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  <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-MDG-S-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>Contribution to a strong and resilient health system - Madagascar (01-Jul-2021-30-Jun-2024)</narrative>
    </title>
    <description type="1">
      <narrative>Madagascar, RSSH, Ministry of Public Health of the Republic of Madagascar</narrative>
    </description>
    <description type="2">
      <narrative>Goals: Réduire à zéro la mortalité liée au paludisme d'ici 2030. / Reduce malaria mortality to zero by 2030; Accélérer la riposte au VIH d’ici 2020 afin de parvenir à l’élimination de l’épidémie de sida d’ici à 2030 / Accelerate the response to HIV by 2020 in order to achieve the elimination of the AIDS epidemic by 2030; Réduire le taux de mortalité due à la tuberculose de 75% à l'horizon 2030 par rapport à l'année 2018 / Reduce the mortality rate due to tuberculosis by 75% by 2030 compared to 2018. Objectives: Strengthen the disease and event surveillance system at all levels of the health system, so as to detect early all alerts threatening public health, and ensure an effective response; Strengthen the performance of community workers (CHWs, community relays, Health Committees) to enable them to provide services in line with GF requirements and the PAC Guide; Strengthen the performance and quality of service of medical analysis laboratories, at every level of the health pyramid; Establish and implement an integrated legislative and regulatory framework for the pharmaceutical sector, and bring the national drug quality control laboratory up to standard (ISO 17025 accreditation and/or WHO pre-qualification); Traiter 100% des patients TB diagnostiqués et accroître le taux de succès thérapeutique à au moins 90% pour la TB sensible d'ici 2024 / Treat 100% of diagnosed TB patients and increase the treatment success rate to at least 90% for susceptible TB by 2024; Améliorer la gestion, le suivi et l'évaluation des programmes et renforcer les systèmes de santé, résilients et pérenes pour répondre efficacement à la lutte contre le VIH/Sida, la Tuberculose et le Paludisme./ Improve program management, monitoring and evaluation and strengthen resilient and sustainable health systems to respond effectively to the fight against HIV/AIDS, Tuberculosis and Malaria.</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 Madagascar</narrative>
    </participating-org>
    <participating-org type="10" role="4" crs-channel-code="12001">
      <narrative>Ministry of Public Health of the Republic of Madagascar</narrative>
    </participating-org>
    <other-identifier ref="MDG-S-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="3" />
    <activity-date type="1" iso-date="2021-07-01" />
    <activity-date type="2" iso-date="2021-07-01" />
    <activity-date type="3" iso-date="2024-06-30" />
    <activity-date type="4" iso-date="2024-06-30" />
    <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>Joshua Galjour</narrative>
      </person-name>
      <job-title>
        <narrative>Fund Portfolio Manager</narrative>
      </job-title>
      <telephone>+41 58 791 1700</telephone>
      <email>joshua.galjour@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="MG" percentage="100">
      <narrative>Madagascar</narrative>
    </recipient-country>
    <sector vocabulary="1" code="12110" percentage="100">
      <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="3.8">
      <narrative>Achieve universal health coverage</narrative>
    </tag>
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        <description>
          <narrative>Multicomponent -&gt; Program management -&gt; Coordination and management of national disease control programs</narrative>
        </description>
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          <narrative>Multicomponent -&gt; Program management -&gt; Grant management</narrative>
        </description>
      </budget-item>
      <budget-item code="a459608e-6d6a-4392-8e91-a6ce763883ca" percentage="3.11">
        <description>
          <narrative>RSSH -&gt; RSSH: Community systems strengthening -&gt; Community-based monitoring</narrative>
        </description>
      </budget-item>
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        <description>
          <narrative>RSSH -&gt; RSSH: Community systems strengthening -&gt; Community-led research and advocacy</narrative>
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          <narrative>RSSH -&gt; RSSH: Community systems strengthening -&gt; Institutional capacity building, planning and leadership development</narrative>
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          <narrative>RSSH -&gt; RSSH: Community systems strengthening -&gt; Social mobilization, building community linkages and coordination</narrative>
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          <narrative>RSSH -&gt; RSSH: Health management information systems and M&amp;E -&gt; Analysis, evaluations, reviews and transparency</narrative>
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          <narrative>RSSH -&gt; RSSH: Health management information systems and M&amp;E -&gt; Program and data quality</narrative>
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          <narrative>RSSH -&gt; RSSH: Health management information systems and M&amp;E -&gt; Routine reporting</narrative>
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          <narrative>RSSH -&gt; RSSH: Health management information systems and M&amp;E -&gt; Surveys</narrative>
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      </budget-item>
      <budget-item code="afeceaba-4839-4dc1-b17d-02d01f956207" percentage="0.34">
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          <narrative>RSSH -&gt; RSSH: Health products management systems -&gt; Avoidance, reduction and management of health care waste</narrative>
        </description>
      </budget-item>
      <budget-item code="cc2a3288-298b-4e87-9cd4-3b8c1601d54c" percentage="10.05">
        <description>
          <narrative>RSSH -&gt; RSSH: Health products management systems -&gt; Policy, strategy, governance</narrative>
        </description>
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      <budget-item code="5c6d2150-43bf-412f-a249-05dbaa402867" percentage="1.03">
        <description>
          <narrative>RSSH -&gt; RSSH: Health products management systems -&gt; Procurement capacity</narrative>
        </description>
      </budget-item>
      <budget-item code="45f58950-e70b-425c-a83d-28115a57a936" percentage="4.85">
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          <narrative>RSSH -&gt; RSSH: Health products management systems -&gt; Regulatory/quality assurance support</narrative>
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          <narrative>RSSH -&gt; RSSH: Health products management systems -&gt; Storage and distribution capacity</narrative>
        </description>
      </budget-item>
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        <description>
          <narrative>RSSH -&gt; RSSH: Human resources for health, including community health workers -&gt; Community health workers: Education and production</narrative>
        </description>
      </budget-item>
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          <narrative>RSSH -&gt; RSSH: Human resources for health, including community health workers -&gt; Education and production of new health workers (excluding community health workers)</narrative>
        </description>
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          <narrative>RSSH -&gt; RSSH: Human resources for health, including community health workers -&gt; HRH policy and governance</narrative>
        </description>
      </budget-item>
      <budget-item code="1b7258e5-95a1-4ad0-aa27-849d84eb27b3" percentage="0.63">
        <description>
          <narrative>RSSH -&gt; RSSH: Human resources for health, including community health workers -&gt; In-service training (excluding community health workers)</narrative>
        </description>
      </budget-item>
      <budget-item code="a47ec95d-9737-4650-ba19-86db996b3cdd" percentage="12.37">
        <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="2c422db1-945a-4222-b6eb-8ea39fbf434f" percentage="0.38">
        <description>
          <narrative>RSSH -&gt; RSSH: Laboratory systems -&gt; Information systems and integrated specimen transport networks</narrative>
        </description>
      </budget-item>
