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<iati-activities version="2.03" generated-datetime="2026-11-11T15:32:23+00:00">
  <iati-activity last-updated-datetime="2026-11-10T13:42:47+00:00" xml:lang="en" default-currency="USD" humanitarian="0" hierarchy="1">
    <iati-identifier>47045-ECU-H-MOH-1</iati-identifier>
    <reporting-org ref="47045" type="30">
      <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
    </reporting-org>
    <title>
      <narrative>Achieving national targets towards HIV elimination as a public health issue by decentralizing testing services to primary health care level and improving data collection systems - Ecuador (01-Jan-2018-31-Dec-2019)</narrative>
    </title>
    <description type="1">
      <narrative>Ecuador, HIV, Ministry of Public Health of the Republic of Ecuador</narrative>
    </description>
    <description type="2">
      <narrative>Goal: Support the achievement of the 90-90-90 goals by intensifying preventive activities and reducing barriers that hinder access of key populations to health services. Objectives: Increase the access of key populations to HIV prevention and early diagnosis; Promote linkages with health services, early initiation of treatment and adherence; Strengthen health and justice service, as well as access to justive, with a human rights and participatory approach.</narrative>
    </description>
    <participating-org ref="47045" type="30" role="1" crs-channel-code="47045">
      <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
    </participating-org>
    <participating-org type="10" role="2" crs-channel-code="12001">
      <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
    </participating-org>
    <participating-org type="10" role="4" crs-channel-code="12001">
      <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
    </participating-org>
    <other-identifier ref="ECU-H-MOHP01" type="A1">
      <owner-org ref="47045">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </owner-org>
    </other-identifier>
    <activity-status code="4" />
    <activity-date type="1" iso-date="2018-01-01" />
    <activity-date type="2" iso-date="2018-01-01" />
    <activity-date type="3" iso-date="2019-12-31" />
    <activity-date type="4" iso-date="2019-12-31" />
    <contact-info type="1">
      <organisation>
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </organisation>
      <department>
        <narrative>Communications</narrative>
      </department>
      <telephone>+41 58 791 1700</telephone>
      <email>website@theglobalfund.org</email>
      <website>https://www.theglobalfund.org</website>
      <mailing-address>
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria, Global Health Campus, Chemin du Pommier 40, 1218 Grand-Saconnex, Geneva, Switzerland</narrative>
      </mailing-address>
    </contact-info>
    <contact-info type="2">
      <organisation>
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </organisation>
      <department>
        <narrative>Grant Management Division</narrative>
      </department>
      <person-name>
        <narrative>Cecilia Vitale</narrative>
      </person-name>
      <job-title>
        <narrative>Fund Portfolio Manager</narrative>
      </job-title>
      <telephone>+41 58 791 1700</telephone>
      <email>cecilia.vitale@theglobalfund.org</email>
      <website>https://www.theglobalfund.org</website>
      <mailing-address>
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria, Global Health Campus, Chemin du Pommier 40, 1218 Grand-Saconnex, Geneva, Switzerland</narrative>
      </mailing-address>
    </contact-info>
    <activity-scope code="4" />
    <recipient-country code="EC" percentage="100">
      <narrative>Ecuador</narrative>
    </recipient-country>
    <sector vocabulary="1" code="13040" percentage="100">
      <narrative>HIV</narrative>
    </sector>
    <tag vocabulary="2" code="3">
      <narrative>Ensure healthy lives and promote well-being for all at all ages</narrative>
    </tag>
    <tag vocabulary="3" code="3.3">
      <narrative>End the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases, and combat hepatitis, water-borne diseases and other communicable diseases</narrative>
    </tag>
    <collaboration-type code="1" />
    <default-flow-type code="10" />
    <default-finance-type code="110" />
    <default-aid-type code="C01" vocabulary="1" />
    <default-tied-status code="5" />
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      <transaction-type code="2" />
      <transaction-date iso-date="2018-02-12" />
      <value currency="USD" value-date="2018-02-12">1064582.75</value>
      <description>
        <narrative>Global Fund commitment to ECU-H-MOHP01.</narrative>
      </description>
      <provider-org ref="47045" type="30">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </receiver-org>
    </transaction>
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      <transaction-type code="3" />
      <transaction-date iso-date="2018-02-15" />
      <value currency="USD" value-date="2018-02-15">197470.00</value>
      <description>
        <narrative>Global Fund disbursement to ECU-H-MOHP01.</narrative>
      </description>
      <provider-org ref="47045" type="30">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </receiver-org>
      <disbursement-channel code="2" />
    </transaction>
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      <transaction-type code="3" />
      <transaction-date iso-date="2018-03-27" />
      <value currency="USD" value-date="2018-03-27">173958.00</value>
      <description>
        <narrative>Global Fund disbursement to ECU-H-MOHP01.</narrative>
      </description>
      <provider-org ref="47045" type="30">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </receiver-org>
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    </transaction>
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      <transaction-type code="3" />
      <transaction-date iso-date="2018-06-19" />
      <value currency="USD" value-date="2018-06-19">48018.00</value>
      <description>
        <narrative>Global Fund disbursement to ECU-H-MOHP01.</narrative>
      </description>
      <provider-org ref="47045" type="30">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
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      <transaction-date iso-date="2018-07-12" />
      <value currency="USD" value-date="2018-07-12">57708.00</value>
      <description>
        <narrative>Global Fund disbursement to ECU-H-MOHP01.</narrative>
      </description>
      <provider-org ref="47045" type="30">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </receiver-org>
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    </transaction>
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      <transaction-date iso-date="2018-10-23" />
      <value currency="USD" value-date="2018-10-23">68508.00</value>
      <description>
        <narrative>Global Fund disbursement to ECU-H-MOHP01.</narrative>
      </description>
      <provider-org ref="47045" type="30">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </receiver-org>
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    </transaction>
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      <transaction-type code="3" />
      <transaction-date iso-date="2018-10-23" />
      <value currency="USD" value-date="2018-10-23">95108.00</value>
      <description>
        <narrative>Global Fund disbursement to ECU-H-MOHP01.</narrative>
      </description>
      <provider-org ref="47045" type="30">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </receiver-org>
      <disbursement-channel code="2" />
    </transaction>
    <transaction ref="61f1cb0a-746b-47a3-bea3-74554c8d790d">
      <transaction-type code="3" />
      <transaction-date iso-date="2019-02-28" />
      <value currency="USD" value-date="2019-02-28">290389.63</value>
      <description>
        <narrative>Global Fund disbursement to ECU-H-MOHP01.</narrative>
      </description>
      <provider-org ref="47045" type="30">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </receiver-org>
      <disbursement-channel code="2" />
    </transaction>
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      <transaction-type code="2" />
      <transaction-date iso-date="2019-07-12" />
      <value currency="USD" value-date="2019-07-12">683041.84</value>
      <description>
        <narrative>Global Fund commitment to ECU-H-MOHP01.</narrative>
      </description>
      <provider-org ref="47045" type="30">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </receiver-org>
    </transaction>
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      <transaction-type code="2" />
      <transaction-date iso-date="2019-07-12" />
      <value currency="USD" value-date="2019-07-12">-133423.12</value>
      <description>
        <narrative>Global Fund commitment to ECU-H-MOHP01.</narrative>
      </description>
      <provider-org ref="47045" type="30">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </receiver-org>
    </transaction>
    <transaction ref="76b56f08-f4de-4eeb-bda4-8df00bae04f2">
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      <transaction-date iso-date="2019-07-16" />
      <value currency="USD" value-date="2019-07-16">62327.72</value>
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        <narrative>Global Fund disbursement to ECU-H-MOHP01.</narrative>
      </description>
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        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </receiver-org>
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    <transaction ref="94179380-b68b-4349-8302-d2ddd2ed1b2b">
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      <transaction-date iso-date="2019-07-16" />
      <value currency="USD" value-date="2019-07-16">283186.50</value>
      <description>
        <narrative>Global Fund disbursement to ECU-H-MOHP01.</narrative>
      </description>
      <provider-org ref="47045" type="30">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
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      <description>
        <narrative>Global Fund disbursement to ECU-H-MOHP01.</narrative>
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        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
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        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
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        <narrative>Global Fund disbursement to ECU-H-MOHP01.</narrative>
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        <narrative>Global Fund commitment to ECU-H-MOHP01.</narrative>
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        <narrative>Global Fund commitment to ECU-H-MOHP01.</narrative>
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      </provider-org>
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      <transaction-date iso-date="2019-11-07" />
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      <description>
        <narrative>Global Fund disbursement to ECU-H-MOHP01.</narrative>
      </description>
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        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
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        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
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    <transaction ref="4e1165c3-c8b2-4377-a52a-1f3c143131b6">
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        <narrative>Global Fund disbursement to ECU-H-MOHP01.</narrative>
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        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
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        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
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    <transaction ref="9806bb4a-2811-4867-84e6-49d91fa5f3e5">
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      <transaction-date iso-date="2020-01-28" />
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        <narrative>Global Fund disbursement to ECU-H-MOHP01.</narrative>
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        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </receiver-org>
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      <description>
        <narrative>Global Fund commitment to ECU-H-MOHP01.</narrative>
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        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
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      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
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    <transaction ref="8015e2bc-ba04-4fdf-95d2-0b3387b3f8b5">
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      <description>
        <narrative>Global Fund commitment to ECU-H-MOHP01.</narrative>
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        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </receiver-org>
    </transaction>
    <transaction ref="21b8561e-5d2f-465e-8899-5299b192d9ce">
      <transaction-type code="2" />
      <transaction-date iso-date="2020-06-26" />
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      <description>
        <narrative>Global Fund commitment to ECU-H-MOHP01.</narrative>
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      <provider-org ref="47045" type="30">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </receiver-org>
    </transaction>
    <transaction ref="0e6903bf-0920-4dee-a2da-575522d717a1">
      <transaction-type code="3" />
      <transaction-date iso-date="2020-06-26" />
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      <description>
        <narrative>Global Fund disbursement to ECU-H-MOHP01.</narrative>
      </description>
      <provider-org ref="47045" type="30">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </receiver-org>
      <disbursement-channel code="2" />
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    <transaction ref="fece8396-142f-4f08-bc63-b3aadaf229bc">
      <transaction-type code="3" />
      <transaction-date iso-date="2020-12-04" />
      <value currency="USD" value-date="2020-12-04">46.89</value>
      <description>
        <narrative>Global Fund disbursement to ECU-H-MOHP01.</narrative>
      </description>
      <provider-org ref="47045" type="30">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </receiver-org>
