47045-DJI-Z-UNDP-1 The Global Fund to Fight AIDS, Tuberculosis and Malaria <narrative>Support the national Malaria, TB, and HIV programs in scaling up interventions, treatment and care services nationwide, among the most affected populations - Djibouti (01-Jan-2021-31-Dec-2023)</narrative> Djibouti, Multicomponent, United Nations Development Programme Goals: Réduire de moitié les nouvelles infections par le VIH d'ici à 2022 / Reduce new HIV infections by half by 2022; Allonger l'espérance de vie et la qualité de vie des personnes infectés et affectés par le VIH et les agents de co-morbidité / Increase the life expectancy and quality of life of people infected and affected by HIV and co-morbidities; Mettre fin à la tuberculose » à l’horizon 2030 / End Tuberculosis by 2030; Contribuer à l’amélioration de l’état de santé de la population de la République de Djibouti par la réduction du fardeau humain et socio-économique dus au paludisme / To contribute to the improvement of the population of the Republic of Djibouti state of health by reducing the human and socio-economic burden due to malaria. Objectives: Au moins 90% des PVVIH connaissent leur statut sérologique d’ici à 2022 / At least 90% of PLHIV know their HIV status by 2022; Le taux de survie à 12, 24 et 36 mois est de respectivement de 95%, 93% et 90%, d’ici 2022 / Retention rates at 12, 24 and 36 months are 95%, 93% and 90%, respectively, by 2022; Identifier au moins 9.000 cas de tuberculose sensible et au moins 300 TB-MR d’ici à fin 2024 / Identify at least 9,000 cases of drug-susceptible TB and at least 300 MDR-TB by the end of 2024; Guérir au moins 90% des tuberculoses prouvées bactériologiquement et plus de 75% des tuberculoses résistantes à la rifampicine d’ici 2024 / Cure at least 90% of bacteriologically proven tuberculosis and more than 75% of rifampicin-resistant tuberculosis by 2024; Prévention de la tuberculose / Prevent tuberculosis; Renforcer les capacités managériales et d’intervention de l’unité centrale du programme / Strengthen the managerial and intervention capacities of the programme's central unit; Réduire la mortalité due au paludisme dans les formations sanitaires d’ici fin 2024 / Reduce malaria mortality in health facilities by the end of 2024; Réduire la morbidité liée au paludisme de 50% d’ici 2024, par rapport aux données de 2019 en vue d’atteindre zéro cas autochtone d’ici fin 2030 / Reduce malaria morbidity by 50% by 2024, compared to 2019 data, with the aim of reaching zero indigenous cases by the end of 2030. 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 Djibouti Multicomponent, RSSH Malaria 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 -> Differentiated HIV Testing Services -> Facility-based testing HIV -> PMTCT -> Prong 3: Preventing vertical HIV transmission HIV -> PMTCT -> Prong 4: Treatment, care and support to mothers living with HIV, their children and families HIV -> Prevention -> Behavior change interventions HIV -> Prevention -> Gender-based violence prevention and post violence care HIV -> Prevention -> Prevention and management of co-infections and co-morbidities (Prevention) HIV -> Treatment, care and support -> Differentiated ART service delivery and HIV care HIV -> Treatment, care and support -> Prevention and management of co-infections and co-morbidities (Treatment, care and support) HIV -> Treatment, care and support -> Treatment monitoring - Viral load Malaria -> Case management -> Facility-based treatment Malaria -> Case management -> Other case management intervention(s) Malaria -> Case management -> Private sector case management Malaria -> Case management -> Therapeutic efficacy surveillance Malaria -> Vector control -> Entomological monitoring Malaria -> Vector control -> IEC/BCC (Vector control) Malaria -> Vector control -> Indoor residual spraying (IRS) Malaria -> Vector control -> Long-lasting insecticidal nets (LLIN) - Continuous distribution - Community-based Malaria -> Vector control -> Long-lasting insecticidal nets (LLIN) - Mass campaign - Universal Malaria -> Vector control -> Other vector control measures Multicomponent -> Program management -> Coordination and management of national disease control programs Multicomponent -> Program management -> Grant management RSSH -> RSSH: Community systems strengthening -> Community-based monitoring RSSH -> RSSH: Community systems strengthening -> Community-led research and advocacy RSSH -> RSSH: Community systems strengthening -> Institutional capacity building, planning and leadership development RSSH -> RSSH: Health management information systems and M&E -> Program and data quality RSSH -> RSSH: Health management information systems and M&E -> Routine reporting RSSH -> RSSH: Health management information systems and M&E -> Surveys RSSH -> RSSH: Health products management systems -> Policy, strategy, governance RSSH -> RSSH: Health products management systems -> Procurement capacity RSSH -> RSSH: Health products management systems -> Regulatory/quality assurance support RSSH -> RSSH: Health products management systems -> Storage and distribution capacity RSSH -> RSSH: Health sector governance and planning -> Policy and planning for national disease control programs RSSH -> RSSH: Human resources for health, including community health workers -> In-service training (excluding community health workers) RSSH -> RSSH: Integrated service delivery and quality improvement -> Quality of care RSSH -> RSSH: Integrated service delivery and quality improvement -> Service organization and facility management RSSH -> RSSH: Laboratory systems -> Information systems and integrated specimen transport networks RSSH -> RSSH: Laboratory systems -> National laboratory governance and management structures Tuberculosis -> MDR-TB -> Case detection and diagnosis (MDR-TB) Tuberculosis -> MDR-TB -> Treatment (MDR-TB) Tuberculosis -> TB care and prevention -> Case detection and diagnosis (TB care and prevention) Tuberculosis -> TB care and prevention -> Collaborative activities with other programs and sectors (TB care and prevention) Tuberculosis -> TB care and prevention -> Engaging all care providers (TB care and prevention) Tuberculosis -> TB care and prevention -> Key Populations (TB care and prevention) - Children Tuberculosis -> TB care and prevention -> Key populations (TB care and prevention) - Prisoners Tuberculosis -> TB care and prevention -> Treatment (TB care and prevention) Tuberculosis -> TB/HIV -> TB/HIV - Collaborative interventions Tuberculosis -> TB/HIV -> TB/HIV - Prevention 3579825.40 7565850.55 2633505.67 6874040.09 Global Fund commitment to DJI-Z-UNDPP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 3807002.85 Global Fund disbursement to DJI-Z-UNDPP01 (Multilateral). The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 25000.00 Global Fund commitment to DJI-Z-UNDPP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 25000.00 Global Fund disbursement to DJI-Z-UNDPP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 25000.00 Global Fund commitment to DJI-Z-UNDPP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 2619377.00 Global Fund disbursement to DJI-Z-UNDPP01 (Multilateral). The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 3112493.24 Global Fund commitment to DJI-Z-UNDPP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme -447660.24 Global Fund commitment to DJI-Z-UNDPP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 2664833.00 Global Fund disbursement to DJI-Z-UNDPP01 (Multilateral). The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 25000.00 Global Fund disbursement to DJI-Z-UNDPP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 25000.00 Global Fund commitment to DJI-Z-UNDPP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 447659.89 Global Fund disbursement to DJI-Z-UNDPP01 (Multilateral). The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme -0.35 Global Fund commitment to DJI-Z-UNDPP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 1090577.67 Global Fund commitment to DJI-Z-UNDPP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 600000.00 Global Fund disbursement to DJI-Z-UNDPP01 (Multilateral). The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 25000.00 Global Fund disbursement to DJI-Z-UNDPP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 490577.67 Global Fund disbursement to DJI-Z-UNDPP01 (Multilateral). The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 1491085.31 Global Fund commitment to DJI-Z-UNDPP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 1056171.34 Global Fund disbursement to DJI-Z-UNDPP01 (Multilateral). The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 1441856.00 Global Fund commitment to DJI-Z-UNDPP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme -434913.97 Global Fund commitment to DJI-Z-UNDPP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 