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          <narrative>RSSH -&gt; RSSH: Laboratory systems -&gt; Infrastructure and equipment management systems</narrative>
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        <description>
          <narrative>RSSH -&gt; RSSH: Laboratory systems -&gt; Laboratory supply chain systems</narrative>
        </description>
      </budget-item>
    </country-budget-items>
    <collaboration-type code="1" />
    <default-flow-type code="10" />
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    <default-aid-type code="C01" vocabulary="1" />
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    </budget>
    <budget type="2" status="2">
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      <value currency="USD" value-date="2022-01-01">13086781.41</value>
    </budget>
    <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">12001247.34</value>
    </budget>
    <budget type="2" status="2">
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      <value currency="USD" value-date="2024-01-01">20473119.72</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">9266883.32</value>
    </budget>
    <capital-spend percentage="31.91" />
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      <value currency="USD" value-date="2026-09-16">74069.94</value>
      <description>
        <narrative>Global Fund commitment to MDG-S-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 Madagascar</narrative>
      </receiver-org>
    </transaction>
    <transaction ref="5e7abc7a-eb3a-4983-b9a6-fcb00a8fb62f">
      <transaction-type code="2" />
      <transaction-date iso-date="2026-09-26" />
      <value currency="USD" value-date="2026-09-26">-74069.94</value>
      <description>
        <narrative>Global Fund commitment to MDG-S-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 Madagascar</narrative>
      </receiver-org>
    </transaction>
    <transaction ref="1fa7ef6d-f5cd-4826-8c93-5bfb127ecd33">
      <transaction-type code="2" />
      <transaction-date iso-date="2026-09-26" />
      <value currency="USD" value-date="2026-09-26">-198296.29</value>
      <description>
        <narrative>Global Fund commitment to MDG-S-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 Madagascar</narrative>
      </receiver-org>
    </transaction>
    <transaction ref="e330abbf-d7bd-493b-82c9-28e17b95a474">
      <transaction-type code="2" />
      <transaction-date iso-date="2026-11-05" />
      <value currency="USD" value-date="2026-11-05">108776.16</value>
      <description>
        <narrative>Global Fund commitment to MDG-S-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 Madagascar</narrative>
      </receiver-org>
    </transaction>
    <transaction ref="bb38834e-16ab-4dbf-82cf-ffac230ccfd6">
      <transaction-type code="2" />
      <transaction-date iso-date="2026-11-05" />
      <value currency="USD" value-date="2026-11-05">-108546.83</value>
      <description>
        <narrative>Global Fund commitment to MDG-S-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 Madagascar</narrative>
      </receiver-org>
    </transaction>
    <transaction ref="MDG-S-MOHP01-EXP-20220630">
      <transaction-type code="4" />
      <transaction-date iso-date="2022-06-30" />
      <value currency="USD" value-date="2022-06-30">8948458.79</value>
      <description>
        <narrative>Expenditure reported by Ministry of Public Health of the Republic of Madagascar for MDG-S-MOHP01, Jul 2021 to Jun 2022.</narrative>
      </description>
      <provider-org type="10">
        <narrative>Ministry of Public Health of the Republic of Madagascar</narrative>
      </provider-org>
    </transaction>
    <transaction ref="MDG-S-MOHP01-EXP-20230630">
      <transaction-type code="4" />
      <transaction-date iso-date="2023-06-30" />
      <value currency="USD" value-date="2023-06-30">5580555.33</value>
      <description>
        <narrative>Expenditure reported by Ministry of Public Health of the Republic of Madagascar for MDG-S-MOHP01, Jul 2022 to Jun 2023.</narrative>
      </description>
      <provider-org type="10">
        <narrative>Ministry of Public Health of the Republic of Madagascar</narrative>
      </provider-org>
    </transaction>
    <transaction ref="MDG-S-MOHP01-EXP-20231231">
      <transaction-type code="4" />
      <transaction-date iso-date="2023-12-31" />
      <value currency="USD" value-date="2023-12-31">1687544.75</value>
      <description>
        <narrative>Expenditure reported by Ministry of Public Health of the Republic of Madagascar for MDG-S-MOHP01, Jul 2023 to Dec 2023.</narrative>
      </description>
      <provider-org type="10">
        <narrative>Ministry of Public Health of the Republic of Madagascar</narrative>
      </provider-org>
    </transaction>
    <transaction ref="MDG-S-MOHP01-EXP-20240630">
      <transaction-type code="4" />
      <transaction-date iso-date="2024-06-30" />
      <value currency="USD" value-date="2024-06-30">9007598.29</value>
      <description>
        <narrative>Expenditure reported by Ministry of Public Health of the Republic of Madagascar for MDG-S-MOHP01, Jan 2024 to Jun 2024.</narrative>
      </description>
      <provider-org type="10">
        <narrative>Ministry of Public Health of the Republic of Madagascar</narrative>
      </provider-org>
    </transaction>
    <transaction ref="MDG-S-MOHP01-EXP-20241231">
      <transaction-type code="4" />
      <transaction-date iso-date="2024-12-31" />
      <value currency="USD" value-date="2024-12-31">1561889.19</value>
      <description>
        <narrative>Expenditure reported by Ministry of Public Health of the Republic of Madagascar for MDG-S-MOHP01, Jul 2024 to Dec 2024.</narrative>
      </description>
      <provider-org type="10">
        <narrative>Ministry of Public Health of the Republic of Madagascar</narrative>
      </provider-org>
    </transaction>
    <transaction ref="MDG-S-MOHP01-EXP-20250630">
      <transaction-type code="4" />
      <transaction-date iso-date="2025-06-30" />
      <value currency="USD" value-date="2025-06-30">1181174.79</value>
      <description>
        <narrative>Expenditure reported by Ministry of Public Health of the Republic of Madagascar for MDG-S-MOHP01, Jan 2025 to Jun 2025.</narrative>
      </description>
      <provider-org type="10">
        <narrative>Ministry of Public Health of the Republic of Madagascar</narrative>
      </provider-org>
    </transaction>
    <transaction ref="MDG-S-MOHP01-EXP-20251231">
      <transaction-type code="4" />
      <transaction-date iso-date="2025-12-31" />
      <value currency="USD" value-date="2025-12-31">9485338.58</value>
      <description>
        <narrative>Expenditure reported by Ministry of Public Health of the Republic of Madagascar for MDG-S-MOHP01, Jul 2025 to Dec 2025.</narrative>
      </description>
      <provider-org type="10">
        <narrative>Ministry of Public Health of the Republic of Madagascar</narrative>
      </provider-org>
    </transaction>
    <document-link url="https://data.theglobalfund.org/grant/MDG-S-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="2026-11-10" />
    </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/MDG/2020/RSSH/en/MDG-S_FundingRequest_1_en.zip" format="application/zip">
      <title>
        <narrative>2020 - Funding Request - Window 3 - RSSH - Madagascar - English</narrative>
      </title>
      <description>
        <narrative>Funding Request of funding request FR936-MDG-S.</narrative>
      </description>
      <category code="A01" />
      <category code="A02" />
      <category code="A08" />
      <language code="en" />
      <document-date iso-date="2020-08-30" />
    </document-link>
    <document-link url="https://docs.theglobalfund.org/files/Applications/Funding Requests/MDG/2020/RSSH/fr/MDG-S_FundingRequest_1_fr.zip" format="application/zip">
      <title>
        <narrative>2020 - Funding Request - Window 3 - RSSH - Madagascar - Français</narrative>
      </title>
      <description>
        <narrative>Funding Request of funding request FR936-MDG-S.</narrative>
      </description>
      <category code="A01" />
      <category code="A02" />
      <category code="A08" />
      <language code="fr" />
      <document-date iso-date="2020-08-30" />
    </document-link>
    <result type="1" aggregation-status="0">
      <title>
        <narrative>Number of PSA plants installed with Global Fund investments and functional</narrative>
      </title>
      <indicator measure="5" aggregation-status="0">
        <title>