      <disbursement-channel code="2" />
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    <transaction ref="91096a30-ae8d-436f-944b-3aa849873e6f">
      <transaction-type code="2" />
      <transaction-date iso-date="2021-01-27" />
      <value currency="USD" value-date="2021-01-27">-226.32</value>
      <description>
        <narrative>Global Fund commitment to ECU-H-MOHP01.</narrative>
      </description>
      <provider-org ref="47045" type="30">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </receiver-org>
    </transaction>
    <document-link url="https://data.theglobalfund.org/grant/ECU-H-MOH" format="text/html">
      <title>
        <narrative>Grant page on the data explorer of the Global Fund.</narrative>
      </title>
      <description>
        <narrative>An overview of a grant over its lifetime.</narrative>
      </description>
      <category code="A12" />
      <category code="A01" />
      <category code="A02" />
      <category code="A05" />
      <category code="A07" />
      <category code="A08" />
      <language code="en" />
      <document-date iso-date="2026-11-11" />
    </document-link>
    <document-link url="https://www.theglobalfund.org/media/13342/core_grantregulationsversiontwo_regulations_en.pdf" format="application/pdf">
      <title>
        <narrative>Grant terms and conditions.</narrative>
      </title>
      <description>
        <narrative>General terms and conditions which apply to Global Fund grants.</narrative>
      </description>
      <category code="A04" />
      <language code="en" />
    </document-link>
    <result type="1" aggregation-status="0">
      <title>
        <narrative>Percentage of people living with HIV and on ART, who have a suppressed viral load at 12 months (&lt;1000 copies/ml)</narrative>
      </title>
      <description>
        <narrative>Module: Treatment, care and support.</narrative>
      </description>
      <indicator measure="2" aggregation-status="0">
        <title>
          <narrative>Percentage of people living with HIV and on ART, who have a suppressed viral load at 12 months (&lt;1000 copies/ml)</narrative>
        </title>
        <description>
          <narrative>Geographic coverage: National. Aggregation: Cumulative annually.</narrative>
        </description>
        <baseline year="2015" iso-date="2015-12-31" value="49.18">
          <comment>
            <narrative>Numerator: 7300; Denominator: 14844.</narrative>
          </comment>
        </baseline>
        <period>
          <period-start iso-date="2018-01-01" />
          <period-end iso-date="2018-12-31" />
          <target value="70">
            <comment>
              <narrative>Numerator: 14013; Denominator: 20018.</narrative>
            </comment>
          </target>
          <actual value="64.2">
            <comment>
              <narrative>Numerator: 16732; Denominator: 26047.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2019-01-01" />
          <period-end iso-date="2019-12-31" />
          <target value="80">
            <comment>
              <narrative>Numerator: 17499; Denominator: 21874.</narrative>
            </comment>
          </target>
        </period>
      </indicator>
    </result>
    <result type="1" aggregation-status="0">
      <title>
        <narrative>Percentage of people living with HIV currently receiving antiretroviral therapy</narrative>
      </title>
      <description>
        <narrative>Module: Treatment, care and support.</narrative>
      </description>
      <indicator measure="2" aggregation-status="0">
        <title>
          <narrative>Percentage of people living with HIV currently receiving antiretroviral therapy</narrative>
        </title>
        <description>
          <narrative>Geographic coverage: National. Aggregation: Non cumulative - other.</narrative>
        </description>
        <baseline year="2015" iso-date="2015-12-31" value="44.22">
          <comment>
            <narrative>Numerator: 14844; Denominator: 33569.</narrative>
          </comment>
        </baseline>
        <baseline year="2015" iso-date="2015-12-31" value="0.42">
          <dimension name="Age" value="15+" />
          <comment>
            <narrative>Numerator: 13980; Denominator: 33569.</narrative>
          </comment>
        </baseline>
        <baseline year="2015" iso-date="2015-12-31" value="0.02">
          <dimension name="Age" value="&lt;15" />
          <comment>
            <narrative>Numerator: 664; Denominator: 33569.</narrative>
          </comment>
        </baseline>
        <baseline year="2015" iso-date="2015-12-31" value="0.27">
          <dimension name="Gender" value="Female" />
          <comment>
            <narrative>Numerator: 8975; Denominator: 33569.</narrative>
          </comment>
        </baseline>
        <baseline year="2015" iso-date="2015-12-31" value="0.17">
          <dimension name="Gender" value="Male" />
          <comment>
            <narrative>Numerator: 5869; Denominator: 33569.</narrative>
          </comment>
        </baseline>
        <period>
          <period-start iso-date="2018-01-01" />
          <period-end iso-date="2018-12-31" />
          <target value="56.6">
            <comment>
              <narrative>Numerator: 20018; Denominator: 35380.</narrative>
            </comment>
          </target>
          <actual value="71.3">
            <comment>
              <narrative>Numerator: 26047; Denominator: 36544.</narrative>
            </comment>
          </actual>
          <actual value="69.7">
            <dimension name="Age" value="15+" />
            <comment>
              <narrative>Numerator: 25485; Denominator: 36544.</narrative>
            </comment>
          </actual>
          <actual value="1.5">
            <dimension name="Age" value="&lt;15" />
            <comment>
              <narrative>Numerator: 562; Denominator: 36544.</narrative>
            </comment>
          </actual>
          <actual value="46.6">
            <dimension name="Gender" value="Female" />
            <comment>
              <narrative>Numerator: 17046; Denominator: 36544.</narrative>
            </comment>
          </actual>
          <actual value="24.6">
            <dimension name="Gender" value="Male" />
            <comment>
              <narrative>Numerator: 9001; Denominator: 36544.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2019-01-01" />
          <period-end iso-date="2019-12-31" />
          <target value="62.1">
            <comment>
              <narrative>Numerator: 23308; Denominator: 37535.</narrative>
            </comment>
          </target>
          <actual value="65.6">
            <comment>
              <narrative>Numerator: 30812; Denominator: 47000.</narrative>
            </comment>
          </actual>
        </period>
      </indicator>
    </result>
  </iati-activity>
  <iati-activity last-updated-datetime="2026-11-11T13:38:06+00:00" xml:lang="en" default-currency="USD" humanitarian="0" hierarchy="1">
    <iati-identifier>47045-ECU-H-MOH-2</iati-identifier>
    <reporting-org ref="47045" type="30">
      <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
    </reporting-org>
    <title>
      <narrative>Achieving national targets towards HIV elimination as a public health issue by decentralizing testing services to primary health care level and improving data collection systems - Ecuador (01-Jan-2020-31-Dec-2022)</narrative>
    </title>
    <description type="1">
      <narrative>Ecuador, HIV, Ministry of Public Health of the Republic of Ecuador</narrative>
    </description>
    <description type="2">
      <narrative>Goal: Support the achievement of the 90-90-90 goals by intensifying preventive activities and reducing barriers that hinder access of key populations to health services. Objectives: Increase the access of key populations to HIV prevention and early diagnosis; Promote linkages with health services, early initiation of treatment and adherence; Strengthen health and justice service, as well as access to justive, with a human rights and participatory approach.</narrative>
    </description>
    <participating-org ref="47045" type="30" role="1" crs-channel-code="47045">
      <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
    </participating-org>
    <participating-org type="10" role="2" crs-channel-code="12001">
      <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
    </participating-org>
    <participating-org type="10" role="4" crs-channel-code="12001">
      <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
    </participating-org>
    <other-identifier ref="ECU-H-MOHP02" type="A1">
      <owner-org ref="47045">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </owner-org>
    </other-identifier>
    <activity-status code="4" />
    <activity-date type="1" iso-date="2020-01-01" />
    <activity-date type="2" iso-date="2020-01-01" />
    <activity-date type="3" iso-date="2022-12-31" />
    <activity-date type="4" iso-date="2022-12-31" />
    <contact-info type="1">
      <organisation>
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </organisation>
      <department>
        <narrative>Communications</narrative>
      </department>
      <telephone>+41 58 791 1700</telephone>
      <email>website@theglobalfund.org</email>
      <website>https://www.theglobalfund.org</website>
      <mailing-address>
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria, Global Health Campus, Chemin du Pommier 40, 1218 Grand-Saconnex, Geneva, Switzerland</narrative>
      </mailing-address>
    </contact-info>
    <contact-info type="2">
      <organisation>
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </organisation>
      <department>
        <narrative>Grant Management Division</narrative>
      </department>
      <person-name>
        <narrative>Cecilia Vitale</narrative>
      </person-name>
      <job-title>
        <narrative>Fund Portfolio Manager</narrative>
      </job-title>
      <telephone>+41 58 791 1700</telephone>
      <email>cecilia.vitale@theglobalfund.org</email>
      <website>https://www.theglobalfund.org</website>
      <mailing-address>
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria, Global Health Campus, Chemin du Pommier 40, 1218 Grand-Saconnex, Geneva, Switzerland</narrative>
      </mailing-address>
    </contact-info>
    <activity-scope code="4" />
    <recipient-country code="EC" percentage="100">
      <narrative>Ecuador</narrative>
    </recipient-country>
    <sector vocabulary="1" code="13040" percentage="58.07">
      <narrative>HIV</narrative>
    </sector>
    <sector vocabulary="1" code="12110" percentage="41.93">
      <narrative>Multicomponent, RSSH</narrative>
    </sector>
    <tag vocabulary="2" code="3">
      <narrative>Ensure healthy lives and promote well-being for all at all ages</narrative>
    </tag>
    <tag vocabulary="3" code="3.3">
      <narrative>End the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases, and combat hepatitis, water-borne diseases and other communicable diseases</narrative>
    </tag>
    <tag vocabulary="3" code="3.8">
      <narrative>Achieve universal health coverage</narrative>
    </tag>
    <country-budget-items vocabulary="4">
      <budget-item code="1cf647b8-2d58-48ad-9cc9-b479690cb394" percentage="34.86">
        <description>
          <narrative>HIV -&gt; Comprehensive prevention programs for MSM -&gt; HIV testing services for MSM</narrative>
        </description>
      </budget-item>
      <budget-item code="baada981-4aeb-4243-8955-ccd921e4d1cd" percentage="6.91">
        <description>
          <narrative>HIV -&gt; Comprehensive prevention programs for TGs -&gt; HIV testing services for TGs</narrative>
        </description>
      </budget-item>
      <budget-item code="12c10825-fca4-465d-bf9e-f00782583623" percentage="1.71">
        <description>
          <narrative>HIV -&gt; Comprehensive prevention programs for sex workers and their clients -&gt; HIV testing services for sex workers</narrative>
        </description>
      </budget-item>
      <budget-item code="eb5dd4fc-28e5-4757-a299-6f65a79864b6" percentage="1.2">
        <description>
          <narrative>HIV -&gt; Reducing human rights-related barriers to HIV/TB services -&gt; Other intervention(s) to reduce human rights-related barriers to HIV services</narrative>
        </description>
      </budget-item>
      <budget-item code="d3f0ee90-71c1-4dad-ad46-19e91d25c002" percentage="1.66">
        <description>
          <narrative>HIV -&gt; Treatment, care and support -&gt; HIV care</narrative>
        </description>
      </budget-item>
      <budget-item code="c7d050d8-ddb8-42db-a948-04038ae9cd0f" percentage="11.73">
        <description>
          <narrative>HIV -&gt; Treatment, care and support -&gt; Treatment monitoring - Viral load</narrative>
        </description>
      </budget-item>
      <budget-item code="e07bbbe4-54fa-4084-a6fe-7f1c9c3b77b6" percentage="21.7">
        <description>
          <narrative>Multicomponent -&gt; Program management -&gt; Grant management</narrative>
        </description>
      </budget-item>
      <budget-item code="043741b4-bd0a-492c-8759-b4cac0a50e64" percentage="4.2">
        <description>
          <narrative>RSSH -&gt; RSSH: Health management information systems and M&amp;E -&gt; Other health information systems and M&amp;E intervention(s)</narrative>
        </description>
      </budget-item>
      <budget-item code="004842a6-d6eb-49a2-a763-882fd356689a" percentage="8.95">
        <description>
          <narrative>RSSH -&gt; RSSH: Health management information systems and M&amp;E -&gt; Program and data quality</narrative>
        </description>
      </budget-item>
      <budget-item code="41f514b1-2e70-4f77-98c1-68e6052dc6a9" percentage="7.08">
        <description>
          <narrative>RSSH -&gt; RSSH: Health management information systems and M&amp;E -&gt; Surveys</narrative>
        </description>
      </budget-item>
    </country-budget-items>
    <collaboration-type code="1" />
    <default-flow-type code="10" />
    <default-finance-type code="110" />
    <default-aid-type code="C01" vocabulary="1" />
    <default-tied-status code="5" />
    <budget type="2" status="2">
      <period-start iso-date="2020-01-01" />
      <period-end iso-date="2020-12-31" />
      <value currency="USD" value-date="2020-01-01">1454065.79</value>
    </budget>
    <budget type="2" status="2">
      <period-start iso-date="2021-01-01" />
      <period-end iso-date="2021-12-31" />
