Download Slide Presentation - Pre-Application Technical Assistance Call

Resilient and Responsive Health Systems
(RRHS) Initiative
Pre-Application Technical Assistance Call
Competitive Funding Opportunity Announcement:
HRSA-17-007
June 16, 2016 10:30am-12:30pm
U.S. Department of Health and Human Services
Health Resources and Services Administration
HIV/AIDS Bureau
Office of Training and Capacity Development
Division of Global Programs
Welcome and Introductions
 Tracy Carson, Director, Global Division
 Dr. Jose “Rafi” Morales, Senior Clinical Advisor,
Global Division
 Ray Goldstine, Senior Advisor, Global Division
 Beverly Smith, Grants Management Specialist
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Agenda
 PEPFAR and HRSA
 RRHS Objectives, Priorities
and Outcomes
 Program Requirements
 Funding and Awards
 Application Requirements
 Country-specific
Considerations
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 RRHO
 Coordination with
Stakeholders
 Budget
 Eligibility
 Contacts
 Q&A
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The U.S. President’s Emergency Plan
for AIDS Relief (PEPFAR)
The Resilient & Responsive Health Systems (RRHS)
Initiative is funded through the U.S. President's
Emergency Plan for AIDS Relief (PEPFAR)
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PEPFAR and HRSA
• Since 2003, HRSA has been a significant contributor to
PEPFAR’s achievements. HRSA’s work builds on the agency’s
domestic and international experience in HIV care and
treatment and in health system strengthening including
human resources for health interventions that support site
level activities.
• HRSA’s global PEPFAR mission is captured in three words:
• Caring (delivery of HIV/AIDS care and treatment services)
• Strengthening (training and technical assistance to build
and strengthening care programs so that affected countries
can maintain programs over time)
• Sustaining (partnerships to build skills and prepare host
countries so that they may better manage their own
programs over the long term)
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Technical Terms
• The RRHS Initiative Collaborative: All
entities/partners that will provide or receive
direct or indirect support and/or technical
assistance and capacity development
services through this program.
• RRHS Focus Countries: DRC, Liberia,
Sierra Leone, and South Sudan.
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Additional Terms
• Country Consortiums: Entities/partners applying together through
an applicant institution to address health systems challenges in one
specified country. Country consortiums consist of:
o Applicant institution: The applicant institution must meet the eligibility
requirements and assumes all legal, programmatic, and financial
responsibilities under the award.
o Implementing and Technical Partners: US and/or foreign based
consortium partners who contribute to the ability of the consortium to
accomplish the program goals and objectives.
o Impact Partners: Partners from the RRHS Focus Country, including
but not limited to public or private academic institutions, national health
professional councils, civil society organizations, and national
regulatory bodies.
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RRHS Initiative Objectives
• The purpose of this initiative is to address fundamental
health systems constraints that impede the availability of
and access to quality health services related to HIV, other
infectious diseases and priority health areas in the
Democratic Republic of Congo (DRC), Liberia, Sierra
Leone, and South Sudan. The initiative aims to support
the implementation of countries’ national health
strategies and recovery plans to respond to emerging
epidemics, to prevent, manage, and control HIV and
other diseases, and to improve population health
outcomes.
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RRHS Priorities
To meet the objectives, the RRHS initiative will work with country stakeholders
to collectively prioritize and develop sustainable and country-led solutions to
address national priorities that include the following:
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Priority 1: Build a skilled fit-for-purpose and practice health workforce
that increases the quantity and quality of health services provided in
these four countries.
Priority 2: Improve the quality and use of Human Resources for
Health (HRH) information in decision making.
Priority 3: Enhance community-based care and its ability to respond to
current and future health needs.
Priority 4: Strengthen government capacity to plan, implement,
manage, and monitor the health system through policy, regulation and
leadership development.
Priority 5: Promote an enabling fiscal environment for health
workforce development.
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RRHS Outcomes
By 2022, it is expected that the RRHS Initiative will contribute
to achieving progress towards the following objectives in each
country:
 Improved health outcomes, with a targeted focus on
decreasing maternal, child mortality, decreasing new HIV
infections, and improving HIV-related health outcomes
 Improved use of HRH information in decision making
 Improved coordination and monitoring of HRH functions
 Improved HRH workforce performance and management
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Type of Award
• Funding will be provided in the
form of a cooperative agreement.
• An award instrument of financial
assistance where substantial
involvement is anticipated between
HRSA and the recipient during
performance of the contemplated
project.
