47045-STP-Z-UNDP-1 The Global Fund to Fight AIDS, Tuberculosis and Malaria <narrative>Investing to achieve elimination for Malaria and impact against TB and HIV in Sao Tome and Principe - Sao Tome and Principe (01-Jan-2018-31-Dec-2020)</narrative> Sao Tome and Principe, Multicomponent, United Nations Development Programme Goals: Reduce morbidity amongst people living with HIV/AIDS from 0.13 in 2013 to 0.06 per 1,000 inhabitants by 2021 and reduce mortality from 28.8 in 2013 to 4.15 per 100,000 inhabitants by 2021; Increase the treatment success rate for all forms of TB that have been bacteriologically confirmed and clinically diagnosed from 76.5% in 2016 to ≥85% by 2020; By 2021, reduce the incidence of malaria by at least 1 case per 1,000 inhabitants within all of the districts of São Tomé and record 0 (zero) endemic cases within the Autonomous Region of Príncipe. Objectives: Significantly reduce the rate of sexual transmission of HIV infection in São Tomé and Príncipe from 0.5% in 2014 to 0.4% in 2020; Reduce the morbidity and mortality and improve the quality of life of people living with HIV, their partners and their families and provide support to orphans; Eliminate mother to child transmission of HIV: 0% in 2020; Increase the institutional capacity of the National AIDS, Malaria and Tuberculosis Control Program/of the Ministry of Health as well as civil society in order to respond to the HIV epidemic; Increase the reporting rates of cases of tuberculosis from 71 cases per 100,000 inhabitants in 2012 to 80 cases per 100,000 inhabitants in 2020 by increasing screening among key populations; Increase the rates of tuberculosis treatment success to more than 85%, by placing the emphasis on rigorous DOT; Carry out routine tuberculosis screening using Xpert testing for all patients undergoing tuberculosis and TB treatment; Provide care and support to over 95% of patients co-infected by tuberculosis and HIV by HIV-screening more than 95% of patients suffering from tuberculosis; tuberculosis screening for all PLHIV; and treatment (cotrimoxazole, ART) for tuberculosis/HIV; Strengthen the epidemiological surveillance system and entomological monitoring and evaluation at central and district level and within the Autonomous Region of Príncipe, as well as detection and response to epidemics; Detect 100% of cases of malaria infection throughout the country, using a high-quality biological diagnosis and treat appropriately depending on the national policy for case management; In 2021, ensure that 100% of the at-risk population benefits from interventions integrated with vector control and other evidence-based prevention interventions (mapping, resistance to vector stratification, etc.); By 2021, develop social mobilization and mobilization of communication adapted to the vision of malaria elimination. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme United Nations Development Programme The Global Fund to Fight AIDS, Tuberculosis and Malaria The Global Fund to Fight AIDS, Tuberculosis and Malaria Communications +41 58 791 1700 website@theglobalfund.org https://www.theglobalfund.org The Global Fund to Fight AIDS, Tuberculosis and Malaria, Global Health Campus, Chemin du Pommier 40, 1218 Grand-Saconnex, Geneva, Switzerland The Global Fund to Fight AIDS, Tuberculosis and Malaria Grant Management Division xxxx xxxx Fund Portfolio Manager +41 58 791 1700 xxxx https://www.theglobalfund.org The Global Fund to Fight AIDS, Tuberculosis and Malaria, Global Health Campus, Chemin du Pommier 40, 1218 Grand-Saconnex, Geneva, Switzerland Sao Tome and Principe Malaria Multicomponent, RSSH HIV Tuberculosis Ensure healthy lives and promote well-being for all at all ages End the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases, and combat hepatitis, water-borne diseases and other communicable diseases Achieve universal health coverage HIV -> Comprehensive prevention programs for sex workers and their clients -> Interventions for young people who sell sex HIV -> Comprehensive prevention programs for sex workers and their clients -> Other intervention(s) for sex workers and their clients HIV -> Prevention programs for adolescents and youth, in and out of school -> Behavioral change as part of programs for adolescent and youth HIV -> Prevention programs for general population -> Behavioral interventions as part of programs for general population HIV -> Prevention programs for general population -> Diagnosis and treatment of STIs and other sexual health services