      <value currency="USD" value-date="2021-01-01">2943324.98</value>
    </budget>
    <budget type="2" status="2">
      <period-start iso-date="2022-01-01" />
      <period-end iso-date="2022-12-31" />
      <value currency="USD" value-date="2022-01-01">5274901.79</value>
    </budget>
    <capital-spend percentage="17.48" />
    <transaction ref="d32a9f7b-d6c3-4915-8404-1e4952e309a9">
      <transaction-type code="2" />
      <transaction-date iso-date="2020-01-14" />
      <value currency="USD" value-date="2020-01-14">3226167.26</value>
      <description>
        <narrative>Global Fund commitment to ECU-H-MOHP02.</narrative>
      </description>
      <provider-org ref="47045" type="30">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </receiver-org>
    </transaction>
    <transaction ref="bff5e473-fcd6-43aa-b4b5-5a624bb789d3">
      <transaction-type code="2" />
      <transaction-date iso-date="2020-04-29" />
      <value currency="USD" value-date="2020-04-29">133307.00</value>
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      </description>
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      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </receiver-org>
    </transaction>
    <transaction ref="413662c5-2833-4fb0-8ad4-802ac62dda29">
      <transaction-type code="2" />
      <transaction-date iso-date="2020-05-15" />
      <value currency="USD" value-date="2020-05-15">76956.23</value>
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    </transaction>
    <transaction ref="64404c49-5da2-4e9b-992e-1e5ab456c26b">
      <transaction-type code="3" />
      <transaction-date iso-date="2020-05-19" />
      <value currency="USD" value-date="2020-05-19">42614.00</value>
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        <narrative>Global Fund disbursement to ECU-H-MOHP02 (Pooled Procurement Mechanism).</narrative>
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    </transaction>
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      <transaction-date iso-date="2020-05-26" />
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    </transaction>
    <transaction ref="9ff724d6-6c20-498f-aff9-e53792185c97">
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    </transaction>
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    </transaction>
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      <transaction-date iso-date="2020-06-23" />
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      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </receiver-org>
      <disbursement-channel code="2" />
    </transaction>
    <transaction ref="ce99a577-5779-4487-8a73-ecc3481575e5">
      <transaction-type code="3" />
      <transaction-date iso-date="2022-07-07" />
      <value currency="USD" value-date="2022-07-07">90942.00</value>
      <description>
        <narrative>Global Fund disbursement to ECU-H-MOHP02 (Government).</narrative>
      </description>
      <provider-org ref="47045" type="30">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </receiver-org>
      <disbursement-channel code="2" />
    </transaction>
    <transaction ref="ebc8e693-c017-455a-a10a-72edb06adbe0">
      <transaction-type code="3" />
      <transaction-date iso-date="2022-07-07" />
      <value currency="USD" value-date="2022-07-07">83961.00</value>
      <description>
        <narrative>Global Fund disbursement to ECU-H-MOHP02 (Government).</narrative>
      </description>
      <provider-org ref="47045" type="30">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </receiver-org>
      <disbursement-channel code="2" />
    </transaction>
    <transaction ref="383e8ba4-209b-427b-937e-0617b91ccc2c">
      <transaction-type code="2" />
      <transaction-date iso-date="2022-09-17" />
      <value currency="USD" value-date="2022-09-17">-221279.83</value>
      <description>
        <narrative>Global Fund commitment to ECU-H-MOHP02.</narrative>
      </description>
      <provider-org ref="47045" type="30">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </receiver-org>
    </transaction>
    <transaction ref="7072db11-db49-4bf2-a359-88dde8242bdd">
      <transaction-type code="7" />
      <transaction-date iso-date="2022-10-13" />
      <value currency="USD" value-date="2022-10-13">7298.88</value>
      <description>
        <narrative>Funds returned to the Global Fund from ECU-H-MOHP02 (Government).</narrative>
      </description>
      <provider-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </provider-org>
      <receiver-org ref="47045" type="30">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </receiver-org>
    </transaction>
    <transaction ref="04137091-071c-45c4-81ff-75bf67376ff3">
      <transaction-type code="2" />
      <transaction-date iso-date="2022-10-14" />
      <value currency="USD" value-date="2022-10-14">-7298.88</value>
      <description>
        <narrative>Global Fund commitment to ECU-H-MOHP02.</narrative>
      </description>
      <provider-org ref="47045" type="30">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </receiver-org>
    </transaction>
    <transaction ref="190a7f41-b7bd-4138-8b5d-7275ad67fa39">
      <transaction-type code="7" />
      <transaction-date iso-date="2022-11-16" />
      <value currency="USD" value-date="2022-11-16">29.80</value>
      <description>
        <narrative>Funds returned to the Global Fund from ECU-H-MOHP02 (Pooled Procurement Mechanism).</narrative>
      </description>
      <provider-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </provider-org>
      <receiver-org ref="47045" type="30">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </receiver-org>
    </transaction>
    <transaction ref="d8004384-bd99-4e24-903e-bf43e45a23a1">
      <transaction-type code="2" />
      <transaction-date iso-date="2022-11-17" />
      <value currency="USD" value-date="2022-11-17">-29.80</value>
      <description>
        <narrative>Global Fund commitment to ECU-H-MOHP02.</narrative>
      </description>
      <provider-org ref="47045" type="30">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </receiver-org>
    </transaction>
    <transaction ref="24e6fa72-216b-4e85-9482-6cded239d83d">
      <transaction-type code="2" />
      <transaction-date iso-date="2022-12-13" />
      <value currency="USD" value-date="2022-12-13">136907.36</value>
      <description>
        <narrative>Global Fund commitment to ECU-H-MOHP02.</narrative>
      </description>
      <provider-org ref="47045" type="30">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </receiver-org>
    </transaction>
    <transaction ref="55559b7f-0bda-4f64-90f6-deded59c8ee0">
      <transaction-type code="3" />
      <transaction-date iso-date="2022-12-15" />
      <value currency="USD" value-date="2022-12-15">92050.00</value>
      <description>
        <narrative>Global Fund disbursement to ECU-H-MOHP02 (Government).</narrative>
      </description>
      <provider-org ref="47045" type="30">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </receiver-org>
      <disbursement-channel code="2" />
    </transaction>
    <transaction ref="a7c1f686-6deb-498c-b4b5-74adef44b2da">
      <transaction-type code="3" />
      <transaction-date iso-date="2022-12-15" />
      <value currency="USD" value-date="2022-12-15">44857.36</value>
      <description>
        <narrative>Global Fund disbursement to ECU-H-MOHP02 (Government).</narrative>
      </description>
      <provider-org ref="47045" type="30">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </receiver-org>
      <disbursement-channel code="2" />
    </transaction>
    <transaction ref="ab19f061-0bfe-4960-8bf1-42ed88d6adb0">
      <transaction-type code="3" />
      <transaction-date iso-date="2023-01-17" />
      <value currency="USD" value-date="2023-01-17">230156.15</value>
      <description>
        <narrative>Global Fund disbursement to ECU-H-MOHP02 (Pooled Procurement Mechanism).</narrative>
      </description>
      <provider-org ref="47045" type="30">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </receiver-org>
      <disbursement-channel code="3" />
    </transaction>
    <transaction ref="fca6bdc5-167f-4cd0-9d0a-bbad10901d89">
      <transaction-type code="7" />
      <transaction-date iso-date="2023-01-18" />
      <value currency="USD" value-date="2023-01-18">44.70</value>
      <description>
        <narrative>Funds returned to the Global Fund from ECU-H-MOHP02 (Pooled Procurement Mechanism).</narrative>
      </description>
      <provider-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </provider-org>
      <receiver-org ref="47045" type="30">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </receiver-org>
    </transaction>
    <transaction ref="c7991ae7-e7ed-4cbc-bba4-d31b0d1701ff">
      <transaction-type code="2" />
      <transaction-date iso-date="2023-01-27" />
      <value currency="USD" value-date="2023-01-27">-44.70</value>
      <description>
        <narrative>Global Fund commitment to ECU-H-MOHP02.</narrative>
      </description>
      <provider-org ref="47045" type="30">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </receiver-org>
    </transaction>
    <transaction ref="d7246e4b-baf5-4fbc-8ea5-ff24f614d922">
      <transaction-type code="2" />
      <transaction-date iso-date="2023-06-25" />
      <value currency="USD" value-date="2023-06-25">-9276.75</value>
      <description>
        <narrative>Global Fund commitment to ECU-H-MOHP02.</narrative>
      </description>
      <provider-org ref="47045" type="30">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </receiver-org>
    </transaction>
    <transaction ref="ECU-H-MOHP02-EXP-20201231">
      <transaction-type code="4" />
      <transaction-date iso-date="2020-12-31" />
      <value currency="USD" value-date="2020-12-31">1487962.62</value>
      <description>
        <narrative>Expenditure reported by Ministry of Public Health of the Republic of Ecuador for ECU-H-MOHP02, Jan 2020 to Dec 2020.</narrative>
      </description>
      <provider-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </provider-org>
    </transaction>
    <transaction ref="ECU-H-MOHP02-EXP-20211231">
      <transaction-type code="4" />
      <transaction-date iso-date="2021-12-31" />
      <value currency="USD" value-date="2021-12-31">2892142.19</value>
      <description>
        <narrative>Expenditure reported by Ministry of Public Health of the Republic of Ecuador for ECU-H-MOHP02, Jan 2021 to Dec 2021.</narrative>
      </description>
      <provider-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </provider-org>
    </transaction>
    <transaction ref="ECU-H-MOHP02-EXP-20221231">
      <transaction-type code="4" />
      <transaction-date iso-date="2022-12-31" />
      <value currency="USD" value-date="2022-12-31">4378611.45</value>
      <description>
        <narrative>Expenditure reported by Ministry of Public Health of the Republic of Ecuador for ECU-H-MOHP02, Jan 2022 to Dec 2022.</narrative>
      </description>
      <provider-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </provider-org>
    </transaction>
    <transaction ref="ECU-H-MOHP02-EXP-20230630">
      <transaction-type code="4" />
      <transaction-date iso-date="2023-06-30" />
      <value currency="USD" value-date="2023-06-30">290368.52</value>
      <description>
        <narrative>Expenditure reported by Ministry of Public Health of the Republic of Ecuador for ECU-H-MOHP02, Jan 2023 to Jun 2023.</narrative>
      </description>
      <provider-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </provider-org>
    </transaction>
    <document-link url="https://data.theglobalfund.org/grant/ECU-H-MOH" format="text/html">
      <title>
        <narrative>Grant page on the data explorer of the Global Fund.</narrative>
      </title>
      <description>
        <narrative>An overview of a grant over its lifetime.</narrative>
      </description>
      <category code="A12" />
      <category code="A01" />
      <category code="A02" />
      <category code="A05" />
      <category code="A07" />
      <category code="A08" />
      <language code="en" />
      <document-date iso-date="2026-11-11" />
    </document-link>
    <document-link url="https://www.theglobalfund.org/media/13342/core_grantregulationsversiontwo_regulations_en.pdf" format="application/pdf">
      <title>
        <narrative>Grant terms and conditions.</narrative>
      </title>
      <description>
        <narrative>General terms and conditions which apply to Global Fund grants.</narrative>
      </description>
      <category code="A04" />
      <language code="en" />
    </document-link>
    <result type="1" aggregation-status="0">
      <title>
        <narrative>Percentage of men who have sex with men reached with HIV prevention programs - defined package of services</narrative>
      </title>
      <description>
        <narrative>Module: Comprehensive prevention programs for MSM.</narrative>
      </description>
      <indicator measure="2" aggregation-status="0">
        <title>
          <narrative>Percentage of men who have sex with men reached with HIV prevention programs - defined package of services</narrative>
        </title>
        <description>
          <narrative>Geographic coverage: National. Aggregation: Non cumulative.</narrative>
        </description>
        <baseline year="2018" iso-date="2018-12-31" value="34.4">
          <comment>
            <narrative>Numerator: 30860; Denominator: 89679.</narrative>
          </comment>
        </baseline>
        <period>
          <period-start iso-date="2020-01-01" />
          <period-end iso-date="2020-12-31" />
          <target value="36">
            <comment>
              <narrative>Numerator: 32284; Denominator: 89679.</narrative>
            </comment>
          </target>
          <actual value="16.1">
            <comment>
              <narrative>Numerator: 14471; Denominator: 89679.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2021-01-01" />
          <period-end iso-date="2021-12-31" />
          <target value="38">
            <comment>
              <narrative>Numerator: 34691; Denominator: 91293.</narrative>
            </comment>
          </target>
          <actual value="1.6">
            <comment>
              <narrative>Numerator: 1471; Denominator: 91293.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2022-01-01" />
          <period-end iso-date="2022-12-31" />
          <target value="40">
            <comment>
              <narrative>Numerator: 37174; Denominator: 92936.</narrative>
