Harold Phillips, Bilen Getachew & Sola Dada Division of Global Programs (DGP)

1. Health Workforce for HIV and Chronic Disease Service Delivery Global Initiative – HRSA-17-033Pre-Application Technical Assistance CallMay 9, 2017 at 1 pm - 2:30 pm • Harold Phillips, Bilen Getachew & Sola Dada • Division of Global Programs (DGP) • Office of Training and Capacity Development (OTCD) HIV/AIDS Bureau (HAB) Health Resources and Services Administration (HRSA)

2. Welcome and Introductions • Harold Phillips Director, OTCD • Suzzane McQueen Branch Chief, HSS Branch • Bilen Getachew Project Officer, HSS Branch • Sola Dada Grants Management Specialist

3. Agenda • PEPFAR & HRSA • Program Purpose & Background • Health Workforce Initiative Objectives & Priorities • Funding and Awards • Eligibility • Application Requirements • Budget • Application and Submission • Contacts • Q&A

4. The U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) • Funding for HRSA-017-033 will be provided to HRSA through the U.S. President's Emergency Plan for AIDS Relief (PEPFAR). • PEPFAR is the U.S. Government initiative to advance progress towards reaching sustainable control of the HIV epidemic. PEPFAR is coordinated by the Department of State’s Office of the Global AIDS Coordinator and Health Diplomacy (OGAC). • Three pillars guide PEPFAR’s work: • Accountability, or cost-effective programming that maximizes the impact of every dollar invested. • Transparency and publicly sharing all levels of program data that are available. • Impact and demonstrating sustained control of the epidemic, meaning lives are saved and new infections are averted.

5. PEPFAR and HRSA Since 2003, HRSA has been a significant contributor to PEPFAR’s achievements. HRSA’s work builds on the agency’s domestic and international experience and expertise by improving outcomes along the treatment and prevention cascade for people living with HIV (PLWH).

6. Background • The Health Workforce Global Initiative will build on the successes of HRSA’s Global Nursing Capacity Building Program (GNCBP) and the Medical Education Partnership Initiative (MEPI). • HRSA has been working in the last five years to strengthen the quality, quantity and relevance of nurses and midwives in over 10 resource-poor countries in Africa. • The GNCBP will end in September 2017 and HRSA’s investments in MEPI ended in April 2017. This new five-year program, the Health Workforce Global Initiative will encompass nurses, midwives, Community Health Workers (CHW), and other cadres such as physicians, pharmacists, laboratory technicians, social service workers, and lay workersto ensure the adequate and optimal mix of providers to efficiently deliver HIV services.

7. Purpose • The purpose of the Health Workforce Global Initiative is to develop and implement innovative approaches to increasing adequacy, capacity, employment, coordination, complementarity, deployment and retention of physicians, nurses, midwives, pharmacists, CHWs, social service workers, lay health workers, laboratory technicians and other related health cadres that provide primary care and community health services to people living with HIV (PLWH), Tuberculosis (TB), and other infectious diseases in sub-Saharan Africa, Central Asia, Eastern Europe, the Caribbean and/or Latin America.

8. Health Workforce Global InitiativeObjectives: • Support host country and local governments, professional associations and councils, and institutions, in the planning, development, distribution, retention and management of health workforce to meet the increasing demands for human resources for health in high HIV prevalence areas. • Support educational and health care institutions in the area of pre-service and in-service training to improve the quality and relevance of training programs. • Strengthen primary care and community health systems by scaling-up task shifting approaches.

9. Health Workforce Global InitiativePriorities: • Adequate supply and appropriate skill mix of qualified health workers to deliver comprehensive and quality care services within existing and new innovative models of care. • Employment and retention of health workers. • Linkage and retention of patients in health care. • Coordination and linkages among different health care cadres in delivery of primary care and community health services.

10. Type of Award • Funding will be provided in the form of a cooperative agreement. • An award instrument of financial assistance where substantial involvement is anticipated between HRSA and the recipient during performance of the contemplated project.

