disbursement Request - Disbursement Period:                                      Cycle:             Semester     Number:     4
Disbursement Request - Period Covered:                                           Beginning Date:    1-Jan-2009   End Date:   30-Jun-2009
Disbursement Request - Number:                                                      4



Section 3: LFA Recommendations and Review of Progress on Previous Recommendations
A. LFA RECOMMENDATIONS FOR THE CURRENT PROGRESS UPDATE AND DISBURSEMENT REQUEST
                                                                        LFA Recommendations                                                  Global Fund Decisions




B. LFA REVIEW OF PROGRESS ON PREVIOUS RECOMMENDATIONS CONFIRMED BY THE GLOBAL FUND
                                                                   Previous Global Fund Decision                                           LFA Review of PR Progress




       SD 3.1A - Form, Ongoing DR/PU and LFA Review and Recommendation_v2.1 February 2006                                                                              Page 20 of 22
LFA On-going Progress Review and Disbursement Recommendation
LFA Organization / Responsible office:

GENERAL GRANT INFORMATION
Country:                                                          Romania
Disease:                                                          HIV/AIDS
Grant Number:                                                     ROM-607-G03-h
Principal Recipient:                                              Romanian Angel Appeal Foundation
Program Start Date:                                               1-Jul-2007
Currency:                                                         EUR

PROGRESS UPDATE PERIOD
Progress Update - Reporting Period:                            Cycle:                     Semester           Number:             3
Progress Update - Period Covered:                              Beginning Date:            1-Jul-2008         End Date:           31-Dec-2008
Progress Update - Number:                                        3

DISBURSEMENT REQUEST PERIOD
Disbursement Request - Disbursement Period:                    Cycle:                     Semester           Number:             4
Disbursement Request - Period Covered:                         Beginning Date:            1-Jan-2009         End Date:           30-Jun-2009
Disbursement Request - Number:                                   4


Section 4: Disbursement Recommendation and Progress Review Summary
A. DISBURSEMENT RECOMMENDATION

1. Cash amount requested by the Principal Recipient form the Global Fund for next disbursement period plus one additional quarter (amount in: EUR):                      1,068,358.28

2. LFA disbursement recommendation (amount in: EUR):

3. Reasons for the LFA's disbursement recommendation:




B. LFA RATING
                                                                                      please select rating
LFA's rating of PR's overall progress                                                   in 'LFA_Section
                                                                                              1.D.1'

C. VERIFICATIONS
The following information provided by the Principal Recipient in its On-going Progress Review and Disbursement Request has been verified:                                               Comments regarding verifications, if any:

         Select           Signature on behalf of Principal Recipient is authentic and the person to whom it belongs is authorized to sign the disbursement request

         Select           Conditions Precedent for disbursement and/or Special Conditions, if any, have been met (see Section 2, if applicable).
                          Program Expenditures and cash reconciliation have been verified and correspond with the PR's Statement of Sources and Uses of Funds (Cash Flow
         Select           Statement).

                          Programmatic information provided by Principal Recipient in its On-going Progress Review and Disbursement Recommendation has been verified and
         Select           corresponds with actual program progress.

         Select           Exchange rate stated by Principal Recipient has been verified and is correct.

                          Bank account information provided on the face sheet of Grant Agreement (Grant No. / Mod. No.):                                             (or as otherwise
         Select           stated by the PR in its Progress Update / Disbursement Request) has been verified and is correct.

         Select           Current budget forecasts of the Principal Recipient for the next disbursement period plus one additional quarter have been reviewed for reasonableness




Signed on behalf of the LFA:

Name:

Title:

Date and Place:

     SD 3.1A - Form, Ongoing DR/PU and LFA Review and Recommendation_v2.1 February 2006                                                                                                                                             Page 21 of 22
    OPTIONAL - insert image of
      LFA signature here*:
         (the size should not exceed
            the limit of cells B2:D2)




* In every case, the LFA should provide a bona fide signature (in LFA_Section 4) on the original
(paper-based) LFA report, sent to the Global Fund by mail.

				
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