for general population HIV -> Prevention programs for general population -> Other intervention(s) for general population HIV -> Prevention programs for other vulnerable populations -> Behavioral interventions for other vulnerable populations HIV -> Prevention programs for other vulnerable populations -> Diagnosis and treatment of STIs and other sexual health services for other vulnerable populations HIV -> Prevention programs for other vulnerable populations -> Male and female condoms for other vulnerable populations HIV -> Prevention programs for other vulnerable populations -> Other intervention(s) for other vulnerable populations HIV -> Treatment, care and support -> Counseling and psycho-social support HIV -> Treatment, care and support -> HIV care HIV -> Treatment, care and support -> Other intervention(s) for treatment HIV -> Treatment, care and support -> Prevention, diagnosis and treatment of opportunistic infections HIV -> Treatment, care and support -> Treatment adherence HIV -> Treatment, care and support -> Treatment monitoring - Drug resistance HIV -> Treatment, care and support -> Treatment monitoring - Viral load Malaria -> Case management -> Active case detection and investigation (elimination phase) Malaria -> Case management -> Epidemic preparedness Malaria -> Case management -> Facility-based treatment Malaria -> Case management -> Other case management intervention(s) Malaria -> Specific prevention interventions (SPI) -> IEC/BCC (SPI) Malaria -> Vector control -> Entomological monitoring Malaria -> Vector control -> Indoor residual spraying (IRS) Malaria -> Vector control -> Long-lasting insecticidal nets (LLIN) - Continuous distribution Malaria -> Vector control -> Long-lasting insecticidal nets (LLIN) - Mass campaign Malaria -> Vector control -> Other vector control measures Multicomponent -> Program management -> Coordination and management of national disease control programs Multicomponent -> Program management -> Grant management Multicomponent -> Program management -> Other program management intervention(s) RSSH -> RSSH: Community systems strengthening -> Community-based monitoring RSSH -> RSSH: Community systems strengthening -> Social mobilization, building community linkages and coordination RSSH -> RSSH: Health management information systems and M&E -> Other health information systems and M&E intervention(s) RSSH -> RSSH: Health products management systems -> Other procurement supply chain management intervention(s) RSSH -> RSSH: Health products management systems -> Procurement strategy RSSH -> RSSH: Health products management systems -> Supply chain infrastructure and development of tools RSSH -> RSSH: Human resources for health, including community health workers -> Capacity building for health workers, including those at community level RSSH -> RSSH: Human resources for health, including community health workers -> Other health and community workforce intervention(s) RSSH -> RSSH: Integrated service delivery and quality improvement -> Other service delivery intervention(s) RSSH -> RSSH: Integrated service delivery and quality improvement -> Supportive policy and programmatic environment Tuberculosis -> MDR-TB -> Treatment (MDR-TB) Tuberculosis -> TB care and prevention -> Case detection and diagnosis (TB care and prevention) Tuberculosis -> TB care and prevention -> Engaging all care providers (TB care and prevention) Tuberculosis -> TB care and prevention -> Prevention (TB care and prevention) Tuberculosis -> TB care and prevention -> Treatment (TB care and prevention) 1991610.15 1850354.93 2890739.33 3698448.25 Global Fund commitment to STP-Z-UNDPP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 1441075.95 Global Fund disbursement to STP-Z-UNDPP01 (Multilateral). The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 522995.17 Global Fund disbursement to STP-Z-UNDPP01 (Multilateral). The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 368316.91 Global Fund disbursement to STP-Z-UNDPP01 (Multilateral). The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 321757.82 Global Fund disbursement to STP-Z-UNDPP01 (Multilateral). The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 597023.34 Global Fund disbursement to STP-Z-UNDPP01 (Multilateral). The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 447279.06 Global Fund disbursement to STP-Z-UNDPP01 (Multilateral). The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 1760864.96 Global Fund commitment to