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TBIHSS Program Statement
TBIHSS Program Statement
TBIHSS Program Statement
The TB Innovations and Health Systems Strengthening (TBIHSS) is a five-year project implemented by
FHI 360 beginning February 21, 2018. TBIHSS is funded by the U.S. Agency for International
Development (USAID).
Please submit questions electronically (by email) based on the schedule of deadline below to
grantsphilippines@fhi360.org. Please address email to Dr. Soliman Guirgis, Chief of Party.
Submission of Questions
Interventions/Concepts
Deadline
Estimated Technical
Applications submission
Interventions/Concepts Evaluation Committee (TEC)
deadline
meeting date
1. Media Fellowship Program November 30, 2020 December 4, 2020
2. Implementation of Intensified and November 30, 2020 December 4, 2020
Active Case Finding
3. Technical assistance for TB in the November 30, 2020 December 4, 2020
Workplace
4. Technical assistance for November 30, 2020 December 4, 2020
institutionalization of e-TB MAC
5. National Advocacy for Stronger TB December 15, 2020 January 8, 2021
Commitment
6. Online Peer Support Group December 15, 2020 January 8, 2021
DISCLAIMER
The contents of this Program Statement are the responsibility of FHI 360 and do not necessarily reflect
the views of USAID or the United States Government.
Introduction
The U.S. Agency for International Development (USAID)’s Tuberculosis Innovations and Health Systems
Strengthening (TBIHSS) Project is a five-year cooperative agreement from February 21, 2018 to February
20, 2023 implemented by FHI 360 and in partnership with Interactive Research and Development (IRD),
Philippine Business for Social Progress (PBSP), and mClinica.
TBIHSS is a strategically designed project to introduce, test, and generate models of state-of-the-art
innovations for scale-up along with expert technical assistance (TA) to the Philippine government and
relevant key international and local organizations. TBIHSS activities are structured to bring a dynamic,
strategic, and fresh mindset to accelerate USAID/Philippines fight against high TB burden at the national
and regional levels, through both curative and public health approaches, to support and institutionalize
health systems and processes towards sustainability and efficiency.
FHI 360, as the lead agency for the implementation of TBIHSS, is committed to the achievement of the
project’s objectives.
Objectives
1. Rapidly identify and expand state-of-the-art approaches to maximize TB case detection and
health-seeking behavior
2. Integrate and institutionalize high-impact practices to improve TB and drug-resistant TB
(DR-TB) adherence and quality of care for public and nonpublic sectors
3. Create a supportive environment encompassing the continuum of TB prevention to care
1. Media Fellowship Program. To help create an enabling environment, TBIHSS will implement a
Media Fellowship Program for journalists to produce in-depth stories about tuberculosis in the
Philippines. Twenty journalists will be selected based on their story proposals. The reportage
will follow a civic journalism framework. “Civic journalism encourages news media to include
the public into its work” (UNESCO, 2017). A selected journalist or media fellow will include in
story development the participation of community actors in creating, collecting, and
communicating news from their perspectives. The stories are envisioned to prompt
communities into action in support of finding and treating persons with TB.
2. National Advocacy for Stronger TB Commitment. TBIHSS will support the national advocacy
track of the #TBFreePH communication strategy of the DOH NTP by securing the commitment
of parliamentarians to allot adequate national budget for the TB program as stipulated in the
PhilSTEP1; and increasing media stories about national TB efforts
3. Online Peer Support Group. TBIHSS will work with civil society organizations particularly with
peer support groups to model an online platform supportive of persons undergoing
treatment, especially among those with DRTB, and mobilize Survivors of TB to advocate for
stronger political commitment and better services from national decision-makers. The online
platform and advocacy initiative are part of an overarching national communication strategy
called #TBFreePH.
4. Implementation of Intensified and Active Case Finding. TBIHSS through the partner
organization will contribute to achieving the PhilSTEP1 target set for TB case detection by the
National Tuberculosis Control Program (NTP) of Philippines through intensified or active case
finding (ICF/ACF) activity in the selected hospitals and community. The partner organization
will work in coordination and collaboration with the regional NTP, local government units and
other development key stakeholders.