11. Summary Of Funding • This program will provide funding via cooperative agreement during Federal fiscal years 2017 - 2022. Approximately $30,000,000 is expected to be available annually to fund up to 2 recipients. Applicants may apply for a ceiling amount of up to $30,000,000 per year. The period of support is five (5) years. • Start Date: September 30, 2017 • Project Period: September 30, 2017 – September 29, 2022 • Funding beyond the first year is dependent on: • Availability of appropriated funds in subsequent fiscal years • Recipient satisfactory performance • Decision that funding is in the best interest of the Federal Government

12. Eligible Applicants • Domestic and foreign public and private nonprofit entities, including institutions of higher education, faith-based and community-based organizations, Tribes and tribal organizations, and for profit entities.

13. Eligibility Requirements • Applicants from U.S. based organizations are strongly encouraged to form a consortium of partners to include foreign institutions with the relevant expertise, with the long-term goal of strengthening networks and ensuring sustainability. • Foreign (non-U.S. based) applicants may include collaboration with U.S. and other foreign institutions with particular expertise in the proposed priority areas as subrecipient consortium partners. • The lead applicant institution must meet the eligibility requirements and assumes all legal, programmatic, and financial responsibilities under the award. Consortium participants would be considered sub-recipients under the award. Subrecipients are subject to all programmatic terms and conditions of the award.

14. Eligibility Requirements • Other • Applications that exceed the ceiling amount will be considered non-responsive and will not be considered for funding under this announcement. • Any application that fails to satisfy the deadline requirements referenced in Section 4.3 will be considered non-responsive and will not be considered for funding under this announcement. NOTE: Multiple applications from an organization are not allowable.

15. Project Narrative • Seven parts: • Introduction • Needs Assessment • Methodology • Work Plan (Attachment 1) • Resolution of Challenges • Evaluation and Technical Support Capacity • Organizational Information

16. Work Plan: Tips SPECIFIC MEASURABLE ACHIEVABLE REALISTIC & TIME FRAMED! Your Work Plan should include objectives and key action steps that are:

17. Components of the Budget Budget Documents consist of 3 major parts: • SF-424A budget form within the application (5th year budget as attachment 7) • Line item budget (attachment 6) • Budget justification narrative

18. Budget • See HRSA SF- 424 Application Guide section 4.1.iv and v (pp. 20-33) and FOA section IV.1.iii (pp. 26) for instructions on preparing the budget and budget justification narrative. • Provide separate line item budgets for each year of the proposed project period as a single spreadsheet table, using the Section B Budget Categories of the SF-424 and breaking down subcategorical costs as appropriate. Excel spreadsheets are strongly preferred.

19. Application BudgetSF-424A(Application Guide, Section 4.1 iv, page 20) This NOFO is for a multi-year (5-year) period. Accordingly: • Please complete the SF-424A Budget form included with the application package (Sections A – Jand the Cumulative Budget) for each budget period. • Year 5 budget: This should be included as an attachment (Attachment 7).

20. Application Budget JustificationNarrative • Provide a budget narrative that explains amounts requested for each line in Section B of the SF-424A. • Describe each cost element and explain how each cost contributes to meeting the project’s objectives/goals. Be very careful about showing how each item in the “other” category is justified. • For subsequent budget years, highlight any changes from year one or clearly indicate that there are no substantive budget changes during the project period.   • MUST be concise. Do NOT use the justification to expand the project narrative.

21. Indirect Costs • Indirect Costs: Indirect costs on grants awarded to foreign organizations and performed outside of the territorial limits of U.S. may be paid to support the costs of compliance with federal requirements at a fixed rate of eight (8) percent of MTDC exclusive of tuition and related fees, direct expenditures for equipment, and subawards and contracts under the grant in excess of $25,000. • Multiple allocation indirect cost rates: For institutions of higher education and nonprofits that have indirect costs benefitting major programs disproportionately, indirect rates will vary.

22. Funding Restriction • Funding restrictions are described on pages 29 through 32 of the NOFO and on pages 22 though 30 of the SF424 Application guide.