          <narrative>Number of PSA plants installed with Global Fund investments and functional</narrative>
        </title>
        <description>
          <narrative>Geographic coverage: National. Aggregation: Non cumulative - other.</narrative>
        </description>
        <baseline year="2023" iso-date="2023-12-31">
          <comment>
            <narrative>Numerator: 0; Denominator: 8; Percentage: 0%.</narrative>
          </comment>
        </baseline>
        <period>
          <period-start iso-date="2023-07-01" />
          <period-end iso-date="2023-12-31" />
          <target>
            <comment>
              <narrative>Numerator: 0; Denominator: 8; Percentage: 0%.</narrative>
            </comment>
          </target>
        </period>
        <period>
          <period-start iso-date="2024-01-01" />
          <period-end iso-date="2024-06-30" />
          <target>
            <comment>
              <narrative>Numerator: 2; Denominator: 8; Percentage: 25%.</narrative>
            </comment>
          </target>
        </period>
        <period>
          <period-start iso-date="2024-07-01" />
          <period-end iso-date="2024-12-31" />
          <target>
            <comment>
              <narrative>Numerator: 4; Denominator: 8; Percentage: 50%.</narrative>
            </comment>
          </target>
        </period>
        <period>
          <period-start iso-date="2025-01-01" />
          <period-end iso-date="2025-06-30" />
          <target>
            <comment>
              <narrative>Numerator: 6; Denominator: 8; Percentage: 75%.</narrative>
            </comment>
          </target>
          <actual>
            <comment>
              <narrative>Numerator: 5.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2025-07-01" />
          <period-end iso-date="2025-12-31" />
          <target>
            <comment>
              <narrative>Numerator: 8; Denominator: 8; Percentage: 100%.</narrative>
            </comment>
          </target>
          <actual>
            <comment>
              <narrative>Numerator: 7.</narrative>
            </comment>
          </actual>
        </period>
      </indicator>
    </result>
    <result type="1" aggregation-status="0">
      <title>
        <narrative>Percentage of molecular diagnostic analyzers achieving at least 85% functionality (ability to test samples) during the reporting period</narrative>
      </title>
      <indicator measure="2" aggregation-status="0">
        <title>
          <narrative>Percentage of molecular diagnostic analyzers achieving at least 85% functionality (ability to test samples) during the reporting period</narrative>
        </title>
        <description>
          <narrative>Geographic coverage: National. Aggregation: Non cumulative - other.</narrative>
        </description>
        <baseline year="2023" iso-date="2023-12-31" value="70.51">
          <comment>
            <narrative>Numerator: 55; Denominator: 78.</narrative>
          </comment>
        </baseline>
        <period>
          <period-start iso-date="2023-07-01" />
          <period-end iso-date="2023-12-31" />
          <target value="70.51">
            <comment>
              <narrative>Numerator: 55; Denominator: 78.</narrative>
            </comment>
          </target>
        </period>
        <period>
          <period-start iso-date="2024-01-01" />
          <period-end iso-date="2024-06-30" />
          <target value="79.49">
            <comment>
              <narrative>Numerator: 62; Denominator: 78.</narrative>
            </comment>
          </target>
        </period>
        <period>
          <period-start iso-date="2024-07-01" />
          <period-end iso-date="2024-12-31" />
          <target value="89.74">
            <comment>
              <narrative>Numerator: 70; Denominator: 78.</narrative>
            </comment>
          </target>
        </period>
        <period>
          <period-start iso-date="2025-01-01" />
          <period-end iso-date="2025-06-30" />
          <target value="96.15">
            <comment>
              <narrative>Numerator: 75; Denominator: 78.</narrative>
            </comment>
          </target>
          <actual value="18.18">
            <comment>
              <narrative>Numerator: 16; Denominator: 88.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2025-07-01" />
          <period-end iso-date="2025-12-31" />
          <target value="96.15">
            <comment>
              <narrative>Numerator: 75; Denominator: 78.</narrative>
            </comment>
          </target>
          <actual value="26.14">
            <comment>
              <narrative>Numerator: 23; Denominator: 88.</narrative>
            </comment>
          </actual>
        </period>
      </indicator>
    </result>
    <result type="1" aggregation-status="0">
      <title>
        <narrative>Completeness of facility reporting: Percentage of expected facility monthly reports (for the reporting period) that are actually received</narrative>
      </title>
      <description>
        <narrative>Module: RSSH: Health management information systems and M&amp;E.</narrative>
      </description>
      <indicator measure="2" aggregation-status="0">
        <title>
          <narrative>Completeness of facility reporting: Percentage of expected facility monthly reports (for the reporting period) that are actually received</narrative>
        </title>
        <description>
          <narrative>Geographic coverage: National, 100% of national program target. Aggregation: Non cumulative.</narrative>
        </description>
        <baseline year="2019" iso-date="2019-12-31" value="91.22">
          <comment>
            <narrative>Numerator: 35817; Denominator: 39264.</narrative>
          </comment>
        </baseline>
        <period>
          <period-start iso-date="2021-07-01" />
          <period-end iso-date="2022-06-30" />
          <target value="92">
            <comment>
              <narrative>Numerator: 36576; Denominator: 39756.</narrative>
            </comment>
          </target>
          <actual value="96.6">
            <comment>
              <narrative>Numerator: 39348; Denominator: 40752.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2021-07-01" />
          <period-end iso-date="2021-12-31" />
          <target value="92">
            <comment>
              <narrative>Numerator: 18288; Denominator: 19878.</narrative>
            </comment>
          </target>
          <actual value="95.5">
            <comment>
              <narrative>Numerator: 19175; Denominator: 20070.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2022-01-01" />
          <period-end iso-date="2022-06-30" />
          <target value="92">
            <comment>
              <narrative>Numerator: 18288; Denominator: 19878.</narrative>
            </comment>
          </target>
          <actual value="97.5">
            <comment>
              <narrative>Numerator: 20173; Denominator: 20682.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2022-07-01" />
          <period-end iso-date="2022-12-31" />
          <target value="92">
            <comment>
              <narrative>Numerator: 18288; Denominator: 19878.</narrative>
            </comment>
          </target>
          <actual value="97.7">
            <comment>
              <narrative>Numerator: 20525; Denominator: 21018.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2022-07-01" />
          <period-end iso-date="2023-06-30" />
          <target value="93.5">
            <comment>
              <narrative>Numerator: 37172; Denominator: 39756.</narrative>
            </comment>
          </target>
          <actual value="97.7">
            <comment>
              <narrative>Numerator: 40898; Denominator: 41874.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2023-01-01" />
          <period-end iso-date="2023-06-30" />
          <target value="95">
            <comment>
              <narrative>Numerator: 18884; Denominator: 19878.</narrative>
            </comment>
          </target>
          <actual value="97.7">
            <comment>
              <narrative>Numerator: 20373; Denominator: 20856.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2023-07-01" />
          <period-end iso-date="2024-06-30" />
          <target value="95">
            <comment>
              <narrative>Numerator: 37768; Denominator: 39756.</narrative>
            </comment>
          </target>
          <actual value="97.7">
            <comment>
              <narrative>Numerator: 20138; Denominator: 20622.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2023-07-01" />