            </comment>
          </target>
          <actual value="19.2">
            <comment>
              <narrative>Numerator: 17846; Denominator: 92936.</narrative>
            </comment>
          </actual>
        </period>
      </indicator>
    </result>
    <result type="1" aggregation-status="0">
      <title>
        <narrative>Percentage of men who have sex with men that have received an HIV test during the reporting period and know their results</narrative>
      </title>
      <description>
        <narrative>Module: Comprehensive prevention programs for MSM.</narrative>
      </description>
      <indicator measure="2" aggregation-status="0">
        <title>
          <narrative>Percentage of men who have sex with men that have received an HIV test during the reporting period and know their results</narrative>
        </title>
        <description>
          <narrative>Geographic coverage: National. Aggregation: Non cumulative.</narrative>
        </description>
        <baseline year="2017" iso-date="2017-12-31" value="54" />
        <period>
          <period-start iso-date="2020-01-01" />
          <period-end iso-date="2020-12-31" />
          <target value="75">
            <comment>
              <narrative>Numerator: 67259; Denominator: 89679.</narrative>
            </comment>
          </target>
          <actual value="20.6">
            <comment>
              <narrative>Numerator: 18488; Denominator: 89679.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2021-01-01" />
          <period-end iso-date="2021-12-31" />
          <target value="80">
            <comment>
              <narrative>Numerator: 73034; Denominator: 91293.</narrative>
            </comment>
          </target>
          <actual value="27.7">
            <comment>
              <narrative>Numerator: 25266; Denominator: 91293.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2022-01-01" />
          <period-end iso-date="2022-12-31" />
          <target value="85">
            <comment>
              <narrative>Numerator: 78996; Denominator: 92936.</narrative>
            </comment>
          </target>
          <actual value="23">
            <comment>
              <narrative>Numerator: 21349; Denominator: 92936.</narrative>
            </comment>
          </actual>
        </period>
      </indicator>
    </result>
    <result type="1" aggregation-status="0">
      <title>
        <narrative>Percentage of transgender people reached with HIV prevention programs - defined package of services</narrative>
      </title>
      <description>
        <narrative>Module: Comprehensive prevention programs for TGs.</narrative>
      </description>
      <indicator measure="2" aggregation-status="0">
        <title>
          <narrative>Percentage of transgender people reached with HIV prevention programs - defined package of services</narrative>
        </title>
        <description>
          <narrative>Geographic coverage: National. Aggregation: Non cumulative.</narrative>
        </description>
        <baseline year="2018" iso-date="2018-12-31" value="43.6">
          <comment>
            <narrative>Numerator: 9432; Denominator: 21640.</narrative>
          </comment>
        </baseline>
        <period>
          <period-start iso-date="2020-01-01" />
          <period-end iso-date="2020-12-31" />
          <target value="43">
            <comment>
              <narrative>Numerator: 9640; Denominator: 22419.</narrative>
            </comment>
          </target>
          <actual value="11">
            <comment>
              <narrative>Numerator: 2471; Denominator: 22419.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2021-01-01" />
          <period-end iso-date="2021-12-31" />
          <target value="44">
            <comment>
              <narrative>Numerator: 10042; Denominator: 22823.</narrative>
            </comment>
          </target>
          <actual value="2.9">
            <comment>
              <narrative>Numerator: 666; Denominator: 22823.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2022-01-01" />
          <period-end iso-date="2022-12-31" />
          <target value="45">
            <comment>
              <narrative>Numerator: 10445; Denominator: 23234.</narrative>
            </comment>
          </target>
          <actual value="24">
            <comment>
              <narrative>Numerator: 5584; Denominator: 23234.</narrative>
            </comment>
          </actual>
        </period>
      </indicator>
    </result>
    <result type="1" aggregation-status="0">
      <title>
        <narrative>Percentage of transgender people that have received an HIV test during the reporting period and know their results</narrative>
      </title>
      <description>
        <narrative>Module: Comprehensive prevention programs for TGs.</narrative>
      </description>
      <indicator measure="2" aggregation-status="0">
        <title>
          <narrative>Percentage of transgender people that have received an HIV test during the reporting period and know their results</narrative>
        </title>
        <description>
          <narrative>Geographic coverage: National. Aggregation: Non cumulative.</narrative>
        </description>
        <baseline year="2017" iso-date="2017-12-31" value="60" />
        <period>
          <period-start iso-date="2020-01-01" />
          <period-end iso-date="2020-12-31" />
          <target value="75">
            <comment>
              <narrative>Numerator: 16814; Denominator: 22419.</narrative>
            </comment>
          </target>
          <actual value="14">
            <comment>
              <narrative>Numerator: 3128; Denominator: 22419.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2021-01-01" />
          <period-end iso-date="2021-12-31" />
          <target value="80">
            <comment>
              <narrative>Numerator: 18258; Denominator: 22823.</narrative>
            </comment>
          </target>
          <actual value="32.1">
            <comment>
              <narrative>Numerator: 7324; Denominator: 22823.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2022-01-01" />
          <period-end iso-date="2022-12-31" />
          <target value="85">
            <comment>
              <narrative>Numerator: 19749; Denominator: 23234.</narrative>
            </comment>
          </target>
          <actual value="29.9">
            <comment>
              <narrative>Numerator: 6951; Denominator: 23234.</narrative>
            </comment>
          </actual>
        </period>
      </indicator>
    </result>
    <result type="1" aggregation-status="0">
      <title>
        <narrative>Percentage of newly diagnosed people linked to HIV care (individual linkage)</narrative>
      </title>
      <description>
        <narrative>Module: Treatment, care and support.</narrative>
      </description>
      <indicator measure="2" aggregation-status="0">
        <title>
          <narrative>Percentage of newly diagnosed people linked to HIV care (individual linkage)</narrative>
        </title>
        <description>
          <narrative>Geographic coverage: National. Aggregation: Non cumulative.</narrative>
        </description>
        <baseline year="2018" iso-date="2018-12-31" value="83.1">
          <comment>
            <narrative>Numerator: 3386; Denominator: 4077.</narrative>
          </comment>
        </baseline>
        <period>
          <period-start iso-date="2020-01-01" />
          <period-end iso-date="2020-12-31" />
          <target value="86.93">
            <comment>
              <narrative>Numerator: 3007; Denominator: 3459.</narrative>
            </comment>
          </target>
          <actual value="96.1">
            <comment>
              <narrative>Numerator: 3823; Denominator: 3977.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2021-01-01" />
          <period-end iso-date="2021-12-31" />
          <target value="90.92">
            <comment>
              <narrative>Numerator: 5424; Denominator: 5966.</narrative>
            </comment>
          </target>
          <actual value="89">
            <comment>
              <narrative>Numerator: 3479; Denominator: 3908.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2022-01-01" />
          <period-end iso-date="2022-12-31" />
          <target value="95.6">
            <comment>
              <narrative>Numerator: 5608; Denominator: 5868.</narrative>
            </comment>
          </target>
          <actual value="72.6">
            <comment>
              <narrative>Numerator: 3676; Denominator: 5067.</narrative>
            </comment>
          </actual>
        </period>
      </indicator>
    </result>
    <result type="1" aggregation-status="0">
      <title>
        <narrative>Percentage of people living with HIV currently receiving antiretroviral therapy</narrative>
      </title>
      <description>
        <narrative>Module: Treatment, care and support.</narrative>
      </description>
      <indicator measure="2" aggregation-status="0">
        <title>
          <narrative>Percentage of people living with HIV currently receiving antiretroviral therapy</narrative>
        </title>
        <description>
          <narrative>Geographic coverage: National. Aggregation: Non cumulative - other.</narrative>
        </description>
        <baseline year="2018" iso-date="2018-12-31" value="60.22">
          <comment>
            <narrative>Numerator: 26427; Denominator: 43887.</narrative>
          </comment>
        </baseline>
        <period>
          <period-start iso-date="2020-01-01" />
          <period-end iso-date="2020-12-31" />
          <target value="70">
            <comment>
              <narrative>Numerator: 32442; Denominator: 46345.</narrative>
            </comment>
          </target>
          <actual value="72.2">
            <comment>
              <narrative>Numerator: 33839; Denominator: 46888.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2021-01-01" />
          <period-end iso-date="2021-12-31" />
          <target value="80">
            <comment>
              <narrative>Numerator: 37866; Denominator: 47333.</narrative>
            </comment>
          </target>
          <actual value="73">
            <comment>
              <narrative>Numerator: 34538; Denominator: 47333.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2022-01-01" />
          <period-end iso-date="2022-12-31" />
          <target value="90">
            <comment>
              <narrative>Numerator: 43474; Denominator: 48304.</narrative>
            </comment>
          </target>
          <actual value="79.3">
            <comment>
              <narrative>Numerator: 38309; Denominator: 48304.</narrative>
            </comment>
          </actual>
        </period>
      </indicator>
    </result>
  </iati-activity>
  <iati-activity last-updated-datetime="2026-11-11T13:38:06+00:00" xml:lang="en" default-currency="USD" humanitarian="0" hierarchy="1">
    <iati-identifier>47045-ECU-H-MOH-3</iati-identifier>
    <reporting-org ref="47045" type="30">
      <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
    </reporting-org>
    <title>
      <narrative>Achieving national targets towards HIV elimination as a public health issue by decentralizing testing services to primary health care level and improving data collection systems - Ecuador (01-Jan-2023-31-Dec-2025)</narrative>
    </title>
    <description type="1">
      <narrative>Ecuador, HIV, Ministry of Public Health of the Republic of Ecuador</narrative>
    </description>
    <description type="2">
      <narrative>Goals: Para el 2025 El 95%  Porcentaje de personas que viven con el VIH que conocen su Estatus de VIH al final del período de reporte/ By 2025, 95% of estimated PLHIV know their status; Para el 2025 El 95%  personas que viven con VIH que reciben tratamiento antirretroviral y tienen carga viral suprimida/ By 2025, 95% of PLHIV who are on ART have reached viral load supression; 83% de personas en TARV entre todas las personas viviendo con VIH al final del período de reporte del 2025/ By the end of 2025, 83% of estimated PLHIV are on ART; Para el 2025 el 26%  de personas que viven con el VIH recibiendo terapia antirretroviral que han iniciado la terapia preventiva de TB entre las personas que viven con el VIH elegibles durante el período de reporte/ By 2025, 26% PLHIV on ART who are eligible for TB preventive Therapy have started TPT. Objectives: incrementar el acceso de poblaciones clave de VIH a provención y diagnóstico. / increase access of key HIV populations to prevention and diagnosis; Promover la articulación con los servicios de salud, inicio temprano del tratamiento y adherencia/ Promote linkages with health services, early initiation of treatment and adherence; Fortalecer el acceso a servicios de salud y justicia con un abordaje participativo y de derechos humanos/  Strengthen health and justice service, as well as access to justice, with a human rights and participatory approach.</narrative>
    </description>
    <participating-org ref="47045" type="30" role="1" crs-channel-code="47045">
      <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
    </participating-org>
    <participating-org type="10" role="2" crs-channel-code="12001">
      <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
    </participating-org>
    <participating-org type="10" role="4" crs-channel-code="12001">
      <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
    </participating-org>
    <other-identifier ref="ECU-H-MOHP03" type="A1">
      <owner-org ref="47045">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </owner-org>
    </other-identifier>
    <activity-status code="3" />
    <activity-date type="1" iso-date="2023-01-01" />
    <activity-date type="2" iso-date="2023-01-01" />
    <activity-date type="3" iso-date="2025-12-31" />
    <activity-date type="4" iso-date="2025-12-31" />
    <contact-info type="1">
      <organisation>
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </organisation>
      <department>
        <narrative>Communications</narrative>
      </department>
      <telephone>+41 58 791 1700</telephone>
      <email>website@theglobalfund.org</email>
      <website>https://www.theglobalfund.org</website>
      <mailing-address>
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria, Global Health Campus, Chemin du Pommier 40, 1218 Grand-Saconnex, Geneva, Switzerland</narrative>
      </mailing-address>
    </contact-info>