STP-Z-UNDPP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 238911.28 Global Fund disbursement to STP-Z-UNDPP01 (Multilateral). The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 181429.05 Global Fund disbursement to STP-Z-UNDPP01 (Multilateral). The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 1179049.49 Global Fund disbursement to STP-Z-UNDPP01 (Multilateral). The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 161475.14 Global Fund disbursement to STP-Z-UNDPP01 (Multilateral). The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 1145816.38 Global Fund commitment to STP-Z-UNDPP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 1041682.17 Global Fund disbursement to STP-Z-UNDPP01 (Multilateral). The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 104134.22 Global Fund disbursement to STP-Z-UNDPP01 (Multilateral). The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 36483.60 Funds returned to the Global Fund from STP-Z-UNDPP01 (Multilateral). United Nations Development Programme The Global Fund to Fight AIDS, Tuberculosis and Malaria -36483.60 Global Fund commitment to STP-Z-UNDPP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 3795.49 Funds returned to the Global Fund from STP-Z-UNDPP01 (Multilateral). United Nations Development Programme The Global Fund to Fight AIDS, Tuberculosis and Malaria -3795.49 Global Fund commitment to STP-Z-UNDPP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 1858.21 Funds returned to the Global Fund from STP-Z-UNDPP01 (Multilateral). United Nations Development Programme The Global Fund to Fight AIDS, Tuberculosis and Malaria -1858.21 Global Fund commitment to STP-Z-UNDPP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 1991610.40 Expenditure reported by United Nations Development Programme for STP-Z-UNDPP01, Jan 2018 to Dec 2018. United Nations Development Programme 1850354.94 Expenditure reported by United Nations Development Programme for STP-Z-UNDPP01, Jan 2019 to Dec 2019. United Nations Development Programme 2357820.31 Expenditure reported by United Nations Development Programme for STP-Z-UNDPP01, Jan 2020 to Dec 2020. United Nations Development Programme 336624.89 Expenditure reported by United Nations Development Programme for STP-Z-UNDPP01, Jan 2021 to Sep 2021. United Nations Development Programme <narrative>Grant page on the data explorer of the Global Fund.</narrative> An overview of a grant over its lifetime. <narrative>Grant terms and conditions.</narrative> General terms and conditions which apply to Global Fund grants. <narrative>Proportion of confirmed malaria cases that received first-line antimalarial treatment at public sector health facilities</narrative> Module: Case management. <narrative>Proportion of confirmed malaria cases that received first-line antimalarial treatment at public sector health facilities</narrative> Geographic coverage: National. Aggregation: Non cumulative. Numerator: 2238; Denominator: 2238. Numerator: 1816; Denominator: 1816. Numerator: 2940; Denominator: 2940. Numerator: 1030; Denominator: 1030. Numerator: 2457; Denominator: 2457. Numerator: 420; Denominator: 420. Numerator: 1944; Denominator: 1944. <narrative>Proportion of suspected malaria cases that receive a parasitological test at public sector health facilities</narrative> Module: Case management. <narrative>Proportion of suspected malaria cases that receive a parasitological test at public sector health facilities</narrative> Geographic coverage: National. Aggregation: Non cumulative. Numerator: 121334; Denominator: 121334. Numerator: 160646; Denominator: 160646. Numerator: 169883; Denominator: 169883. Numerator: 184534; Denominator: 184534. Numerator: 163188; Denominator: 163188. Numerator: 212214; Denominator: 212214. Numerator: 195365; Denominator: 195365. <narrative>Percentage of sex workers reached with HIV prevention programs - defined package of services</narrative> Module: Comprehensive prevention programs for sex workers and their clients. <narrative>Percentage of sex workers reached with HIV prevention programs - defined package of services</narrative> Geographic coverage: National. Aggregation: Cumulative annually. Numerator: 84; Denominator: 89; Percentage: 94.38%. Numerator: 89. Numerator: 435. Numerator: 90; Denominator: 89; Percentage: 101.1%. Numerator: 392; Denominator: 425; Percentage: 92.2%. <narrative>Number of TB cases with RR-TB and/or MDR-TB notified</narrative> Module: MDR-TB. <narrative>Number of TB cases with RR-TB and/or MDR-TB notified</narrative> Geographic