          <period-end iso-date="2023-12-31" />
          <target value="95">
            <comment>
              <narrative>Numerator: 18884; Denominator: 19878.</narrative>
            </comment>
          </target>
          <actual value="0">
            <comment>
              <narrative>Numerator: 0.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2024-01-01" />
          <period-end iso-date="2024-06-30" />
          <target value="95">
            <comment>
              <narrative>Numerator: 18884; Denominator: 19878.</narrative>
            </comment>
          </target>
          <actual value="97.6">
            <comment>
              <narrative>Numerator: 20138; Denominator: 20622.</narrative>
            </comment>
          </actual>
        </period>
      </indicator>
    </result>
    <result type="1" aggregation-status="0">
      <title>
        <narrative>Percentage of service delivery reports from community health workers integrated into HMIS</narrative>
      </title>
      <description>
        <narrative>Module: RSSH: Health management information systems and M&amp;E.</narrative>
      </description>
      <indicator measure="2" aggregation-status="0">
        <title>
          <narrative>Percentage of service delivery reports from community health workers integrated into HMIS</narrative>
        </title>
        <description>
          <narrative>Geographic coverage: National, 100% of national program target. Aggregation: Non cumulative.</narrative>
        </description>
        <baseline year="2019" iso-date="2019-12-31" value="86.62">
          <comment>
            <narrative>Numerator: 38082; Denominator: 43965.</narrative>
          </comment>
        </baseline>
        <period>
          <period-start iso-date="2021-07-01" />
          <period-end iso-date="2022-06-30" />
          <target value="67.5">
            <comment>
              <narrative>Numerator: 137279; Denominator: 203376.</narrative>
            </comment>
          </target>
          <actual value="74">
            <comment>
              <narrative>Numerator: 123857; Denominator: 167474.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2021-07-01" />
          <period-end iso-date="2021-12-31" />
          <target value="60">
            <comment>
              <narrative>Numerator: 61013; Denominator: 101688.</narrative>
            </comment>
          </target>
          <actual value="72.5">
            <comment>
              <narrative>Numerator: 59366; Denominator: 81930.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2022-01-01" />
          <period-end iso-date="2022-06-30" />
          <target value="75">
            <comment>
              <narrative>Numerator: 76266; Denominator: 101688.</narrative>
            </comment>
          </target>
          <actual value="75.4">
            <comment>
              <narrative>Numerator: 64491; Denominator: 85544.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2022-07-01" />
          <period-end iso-date="2022-12-31" />
          <target value="75">
            <comment>
              <narrative>Numerator: 76266; Denominator: 101688.</narrative>
            </comment>
          </target>
          <actual value="67.8">
            <comment>
              <narrative>Numerator: 76310; Denominator: 112524.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2022-07-01" />
          <period-end iso-date="2023-06-30" />
          <target value="77.5">
            <comment>
              <narrative>Numerator: 157616; Denominator: 203376.</narrative>
            </comment>
          </target>
          <actual value="69.3">
            <comment>
              <narrative>Numerator: 142358; Denominator: 205446.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2023-01-01" />
          <period-end iso-date="2023-06-30" />
          <target value="80">
            <comment>
              <narrative>Numerator: 81350; Denominator: 101688.</narrative>
            </comment>
          </target>
          <actual value="71.1">
            <comment>
              <narrative>Numerator: 66048; Denominator: 92922.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2023-07-01" />
          <period-end iso-date="2024-06-30" />
          <target value="85">
            <comment>
              <narrative>Numerator: 172870; Denominator: 203376.</narrative>
            </comment>
          </target>
          <actual value="61">
            <comment>
              <narrative>Numerator: 117453; Denominator: 192480.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2023-07-01" />
          <period-end iso-date="2023-12-31" />
          <target value="80">
            <comment>
              <narrative>Numerator: 81350; Denominator: 101688.</narrative>
            </comment>
          </target>
          <actual value="55.9">
            <comment>
              <narrative>Numerator: 49599; Denominator: 88782.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2024-01-01" />
          <period-end iso-date="2024-06-30" />
          <target value="90">
            <comment>
              <narrative>Numerator: 91520; Denominator: 101688.</narrative>
            </comment>
          </target>
          <actual value="65.4">
            <comment>
              <narrative>Numerator: 67854; Denominator: 103698.</narrative>
            </comment>
          </actual>
        </period>
      </indicator>
    </result>
    <result type="1" aggregation-status="0">
      <title>
        <narrative>Timeliness of facility reporting: Percentage of submitted facility monthly reports (for the reporting period) that are received on time per the national guidelines</narrative>
      </title>
      <description>
        <narrative>Module: RSSH: Health management information systems and M&amp;E.</narrative>
      </description>
      <indicator measure="2" aggregation-status="0">
        <title>
          <narrative>Timeliness of facility reporting: Percentage of submitted facility monthly reports (for the reporting period) that are received on time per the national guidelines</narrative>
        </title>
        <description>
          <narrative>Geographic coverage: National, 100% of national program target. Aggregation: Non cumulative.</narrative>
        </description>
        <baseline year="2019" iso-date="2019-12-31" value="64.56">
          <comment>
            <narrative>Numerator: 23122; Denominator: 35817.</narrative>
          </comment>
        </baseline>
        <period>
          <period-start iso-date="2021-07-01" />
          <period-end iso-date="2021-12-31" />
          <target value="70">
            <comment>
              <narrative>Numerator: 12801; Denominator: 18288.</narrative>
            </comment>
          </target>
          <actual value="77.8">
            <comment>
              <narrative>Numerator: 14909; Denominator: 19175.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2021-07-01" />
          <period-end iso-date="2022-06-30" />
          <target value="72.5">
            <comment>
              <narrative>Numerator: 26517; Denominator: 36576.</narrative>
            </comment>
          </target>
          <actual value="78.6">
            <comment>
              <narrative>Numerator: 30945; Denominator: 39348.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2022-01-01" />
          <period-end iso-date="2022-06-30" />
          <target value="75">
            <comment>
              <narrative>Numerator: 13716; Denominator: 18288.</narrative>
            </comment>
          </target>
          <actual value="79.5">
            <comment>
              <narrative>Numerator: 16036; Denominator: 20173.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2022-07-01" />
          <period-end iso-date="2022-12-31" />
          <target value="85">
            <comment>
              <narrative>Numerator: 15545; Denominator: 18288.</narrative>
            </comment>
          </target>
          <actual value="76.9">
            <comment>
              <narrative>Numerator: 15787; Denominator: 20525.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2022-07-01" />
          <period-end iso-date="2023-06-30" />
          <target value="90.1">
            <comment>
              <narrative>Numerator: 33485; Denominator: 37172.</narrative>
            </comment>
          </target>
          <actual value="79.2">
            <comment>
              <narrative>Numerator: 32371; Denominator: 40898.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2023-01-01" />