    <contact-info type="2">
      <organisation>
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </organisation>
      <department>
        <narrative>Grant Management Division</narrative>
      </department>
      <person-name>
        <narrative>Cecilia Vitale</narrative>
      </person-name>
      <job-title>
        <narrative>Fund Portfolio Manager</narrative>
      </job-title>
      <telephone>+41 58 791 1700</telephone>
      <email>cecilia.vitale@theglobalfund.org</email>
      <website>https://www.theglobalfund.org</website>
      <mailing-address>
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria, Global Health Campus, Chemin du Pommier 40, 1218 Grand-Saconnex, Geneva, Switzerland</narrative>
      </mailing-address>
    </contact-info>
    <activity-scope code="4" />
    <recipient-country code="EC" percentage="100">
      <narrative>Ecuador</narrative>
    </recipient-country>
    <sector vocabulary="1" code="13040" percentage="62.03">
      <narrative>HIV</narrative>
    </sector>
    <sector vocabulary="1" code="12110" percentage="35.17">
      <narrative>Multicomponent, RSSH</narrative>
    </sector>
    <sector vocabulary="1" code="12263" percentage="2.8">
      <narrative>Tuberculosis</narrative>
    </sector>
    <tag vocabulary="2" code="3">
      <narrative>Ensure healthy lives and promote well-being for all at all ages</narrative>
    </tag>
    <tag vocabulary="3" code="3.3">
      <narrative>End the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases, and combat hepatitis, water-borne diseases and other communicable diseases</narrative>
    </tag>
    <tag vocabulary="3" code="3.8">
      <narrative>Achieve universal health coverage</narrative>
    </tag>
    <country-budget-items vocabulary="4">
      <budget-item code="2f83940f-3956-46e3-aeb4-0a2b2ee56af3" percentage="29.75">
        <description>
          <narrative>HIV -&gt; Differentiated HIV Testing Services -&gt; Community-based testing</narrative>
        </description>
      </budget-item>
      <budget-item code="f83bbdd0-a94f-473b-9cc3-ae8a59141348" percentage="8.95">
        <description>
          <narrative>HIV -&gt; Differentiated HIV Testing Services -&gt; Facility-based testing</narrative>
        </description>
      </budget-item>
      <budget-item code="67b7abf2-42e5-4cc4-b75d-4eb6ea4f22b4" percentage="0.77">
        <description>
          <narrative>HIV -&gt; Differentiated HIV Testing Services -&gt; Self-testing</narrative>
        </description>
      </budget-item>
      <budget-item code="61bfa00d-5158-4201-9e12-b91bee129c91" percentage="15.84">
        <description>
          <narrative>HIV -&gt; Prevention -&gt; Pre-exposure prophylaxis</narrative>
        </description>
      </budget-item>
      <budget-item code="0d76926d-3ff4-4be9-b57c-a4cbfd9a134f" percentage="0.67">
        <description>
          <narrative>HIV -&gt; Reducing human rights-related barriers to HIV/TB services -&gt; Improving laws, regulations and policies relating to HIV and HIV/TB</narrative>
        </description>
      </budget-item>
      <budget-item code="582a5bc6-226b-4ea9-9391-54880da66119" percentage="0.84">
        <description>
          <narrative>HIV -&gt; Treatment, care and support -&gt; Prevention and management of co-infections and co-morbidities (Treatment, care and support)</narrative>
        </description>
      </budget-item>
      <budget-item code="62adfb99-3345-4b03-ad9f-89b544624a5b" percentage="5.21">
        <description>
          <narrative>HIV -&gt; Treatment, care and support -&gt; Treatment monitoring - Viral load</narrative>
        </description>
      </budget-item>
      <budget-item code="31a8e187-9648-42f5-a520-92e7e53d4ac6" percentage="18.67">
        <description>
          <narrative>Multicomponent -&gt; Program management -&gt; Grant management</narrative>
        </description>
      </budget-item>
      <budget-item code="25710664-d25f-448a-9b94-5e4b210a97c6" percentage="7.89">
        <description>
          <narrative>RSSH -&gt; RSSH: Community systems strengthening -&gt; Institutional capacity building, planning and leadership development</narrative>
        </description>
      </budget-item>
      <budget-item code="d110361a-331b-4f72-bd32-016450445cc3" percentage="3.84">
        <description>
          <narrative>RSSH -&gt; RSSH: Health management information systems and M&amp;E -&gt; Program and data quality</narrative>
        </description>
      </budget-item>
      <budget-item code="b235c58e-3a80-49b8-aeb9-ddaad2b16768" percentage="2.47">
        <description>
          <narrative>RSSH -&gt; RSSH: Health management information systems and M&amp;E -&gt; Surveys</narrative>
        </description>
      </budget-item>
      <budget-item code="a47ec95d-9737-4650-ba19-86db996b3cdd" percentage="2.3">
        <description>
          <narrative>RSSH -&gt; RSSH: Human resources for health, including community health workers -&gt; Remuneration &amp; deployment of existing/new staff (excluding community health workers)</narrative>
        </description>
      </budget-item>
      <budget-item code="d5851297-913c-4ce3-a373-c0915334727a" percentage="2.8">
        <description>
          <narrative>Tuberculosis -&gt; TB/HIV -&gt; TB/HIV - Prevention</narrative>
        </description>
      </budget-item>
    </country-budget-items>
    <collaboration-type code="1" />
    <default-flow-type code="10" />
    <default-finance-type code="110" />
    <default-aid-type code="C01" vocabulary="1" />
    <default-tied-status code="5" />
    <budget type="2" status="2">
      <period-start iso-date="2023-01-01" />
      <period-end iso-date="2023-12-31" />
      <value currency="USD" value-date="2023-01-01">2293362.84</value>
    </budget>
    <budget type="2" status="2">
      <period-start iso-date="2024-01-01" />
      <period-end iso-date="2024-12-31" />
      <value currency="USD" value-date="2024-01-01">2831020.49</value>
    </budget>
    <budget type="2" status="2">
      <period-start iso-date="2025-01-01" />
      <period-end iso-date="2025-12-31" />
      <value currency="USD" value-date="2025-01-01">2563551.46</value>
    </budget>
    <capital-spend percentage="4.14" />
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      <transaction-date iso-date="2023-03-08" />
      <value currency="USD" value-date="2023-03-08">3068978.22</value>
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        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </receiver-org>
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    <transaction ref="3fad498e-d131-43dc-8462-825908957205">
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        <narrative>Global Fund disbursement to ECU-H-MOHP03 (Other 3rd Party).</narrative>
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        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
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      <receiver-org type="10">
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        <narrative>Global Fund disbursement to ECU-H-MOHP03 (Other 3rd Party).</narrative>
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        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
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        <narrative>Global Fund disbursement to ECU-H-MOHP03 (Government).</narrative>
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        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
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        <narrative>Global Fund disbursement to ECU-H-MOHP03 (Other 3rd Party).</narrative>
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        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
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        <narrative>Global Fund disbursement to ECU-H-MOHP03 (Government).</narrative>
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        <narrative>Global Fund disbursement to ECU-H-MOHP03 (Other 3rd Party).</narrative>
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        <narrative>Global Fund disbursement to ECU-H-MOHP03 (Pooled Procurement Mechanism).</narrative>
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        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
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        <narrative>Funds returned to the Global Fund from ECU-H-MOHP03 (Government).</narrative>
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        <narrative>Global Fund disbursement to ECU-H-MOHP03 (Government).</narrative>
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        <narrative>Global Fund disbursement to ECU-H-MOHP03 (Other 3rd Party).</narrative>
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        <narrative>Global Fund commitment to ECU-H-MOHP03.</narrative>
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        <narrative>Global Fund commitment to ECU-H-MOHP03.</narrative>
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    <transaction ref="255389e8-6dd8-4782-8ec7-95ebbbcec600">
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        <narrative>Global Fund disbursement to ECU-H-MOHP03 (Other 3rd Party).</narrative>
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        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
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      <receiver-org type="10">
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    <transaction ref="a8a4f861-fec8-4546-a212-66ef28246a40">
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        <narrative>Global Fund disbursement to ECU-H-MOHP03 (Other 3rd Party).</narrative>
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        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
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    <transaction ref="7466195f-ce00-4ddb-b122-f72e263145a5">
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      <transaction-date iso-date="2025-08-01" />
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        <narrative>Global Fund commitment to ECU-H-MOHP03.</narrative>
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        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
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    <transaction ref="9b47faa8-e9cc-463a-aba9-ab7ca9136e46">
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      <transaction-date iso-date="2025-08-01" />
      <value currency="USD" value-date="2025-08-01">-712000.84</value>
      <description>
        <narrative>Global Fund commitment to ECU-H-MOHP03.</narrative>
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        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
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      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
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    <transaction ref="ccb48894-205c-4b36-96c9-4c676a00376c">
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      <description>
        <narrative>Global Fund disbursement to ECU-H-MOHP03 (Other 3rd Party).</narrative>
      </description>
      <provider-org ref="47045" type="30">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
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    <transaction ref="eadfd430-8b5f-49b8-89ab-cd9284976968">
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      <transaction-date iso-date="2025-10-01" />
      <value currency="USD" value-date="2025-10-01">288017.69</value>
      <description>
        <narrative>Global Fund disbursement to ECU-H-MOHP03 (Other 3rd Party).</narrative>
      </description>
      <provider-org ref="47045" type="30">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </receiver-org>
      <disbursement-channel code="2" />
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    <transaction ref="0229121f-4216-4e6e-8df1-80bf37d43311">
      <transaction-type code="3" />
      <transaction-date iso-date="2025-12-18" />
      <value currency="USD" value-date="2025-12-18">50761.00</value>
      <description>
        <narrative>Global Fund disbursement to ECU-H-MOHP03 (Other 3rd Party).</narrative>
      </description>
      <provider-org ref="47045" type="30">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </receiver-org>
      <disbursement-channel code="2" />
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    <transaction ref="69c46950-4b4f-443a-b6f0-3bcc3ad6d1b5">
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      <transaction-date iso-date="2026-08-05" />
      <value currency="USD" value-date="2026-08-05">5854.00</value>
      <description>
        <narrative>Global Fund commitment to ECU-H-MOHP03.</narrative>
      </description>
      <provider-org ref="47045" type="30">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
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    </transaction>
    <transaction ref="6b89bb3b-d851-48b8-8712-8938407e6bf4">
      <transaction-type code="2" />
      <transaction-date iso-date="2026-08-05" />
      <value currency="USD" value-date="2026-08-05">-284813.00</value>
      <description>
        <narrative>Global Fund commitment to ECU-H-MOHP03.</narrative>
      </description>
      <provider-org ref="47045" type="30">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
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    </transaction>
    <transaction ref="dd81b38f-e45f-49e7-a3f3-697129ae7a3c">
      <transaction-type code="3" />
      <transaction-date iso-date="2026-08-11" />
      <value currency="USD" value-date="2026-08-11">5854.00</value>
      <description>
        <narrative>Global Fund disbursement to ECU-H-MOHP03 (Other 3rd Party).</narrative>
      </description>
      <provider-org ref="47045" type="30">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </receiver-org>
      <disbursement-channel code="2" />
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    <transaction ref="ECU-H-MOHP03-EXP-20231231">
      <transaction-type code="4" />
      <transaction-date iso-date="2023-12-31" />
      <value currency="USD" value-date="2023-12-31">1867933.32</value>
      <description>
        <narrative>Expenditure reported by Ministry of Public Health of the Republic of Ecuador for ECU-H-MOHP03, Jan 2023 to Dec 2023.</narrative>
      </description>
      <provider-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </provider-org>
    </transaction>
    <transaction ref="ECU-H-MOHP03-EXP-20241231">
      <transaction-type code="4" />
      <transaction-date iso-date="2024-12-31" />
