Ukraine NFM Grant Implementation arrangements

Sub-granting functional unit• Expected benefits of sub-granting functional unit are better coordination and efficiency:

joint CfP, tripartite grant agreement, joint workplan and budget and PF, harmonised operations manual, harmonised reporting of SRs, common monitoring visits, joint audits.

• Practical arrangements:• 20 staff; 100 SRs; budget holder outside functional unit;• Principal decisions are made by budget holders, but potentially 1-2 team leaders within functional unit to

guide work;• Although authority not fully delegated to functional unit, certain amount of authority delegated (up to

certain threshold) to make decisions;• Initially not fully co-located, but idea remains valid; Given shift in way of doing business, plan to move

slowly;• Full management support. Senior Management committed to coordination ; if budget holders had difficult

cases, SMT group would respond to difficult issues together.

Procurement functional unitVision:•No need for a procurement functional unit as product categories are clearly delineated between PRs;•Need for improved coordination amongst 3 PRs;•Better linkage between programmatic aspects and PSM;

Way forward:

UCDC will act as secretariat of an operational PSM group;•Coordinating and facilitating the work of the group;•Agenda setting;•Circulation of materials;•Minute-taking and follow-up;

Grant-specific, but taking into account co-financed products;

By 31 Dec., approved joint procurement plan and concept note/TOR of the group.

Questions• How will functional unit work if/until not co-located? What are plans for eventual

co-location (when, where)?

• What milestones do you foresee in establishing functional unit? What is the entity that we will assess capacity of?

• Are the staffing numbers real, given that number of SRs are hypothical? What efficiency savings does functional unit yield?

• UCDC not part of discussions to date. • How does joint call for proposals extend to UCDC SRs? What will happen to UCDC SRs?• How can you guarantee better coordination and continuum of care without UCDC?

• How will functional unit staff be proportioned among PRs? Are the shared SRs under AU/Network functional teams?

Four Ones• One PF – key indicators and targets are shared between 3 PRs.

Impact and outcome indicators IDU: prevention package, VCT, syringes distributed, OST, OST retention, IDUs on medical care SW: prevention package, VCT MSM: prevention package, VCT ART: ART treatment, C&S, prisoners on ART TB/HIV: HIV screening for TB, TB patients on ART, TB screening for HIV+, IPT Workplan tracking measures: legal barriers, CSS, policy and governance.

• One strategy describing how SRs in a given region with a given epidemic profile will contribute to each target; key strategies in each region to improve services.

• One PU to the Global Fund, with one performance rating and common set of MAs (though distinguishing responsibilities).

• One coordination – functional unit remains valid, with all benefits described; plus improved PR-level coordination of implementation.

Rationale:• Common targets facilitate continuum of care, integration of services, and improved quality of care. • Weak performance against an indicator enables three PRs to jointly address the problems; strong

performance allows learning from each other.