          <period-end iso-date="2023-06-30" />
          <target value="95">
            <comment>
              <narrative>Numerator: 17940; Denominator: 18884.</narrative>
            </comment>
          </target>
          <actual value="81.4">
            <comment>
              <narrative>Numerator: 16584; Denominator: 20373.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2023-07-01" />
          <period-end iso-date="2023-12-31" />
          <target value="95">
            <comment>
              <narrative>Numerator: 17940; Denominator: 18884.</narrative>
            </comment>
          </target>
          <actual value="0">
            <comment>
              <narrative>Numerator: 0.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2023-07-01" />
          <period-end iso-date="2024-06-30" />
          <target value="95">
            <comment>
              <narrative>Numerator: 35880; Denominator: 37768.</narrative>
            </comment>
          </target>
          <actual value="80.7">
            <comment>
              <narrative>Numerator: 16242; Denominator: 20138.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2024-01-01" />
          <period-end iso-date="2024-06-30" />
          <target value="95">
            <comment>
              <narrative>Numerator: 17940; Denominator: 18884.</narrative>
            </comment>
          </target>
          <actual value="80.6">
            <comment>
              <narrative>Numerator: 16242; Denominator: 20138.</narrative>
            </comment>
          </actual>
        </period>
      </indicator>
    </result>
    <result type="1" aggregation-status="0">
      <title>
        <narrative>Percentage of health product batches for the three diseases tested for quality in line with Global Fund Quality Assurance policy</narrative>
      </title>
      <description>
        <narrative>Module: RSSH: Health products management systems.</narrative>
      </description>
      <indicator measure="2" aggregation-status="0">
        <title>
          <narrative>Percentage of health product batches for the three diseases tested for quality in line with Global Fund Quality Assurance policy</narrative>
        </title>
        <description>
          <narrative>Geographic coverage: National, 100% of national program target. Aggregation: Non cumulative - other.</narrative>
        </description>
        <baseline year="2019" iso-date="2019-12-31" value="100" />
        <period>
          <period-start iso-date="2021-07-01" />
          <period-end iso-date="2021-12-31" />
          <target value="100" />
          <actual value="0">
            <comment>
              <narrative>Numerator: 0; Denominator: 44.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2022-07-01" />
          <period-end iso-date="2022-12-31" />
          <target value="100" />
          <actual value="100">
            <comment>
              <narrative>Numerator: 36; Denominator: 36.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2023-07-01" />
          <period-end iso-date="2023-12-31" />
          <target value="100" />
          <actual value="0">
            <comment>
              <narrative>Numerator: 0.</narrative>
            </comment>
          </actual>
        </period>
      </indicator>
    </result>
    <result type="1" aggregation-status="0">
      <title>
        <narrative>Percent of district health management teams or other administrative units that have developed a monitoring plan, including annual work objectives and performance measures</narrative>
      </title>
      <description>
        <narrative>Module: RSSH: Health sector governance and planning.</narrative>
      </description>
      <indicator measure="2" aggregation-status="0">
        <title>
          <narrative>Percent of district health management teams or other administrative units that have developed a monitoring plan, including annual work objectives and performance measures</narrative>
        </title>
        <description>
          <narrative>Geographic coverage: Subnational, less than 100% national program target. Aggregation: Non cumulative - other.</narrative>
        </description>
        <baseline year="2019" iso-date="2019-12-31" value="0">
          <comment>
            <narrative>Numerator: 0; Denominator: 114.</narrative>
          </comment>
        </baseline>
        <period>
          <period-start iso-date="2021-07-01" />
          <period-end iso-date="2021-12-31" />
          <target value="50">
            <comment>
              <narrative>Numerator: 57; Denominator: 114.</narrative>
            </comment>
          </target>
        </period>
        <period>
          <period-start iso-date="2022-07-01" />
          <period-end iso-date="2022-12-31" />
          <target value="75.44">
            <comment>
              <narrative>Numerator: 86; Denominator: 114.</narrative>
            </comment>
          </target>
          <actual value="100">
            <comment>
              <narrative>Numerator: 114; Denominator: 114.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2023-07-01" />
          <period-end iso-date="2023-12-31" />
          <target value="80.7">
            <comment>
              <narrative>Numerator: 92; Denominator: 114.</narrative>
            </comment>
          </target>
          <actual value="100">
            <comment>
              <narrative>Numerator: 114; Denominator: 114.</narrative>
            </comment>
          </actual>
        </period>
      </indicator>
    </result>
    <result type="1" aggregation-status="0">
      <title>
        <narrative>Percentage of facilities that receive supportive supervision - at least once per quarter</narrative>
      </title>
      <description>
        <narrative>Module: RSSH: Integrated service delivery and quality improvement.</narrative>
      </description>
      <indicator measure="2" aggregation-status="0">
        <title>
          <narrative>Percentage of facilities that receive supportive supervision - at least once per quarter</narrative>
        </title>
        <description>
          <narrative>Geographic coverage: Subnational, less than 100% national program target. Aggregation: Non cumulative - special.</narrative>
        </description>
        <baseline year="2019" iso-date="2019-12-31" value="0">
          <comment>
            <narrative>Numerator: 0; Denominator: 1266.</narrative>
          </comment>
        </baseline>
        <period>
          <period-start iso-date="2021-07-01" />
          <period-end iso-date="2021-12-31" />
          <target value="22.51">
            <comment>
              <narrative>Numerator: 285; Denominator: 1266.</narrative>
            </comment>
          </target>
          <actual value="23">
            <comment>
              <narrative>Numerator: 103; Denominator: 447.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2022-07-01" />
          <period-end iso-date="2022-12-31" />
          <target value="45.02">
            <comment>
              <narrative>Numerator: 570; Denominator: 1266.</narrative>
            </comment>
          </target>
          <actual value="49">
            <comment>
              <narrative>Numerator: 200; Denominator: 408.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2023-07-01" />
          <period-end iso-date="2023-12-31" />
          <target value="45.02">
            <comment>
              <narrative>Numerator: 570; Denominator: 1266.</narrative>
            </comment>
          </target>
          <actual value="53.4">
            <comment>
              <narrative>Numerator: 218; Denominator: 408.</narrative>
            </comment>
          </actual>
        </period>
      </indicator>
    </result>
  </iati-activity>
  <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-MDG-S-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>Project to strengthen the Malagasy Health System in the fight against Malaria-HIV-TB - Madagascar (01-Jul-2024-31-Dec-2026)</narrative>
    </title>
    <description type="1">
      <narrative>Madagascar, RSSH, Ministry of Public Health of the Republic of Madagascar</narrative>
    </description>
    <description type="2">