      <value currency="USD" value-date="2024-12-31">2312864.27</value>
      <description>
        <narrative>Expenditure reported by Ministry of Public Health of the Republic of Ecuador for ECU-H-MOHP03, Jan 2024 to Dec 2024.</narrative>
      </description>
      <provider-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </provider-org>
    </transaction>
    <transaction ref="ECU-H-MOHP03-EXP-20251231">
      <transaction-type code="4" />
      <transaction-date iso-date="2025-12-31" />
      <value currency="USD" value-date="2025-12-31">2015345.68</value>
      <description>
        <narrative>Expenditure reported by Ministry of Public Health of the Republic of Ecuador for ECU-H-MOHP03, Jan 2025 to Dec 2025.</narrative>
      </description>
      <provider-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </provider-org>
    </transaction>
    <document-link url="https://data.theglobalfund.org/grant/ECU-H-MOH" format="text/html">
      <title>
        <narrative>Grant page on the data explorer of the Global Fund.</narrative>
      </title>
      <description>
        <narrative>An overview of a grant over its lifetime.</narrative>
      </description>
      <category code="A12" />
      <category code="A01" />
      <category code="A02" />
      <category code="A05" />
      <category code="A07" />
      <category code="A08" />
      <language code="en" />
      <document-date iso-date="2026-11-11" />
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    <document-link url="https://www.theglobalfund.org/media/13342/core_grantregulationsversiontwo_regulations_en.pdf" format="application/pdf">
      <title>
        <narrative>Grant terms and conditions.</narrative>
      </title>
      <description>
        <narrative>General terms and conditions which apply to Global Fund grants.</narrative>
      </description>
      <category code="A04" />
      <language code="en" />
    </document-link>
    <document-link url="https://docs.theglobalfund.org/files/Applications/Funding Requests/ECU/2022/HIV/en/ECU-H_FundingRequest_1_en.zip" format="application/zip">
      <title>
        <narrative>2022 - Funding Request - Window 7 - HIV - Ecuador - English</narrative>
      </title>
      <description>
        <narrative>Funding Request of funding request FR1212-ECU-H.</narrative>
      </description>
      <category code="A01" />
      <category code="A02" />
      <category code="A08" />
      <language code="en" />
      <document-date iso-date="2022-02-18" />
    </document-link>
    <document-link url="https://docs.theglobalfund.org/files/Applications/Funding Requests/ECU/2022/HIV/es/ECU-H_FundingRequest_1_es.zip" format="application/zip">
      <title>
        <narrative>2022 - Funding Request - Window 7 - HIV - Ecuador - Español</narrative>
      </title>
      <description>
        <narrative>Funding Request of funding request FR1212-ECU-H.</narrative>
      </description>
      <category code="A01" />
      <category code="A02" />
      <category code="A08" />
      <language code="es" />
      <document-date iso-date="2022-02-18" />
    </document-link>
    <result type="1" aggregation-status="0">
      <title>
        <narrative>Percentage of men who have sex with men that have received an HIV test during the reporting period and know their results</narrative>
      </title>
      <description>
        <narrative>Module: Differentiated HIV Testing Services.</narrative>
      </description>
      <indicator measure="2" aggregation-status="0">
        <title>
          <narrative>Percentage of men who have sex with men that have received an HIV test during the reporting period and know their results</narrative>
        </title>
        <description>
          <narrative>Geographic coverage: National, 100% of national program target.</narrative>
        </description>
        <baseline year="2020" iso-date="2020-12-31" value="32.74">
          <comment>
            <narrative>Numerator: 29363; Denominator: 89679.</narrative>
          </comment>
        </baseline>
        <period>
          <period-start iso-date="2023-01-01" />
          <period-end iso-date="2023-12-31" />
          <target value="63.75">
            <comment>
              <narrative>Numerator: 74037; Denominator: 116138.</narrative>
            </comment>
          </target>
          <actual value="36.8">
            <comment>
              <narrative>Numerator: 42722; Denominator: 116138.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2024-01-01" />
          <period-end iso-date="2024-12-31" />
          <target value="68">
            <comment>
              <narrative>Numerator: 80150; Denominator: 117869.</narrative>
            </comment>
          </target>
          <actual value="46.29">
            <comment>
              <narrative>Numerator: 54558; Denominator: 117869.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2025-01-01" />
          <period-end iso-date="2025-12-31" />
          <target value="68.42">
            <comment>
              <narrative>Numerator: 81785; Denominator: 119541.</narrative>
            </comment>
          </target>
          <actual value="58.09">
            <comment>
              <narrative>Numerator: 69438; Denominator: 119541.</narrative>
            </comment>
          </actual>
        </period>
      </indicator>
    </result>
    <result type="1" aggregation-status="0">
      <title>
        <narrative>Percentage of sex workers that have received an HIV test during the reporting period and know their results</narrative>
      </title>
      <description>
        <narrative>Module: Differentiated HIV Testing Services.</narrative>
      </description>
      <indicator measure="2" aggregation-status="0">
        <title>
          <narrative>Percentage of sex workers that have received an HIV test during the reporting period and know their results</narrative>
        </title>
        <description>
          <narrative>Geographic coverage: National, 100% of national program target.</narrative>
        </description>
        <baseline year="2021" iso-date="2021-12-31" value="36.12">
          <comment>
            <narrative>Numerator: 23832; Denominator: 65987.</narrative>
          </comment>
        </baseline>
        <period>
          <period-start iso-date="2023-01-01" />
          <period-end iso-date="2023-12-31" />
          <target value="38.45">
            <comment>
              <narrative>Numerator: 26177; Denominator: 68089.</narrative>
            </comment>
          </target>
          <actual value="29.1">
            <comment>
              <narrative>Numerator: 19786; Denominator: 68089.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2024-01-01" />
          <period-end iso-date="2024-12-31" />
          <target value="40">
            <comment>
              <narrative>Numerator: 27638; Denominator: 69103.</narrative>
            </comment>
          </target>
          <actual value="34.55">
            <comment>
              <narrative>Numerator: 23873; Denominator: 69103.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2025-01-01" />
          <period-end iso-date="2025-12-31" />
          <target value="41.75">
            <comment>
              <narrative>Numerator: 29262; Denominator: 70084.</narrative>
            </comment>
          </target>
          <actual value="57.55">
            <comment>
              <narrative>Numerator: 40336; Denominator: 70084.</narrative>
            </comment>
          </actual>
        </period>
      </indicator>
    </result>
    <result type="1" aggregation-status="0">
      <title>
        <narrative>Percentage of transgender people that have received an HIV test during the reporting period and know their results</narrative>
      </title>
      <description>
        <narrative>Module: Differentiated HIV Testing Services.</narrative>
      </description>
      <indicator measure="2" aggregation-status="0">
        <title>
          <narrative>Percentage of transgender people that have received an HIV test during the reporting period and know their results</narrative>
        </title>
        <description>
          <narrative>Geographic coverage: National, 100% of national program target.</narrative>
        </description>
        <baseline year="2020" iso-date="2020-12-31" value="33.97">
          <comment>
            <narrative>Numerator: 7616; Denominator: 22419.</narrative>
          </comment>
        </baseline>
        <period>
          <period-start iso-date="2023-01-01" />
          <period-end iso-date="2023-12-31" />
          <target value="62.73">
            <comment>
              <narrative>Numerator: 10564; Denominator: 16840.</narrative>
            </comment>
          </target>
          <actual value="37.2">
            <comment>
              <narrative>Numerator: 6258; Denominator: 16840.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2024-01-01" />
          <period-end iso-date="2024-12-31" />
          <target value="60.89">
            <comment>
              <narrative>Numerator: 10407; Denominator: 17091.</narrative>
            </comment>
          </target>
          <actual value="48.46">
            <comment>
              <narrative>Numerator: 8282; Denominator: 17091.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2025-01-01" />
          <period-end iso-date="2025-12-31" />
          <target value="59.89">
            <comment>
              <narrative>Numerator: 10380; Denominator: 17333.</narrative>
            </comment>
          </target>
          <actual value="61.32">
            <comment>
              <narrative>Numerator: 10628; Denominator: 17333.</narrative>
            </comment>
          </actual>
        </period>
      </indicator>
    </result>
    <result type="1" aggregation-status="0">
      <title>
        <narrative>Percentage of eligible men who have sex with men who initiated oral antiretroviral PrEP during the reporting period</narrative>
      </title>
      <description>
        <narrative>Module: Prevention.</narrative>
      </description>
      <indicator measure="5" aggregation-status="0">
        <title>
          <narrative>Percentage of eligible men who have sex with men who initiated oral antiretroviral PrEP during the reporting period</narrative>
        </title>
        <description>
          <narrative>Geographic coverage: Subnational, 100% of national program target.</narrative>
        </description>
        <baseline year="2021" iso-date="2021-12-31">
          <comment>
            <narrative>Numerator: 371; Denominator: 6905; Percentage: 5.37%.</narrative>
          </comment>
        </baseline>
        <period>
          <period-start iso-date="2023-01-01" />
          <period-end iso-date="2023-12-31" />
          <target>
            <comment>
              <narrative>Numerator: 1935.</narrative>
            </comment>
          </target>
          <actual>
            <comment>
              <narrative>Numerator: 1355; Denominator: 1935; Percentage: 70%.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2024-01-01" />
          <period-end iso-date="2024-12-31" />
          <target>
            <comment>
              <narrative>Numerator: 3557.</narrative>
            </comment>
          </target>
          <actual>
            <comment>
              <narrative>Numerator: 2510; Denominator: 3557; Percentage: 70.57%.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2025-01-01" />
          <period-end iso-date="2025-12-31" />
          <target>
            <comment>
              <narrative>Numerator: 4314.</narrative>
            </comment>
          </target>
          <actual>
            <comment>
              <narrative>Numerator: 4199.</narrative>
            </comment>
          </actual>
        </period>
      </indicator>
    </result>
    <result type="1" aggregation-status="0">
      <title>
        <narrative>Percentage of eligible transgender people who initiated oral antiretroviral PrEP during the reporting period</narrative>
      </title>
      <description>
        <narrative>Module: Prevention.</narrative>
      </description>
      <indicator measure="5" aggregation-status="0">
        <title>
          <narrative>Percentage of eligible transgender people who initiated oral antiretroviral PrEP during the reporting period</narrative>
        </title>
        <description>
          <narrative>Geographic coverage: Subnational, 100% of national program target.</narrative>
        </description>
        <baseline year="2021" iso-date="2021-12-31">
          <comment>
            <narrative>Numerator: 8; Denominator: 778; Percentage: 1.03%.</narrative>
          </comment>
        </baseline>
        <period>
          <period-start iso-date="2023-01-01" />
          <period-end iso-date="2023-12-31" />
          <target>
            <comment>
              <narrative>Numerator: 366.</narrative>
            </comment>
          </target>
          <actual>
            <comment>
              <narrative>Numerator: 74; Denominator: 366; Percentage: 20.2%.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2024-01-01" />
          <period-end iso-date="2024-12-31" />
          <target>
            <comment>
              <narrative>Numerator: 181.</narrative>
            </comment>
          </target>
          <actual>
            <comment>
              <narrative>Numerator: 168; Denominator: 181; Percentage: 92.82%.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2025-01-01" />
          <period-end iso-date="2025-12-31" />
          <target>
            <comment>
              <narrative>Numerator: 220.</narrative>
            </comment>
          </target>
          <actual>
            <comment>
              <narrative>Numerator: 292.</narrative>
            </comment>
          </actual>
        </period>
      </indicator>
    </result>
    <result type="1" aggregation-status="0">
      <title>
        <narrative>Percentage of men who have sex with men reached with HIV prevention programs</narrative>
      </title>
      <description>
        <narrative>Module: Prevention.</narrative>
      </description>
      <indicator measure="2" aggregation-status="0">
        <title>
          <narrative>Percentage of men who have sex with men reached with HIV prevention programs</narrative>
        </title>
        <description>
          <narrative>Geographic coverage: National, 100% of national program target.</narrative>
        </description>
