47045-IND-C-SAATHII-1 The Global Fund to Fight AIDS, Tuberculosis and Malaria India, TB/HIV, Solidarity and Action Against The HIV Infection in India Goals: The goal of the project is to contribute to the national goal of ending AIDS by 2030. The program will support NACO's expansion of its new model for a comprehensive continuum of care from prevention to treatment; To reduce morbidity and mortality due to TB and contribute to achieving National TB Program's goal of elimination by 2025. Objectives: Increase the proportion of prison inmates and those at OCS who know their HIV status from 56% to 100% in 10 states/UTs; Increase the proportion of other vulnerable populations (spouses and family members, and partners of PLHIV) who know their HIV status from 43% to 73% in 10 states/UTs; Increase the proportion of HIV-exposed infants who received the virological test within 6 months of birth from 92% to 100% in 10 states/Uts; Increase the proportion of PLHIV LFU to ART Center tracked back with definite outcome from 50% to 98% in 10 states/UTs; Increase the proportion of PLHIV due for VL test that have been tested for VL from 60% to 95%; Increase the pediatric TB case notification in nine states from 59219 (2022) to 74170 (2026-27); Increase the pediatric TB treatment success rate in nine states from 90% (2021) to 92% (2026-27); Increase the annual TB case notification by 4564 in 60 districts of 8 states through deployment of portable handheld X-ray device as part of TB case finding activities; Increase the annual TB case notification among the prisoners from 18 to 142 in 10 states and UTs by March 2027. The Global Fund to Fight AIDS, Tuberculosis and Malaria Solidarity and Action Against The HIV Infection in India Solidarity and Action Against The HIV Infection in India 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 Gyongyver Jakab Fund Portfolio Manager +41 58 791 1700 gyongyver.jakab@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 India HIV Multicomponent, RSSH 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 -> Prevention package for other vulnerable populations (OVP) -> HIV prevention communication, information and demand creation for OVP HIV -> Prevention package for people in prisons and other closed settings -> HIV prevention communication, information and demand creation for prisoners HIV -> Treatment, care and support -> HIV treatment and differentiated service delivery - adults (15 and above) Multicomponent -> Program management -> Grant management RSSH -> RSSH/PP: Human resources for health (HRH) and quality of care -> RSSH/PP: HRH planning, management and governance including for community health workers (CHWs) RSSH -> RSSH: Community systems strengthening -> Capacity building and leadership development Tuberculosis -> Collaboration with other providers and sectors -> Private provider engagement in TB/DR-TB care Tuberculosis -> Key and vulnerable populations (KVP) - TB/DR-TB -> KVP - Children and adolescents Tuberculosis -> Key and vulnerable populations (KVP) - TB/DR-TB -> KVP - Urban poor/slum dwellers 4972634.54 9612656.99 6997048.43 14521777.00 Global Fund commitment to IND-C-SAATHIIP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Solidarity and Action Against The HIV Infection in India 1316722.00 Global Fund disbursement to IND-C-SAATHIIP01 (Other Local Organizations). The Global Fund to Fight AIDS, Tuberculosis and Malaria Solidarity and Action Against The HIV Infection in India 2304581.00 Global Fund disbursement to IND-C-SAATHIIP01 (Other Local Organizations). The Global Fund to Fight AIDS, Tuberculosis and Malaria Solidarity and Action Against The HIV Infection in India 1593149.00 Global Fund disbursement to IND-C-SAATHIIP01 (Other Local Organizations). The Global Fund to Fight AIDS, Tuberculosis and Malaria Solidarity and Action Against The HIV Infection in India 1061861.00 Global Fund disbursement to IND-C-SAATHIIP01 (Other Local Organizations). The Global Fund to Fight AIDS, Tuberculosis and Malaria Solidarity and Action Against The HIV Infection in India 1693210.00 Global Fund disbursement to IND-C-SAATHIIP01 (Other Local Organizations). The Global Fund to Fight AIDS, Tuberculosis and Malaria Solidarity and Action Against The HIV Infection in India 159823.00 Global Fund commitment to IND-C-SAATHIIP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Solidarity and Action Against The HIV Infection in India 159823.00 Global Fund disbursement to IND-C-SAATHIIP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Solidarity and Action Against The HIV Infection in India 708779.00 Global Fund disbursement to IND-C-SAATHIIP01 (Other Local Organizations). The Global Fund to