      <narrative>Goals: Améliorer la disponibilité des ressources humaines en santé performantes et suffisantes et renforcer le système d'information en ressources humaines afin d'obtenir des offres  de soins de qualité pour tous/ Improve the availability of efficient and sufficient human resources in health and strengthen the human resources information system in order to achieve  quality care for all; Appuyer l'engagement communautaire aux activités de développement en santé communautaire / Support community involvement in community health development activities; Disposer de données de qualité à temps réel pour une prise de décision adéquate/  Quality data in real time for appropriate decision-making; Maintenir l'offre de service permanentes sur les formations sanitaires pour les 3 maladies appuyées par le Fonds mondial/  Maintain permanent service provision in health facilities for the 3 diseases supported by the Global Fund; Assurer une disponibilité continue et sans interruption des produits de santé au niveau de l’ensemble de la chaîne d’approvisionnement au moins pour les trois maladies soutenues par le Fonds mondial/ Ensure continuous and uninterrupted availability of health products throughout the supply chain for at least the three diseases supported by the Global Fund; Améliorer l'accès à des services de laboratoire de qualité/ Improvingaccess toquality laboratory services. Objectives: Renforcer le mecanisme et la participation communautaire au développement du système de santé/ Strengthening the mechanism and community participation inhealthsystemdevelopment; Améliorer la prise de décision et la gestion en matière de santé communautaire par l'organisation communautaire/ Improve community health decision-making and management through community organization; Améliorer les offres de services en matière de VIH, TB et paludisme au niveau des points de prestation de services dans une perspective globale d'amélioration de la qualité des services de santé/ Improve HIV, TB and malaria services at service delivery points view toimprovingoverallquality ofhealth services; Renforcer les capacités nationales dans le domaine de la promotion intégrée et multisectorielle de la santé/ Strengthen national capacities for integrated, multisectoral health promotion; Renforcer les politiques et les systèmes relatifs aux ressources humaines pour la santé (RHS)/ Strengthening  human resources for health (HRpolicies andsystems; Améliorer l’éducation et la production de nouveaux travailleurs de santé (à l’exception des agents de santé communautaires) / Improve education and production of new healthcare workers (excluding community health workers); Développer la formation continue (à l’exception des agents de santé communautaires) / Develop continuing training (with the exception of community health workers); Améliorer la disponibilité et la qualité des services de laboratoire/ Improve availability and quality of laboratory services; Rendre disponible des documents de normes de qualité en matière de dépistage/ Making available quality standards documents for screening; Assurer la disponibilité de l'oxygenotherapie dans les principaux centres hospitaliers/ Ensure availability of oxygen therapy in major hospitals.</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 Madagascar</narrative>
    </participating-org>
    <participating-org type="10" role="4" crs-channel-code="12001">
      <narrative>Ministry of Public Health of the Republic of Madagascar</narrative>
    </participating-org>
    <other-identifier ref="MDG-S-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="2" />
    <activity-date type="1" iso-date="2024-07-01" />
    <activity-date type="2" iso-date="2024-07-01" />
    <activity-date type="3" iso-date="2026-12-31" />
    <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>Joshua Galjour</narrative>
      </person-name>
      <job-title>
        <narrative>Fund Portfolio Manager</narrative>
      </job-title>
      <telephone>+41 58 791 1700</telephone>
      <email>joshua.galjour@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="MG" percentage="100">
      <narrative>Madagascar</narrative>
    </recipient-country>
    <sector vocabulary="1" code="12110" percentage="100">
      <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="3.8">
      <narrative>Achieve universal health coverage</narrative>
    </tag>
    <country-budget-items vocabulary="4">
      <budget-item code="cd09d6c8-13e6-412e-a54d-84c32d99a370" percentage="1.52">
        <description>
          <narrative>Multicomponent -&gt; Program management -&gt; Coordination and management of national disease control programs</narrative>
        </description>
      </budget-item>
      <budget-item code="43337786-bfab-487f-b388-9fbe8808948d" percentage="26.13">
        <description>
          <narrative>Multicomponent -&gt; Program management -&gt; Grant management</narrative>
        </description>
      </budget-item>
      <budget-item code="80d429dc-894d-4f0c-99cc-2403b8f1f5fe" percentage="0.47">
        <description>
          <narrative>RSSH -&gt; RSSH/PP: Human resources for health (HRH) and quality of care -&gt; RSSH/PP: HRH planning, management and governance including for community health workers (CHWs)</narrative>
        </description>
      </budget-item>
      <budget-item code="9fa6654d-29f0-4b9e-9de9-674479de3110" percentage="1.28">
        <description>
          <narrative>RSSH -&gt; RSSH/PP: Human resources for health (HRH) and quality of care -&gt; RSSH/PP: In-service training (excluding community health workers)</narrative>
        </description>
      </budget-item>
      <budget-item code="5b4adbb0-4bd9-4589-ad67-0e555166a882" percentage="0.39">
        <description>
          <narrative>RSSH -&gt; RSSH/PP: Human resources for health (HRH) and quality of care -&gt; RSSH/PP: Pre-service training of new health workers (excluding community health workers)</narrative>
        </description>
      </budget-item>
      <budget-item code="5a6fc5ba-08a3-455c-887d-00867a865303" percentage="0.24">
        <description>
          <narrative>RSSH -&gt; RSSH/PP: Human resources for health (HRH) and quality of care -&gt; RSSH/PP: Quality improvement and capacity building for quality of care</narrative>
        </description>
      </budget-item>
      <budget-item code="cd617bfe-5123-4888-8f4c-d3ff4f3eddce" percentage="18.18">
        <description>
          <narrative>RSSH -&gt; RSSH/PP: Human resources for health (HRH) and quality of care -&gt; RSSH/PP: Remuneration and deployment of existing/new staff (excluding community health workers)</narrative>
        </description>
      </budget-item>
      <budget-item code="57ef74d8-840a-4792-b7d8-0c12163d7d91" percentage="17.39">
        <description>
          <narrative>RSSH -&gt; RSSH/PP: Laboratory systems (including national and peripheral) -&gt; RSSH/PP: Biosafety and biosecurity, infrastructure and equipment</narrative>
        </description>
      </budget-item>
      <budget-item code="0aa54232-09ea-488b-86df-48a82af99ed4" percentage="0.02">
        <description>
          <narrative>RSSH -&gt; RSSH/PP: Laboratory systems (including national and peripheral) -&gt; RSSH/PP: Quality management systems and accreditation</narrative>
        </description>
      </budget-item>
      <budget-item code="7dbf6454-4357-4937-89a1-9a1c7f0174fa" percentage="23.82">
        <description>
          <narrative>RSSH -&gt; RSSH: Community systems strengthening -&gt; Community engagement, linkages and coordination</narrative>
        </description>
      </budget-item>
      <budget-item code="8c042996-0cb7-4540-ad17-483cf18ec784" percentage="0.03">
        <description>
          <narrative>RSSH -&gt; RSSH: Community systems strengthening -&gt; Community-led monitoring</narrative>
        </description>
      </budget-item>
      <budget-item code="48d7f7e3-61fc-4c8d-88f3-aefc44da79dc" percentage="0.38">
        <description>
          <narrative>RSSH -&gt; RSSH: Health products management systems -&gt; Planning and procurement capacity</narrative>
        </description>
      </budget-item>
      <budget-item code="78165abf-6e6d-46ad-b445-d380c1037123" percentage="2.88">
        <description>
          <narrative>RSSH -&gt; RSSH: Health products management systems -&gt; Policy, strategy, governance</narrative>
        </description>
      </budget-item>
      <budget-item code="1e7328c2-4fcd-47b0-8e3c-31a8a421d74c" percentage="1.19">
        <description>
          <narrative>RSSH -&gt; RSSH: Health products management systems -&gt; Regulatory/quality assurance support</narrative>
        </description>
      </budget-item>
      <budget-item code="38ed2119-0193-4f73-9333-90fbd5a8cc0b" percentage="1.17">
        <description>
          <narrative>RSSH -&gt; RSSH: Health products management systems -&gt; Supply chain information systems</narrative>
        </description>
      </budget-item>