        <baseline year="2021" iso-date="2021-12-31" value="31.25">
          <comment>
            <narrative>Numerator: 28024; Denominator: 89679.</narrative>
          </comment>
        </baseline>
        <period>
          <period-start iso-date="2023-01-01" />
          <period-end iso-date="2023-12-31" />
          <target value="75">
            <comment>
              <narrative>Numerator: 87103; Denominator: 116138.</narrative>
            </comment>
          </target>
          <actual value="58.1">
            <comment>
              <narrative>Numerator: 67438; Denominator: 116138.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2024-01-01" />
          <period-end iso-date="2024-12-31" />
          <target value="75.49">
            <comment>
              <narrative>Numerator: 88985; Denominator: 117869.</narrative>
            </comment>
          </target>
          <actual value="59.79">
            <comment>
              <narrative>Numerator: 70479; Denominator: 117869.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2025-01-01" />
          <period-end iso-date="2025-12-31" />
          <target value="75.38">
            <comment>
              <narrative>Numerator: 90107; Denominator: 119541.</narrative>
            </comment>
          </target>
          <actual value="58.04">
            <comment>
              <narrative>Numerator: 69376; Denominator: 119541.</narrative>
            </comment>
          </actual>
        </period>
      </indicator>
    </result>
    <result type="1" aggregation-status="0">
      <title>
        <narrative>Percentage of sex workers reached with HIV prevention programs</narrative>
      </title>
      <description>
        <narrative>Module: Prevention.</narrative>
      </description>
      <indicator measure="2" aggregation-status="0">
        <title>
          <narrative>Percentage of sex workers reached with HIV prevention programs</narrative>
        </title>
        <description>
          <narrative>Geographic coverage: National, 100% of national program target.</narrative>
        </description>
        <baseline year="2021" iso-date="2021-12-31" value="36.12">
          <comment>
            <narrative>Numerator: 23832; Denominator: 65978.</narrative>
          </comment>
        </baseline>
        <period>
          <period-start iso-date="2023-01-01" />
          <period-end iso-date="2023-12-31" />
          <target value="42.05">
            <comment>
              <narrative>Numerator: 28632; Denominator: 68089.</narrative>
            </comment>
          </target>
          <actual value="33">
            <comment>
              <narrative>Numerator: 22500; Denominator: 68089.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2024-01-01" />
          <period-end iso-date="2024-12-31" />
          <target value="43.85">
            <comment>
              <narrative>Numerator: 30299; Denominator: 69103.</narrative>
            </comment>
          </target>
          <actual value="34.79">
            <comment>
              <narrative>Numerator: 24042; Denominator: 69103.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2025-01-01" />
          <period-end iso-date="2025-12-31" />
          <target value="45.87">
            <comment>
              <narrative>Numerator: 32149; Denominator: 70084.</narrative>
            </comment>
          </target>
          <actual value="35.19">
            <comment>
              <narrative>Numerator: 24662; Denominator: 70084.</narrative>
            </comment>
          </actual>
        </period>
      </indicator>
    </result>
    <result type="1" aggregation-status="0">
      <title>
        <narrative>Percentage of transgender people reached with HIV prevention programs - defined package of services</narrative>
      </title>
      <description>
        <narrative>Module: Prevention.</narrative>
      </description>
      <indicator measure="2" aggregation-status="0">
        <title>
          <narrative>Percentage of transgender people reached with HIV prevention programs - defined package of services</narrative>
        </title>
        <description>
          <narrative>Geographic coverage: National, 100% of national program target.</narrative>
        </description>
        <baseline year="2021" iso-date="2021-12-31" value="33.6">
          <comment>
            <narrative>Numerator: 7654; Denominator: 22780.</narrative>
          </comment>
        </baseline>
        <period>
          <period-start iso-date="2023-01-01" />
          <period-end iso-date="2023-12-31" />
          <target value="69.12">
            <comment>
              <narrative>Numerator: 11640; Denominator: 16840.</narrative>
            </comment>
          </target>
          <actual value="39.7">
            <comment>
              <narrative>Numerator: 6690; Denominator: 16840.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2024-01-01" />
          <period-end iso-date="2024-12-31" />
          <target value="67.92">
            <comment>
              <narrative>Numerator: 11608; Denominator: 17091.</narrative>
            </comment>
          </target>
          <actual value="50.8">
            <comment>
              <narrative>Numerator: 8682; Denominator: 17091.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2025-01-01" />
          <period-end iso-date="2025-12-31" />
          <target value="67.43">
            <comment>
              <narrative>Numerator: 11687; Denominator: 17333.</narrative>
            </comment>
          </target>
          <actual value="59.35">
            <comment>
              <narrative>Numerator: 10288; Denominator: 17333.</narrative>
            </comment>
          </actual>
        </period>
      </indicator>
    </result>
    <result type="1" aggregation-status="0">
      <title>
        <narrative>Percentage of PLHIV on ART who initiated TB preventive therapy among those eligible during the reporting period</narrative>
      </title>
      <description>
        <narrative>Module: TB/HIV.</narrative>
      </description>
      <indicator measure="2" aggregation-status="0">
        <title>
          <narrative>Percentage of PLHIV on ART who initiated TB preventive therapy among those eligible during the reporting period</narrative>
        </title>
        <description>
          <narrative>Geographic coverage: National, 100% of national program target.</narrative>
        </description>
        <baseline year="2021" iso-date="2021-12-31" value="4.34">
          <comment>
            <narrative>Numerator: 166; Denominator: 3823.</narrative>
          </comment>
        </baseline>
        <period>
          <period-start iso-date="2023-01-01" />
          <period-end iso-date="2023-12-31" />
          <target value="15.87">
            <comment>
              <narrative>Numerator: 4600; Denominator: 28980.</narrative>
            </comment>
          </target>
          <actual value="12.7">
            <comment>
              <narrative>Numerator: 1007; Denominator: 7903.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2024-01-01" />
          <period-end iso-date="2024-12-31" />
          <target value="20.12">
            <comment>
              <narrative>Numerator: 6000; Denominator: 29820.</narrative>
            </comment>
          </target>
          <actual value="16.95">
            <comment>
              <narrative>Numerator: 1412; Denominator: 8330.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2025-01-01" />
          <period-end iso-date="2025-12-31" />
          <target value="26.33">
            <comment>
              <narrative>Numerator: 8000; Denominator: 30383.</narrative>
            </comment>
          </target>
          <actual value="19.18">
            <comment>
              <narrative>Numerator: 1672; Denominator: 8716.</narrative>
            </comment>
          </actual>
        </period>
      </indicator>
    </result>
    <result type="1" aggregation-status="0">
      <title>
        <narrative>Percentage of people on ART among all people living with HIV at the end of the reporting period</narrative>
      </title>
      <description>
        <narrative>Module: Treatment, care and support.</narrative>
      </description>
      <indicator measure="2" aggregation-status="0">
        <title>
          <narrative>Percentage of people on ART among all people living with HIV at the end of the reporting period</narrative>
        </title>
        <description>
          <narrative>Geographic coverage: National, 100% of national program target.</narrative>
        </description>
        <baseline year="2021" iso-date="2021-12-31" value="74.31">
          <comment>
            <narrative>Numerator: 34535; Denominator: 46476.</narrative>
          </comment>
        </baseline>
        <period>
          <period-start iso-date="2023-01-01" />
          <period-end iso-date="2023-12-31" />
          <target value="79">
            <comment>
              <narrative>Numerator: 37279; Denominator: 47188.</narrative>
            </comment>
          </target>
          <actual value="84">
            <comment>
              <narrative>Numerator: 40970; Denominator: 48782.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2024-01-01" />
          <period-end iso-date="2024-12-31" />
          <target value="81">
            <comment>
              <narrative>Numerator: 38544; Denominator: 47585.</narrative>
            </comment>
          </target>
          <actual value="81.92">
            <comment>
              <narrative>Numerator: 42882; Denominator: 52347.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2025-01-01" />
          <period-end iso-date="2025-12-31" />
          <target value="83">
            <comment>
              <narrative>Numerator: 39873; Denominator: 48040.</narrative>
            </comment>
          </target>
          <actual value="88.03">
            <comment>
              <narrative>Numerator: 47076; Denominator: 53475.</narrative>
            </comment>
          </actual>
        </period>
      </indicator>
    </result>
  </iati-activity>
  <iati-activity last-updated-datetime="2026-11-11T11:05:58+00:00" xml:lang="en" default-currency="USD" humanitarian="0" hierarchy="1">
    <iati-identifier>47045-ECU-H-MOH-4</iati-identifier>
    <reporting-org ref="47045" type="30">
      <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
    </reporting-org>
    <title>
      <narrative>Advancing HIV Elimination in Ecuador through Key Population Prevention, PrEP Expansion, Testing, and  Community Systems Strengthening to Achieve National Targets and Prepare for Sustainable Transition - Ecuador (01-Jan-2026-31-Dec-2028)</narrative>
    </title>
    <description type="1">
      <narrative>Ecuador, HIV, Ministry of Public Health of the Republic of Ecuador</narrative>
    </description>
    <description type="2">
      <narrative>Goal: Al 2028 reducir a 0.08 el numero de nuevas infecciones por VIH por cada 1.000 personas no infectadas./ By 2028, reduce the number of new HIV infections to 0.08 per 1,000 uninfected people. Objectives: Incrementar el número de población clave que accede a pruebas de VIH, incluida la prueba rápida, a la PrEP y a paquetes de prevención; lograr la vinculación inmediata de las PVV al tratamiento antirretroviral maximizando adherencia y supresion viral. / Increase the number of key populations accessing HIV testing, including rapid testing, PrEP, and prevention packages; achieve immediate linkage of PLHIV to antiretroviral treatment, maximizing adherence and viral suppression; Promover la articulación de las organizaciones de sociedad civil para la incidencia política en defensa de los derechos, el acceso a los programas de prevención y a la atención en salud./Promote the coordination of civil society organizations to advocate for rights and access to prevention programs and health care.</narrative>
    </description>
    <participating-org ref="47045" type="30" role="1" crs-channel-code="47045">
      <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
    </participating-org>
    <participating-org type="10" role="2" crs-channel-code="12001">
      <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
    </participating-org>
    <participating-org type="10" role="4" crs-channel-code="12001">
      <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
    </participating-org>
    <other-identifier ref="ECU-H-MOHP04" type="A1">
      <owner-org ref="47045">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </owner-org>
    </other-identifier>
    <activity-status code="2" />
    <activity-date type="1" iso-date="2026-01-01" />
    <activity-date type="2" iso-date="2026-01-01" />
    <activity-date type="3" iso-date="2028-12-31" />
    <contact-info type="1">
      <organisation>
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </organisation>
      <department>
        <narrative>Communications</narrative>
      </department>
      <telephone>+41 58 791 1700</telephone>
      <email>website@theglobalfund.org</email>
      <website>https://www.theglobalfund.org</website>
      <mailing-address>
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria, Global Health Campus, Chemin du Pommier 40, 1218 Grand-Saconnex, Geneva, Switzerland</narrative>
      </mailing-address>
    </contact-info>
    <contact-info type="2">
      <organisation>
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </organisation>
      <department>
        <narrative>Grant Management Division</narrative>
      </department>
      <person-name>
        <narrative>Cecilia Vitale</narrative>
      </person-name>
      <job-title>
        <narrative>Fund Portfolio Manager</narrative>
      </job-title>
      <telephone>+41 58 791 1700</telephone>
      <email>cecilia.vitale@theglobalfund.org</email>
      <website>https://www.theglobalfund.org</website>
      <mailing-address>
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria, Global Health Campus, Chemin du Pommier 40, 1218 Grand-Saconnex, Geneva, Switzerland</narrative>
      </mailing-address>
    </contact-info>
    <activity-scope code="4" />
    <recipient-country code="EC" percentage="100">
      <narrative>Ecuador</narrative>
    </recipient-country>
    <sector vocabulary="1" code="13040" percentage="99.68">
      <narrative>HIV</narrative>
    </sector>
    <sector vocabulary="1" code="12110" percentage="0.32">
      <narrative>Multicomponent</narrative>
    </sector>
    <tag vocabulary="2" code="3">
      <narrative>Ensure healthy lives and promote well-being for all at all ages</narrative>