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Funding
 The RRHS is a 5 year cooperative agreement
for the period 1/1/2017-12/31/2022
 Applicants may apply for a ceiling amount of
up to $1,500,000 per country in Year One
and up to $2,000,000 per country in Years
Two (2) through Five (5).
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Number of Awards
 A separate award will be made for each of the
four countries.
 If you are applying as the applicant institution
for more than one RRHS Focus Country, then
you must submit separate applications for each
applicable RRHS Focus Country (DRC, Liberia,
Sierra Leone, and South Sudan).
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Application Design
Requirements
 Applicants are required to apply as a consortium that
at minimum includes collaborations with two entities
from the RRHS Focus Country.
 The lead applicant institution must meet the eligibility
requirements and assumes all legal, programmatic,
and financial responsibilities under the award.
Consortium participants would be considered subrecipients under the award. Subrecipients are subject
to all programmatic terms and conditions of the award.
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Project Narrative
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Introduction
Needs Assessment
Methodology
Work Plan
Resolution of Challenges
Evaluation and Technical Support Capacity
Organizational Information
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Country-specific Considerations
 Liberia
 Applicants should propose a project that supports
medical education through the University of Liberia
Medical School; and nursing education at the policy
level and directly working with at least two nursing
schools in Liberia. Interventions should be directed
towards increasing the number and quality of
graduates.
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Country-specific Considerations
 DRC
 Applicants should proposea project that includes at least four
nursing schools in the Lubumbashi area, including Institut
d’Enseignement Medical Kamalondo and Institut Superieur des
Techniques Medicales Lubumbashi nursing schools. The focus
of the interventions should be directed towards improving the
quality of the graduates and supporting their absorption into
the health system. Support to the nursing schools could
include the development of a midwifery track to one or more
schools. Proposals should also include work to support medical
education through working with at least one medical school in
the Lubumbashi area.
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Country-specific Considerations
 Sierra Leone
 Applicants should propose a project that improves
maternal health and HIV outcomes through a
strengthened midwifery pre-service education platform.
Applications should also include innovative and
integrated efforts with the Ministry of Health and
Sanitation HRH Directorate towards development of a
national training plan and a formal continuing
professional development program, including efforts to
strengthen capacity for HIV/AIDS treatment and
prevention service delivery.
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Country-specific Considerations
 South Sudan
 Applications for the program in South Sudan
should plan to include strategies for increasing
HRH efficiencies and HRH sufficiency for scale-up
and sustainability, including for HIV/AIDS.
Proposals should also be aligned with national
priorities as outlined in national plans and the
2016 PEPFAR Strategic Direction Summary (SDS).
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Attachments
• Attachment 1: Work Plan
• Attachment 2: Staffing and Job Description
for Key Personnel (KP)
• Attachment 3: Biographical Sketches KP
• Attachment 4: Letter of Support, MOU, MOA
• Attachment 5: Project Organizational Chart
• Attachment 6: Line-item Budget
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Attachments
• Attachment 7: Fifth Year Budget
• Attachment 8: Indirect Cost
• Attachment 9 : Global Health Federal Grants
and or CoAg
• Attachment10: Past Performance
References
• Attachment11-15: Other Relevant
Documents
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Review Criteria
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Criterion
Corresponding Sections
Score
1
NEED
Section IV’s Introduction and Needs Assessment
15 points
2
RESPONSE
Section IV’s Methodology, Work Plan and Resolution
of Challenges
30 points
3
EVALUATIVE
MEASURES
Section IV’s Evaluation and Technical Support
Capacity
15 points
4
IMPACT
Section IV’s Work Plan, Evaluation and Technical
10 points
5
RESOURCES/
CAPABILITIES
Section IV’s Evaluation and Technical Support
20 points
6
SUPPORT
REQUESTED
Section IV’s Budget and Budget Narrative
10 points
Support Capacity
Capacity, Organizational Information, Budget and
Budget Justification Narrative, and Attachments
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Components of the Budget
Budget Documents consist of
3 major parts:
1. SF-424A budget form within the
application
2. Line item budget (attachment 6)
3. Budget justification narrative
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Budget
• See HRSA SF- 424 Application Guide section 4.1.iv
and v (pp. 32-42) and FOA section IV.2.iii (pp. 29)
for instructions on preparing the budget and budget
justification narrative.
• Provide separate line item budgets for each year of
the proposed project period as a single
spreadsheet table, using the Section B Budget
Categories of the SF-424A and breaking down
subcategorical costs as appropriate. Excel
spreadsheets are strongly preferred. .