coverage: National. Aggregation: Non cumulative. <narrative>Number of cases with RR-TB and/or MDR-TB that began second-line treatment</narrative> Module: MDR-TB. <narrative>Number of cases with RR-TB and/or MDR-TB that began second-line treatment</narrative> Geographic coverage: National. Aggregation: Non cumulative. <narrative>Percentage of HIV-positive women who received ART during pregnancy and/or labour and delivery</narrative> Module: PMTCT. <narrative>Percentage of HIV-positive women who received ART during pregnancy and/or labour and delivery</narrative> Geographic coverage: National. Aggregation: Cumulative annually. Numerator: 30; Denominator: 38. Numerator: 37; Denominator: 37. Numerator: 38; Denominator: 38. Numerator: 35; Denominator: 35. Numerator: 34; Denominator: 35. Numerator: 33; Denominator: 33. Numerator: 31; Denominator: 33. <narrative>Number of notified cases of all forms of TB (i.e. bacteriologically confirmed + clinically diagnosed), new and relapse cases</narrative> Module: TB care and prevention. <narrative>Number of notified cases of all forms of TB (i.e. bacteriologically confirmed + clinically diagnosed), new and relapse cases</narrative> Geographic coverage: National. Aggregation: Non cumulative. <narrative>Treatment success rate- all forms: Percentage of TB cases, all forms, bacteriologically confirmed plus clinically diagnosed, successfully treated (cured plus treatment completed) among all TB cases registered for treatment during a specified period, new and relapse cases</narrative> Module: TB care and prevention. <narrative>Treatment success rate- all forms: Percentage of TB cases, all forms, bacteriologically confirmed plus clinically diagnosed, successfully treated (cured plus treatment completed) among all TB cases registered for treatment during a specified period, new and relapse cases</narrative> Geographic coverage: National. Aggregation: Non cumulative. Numerator: 148; Denominator: 195. Numerator: 153; Denominator: 185. Numerator: 107; Denominator: 143. Numerator: 166; Denominator: 195. Numerator: 108; Denominator: 152. Numerator: 180; Denominator: 200. Numerator: 100; Denominator: 142. <narrative>Percentage of HIV-positive new and relapse TB patients on ART during TB treatment</narrative> Module: TB/HIV. <narrative>Percentage of HIV-positive new and relapse TB patients on ART during TB treatment</narrative> Geographic coverage: National. Aggregation: Cumulative annually. Numerator: 37; Denominator: 37. Numerator: 30; Denominator: 30. Numerator: 22; Denominator: 22. Numerator: 26; Denominator: 26. Numerator: 23; Denominator: 23. Numerator: 22; Denominator: 22. Numerator: 6; Denominator: 6. <narrative>Percentage of people living with HIV currently receiving antiretroviral therapy</narrative> Module: Treatment, care and support. <narrative>Percentage of people living with HIV currently receiving antiretroviral therapy</narrative> Geographic coverage: National. Aggregation: Non cumulative - other. Numerator: 589; Denominator: 883. Numerator: 686; Denominator: 872. Numerator: 820; Denominator: 872. Numerator: 735; Denominator: 865. Numerator: 842; Denominator: 1100. Numerator: 778; Denominator: 858. Numerator: 871; Denominator: 1046. <narrative>Number of long-lasting insecticidal nets distributed to at-risk populations through mass campaigns</narrative> Module: Vector control. <narrative>Number of long-lasting insecticidal nets distributed to at-risk populations through mass campaigns</narrative> Geographic coverage: National. Aggregation: Cumulative annually. <narrative>Number of long-lasting insecticidal nets distributed to targeted risk groups through continuous distribution</narrative> Module: Vector control. <narrative>Number of long-lasting insecticidal nets distributed to targeted risk groups through continuous distribution</narrative> Geographic coverage: National. Aggregation: Non cumulative. <narrative>Proportion of households in targeted areas that received Indoor Residual Spraying during the reporting period</narrative> Module: Vector control. <narrative>Proportion of households in targeted areas that received Indoor Residual Spraying during the reporting period</narrative> Geographic coverage: National. Aggregation: Non cumulative. Numerator: 29241; Denominator: 42005. Numerator: 41147; Denominator: 48409. Numerator: 37455; Denominator: 55559. Numerator: 16576; Denominator: 19501. Numerator: 12242; Denominator: 17631. Numerator: 39329; Denominator: 46269. Numerator: 15902; Denominator: 24289.