Fight AIDS, Tuberculosis and Malaria Solidarity and Action Against The HIV Infection in India 8220.00 Global Fund disbursement to IND-C-SAATHIIP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Solidarity and Action Against The HIV Infection in India 7170887.00 Global Fund commitment to IND-C-SAATHIIP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Solidarity and Action Against The HIV Infection in India -5835255.00 Global Fund commitment to IND-C-SAATHIIP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Solidarity and Action Against The HIV Infection in India 2915239.00 Global Fund disbursement to IND-C-SAATHIIP01 (Other Local Organizations). The Global Fund to Fight AIDS, Tuberculosis and Malaria Solidarity and Action Against The HIV Infection in India 8220.00 Global Fund disbursement to IND-C-SAATHIIP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Solidarity and Action Against The HIV Infection in India 914750.00 Global Fund disbursement to IND-C-SAATHIIP01 (Other Local Organizations). The Global Fund to Fight AIDS, Tuberculosis and Malaria Solidarity and Action Against The HIV Infection in India 1543470.00 Global Fund disbursement to IND-C-SAATHIIP01 (Other Local Organizations). The Global Fund to Fight AIDS, Tuberculosis and Malaria Solidarity and Action Against The HIV Infection in India -1789208.00 Global Fund commitment to IND-C-SAATHIIP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Solidarity and Action Against The HIV Infection in India 7354316.00 Global Fund commitment to IND-C-SAATHIIP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Solidarity and Action Against The HIV Infection in India 1825900.00 Global Fund disbursement to IND-C-SAATHIIP01 (Other Local Organizations). The Global Fund to Fight AIDS, Tuberculosis and Malaria Solidarity and Action Against The HIV Infection in India 1987992.00 Global Fund disbursement to IND-C-SAATHIIP01 (Other Local Organizations). The Global Fund to Fight AIDS, Tuberculosis and Malaria Solidarity and Action Against The HIV Infection in India 4972634.55 Expenditure reported by Solidarity and Action Against The HIV Infection in India for IND-C-SAATHIIP01, Apr 2024 to Mar 2025. Solidarity and Action Against The HIV Infection in India An overview of a grant over its lifetime. General terms and conditions which apply to Global Fund grants. Funding Request of funding request FR1448-IND-T. Funding Request of funding request FR1447-IND-H. 1 - Personal Data (1) Principles. The Principal Recipient, acknowledges that Program Activities are expected to respect the following principles and rights (“Data Protection Principles”): (a) Information that could be used to identify a natural person (“Personal Data”) will be: (i) processed lawfully, fairly and transparently; (ii) collected for specified, explicit and legitimate purposes and not further processed in a manner not compatible with those purposes;  (iii) adequate, relevant and limited to what is necessary for the purposes for which they are processed; (iv) accurate and, where necessary, kept up to date; (v) kept in a form which permits identification of the individuals for no longer than is necessary for the purposes for which the Personal Data is processed; and (vi) processed in a manner that ensures appropriate security of the Personal Data; and (b) Natural persons are afforded, where relevant, the right to information about Personal Data that is processed; the right to access and rectify or erase Personal Data; the right to data portability; the right to confidentiality of electronic communications; and the right to object to processing. (2) Limitations. Where collection and processing of Personal Data is required in order to implement Program Activities, whether by the Principal Recipient, a Sub-recipient, or Supplier, the Principal Recipient should respect the Data Protection Principles: (a) to the extent that doing so does not violate or conflict with applicable law and/or policy; and (b) subject to the Principal Recipient balancing the Data Protection Principles with other fundamental rights in accordance with the principle of proportionality, taking into account the risks to the rights and freedoms of natural persons. 2 - With respect to Section 7.6 (Right of Access) of the Global Fund Grant Regulations (as amended from time to time), (1) the Global Fund may collect or seek to collect data, and it is possible that such data may contain Personal Data, and (2), prior to collection and at all times thereafter, the Principal Recipient shall take all necessary actions to ensure that the transfer of such information to the Global Fund does not violate any applicable law or regulation. 