2. ACF in high risk 10 ACFs per month in Jan-Aug 2021 ● 37,572 workers
specialty clinic, formal NCR/Region 3/4A for at screened
and informal workplace least 6 months and Cebu ● 10,192 workers tested
City for at least 3 months ● 1,702 workers
notified/enrolled
4 for ECOP • 851 workers with BC
3 for FFW/TUCP diagnosis
3 for ALLWIES
3. ACF in City-wide TB Cebu City Apr-August 2021 • 35,951 individuals
Elimination Campaign screened (24,501
(CiTEC) - TB model to adults and 11,450
develop an children below 15 y/o)
implementation model
for UHC reforms
5. Technical Assistance for TB in the Workplace. TBIHSS through the partner organization will
mainstream ongoing workplace annual and pre-employment screening activities to contribute
directly to the NTP by linking to TB testing and treatment support and provision as part of
compliance to OSH standards and DOLE’s performance accountability framework for
workplace engagement.
Develop a mobile health app, a March 2021 Tested the 1st version
web platform and an
information system that are
housed in a temporary cloud
server located within country
Initial test of e- platform in April 2021 Revised mobile and web- based
selected region and solicit platform
feedback for further
improvement of the app
Launch e-TB MAC platform April –May 2021 Launch the platform
Train/orient how to use the May-June 2021 TB-IHSS, NTP and NTP key
platform to key staff from TB partners trained and oriented
IHSS, NTP and key partners
TBIHSS issued this Program Statement (PS), open from November 3, 2020 to Dec. 15, 2020 for activities
to be supported for Year 4. During the period of this PS, proposals will be accepted based on preset
deadlines for review as shown in table 1. Proposals will be evaluated by TBIHSS’s Technical Evaluation
Committee. Applicants can submit applications via email for more than one of the activities outlined
above. Applicants should submit applications via email at grantsphilippines@fhi360.org and address the
email to Dr. Soliman Guirgis, Chief of Party.
I. General Description
A PS mechanism will be used for competitive award of grants where TBIHSS intends to support a
variety of predetermined interventions and methodologies to improve access and services in the TB
continuum of care.
The purpose of this PS is to establish partnerships with local organizations to implement the testing and
scaling up of innovations that increase the demand, accessibility and quality of high-impact, cost-
effective and evidence-based TB interventions at the regional and local level.
To achieve this goal, TBIHSS will provide short-term and long-term grants (six months to one year) to
implement its activities for year 4.
In 2020, the COVID-19 pandemic has led to overwhelmed health systems worldwide, including in the
Philippines. The historically unprecedented socioeconomic disruption of this global pandemic affects
existing critical public health programs like the national TB program, at all levels. Grave consequences
may follow the systemic disruption and shift in focus caused by COVID-19 with a loss of hard-earned
gains in TB control, including a worsening quality of care and treatment outcomes. Undiagnosed and
diagnosed TB patients may have difficulty accessing health services, which are poorly equipped to
accommodate the demands imposed by COVID-19; hence, efforts to ensure that TB remains a national
priority are critical.
TB remains a critical public health problem in the Philippines, even as COVID-19 cases continue to rise.
In the DOH press release for TB on July 21, 2020, approximately 74 Filipinos die of TB every day and TB
is still among the top 10 causes of death in the country. DOH-NTP recorded a total of 127,341 new and
relapse TB cases from January to June 2020 (as of August 25, 2020), declining steeply by almost 64%
between March 2020 (25,203) and April (9,186) 2020.
Since the country committed to find and treat 2.5 million Filipinos with TB at the United Nations High-
Level Meeting on TB in September 2018, DOH has recorded 1.1 million TB cases, leaving 1.4 million
more cases to find and treat in the next 2.5 years. However, based on a recent modeling study of the
Global Stop TB Partnership, DOH estimates that notified cases in 2020 will only reach 72% of the
annual target. Gender analysis conducted in 2019 showed that certain gender roles, cultural norms,
and patterns of power and decision-making influence access to TB services and health-seeking
behavior. Men are more likely to work outside the home and have limited access to clinics and
community-based TB education activities outside of working hours. There is also a macho stereotype,
which makes men less likely to prioritize their health. In addition, men tend to work in higher TB risk
occupations and smoke and drink alcohol.
To assist in preparing the grant application, TBIHSS has provided templates per the below table.
Grant Application Template Annex A
Implementation plan or chronology of activities and Annex B
results/ Work plan and M&E Template
Budget Template Annex C
Budget Note Annex D
The applicant will need to include a timeline or schedule and a full budget with budget narrative. The
associated templates are provided in attachments one (1) to four (4) The technical narrative (Annex B)
should not exceed 35 pages (not including budget and annexes) in font size 12. The information provided
in the full application should include the following at minimum:
• CVs of key personnel who will be leading the implementation in the field. Key personnel must
have demonstrated relevant experience of similar activities, as well as confirm their availability
by signing their CV.