1441856.00 Global Fund disbursement to DJI-Z-UNDPP01 (Multilateral). The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 25000.00 Global Fund commitment to DJI-Z-UNDPP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 25000.00 Global Fund disbursement to DJI-Z-UNDPP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 157350.00 Global Fund commitment to DJI-Z-UNDPP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 157350.00 Global Fund disbursement to DJI-Z-UNDPP01 (Multilateral). The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme -13230.08 Global Fund commitment to DJI-Z-UNDPP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 13230.08 Funds returned to the Global Fund from DJI-Z-UNDPP01 (Other 3rd Party). United Nations Development Programme The Global Fund to Fight AIDS, Tuberculosis and Malaria 263124.00 Funds returned to the Global Fund from DJI-Z-UNDPP01 (Multilateral). United Nations Development Programme The Global Fund to Fight AIDS, Tuberculosis and Malaria -263124.00 Global Fund commitment to DJI-Z-UNDPP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 239250.00 Funds returned to the Global Fund from DJI-Z-UNDPP01 (Multilateral). United Nations Development Programme The Global Fund to Fight AIDS, Tuberculosis and Malaria -239250.00 Global Fund commitment to DJI-Z-UNDPP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 280.00 Funds returned to the Global Fund from DJI-Z-UNDPP01 (Multilateral). United Nations Development Programme The Global Fund to Fight AIDS, Tuberculosis and Malaria -280.00 Global Fund commitment to DJI-Z-UNDPP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 4130.14 Funds returned to the Global Fund from DJI-Z-UNDPP01 (Multilateral). United Nations Development Programme The Global Fund to Fight AIDS, Tuberculosis and Malaria -4130.14 Global Fund commitment to DJI-Z-UNDPP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 3579825.80 Expenditure reported by United Nations Development Programme for DJI-Z-UNDPP01, Jan 2021 to Dec 2021. United Nations Development Programme 5369494.84 Expenditure reported by United Nations Development Programme for DJI-Z-UNDPP01, Jan 2022 to Dec 2022. United Nations Development Programme 4328036.27 Expenditure reported by United Nations Development Programme for DJI-Z-UNDPP01, Jan 2023 to Dec 2023. United Nations Development Programme 51788.66 Expenditure reported by United Nations Development Programme for DJI-Z-UNDPP01, Jan 2024 to Jun 2024. 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 private sector sites</narrative> Module: Case management. <narrative>Proportion of confirmed malaria cases that received first-line antimalarial treatment at private sector sites</narrative> Geographic coverage: National, 100% of national program target. Numerator: 6302; Denominator: 6302. Numerator: 471; Denominator: 471. Numerator: 6113; Denominator: 6113. Numerator: 1050; Denominator: 1087. Numerator: 5807; Denominator: 5807. Numerator: 280; Denominator: 280. <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, 100% of national program target. Numerator: 45570; Denominator: 45570. Numerator: 55610; Denominator: 58705. Numerator: 44203; Denominator: 44203. Numerator: 37984; Denominator: 39561. Numerator: 41993; Denominator: 41993. Numerator: 37309; Denominator: 38664. <narrative>Proportion of suspected malaria cases that receive a parasitological test at private sector sites</narrative> Module: Case management. <narrative>Proportion of suspected malaria cases that receive a parasitological test at private sector sites</narrative> Geographic coverage: National, 100% of national program target. Numerator: 15432; Denominator: 15432. Numerator: 3673; Denominator: 3673. Numerator: 14969; Denominator: 14969. Numerator: 7898; Denominator: 7898. Numerator: 14661; Denominator: 14661. Numerator: 7534; Denominator: 7534. <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, 100% of national program target. Numerator: 209855; Denominator: 209855. Numerator: 216098; Denominator: 216098. Numerator: 203559; Denominator: 203559. Numerator: 205782; Denominator: 205782. Numerator: 193381; Denominator: 193381. Numerator: 201601; Denominator: 201601. <narrative>Percentage of HIV-positive results among the total HIV tests performed during the reporting period</narrative> Module: Differentiated HIV Testing Services. <narrative>Percentage of HIV-positive results among the total