    </tag>
    <tag vocabulary="3" code="3.3">
      <narrative>End the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases, and combat hepatitis, water-borne diseases and other communicable diseases</narrative>
    </tag>
    <tag vocabulary="3" code="3.8">
      <narrative>Achieve universal health coverage</narrative>
    </tag>
    <country-budget-items vocabulary="4">
      <budget-item code="aecf0171-ec0b-4298-be44-3c2a390d7a69" percentage="30.95">
        <description>
          <narrative>HIV -&gt; Differentiated HIV Testing Services -&gt; Community-based testing for KP programs</narrative>
        </description>
      </budget-item>
      <budget-item code="52020c8d-d3b6-42f6-9137-038784523b8a" percentage="59.31">
        <description>
          <narrative>HIV -&gt; Prevention package for other vulnerable populations (OVP) -&gt; Condom and lubricant programming for OVP</narrative>
        </description>
      </budget-item>
      <budget-item code="f8c4da37-2413-429d-8c58-e36e539aafc7" percentage="9.42">
        <description>
          <narrative>HIV -&gt; Prevention package for other vulnerable populations (OVP) -&gt; Pre-exposure prophylaxis (PrEP) programming for OVP</narrative>
        </description>
      </budget-item>
      <budget-item code="43337786-bfab-487f-b388-9fbe8808948d" percentage="0.32">
        <description>
          <narrative>Multicomponent -&gt; Program management -&gt; Grant management</narrative>
        </description>
      </budget-item>
    </country-budget-items>
    <collaboration-type code="1" />
    <default-flow-type code="10" />
    <default-finance-type code="110" />
    <default-aid-type code="C01" vocabulary="1" />
    <default-tied-status code="5" />
    <budget type="2" status="2">
      <period-start iso-date="2026-01-01" />
      <period-end iso-date="2026-12-31" />
      <value currency="USD" value-date="2026-01-01">2062803.96</value>
    </budget>
    <budget type="2" status="2">
      <period-start iso-date="2027-01-01" />
      <period-end iso-date="2027-12-31" />
      <value currency="USD" value-date="2027-01-01">2050060.03</value>
    </budget>
    <budget type="2" status="2">
      <period-start iso-date="2028-01-01" />
      <period-end iso-date="2028-12-31" />
      <value currency="USD" value-date="2028-01-01">1948097.94</value>
    </budget>
    <capital-spend percentage="0" />
    <transaction ref="507fc55f-1ef7-4bc0-a609-ebe547331863">
      <transaction-type code="2" />
      <transaction-date iso-date="2026-05-04" />
      <value currency="USD" value-date="2026-05-04">2575318.96</value>
      <description>
        <narrative>Global Fund commitment to ECU-H-MOHP04.</narrative>
      </description>
      <provider-org ref="47045" type="30">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </receiver-org>
    </transaction>
    <transaction ref="132c3749-e483-4dc2-9f92-4dbf6f7e8280">
      <transaction-type code="3" />
      <transaction-date iso-date="2026-05-26" />
      <value currency="USD" value-date="2026-05-26">281555.30</value>
      <description>
        <narrative>Global Fund disbursement to ECU-H-MOHP04 (Government).</narrative>
      </description>
      <provider-org ref="47045" type="30">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </receiver-org>
      <disbursement-channel code="2" />
    </transaction>
    <transaction ref="fe0c32be-d624-4b01-b994-73c665774382">
      <transaction-type code="3" />
      <transaction-date iso-date="2026-05-26" />
      <value currency="USD" value-date="2026-05-26">1781248.65</value>
      <description>
        <narrative>Global Fund disbursement to ECU-H-MOHP04 (Other 3rd Party).</narrative>
      </description>
      <provider-org ref="47045" type="30">
        <narrative>The Global Fund to Fight AIDS, Tuberculosis and Malaria</narrative>
      </provider-org>
      <receiver-org type="10">
        <narrative>Ministry of Public Health of the Republic of Ecuador</narrative>
      </receiver-org>
      <disbursement-channel code="2" />
    </transaction>
    <document-link url="https://data.theglobalfund.org/grant/ECU-H-MOH" format="text/html">
      <title>
        <narrative>Grant page on the data explorer of the Global Fund.</narrative>
      </title>
      <description>
        <narrative>An overview of a grant over its lifetime.</narrative>
      </description>
      <category code="A12" />
      <category code="A01" />
      <category code="A02" />
      <category code="A05" />
      <category code="A07" />
      <category code="A08" />
      <language code="en" />
      <document-date iso-date="2026-11-11" />
    </document-link>
    <document-link url="https://www.theglobalfund.org/media/13342/core_grantregulationsversiontwo_regulations_en.pdf" format="application/pdf">
      <title>
        <narrative>Grant terms and conditions.</narrative>
      </title>
      <description>
        <narrative>General terms and conditions which apply to Global Fund grants.</narrative>
      </description>
      <category code="A04" />
      <language code="en" />
    </document-link>
    <document-link url="https://docs.theglobalfund.org/files/Applications/Funding Requests/ECU/2025/HIV/en/ECU-H_FundingRequest_1_en.zip" format="application/zip">
      <title>
        <narrative>2025 - Funding Request - Window 7 - HIV - Ecuador - English</narrative>
      </title>
      <description>
        <narrative>Funding Request of funding request FR1694-ECU-H.</narrative>
      </description>
      <category code="A01" />
      <category code="A02" />
      <category code="A08" />
      <language code="en" />
      <document-date iso-date="2025-02-17" />
    </document-link>
    <document-link url="https://docs.theglobalfund.org/files/Applications/Funding Requests/ECU/2025/HIV/es/ECU-H_FundingRequest_1_es.zip" format="application/zip">
      <title>
        <narrative>2025 - Funding Request - Window 7 - HIV - Ecuador - Español</narrative>
      </title>
      <description>
        <narrative>Funding Request of funding request FR1694-ECU-H.</narrative>
      </description>
      <category code="A01" />
      <category code="A02" />
      <category code="A08" />
      <language code="es" />
      <document-date iso-date="2025-02-17" />
    </document-link>
    <conditions attached="1">
      <condition type="1">
        <narrative>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.</narrative>
      </condition>
      <condition type="1">
        <narrative>2 - Access Rights 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.</narrative>
      </condition>
      <condition type="1">
        <narrative>3 - (1) In accordance with the Global Fund’s Sustainability, Transition and Co-financing Policy (GF/B35/04) (the “STC Policy”), the commitment and disbursement of USD 913,559 (the “Co-Financing Incentive”), is subject to the Global Fund’s satisfaction of the Grantee’s compliance with the requirement below (“Co-Financing Requirements”). The Principal Recipient acknowledges and agrees that the Global Fund may reduce Grant Funds during the current or any subsequent Implementation Period in the event the Grantee fails to increase domestic funding of Global Fund-supported programs, with a focus on progressively absorbing the key costs of national disease plans, as identified in consultation with the Global Fund. (2) In order to satisfy the Co-Financing Requirements, the Grantee shall, as set out in the Commitment Letter signed by the Government of Ecuador, dated 22/09/2025 (the “Commitment Letter”), unless otherwise agreed in writing by the Global Fund: (a) fulfil a total minimum co-financing commitment of USD 39,776,044 from 2026-2028 (inclusive), comprising investments in HIV prevention. (b) fulfil the programmatic commitments as stipulated in Section 1.2 of the Commitment Letter; and (c) provide to the Global Fund, by no later than 31 March of each year of the Implementation Period and the year following the end of the Implementation Period, evidence supporting achievement of the Co-Financing Requirements, including: i. the approved annual budget for HIV prevention Malaria / RSSH for the upcoming year; and ii. the total expenditure for HIV prevention in the previous fiscal year.</narrative>
      </condition>
      <condition type="2">
        <narrative>4 - 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.</narrative>
      </condition>
      <condition type="3">
        <narrative>6 - (1) Grant Funds may be used to pay for the services of an external auditor approved by the Global Fund for the grant specific 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 shall consent, no later than 31 March 2026, to the carrying out of audits of the Program by the External Auditor covering the entire Implementation Period (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. (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.</narrative>
      </condition>
      <condition type="2">
        <narrative>8 - Requirement on acknowledgment of obligation to repay after issuance of a demand letter The Principal Recipient acknowledges the obligation to repay to the Global Fund the amount the Global Fund has determined as recoverable pursuant to the terms of the relevant grant agreements amounting to USD 317,496.29, arising from the Progress Updates and Disbursement Requests, audit report and additional supporting documentation, and as communicated to the Principal Recipient through the demand letter dated 5 December 2024.</narrative>
      </condition>
    </conditions>
    <result type="1" aggregation-status="0">
      <title>
        <narrative>Percentage of other vulnerable people that have received an HIV test during the reporting period and know their results</narrative>
      </title>
      <description>
        <narrative>Module: Differentiated HIV Testing Services.</narrative>
      </description>
      <indicator measure="2" aggregation-status="0">
        <title>
          <narrative>Percentage of other vulnerable people that have received an HIV test during the reporting period and know their results</narrative>
        </title>
        <description>
          <narrative>Geographic coverage: National, 100% of national program target.</narrative>
        </description>
        <baseline year="2023" iso-date="2023-12-31" value="43.22">
          <comment>
            <narrative>Numerator: 68766; Denominator: 159096.</narrative>
          </comment>
        </baseline>
        <period>
          <period-start iso-date="2026-01-01" />
          <period-end iso-date="2026-12-31" />
          <target value="60.8">
            <comment>
              <narrative>Numerator: 99329; Denominator: 163370.</narrative>
            </comment>
          </target>
        </period>
        <period>
          <period-start iso-date="2027-01-01" />
          <period-end iso-date="2027-12-31" />
          <target value="61.75">
            <comment>
              <narrative>Numerator: 101714; Denominator: 164720.</narrative>
            </comment>
          </target>
        </period>
        <period>
          <period-start iso-date="2028-01-01" />
          <period-end iso-date="2028-12-31" />
          <target value="62.7">
            <comment>
              <narrative>Numerator: 103874; Denominator: 165668.</narrative>
            </comment>
          </target>
        </period>
      </indicator>
    </result>
    <result type="1" aggregation-status="0">
      <title>
        <narrative>KP-6 Other 1 Number of persons who received any PrEP product at least once during the reporting period</narrative>
      </title>
      <description>
        <narrative>Module: Prevention package for other vulnerable populations (OVP).</narrative>
      </description>
      <indicator measure="1" aggregation-status="0">
        <title>
          <narrative>KP-6 Other 1 Number of persons who received any PrEP product at least once during the reporting period</narrative>
        </title>
        <description>
          <narrative>Geographic coverage: National, 100% of national program target.</narrative>
        </description>
        <baseline year="2023" iso-date="2023-12-31" value="1489" />
        <period>
          <period-start iso-date="2026-01-01" />
          <period-end iso-date="2026-12-31" />
          <target value="6943" />
        </period>
        <period>
          <period-start iso-date="2027-01-01" />
          <period-end iso-date="2027-12-31" />
          <target value="7704" />
        </period>
        <period>
          <period-start iso-date="2028-01-01" />
          <period-end iso-date="2028-12-31" />
          <target value="8501" />
        </period>
      </indicator>
    </result>
    <result type="1" aggregation-status="0">
      <title>
        <narrative>Percentage of other vulnerable people reached with HIV prevention programs</narrative>
      </title>
      <description>
        <narrative>Module: Prevention package for other vulnerable populations (OVP).</narrative>
      </description>
      <indicator measure="2" aggregation-status="0">
        <title>
          <narrative>Percentage of other vulnerable people reached with HIV prevention programs</narrative>
        </title>
        <description>
          <narrative>Geographic coverage: National, 100% of national program target.</narrative>
        </description>
        <baseline year="2023" iso-date="2023-12-31" value="60.74">
          <comment>
            <narrative>Numerator: 96630; Denominator: 159096.</narrative>
          </comment>
        </baseline>
        <period>
          <period-start iso-date="2026-01-01" />
          <period-end iso-date="2026-12-31" />
          <target value="71.77">
            <comment>
              <narrative>Numerator: 117255; Denominator: 163370.</narrative>
            </comment>
          </target>
        </period>
        <period>
          <period-start iso-date="2027-01-01" />
          <period-end iso-date="2027-12-31" />
          <target value="72.72">
            <comment>
              <narrative>Numerator: 119788; Denominator: 164720.</narrative>
            </comment>
          </target>
        </period>
        <period>
          <period-start iso-date="2028-01-01" />
          <period-end iso-date="2028-12-31" />
          <target value="73.67">
            <comment>
              <narrative>Numerator: 122051; Denominator: 165668.</narrative>
            </comment>
          </target>
        </period>
      </indicator>
    </result>
  </iati-activity>
</iati-activities>