      <budget-item code="2c341d5c-b46c-47a9-9aff-2700be47f75e" percentage="0.08">
        <description>
          <narrative>RSSH -&gt; RSSH: Monitoring and evaluation systems -&gt; Analyses, evaluations, reviews and data use</narrative>
        </description>
      </budget-item>
      <budget-item code="f94cd008-2af3-49cf-9149-7be7cf0228e7" percentage="2.02">
        <description>
          <narrative>RSSH -&gt; RSSH: Monitoring and evaluation systems -&gt; Data quality</narrative>
        </description>
      </budget-item>
      <budget-item code="42e7a4b3-fa75-4c16-8a4d-110492b156f4" percentage="1.25">
        <description>
          <narrative>RSSH -&gt; RSSH: Monitoring and evaluation systems -&gt; Routine reporting</narrative>
        </description>
      </budget-item>
      <budget-item code="1a5ab4c7-9695-4567-adb4-0a3768fa01ee" percentage="1.56">
        <description>
          <narrative>RSSH -&gt; RSSH: Monitoring and evaluation systems -&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="2024-01-01" />
      <period-end iso-date="2024-12-31" />
      <value currency="USD" value-date="2024-01-01">231723.14</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">1412710.09</value>
    </budget>
    <budget type="2" status="2">
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      <period-end iso-date="2026-12-31" />
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      <category code="A07" />
      <category code="A08" />
      <language code="en" />
      <document-date iso-date="2026-11-10" />
    </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/MDG/2023/Multicomponent/en/MDG-Z_FundingRequest_1_en.zip" format="application/zip">
      <title>
        <narrative>2023 - Funding Request - Window 2 - Multicomponent - Madagascar - English</narrative>
      </title>
      <description>
        <narrative>Funding Request of funding request FR1589-MDG-Z.</narrative>
      </description>
      <category code="A01" />
      <category code="A02" />
      <category code="A08" />
      <language code="en" />
      <document-date iso-date="2023-05-30" />
    </document-link>
    <document-link url="https://docs.theglobalfund.org/files/Applications/Funding Requests/MDG/2023/Multicomponent/fr/MDG-Z_FundingRequest_1_fr.zip" format="application/zip">
      <title>
        <narrative>2023 - Funding Request - Window 2 - Multicomponent - Madagascar - Français</narrative>
      </title>
      <description>
        <narrative>Funding Request of funding request FR1589-MDG-Z.</narrative>
      </description>
      <category code="A01" />
      <category code="A02" />
      <category code="A08" />
      <language code="fr" />
      <document-date iso-date="2023-05-30" />
    </document-link>
    <result type="1" aggregation-status="0">
      <title>
        <narrative>LMIS Reporting Rate - Percentage of all health facilities that are required to report that submit an LMIS report to central authority</narrative>
      </title>
      <description>
        <narrative>Module: RSSH: Health products management systems.</narrative>
      </description>
      <indicator measure="2" aggregation-status="0">
        <title>
          <narrative>LMIS Reporting Rate - Percentage of all health facilities that are required to report that submit an LMIS report to central authority</narrative>
        </title>
        <description>
          <narrative>Geographic coverage: Subnational, less than 100% national program target. Aggregation: Non cumulative - other.</narrative>
        </description>
        <baseline year="2023" iso-date="2023-12-31" value="93.57">
          <comment>
            <narrative>Numerator: 3112; Denominator: 3326.</narrative>
          </comment>
        </baseline>
        <period>
          <period-start iso-date="2024-07-01" />
          <period-end iso-date="2025-06-30" />
          <target value="75">
            <comment>
              <narrative>Numerator: 14967; Denominator: 19956.</narrative>
            </comment>
          </target>
          <actual value="95.58">
            <comment>
              <narrative>Numerator: 18213; Denominator: 19056.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2024-07-01" />
          <period-end iso-date="2024-12-31" />
          <target value="50">
            <comment>
              <narrative>Numerator: 9978; Denominator: 19956.</narrative>
            </comment>
          </target>
        </period>
        <period>
          <period-start iso-date="2025-01-01" />
          <period-end iso-date="2025-06-30" />
          <target value="75">
            <comment>
              <narrative>Numerator: 14967; Denominator: 19956.</narrative>
            </comment>
          </target>
          <actual value="95.6">
            <comment>
              <narrative>Numerator: 18213; Denominator: 19056.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2025-07-01" />
          <period-end iso-date="2025-12-31" />
          <target value="85">
            <comment>
              <narrative>Numerator: 16963; Denominator: 19956.</narrative>
            </comment>
          </target>
          <actual value="95.67">
            <comment>
              <narrative>Numerator: 18135; Denominator: 18956.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2026-01-01" />
          <period-end iso-date="2026-06-30" />
          <target value="90">
            <comment>
              <narrative>Numerator: 17960; Denominator: 19956.</narrative>
            </comment>
          </target>
        </period>
        <period>
          <period-start iso-date="2026-07-01" />
          <period-end iso-date="2026-12-31" />
          <target value="95">
            <comment>
              <narrative>Numerator: 18958; Denominator: 19956.</narrative>
            </comment>
          </target>
        </period>
      </indicator>
    </result>
    <result type="1" aggregation-status="0">
      <title>
        <narrative>Completeness of reporting: Percentage of expected monthly reports (for the reporting period) that are actually received</narrative>
      </title>
      <description>
        <narrative>Module: RSSH: Monitoring and evaluation systems.</narrative>
      </description>
      <indicator measure="2" aggregation-status="0">
        <title>
          <narrative>Completeness of reporting: Percentage of expected monthly reports (for the reporting period) that are actually received</narrative>
        </title>
        <description>
          <narrative>Geographic coverage: National, 100% of national program target. Aggregation: Non cumulative.</narrative>
        </description>
        <baseline year="2022" iso-date="2022-12-31" value="67.82">
          <dimension name="Provider type" value="Community" />
          <comment>
            <narrative>Numerator: 76310; Denominator: 112524.</narrative>
          </comment>
        </baseline>
        <baseline year="2022" iso-date="2022-12-31" value="67.82">
          <dimension name="Provider type" value="Community" />
          <comment>
            <narrative>Numerator: 76310; Denominator: 112524.</narrative>
          </comment>
        </baseline>
        <baseline year="2022" iso-date="2022-12-31" value="92.75">
          <dimension name="Provider type" value="Private" />
          <comment>
            <narrative>Numerator: 4335; Denominator: 4674.</narrative>
          </comment>
        </baseline>
        <baseline year="2022" iso-date="2022-12-31" value="92.75">
          <dimension name="Provider type" value="Private" />
          <comment>
            <narrative>Numerator: 4335; Denominator: 4674.</narrative>
          </comment>
        </baseline>
        <baseline year="2022" iso-date="2022-12-31" value="99.06">
          <dimension name="Provider type" value="Public" />
          <comment>
            <narrative>Numerator: 16190; Denominator: 16344.</narrative>
          </comment>
        </baseline>
        <baseline year="2022" iso-date="2022-12-31" value="99.06">
          <dimension name="Provider type" value="Public" />
          <comment>
            <narrative>Numerator: 16190; Denominator: 16344.</narrative>
          </comment>
        </baseline>
        <baseline year="2023" iso-date="2023-12-31" value="87.23">
          <comment>
            <narrative>Numerator: 103092; Denominator: 118182.</narrative>
          </comment>
        </baseline>
        <period>
          <period-start iso-date="2024-07-01" />
          <period-end iso-date="2025-06-30" />
          <target value="91">
            <comment>