HIV tests performed during the reporting period</narrative> Geographic coverage: National, 100% of national program target. Numerator: 394; Denominator: 26535. Numerator: 400; Denominator: 41515. Numerator: 309; Denominator: 24929. Numerator: 450; Denominator: 49462. Numerator: 280; Denominator: 25574. Numerator: 500; Denominator: 57464. Numerator: 253; Denominator: 25982. <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, 100% of national program target. <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, 100% of national program target. <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, 100% of national program target. Numerator: 41; Denominator: 121. Numerator: 50; Denominator: 110. Numerator: 43; Denominator: 110. Numerator: 60; Denominator: 107. Numerator: 20; Denominator: 107. Numerator: 70; Denominator: 102. Numerator: 28; Denominator: 83. <narrative>Percentage of men who have sex with men reached with HIV prevention programs</narrative> Module: Prevention. <narrative>Percentage of men who have sex with men reached with HIV prevention programs</narrative> Geographic coverage: National, 100% of national program target. Numerator: 559; Denominator: 873. Numerator: 559; Denominator: 873. Numerator: 332; Denominator: 873. Numerator: 650; Denominator: 873. Numerator: 738; Denominator: 873. Numerator: 700; Denominator: 873. Numerator: 709; Denominator: 873. <narrative>Percentage of sex workers reached with HIV prevention programs</narrative> Module: Prevention. <narrative>Percentage of sex workers reached with HIV prevention programs</narrative> Geographic coverage: National, 100% of national program target. Numerator: 1544; Denominator: 2390. Numerator: 1544; Denominator: 2390. Numerator: 702; Denominator: 2390. Numerator: 1698; Denominator: 2390. Numerator: 1619; Denominator: 2390. Numerator: 1783; Denominator: 2390. Numerator: 2206; Denominator: 2390. <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, 100% of national program target. <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, 100% of national program target. Numerator: 1440; Denominator: 1701. Numerator: 1472; Denominator: 1799. Numerator: 1822; Denominator: 2151. <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, 100% of national program target. Numerator: 41; Denominator: 58. Numerator: 58; Denominator: 76. Numerator: 42; Denominator: 64. <narrative>Percentage of PLHIV on ART who initiated TB preventive therapy among those eligible during the reporting period</narrative> Module: TB/HIV. <narrative>Percentage of PLHIV on ART who initiated TB preventive therapy among those eligible during the reporting period</narrative> Geographic coverage: National, 100% of national program target. Numerator: 71; Denominator: 210. Numerator: 109; Denominator: 189. Numerator: 122; Denominator: 212. <narrative>Percentage of registered new and relapse TB patients with documented HIV status</narrative> Module: TB/HIV. <narrative>Percentage of registered new and relapse TB patients with documented HIV status</narrative> Geographic coverage: National, 100% of national program target. Numerator: 1653; Denominator: 1900. Numerator: 1448; Denominator: 1799. Numerator: 1620; Denominator: 1800. Numerator: 1658; Denominator: 2151. Numerator: 1710; Denominator: 1800. Numerator: 1762; Denominator: 2218. <narrative>Percentage of people on ART among all people living with HIV at the end of the reporting period</narrative> Module: Treatment, care and support. <narrative>Percentage of people on ART among all people living with HIV at the end of the reporting period</narrative> Geographic coverage: National, 100% of national program target. Numerator: 1880; Denominator: 6799. Numerator: 2485; Denominator: 6493. Numerator: 2273; Denominator: 6493. Numerator: 2851; Denominator: 6399. Numerator: 2109; Denominator: 6399. Numerator: 3273; Denominator: 6321. Numerator: 2295; Denominator: 7335. <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, 100% of national program target. <narrative>Proportion of population protected by IRS within the last 12 months in areas targeted for IRS</narrative> Module: Vector control. <narrative>Proportion of population protected by IRS within the last 12 months in areas targeted for IRS</narrative> Geographic coverage: National, 100% of national program target. Numerator: 98228; Denominator: 84135. Numerator: 67077; Denominator: 65898. Numerator: 63664; Denominator: 68376.