• A detailed background is required for small and new organizations. This should demonstrate
how they are able to implement the proposed activity and highlight experience with the same
or similar activities only. If the organization does not have that experience, justification and
details are needed to showcase its capability to implement the proposed activity. An
organization chart and information about where the proposed project fits into the organization
in terms of administration, implementation support and control should be included.
• Background information on key individuals, including owners, the organization’s president, or
other senior leadership.
• Detailed work plan and logical framework. The work plan should be presented as a narrative in
the body of the application, including the schedule and timeline with milestone(s) or result(s)
for each activity.
• Description of milestones in alignment with the work plan, including timeline (estimated time
to complete), milestone(s) or result(s) for each activity and means of verification (see Annex B
template of work plan and M&E plan).
I. Technical Evaluation
The applicant with the highest score will be awarded the grant. The application will be reviewed by
Technical Evaluation Committee (TEC), comprising representatives from TBIHSS component teams.
TBIHSS will analyze the specifics of all proposed budgets. Applicants should note that budgets must be
sufficiently detailed to demonstrate cost reasonableness and completeness. Budgets with cost
information determined to be unreasonable, incomplete, or based on a methodology that is not
TBIHSS will work with the applicants that receive the highest scores to complete the remaining
mandatory steps:
• Obtaining a Data Universal Numbering System (DUNS) number and registering the organization
on www.sam.gov/SAM (compulsory for organizations receiving a grant of $25,000 or more).1
• Completing the financial pre-award assessment tool (to be done by TBIHSS staff).
• Signing the mandatory certifications (see attachment 7).
• Supplying audited financial statements, if available (in English, if possible). If no recent audit
has been conducted, a revenue and expense statement and balance sheet for the previous
financial year should be provided instead.
• Undertaking SAM and other related vetting searches (to be done by TBIHSS staff).
Once these steps are completed, the project will let the applicants know whether their application will
be funded. Funding may be full or partial and with or without conditions. In some cases, funding may
not be offered at all.
Any award resulted from the above review and evaluation of applications is subject of compliance with
Foreign Assistance Act requirements and provisions of 2 CFR 200.
Locations
TBIHSS is implemented primarily in NCR, Region III, Region IVA and Cebu City.
Eligibility
The following organizations are eligible to apply:
• National and local nonprofit organizations
• National and local for-profit organization (private entities)
• National and local academies and institutions
• Community-based organizations
• Civil Society Organizations
All organizations must be legally registered and must agree with the terms and conditions of USAID
funding regulations.
The following are not eligible to apply:
• Individuals
• TBIHSS’s current partners or relatives of TBIHSS employees
• Any organization that has misused USAID funds in the past
1
U.S. law requires organizations that receive over $25,000 in U.S. Government (USG) funds through grants and
subgrants to share certain information. To track this information, the USG requires the organizations to obtain a
DUNS number. Applicants must visit www.fedgov.dnb.com/webform to fill in and submit the web form to
receive a DUNS number. The process usually takes 24–72 business hours. System for Award Management (SAM)
is a USG system that FHI 360 uses to determine if an entity has been banned from doing business with the USG.
All organizations wishing to receive USG funds must register on the SAM website at: www.sam.gov.
Upon award, selected applicants will work with TBIHSS staff on the items listed below.
The applicant may choose relevant performance indicators from the list below that relate to its concept
or proposal.
The project will provide technical assistance as needed to support grantees in mainstreaming gender
into the project plan and provide complementary capacity-building support to ensure that the grantee’s
design and delivery of programs achieve its proposed inclusion strategies.
The Foreign Assistance Act of 1961 requires that the impact of USAID-financed activities on the
environment considered. The regulation in 22 CFR 216 requires that the potential environmental
impact of USAID-financed activities is identified and that appropriate environmental safeguards are
adopted. FHI 360 project staff must become aware of the Initial Environmental Examination (IEE) or
Environmental Assessment (EA) for the prime award. Grants will be subject to assessment and criteria
mandated in the TBIHSS Environmental Mitigation and Monitoring Plan (EMMP). Grants funded by
USAID must also be compliant with host country environmental regulations unless otherwise directed
in writing by USAID and such direction is incorporated in the grant. In case of conflict between host
country and USAID regulations, the latter shall govern the grant and consider Afghanistan’s
Environment Law published in Official Gazette No. 912, January 25, 2007
(www.wedocs.unep.org/bitstream/handle/20.500.11822/7620/-
Environmental_Law_Official_Gazette_No_912_dated_25_January_2007_As_approved_by_the_National
_Assembly-2007environmental_law_afghanistan.pdf.pdf?sequence=3&isAllowed=y).