3 - The Program budget may be funded in part by Grant Funds disbursed under a previous Grant Agreement, which the Global Fund has approved to be used for the Program under the current Grant Agreement (“Previously Disbursed Grant Funds”), as well as additional Grant Funds up to the amount set forth in Section 3.6. hereof. Accordingly, the Global Fund may reduce the amount of Grant Funds set forth in Section 3.6. hereof by the amount of any Previously Disbursed Grant Funds. Previously Disbursed Grant Funds shall be governed by the terms of this Grant Agreement. 4 - 1. Grant Funds may be used to pay for the services of an external auditor retained by the Global Fund for the annual independent audit of the Program (the “External Auditor”) and the Global Fund may disburse such Grant Funds directly to the External Auditor; 2. The Principal Recipient consents, to the carrying out of audits of the Program by the External Auditor for the period covering fiscal years 2024-2025, 2025-2026 and 2026-2027 (and other such additional periods as the Global Fund may communicate to the Principal Recipient in writing), and to the terms of reference of the External Auditor and agrees that such terms of reference may be amended from time to time; and 3. Without limiting Section 7.5 of the Global Fund Grant Regulations (as amended from time to time), the Principal Recipient shall cooperate fully with the External Auditor to allow the External Auditor to perform its services, including by providing all information and documents requested by the External Auditor or the Global Fund. Module: Differentiated HIV Testing Services. Geographic coverage: Subnational, less than 100% national program target. Aggregation: Non cumulative. Numerator: 12066; Denominator: 301644; Percentage: 4%. Numerator: 12066; Denominator: 301644; Percentage: 4%. Numerator: 289578; Denominator: 301644; Percentage: 96%. Numerator: 289578; Denominator: 301644; Percentage: 96%. Numerator: 301644. Numerator: 431036. Numerator: 418809. Numerator: 215518. Numerator: 215518. Numerator: 222106. Numerator: 16982. Numerator: 205010. Numerator: 215846. Numerator: 431692. Numerator: 473710. Numerator: 215846. Numerator: 237119. Numerator: 16986. Numerator: 220043. Numerator: 215846. Numerator: 215846. Module: Differentiated HIV Testing Services. Geographic coverage: Subnational, less than 100% national program target. Aggregation: Non cumulative. Numerator: 37333; Denominator: 63674. Numerator: 9551; Denominator: 15919. Numerator: 19102; Denominator: 31838. Numerator: 19771; Denominator: 22196. Numerator: 9551; Denominator: 15919. Numerator: 9380; Denominator: 10607. Numerator: 24736; Denominator: 25760. Numerator: 11428; Denominator: 11978. Module: Elimination of vertical transmission of HIV, syphilis and hepatitis B. Geographic coverage: Subnational, less than 100% national program target. Aggregation: Non cumulative. Numerator: 4598; Denominator: 4996. Numerator: 6682; Denominator: 7846. Numerator: 3314; Denominator: 3588. Numerator: 5477; Denominator: 5798. Numerator: 2934; Denominator: 3112. Module: Key and vulnerable populations (KVP) - TB/DR-TB. Geographic coverage: Subnational, less than 100% national program target. Aggregation: Non cumulative. Module: Treatment, care and support. Geographic coverage: Subnational, less than 100% national program target. Aggregation: Non cumulative - other. Numerator: 441673; Denominator: 732255. Numerator: 378528; Denominator: 397095. Numerator: 378528; Denominator: 397095. Numerator: 65861; Denominator: 76122. Numerator: 65861; Denominator: 76122. Module: Treatment, care and support. Geographic coverage: Subnational, less than 100% national program target. Aggregation: Non cumulative. Module: Treatment, care and support. Geographic coverage: Subnational, less than 100% national program target. Aggregation: Non cumulative. Numerator: 42039; Denominator: 46759. Numerator: 55394; Denominator: 61040. Numerator: 49665; Denominator: 52219. Numerator: 27621; Denominator: 30520. Numerator: 27773; Denominator: 30520. Numerator: 21371; Denominator: 22615. Numerator: 28776; Denominator: 31449. Numerator: 59418; Denominator: 64756. Numerator: 50768; Denominator: 54021. Numerator: 30642; Denominator: 33307. Numerator: 23710; Denominator: 25305. Numerator: 33714; Denominator: 36448. Numerator: 36456; Denominator: 39412. Module: Treatment, care and support. Geographic coverage: Subnational, less than 100% national program target. Aggregation: Non cumulative - other. Numerator: 1699; Denominator: 3388. Numerator: 28256; Denominator: 53237. Numerator: 28256; Denominator: 53237. Numerator: 51553; Denominator: 63868. Numerator: 51553; Denominator: 63868.