              <narrative>Numerator: 221611; Denominator: 243503.</narrative>
            </comment>
          </target>
          <actual value="72.92">
            <comment>
              <narrative>Numerator: 175888; Denominator: 241213.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2024-07-01" />
          <period-end iso-date="2024-12-31" />
          <target value="90">
            <comment>
              <narrative>Numerator: 108491; Denominator: 120546.</narrative>
            </comment>
          </target>
        </period>
        <period>
          <period-start iso-date="2025-01-01" />
          <period-end iso-date="2025-06-30" />
          <target value="92">
            <comment>
              <narrative>Numerator: 113120; Denominator: 122957.</narrative>
            </comment>
          </target>
          <actual value="77.43">
            <comment>
              <narrative>Numerator: 91801; Denominator: 118566.</narrative>
            </comment>
          </actual>
          <actual value="72.36">
            <dimension name="Provider type" value="Community" />
            <comment>
              <narrative>Numerator: 69392; Denominator: 95904.</narrative>
            </comment>
          </actual>
          <actual value="96.89">
            <dimension name="Provider type" value="Private" />
            <comment>
              <narrative>Numerator: 5331; Denominator: 5502.</narrative>
            </comment>
          </actual>
          <actual value="99.52">
            <dimension name="Provider type" value="Public" />
            <comment>
              <narrative>Numerator: 17078; Denominator: 17160.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2025-07-01" />
          <period-end iso-date="2025-12-31" />
          <target value="93">
            <comment>
              <narrative>Numerator: 116637; Denominator: 125416.</narrative>
            </comment>
          </target>
          <actual value="69.77">
            <comment>
              <narrative>Numerator: 92411; Denominator: 132450.</narrative>
            </comment>
          </actual>
          <actual value="63.84">
            <dimension name="Provider type" value="Community" />
            <comment>
              <narrative>Numerator: 69892; Denominator: 109476.</narrative>
            </comment>
          </actual>
          <actual value="96.06">
            <dimension name="Provider type" value="Private" />
            <comment>
              <narrative>Numerator: 5539; Denominator: 5766.</narrative>
            </comment>
          </actual>
          <actual value="98.68">
            <dimension name="Provider type" value="Public" />
            <comment>
              <narrative>Numerator: 16980; Denominator: 17208.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2026-01-01" />
          <period-end iso-date="2026-06-30" />
          <target value="94">
            <comment>
              <narrative>Numerator: 120249; Denominator: 127924.</narrative>
            </comment>
          </target>
        </period>
        <period>
          <period-start iso-date="2026-07-01" />
          <period-end iso-date="2026-12-31" />
          <target value="95">
            <comment>
              <narrative>Numerator: 123958; Denominator: 130482.</narrative>
            </comment>
          </target>
        </period>
      </indicator>
    </result>
    <result type="1" aggregation-status="0">
      <title>
        <narrative>Timeliness of reporting: Percentage of submitted monthly reports (for the reporting period) that are received on time per the national guidelines</narrative>
      </title>
      <description>
        <narrative>Module: RSSH: Monitoring and evaluation systems.</narrative>
      </description>
      <indicator measure="2" aggregation-status="0">
        <title>
          <narrative>Timeliness of reporting: Percentage of submitted monthly reports (for the reporting period) that are received on time per the national guidelines</narrative>
        </title>
        <description>
          <narrative>Geographic coverage: National, 100% of national program target. Aggregation: Non cumulative.</narrative>
        </description>
        <baseline year="2022" iso-date="2022-12-31" value="78.36">
          <dimension name="Provider type" value="Private" />
          <comment>
            <narrative>Numerator: 3397; Denominator: 4335.</narrative>
          </comment>
        </baseline>
        <baseline year="2022" iso-date="2022-12-31" value="78.36">
          <dimension name="Provider type" value="Private" />
          <comment>
            <narrative>Numerator: 3397; Denominator: 4335.</narrative>
          </comment>
        </baseline>
        <baseline year="2022" iso-date="2022-12-31" value="76.53">
          <dimension name="Provider type" value="Public" />
          <comment>
            <narrative>Numerator: 12390; Denominator: 16190.</narrative>
          </comment>
        </baseline>
        <baseline year="2022" iso-date="2022-12-31" value="76.53">
          <dimension name="Provider type" value="Public" />
          <comment>
            <narrative>Numerator: 12390; Denominator: 16190.</narrative>
          </comment>
        </baseline>
        <baseline year="2023" iso-date="2023-12-31" value="78.15">
          <comment>
            <narrative>Numerator: 80570; Denominator: 103092.</narrative>
          </comment>
        </baseline>
        <period>
          <period-start iso-date="2024-07-01" />
          <period-end iso-date="2024-12-31" />
          <target value="80">
            <comment>
              <narrative>Numerator: 86793; Denominator: 108491.</narrative>
            </comment>
          </target>
        </period>
        <period>
          <period-start iso-date="2024-07-01" />
          <period-end iso-date="2025-06-30" />
          <target value="81.5">
            <comment>
              <narrative>Numerator: 180683; Denominator: 221611.</narrative>
            </comment>
          </target>
          <actual value="67.19">
            <comment>
              <narrative>Numerator: 118186; Denominator: 175888.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2025-01-01" />
          <period-end iso-date="2025-06-30" />
          <target value="83">
            <comment>
              <narrative>Numerator: 93890; Denominator: 113120.</narrative>
            </comment>
          </target>
          <actual value="67.96">
            <comment>
              <narrative>Numerator: 62389; Denominator: 91801.</narrative>
            </comment>
          </actual>
          <actual value="90.85">
            <dimension name="Provider type" value="Private" />
            <comment>
              <narrative>Numerator: 4843; Denominator: 5331.</narrative>
            </comment>
          </actual>
          <actual value="89.3">
            <dimension name="Provider type" value="Public" />
            <comment>
              <narrative>Numerator: 15250; Denominator: 17078.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2025-07-01" />
          <period-end iso-date="2025-12-31" />
          <target value="85">
            <comment>
              <narrative>Numerator: 99141; Denominator: 116637.</narrative>
            </comment>
          </target>
          <actual value="70.5">
            <comment>
              <narrative>Numerator: 65146; Denominator: 92411.</narrative>
            </comment>
          </actual>
          <actual value="87.98">
            <dimension name="Provider type" value="Private" />
            <comment>
              <narrative>Numerator: 4873; Denominator: 5539.</narrative>
            </comment>
          </actual>
          <actual value="87.5">
            <dimension name="Provider type" value="Public" />
            <comment>
              <narrative>Numerator: 14857; Denominator: 16980.</narrative>
            </comment>
          </actual>
        </period>
        <period>
          <period-start iso-date="2026-01-01" />
          <period-end iso-date="2026-06-30" />
          <target value="88">
            <comment>
              <narrative>Numerator: 105819; Denominator: 120249.</narrative>
            </comment>
          </target>
        </period>
        <period>
          <period-start iso-date="2026-07-01" />
          <period-end iso-date="2026-12-31" />
          <target value="90">
            <comment>
              <narrative>Numerator: 111562; Denominator: 123958.</narrative>
            </comment>
          </target>
        </period>
      </indicator>
    </result>
  </iati-activity>
</iati-activities>