I. Application Process
Documents required
• Completed grant application with technical approach including gender inclusion
(max. of 35 pages)
• Detailed budget
• Cost backup documentation
• Budget notes
• CVs of key personnel
• Other documents as required
• Apply for DUNS number
• Register at www.sam.gov/SAM/ if necessary
• Financial/management pre-award assessment by TBIHSS staff
• Provide audit reports if necessary
• Sign mandatory certifications
• TBIHSS staff performs required terrorist financing and exclusion searches
• USAID vetting approval if the amount is above $25,000
Table 7. Summary of the narrative and financial reporting requirements for each type of grant.
Requests for clarification of issues relating to the PS are accepted on an ongoing basis via email only at
grantsphilippines@fhi360.org . Consolidated lists of questions and answers will be shared by email with
interested applicants.
Applications should only be submitted in English. Budgeted costs must be represented in Philippine
peso. Applicants must submit applications in the aforementioned format. Any application submitted in
any other format will not be eligible for consideration.
V. Authorized Signatory
The application must be signed by a person authorized to submit an application on behalf of the
applicant organization, binding the applicant to the application. The application form should include the
name, title, email and telephone number of the person(s) in the organization authorized to discuss and
accept a grant if awarded.
VI. Subgranting
VII. Timeline
The following chart outlines the steps that will be taken throughout the PS competition period. The
timeline for processing a grant is dependent on selected organizations being able to finalize full
applications and budgets and submit the required documentation without delay.
VIII. Process
a. Issuance of PS
b. Questions and clarifications from applicants received.
c. Answers to questions and clarifications shared via interested applicants
d. Evaluation of applications by Technical Advisory Committee
e. Awarding of grant to selected applicants
f. TBIHSS staff conduct site visits, meetings and pre-award assessment
g. Final negotiations, budgeting and approval
h. Orientation of grantees
i. Grantees implement activities
Rejection of Application
Any applicant organization who has queries or has identified any fraud in the selection process
of TBIHSS should submit their query to the TBIHSS compliance Manager (ANoori@fhi360.org)
within 15 days after receiving notification letter that your application was not selected.
For non-U.S. organizations, the Standard Provisions for Non-U.S., Nongovernmental Grantees and the
applicable cost principles (2 CFR 200 Subpart E – Cost Principles) will apply.
Under no circumstances shall the recipient procure any of the following under this award, as these items
are excluded by the Foreign Assistance Act and other legislation which govern USAID fund Military
equipment:
• Surveillance equipment;
• Commodities and services for support of police or other law enforcement activities;
• Abortion equipment and services;
• Luxury goods and gambling equipment;
• Weather modification equipment.
Restricted Goods
The following costs are restricted by USAID (primarily due to higher-level restrictions imposed by U.S.
regulatory bodies or through specific legislation) and require prior approval from FHI 360 and USAID:
• Agricultural commodities;
• Motor vehicles;
• Pharmaceuticals;
• Pesticides;
• Fertilizer;
• Used equipment; and
• U.S. Government-owned excess property.
Disclaimers
1. FHI 360 may cancel the Program Statement and/or not make awards.
2. FHI 360 may reject any or all the responses to its Program Statement.
3. Issuance of a Program Statement does not constitute award commitment by FHI 360.
4. FHI 360 reserves the right to disqualify any application based on offeror failure to follow the
Program Statement instructions.
5. FHI 360 will not reimburse applicants for the cost of preparing and submitting an application to the
Program Statement.
6. FHI 360 reserves the right to issue an award on the basis of an initial evaluation of offers without
further discussion.
7. FHI 360 may award grants for only part of the activities listed in the Program Statement.
Withdrawals of Applications
Applicant may withdraw applications by written notice via email received at any time before award.
Applications may be withdrawn in person by an applicant or his/her authorized representative, if the
representative’s identity is made known and the representative signs a receipt for the application before
award.
Right to Select/Reject
FHI 360 reserves the right to select and negotiate with those organization it determines, in its sole
discretion, to be qualified for competitive proposals and to terminate negotiations without incurring
any liability. FHI 360 also reserves the right to reject any or all proposals received without explanation.
Pre-award (Due-diligence)
FHI 360 reserves the right to conduct pre-award review of the selected applicant before making a final
decision to award.
Offer Verifications
FHI 360 may contact organizations to confirm contact person, address, bid amount and to confirm that
the bid was submitted for this solicitation.