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Application Budget SF-424A
(Application Guide, Section 4.1 iv, page 34)
This FOA is for a multi-year (5-year) period
Accordingly:
• Please complete the SF-424A Budget form
included with the application package (Sections A
– J and the Cumulative Budget) for each budget
period.
• Year 5 budget: This should be included as an
attachment (Attachment 7)
Application
Budget Justification Narrative
 Provide a budget narrative that explains amounts
requested for each line of the budget in Sections A-F..
 Describe each cost element and explain how each cost
contributes to meeting the project’s objectives/goals. Be
very careful about showing how each item in the “other”
category is justified.
 For subsequent budget years, highlight any changes from
year one or clearly indicate that there are no substantive
budget changes during the project period.
 MUST be concise. Do NOT use the justification to expand
the project narrative.
Indirect Costs
• In order to comply with Federal requirements, foreign
entities may budget for a fixed indirect cost rate of eight (8)
percent of modified total direct costs (exclusive of tuition
and related fees, equipment, and the portion of each
subaward in excess of $25,000)
• US domestic organizations may budget for indirect costs
per their federally-negotiated indirect cost rate agreement.
• US domestic entities that have never received a negotiated
indirect cost rate, (except a governmental department or
agency unit that receives more than $35 million in direct
federal funding) may elect to charge a de minimis rate of
10% of modified total direct costs (MTDC)
Eligibility Information
 Eligible Applicants
Domestic and foreign public and private
nonprofit entities, including institutions of
higher education, faith-based and
community-based organizations, Tribes
and tribal organizations, and for profit
entities.
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Application Submission
Registration Requirements
 Obtain a Data Universal Numbering Systems number (DUNS)
 Register with the System for Award Management (SAM)
 Identify the organization’s E-Business Point of Contact (E-Biz POC)
 Confirm the organization’s SAM registration is active and the
“Marketing Partner ID Number (M-PIN)” is current.
 Register an Authorized Organization Representative (AOR)
 Obtain a username and password from the Grants.gov Credential
Provider
Register online at www.Grants.gov
Registration can take at least one month: Start Now!
See Section 3.1 of the Application Guide for detailed instructions.
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Application Submission
Format Requirements
 The total size of all uploaded files may not exceed the
equivalent of 80 pages when printed by HRSA
 This 80-page limit includes the abstract, project and budget
narratives, attachments, and letters of commitment and
support. Standard forms are NOT included in the page limit
 Applications that exceed the specified limits (that exceed the
equivalent of 80 pages when printed by HRSA) will be
deemed non-responsive
 It is strongly recommended that applicants print their
proposals before submitting to ensure the 80-page limit is met
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Application Submission Information
 Dun and Bradstreet Universal Numbering System
Number and System for Award Management
(formerly, Central Contractor Registration)
 Applicant organizations must obtain a valid DUNS number and
provide that number in their application. Applicant must also
register with the System for Award Management (SAM) and
continue to maintain active SAM registration with current
information at all times during which it has an active federal
award or an application or plan under consideration by an
agency.
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Application Submission Information
Per Grants.gov
(http://www.grants.gov/web/grants/applicants/organizationregistration/step-1-obtain-duns-number.html)
Information for Foreign Applicants
If your organization is located outside the United States, you can
register for a DUNS number online. To register with D&B, you are not
required to obtain a federal Tax Identification Number (TIN), also
known as an Employer Identification Number (EIN). When registering,
simply leave the TIN/EIN information blank. However, anyone doing
business with the federal government generally needs to obtain a
TIN/EIN in order to meet Internal Revenue Service (IRS) tax
reporting requirements.
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Eligibility Information
 Other
 Applications that fail to address the programmatic goals
and requirements outlined in this FOA will not be
considered for review
 Applications that request amounts that exceed the ceiling
amount will not be considered for funding under this
announcement
 Any application that fails to satisfy the deadline
requirements referenced in Section IV.3 will be considered
non-responsive and will not be considered for funding
under this announcement
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Work Plan: Tips
Your Work Plan should include objectives and key action
steps that are:
SPECIFIC
MEASURABLE
ACHIEVABLE
REALISTIC &
TIME FRAMED!
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Application Submission
Due Date
AND, most of all, … Be On Time!
Electronic applications
must be received and validated by Grants.gov
no later than:
August 5, 2016
11:59 PM, EST
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Questions
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ACCESS TARGET Center Webinar Page
https://careacttarget.org/calendar/funding-opportunity-hrsa17-007-resilient-and-responsive-health-systems-initiative
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Contacts
Program Questions
Budget Questions
Dr. Jose “Rafi” Morales
301-443-3650
[email protected]
Sola Dada
(301) 443-0195
[email protected]
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