23. Application Format: Section IV/Guidance • Project Abstract • Project Narrative • Budget • Budget Justification • Attachments

24. Application - Attachments • Attachment 1- Work Plan (to include a logic model) • Attachment 2 – Staffing Plan & Job Description for Key Personnel • Attachment 3 - Biographical Sketches of Key Personnel • Attachment 4 – Letters of Agreement and/or Description(s) of Proposed/Existing Contracts (project specific) • Attachment 5 – Project Organizational Chart • Attachment 6 – Line-item Budget • Attachment 7- Fifth Year Budget (NOT counted in page limit) • Attachment 8: Indirect Cost Rate Agreement (if applicable) • Attachment 9: Global Health Federal Grants, Cooperative Agreements, and/or Contracts (if applicable) • Attachment 10: Past Performance References • Attachment 11 through 15: Other Relevant Documents (If applicable)

25. Review and Selection Process • The Division of Independent Review (DIR) is responsible for managing objective reviews within HRSA. • Applications competing for Federal funds receive an objective and independent review performed by a committee of experts (ORC) qualified by training and experience in particular fields or disciplines related to the program being reviewed. • Applications that pass the initial HRSA eligibility, completeness, and responsiveness screening will be reviewed and rated by a panel based on the program elements and review criteria. • The competitive objective review process is based on the merits of the application. It is critical that the applicant paint a clear picture of the approach and the specific work plan proposed and the capabilities that the applicant brings to the work.

26. Review Criteria • 100 points total • Need – 15 points • Response – 30 points • To include Methodology (15 points), work plan (10 points), resolution of challenges (5 points) • Evaluative Measures – 15 points • Impact – 10 points • Resources/Capabilities – 20 points • To include Organization Description and charts (5 points), management & staffing plan (5 points), Administrative & fiscal oversight (5 points), and key collaborations (5 points). • Support Requested – 10 points

27. Application Submission • Applications that fail to address the programmatic goals and requirements outlined in this NOFO will not be considered for review • Applications that request amounts that exceed the ceiling amount will not be considered for funding under this announcement • Any application that fails to satisfy the deadline requirements will be considered non-responsive and will not be considered for funding under this announcement

28. Application Submission Dun and Bradstreet Universal Numbering System Number and System for Award Management (formerly, Central Contractor Registration) • Applicant organizations must obtain a valid DUNS number and provide that number in their application. Applicant must also register with the System for Award Management (SAM) and continue to maintain active SAM registration with current information at all times during which it has an active federal award or an application or plan under consideration by an agency. Information for Foreign Applicants: If your organization is located outside the United States, you can register for a DUNS number online. To register with D&B, you are not required to obtain a federal Tax Identification Number (TIN), also known as an Employer Identification Number (EIN). When registering, simply leave the TIN/EIN information blank. However, anyone doing business with the federal government generally needs to obtain a TIN/EIN in order to meet Internal Revenue Service (IRS) tax reporting requirements.

29. Application Submission • More information for foreign applicants is available in the Grant Eligibility section of Learn Grants.  The System for Award Management (SAM) also has a quick start guide for new foreign registrations available at https://www.sam.gov/sam/transcript/Quick_Guide_for_International_Entity_Registration.pdf

30. Application Submission • The total size of all uploaded files may not exceed the equivalent of 80 pages when printed by HRSA. • This 80-page limit includes the abstract, project and budget narratives, attachments, and letters of commitment and support. Standard forms are NOT included in the page limit. • Applications that exceed the specified limits (that exceed the equivalent of 80 pages when printed by HRSA) will be deemed non-compliant. • It is strongly recommended that applicants print their proposals before submitting to ensure the 80-page limit is met.

31. Reporting Requirements • Non-competing continuation Progress Report • Semi-annual Progress Report • PEPFAR Performance Reports • Monitoring and Evaluation Plan • Final Progress Report • Quarterly PEPFAR Obligation and Outlays Report

32. Application Submission Due Date AND, most of all, Be On Time! Electronic applications must be received and validated by Grants.gov no later than: June 12, 2017 11:59 PM, EST

33. Questions

34. Website TARGET Center Website: https://careacttarget.org/calendar/hrsa-17-033

35. Contact Information Program QuestionsBudget Questions Bilen Getachew Sola Dada (301) 443 -2908 (301) 443- 0915 bgetachew@hrsa.govodada@hrsa.gov