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Functional Areas
- Audit and Investigations
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Capacity development and transition, strengthening systems for health
- A Strategic Approach to Capacity Development
- Capacity Development and Transition - Lessons Learned
- Capacity development and Transition Planning Process
- Capacity Development and Transition
- Capacity Development Objectives and Transition Milestones
- Capacity Development Results - Evidence From Country Experiences
- Functional Capacities
- Interim Principal Recipient of Global Fund Grants
- Legal and Policy Enabling Environment
- Overview
- Resilience and Sustainability
- Transition
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Financial Management
- CCM Funding
- Grant Closure
- Grant Implementation
- Grant-Making and Signing
- Grant Reporting
- Import duties and VAT / sales tax
- Overview
- Sub-recipient Management
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Grant closure
- Overview
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Steps of Grant Closure Process
- 1. Global Fund Notification Letter 'Guidance on Grant Closure'
- 2. Preparation and Submission of Grant Close-Out Plan and Budget
- 3. Global Fund Approval of Grant Close-Out Plan
- 4. Implementation of Close-Out Plan and Completion of Final Global Fund Requirements (Grant Closure Period)
- 5. Operational Closure of Project
- 6. Financial Closure of Project
- 7. Documentation of Grant Closure with Global Fund Grant Closure Letter
- Terminology and Scenarios for Grant Closure Process
- Human resources
- Human rights, key populations and gender
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Legal Framework
- Agreements with Sub-recipients
- Agreements with Sub-sub-recipients
- Amending Legal Agreements
- Implementation Letters and Performance Letters
- Language of the Grant Agreement and other Legal Instruments
- Legal Framework for Other UNDP Support Roles
- Other Legal and Implementation Considerations
- Overview
- Project Document
- Signing Legal Agreements and Requests for Disbursement
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The Grant Agreement
- Grant Confirmation: Conditions Precedent (CP)
- Grant Confirmation: Conditions
- Grant Confirmation: Face Sheet
- Grant Confirmation: Schedule 1, Integrated Grant Description
- Grant Confirmation: Schedule 1, Performance Framework
- Grant Confirmation: Schedule 1, Summary Budget
- Grant Confirmation: Special Conditions (SCs)
- Grant Confirmation
- UNDP-Global Fund Grant Regulations
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Monitoring and Evaluation
- Differentiation Approach
- Monitoring and Evaluation Components of Funding Request
- M&E Components of Grant Implementation
- Monitoring and Evaluation Components of Grant Making
- Overview
- Principal Recipient Start-Up
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Health Product Management
- Compliance with the Global Fund requirements
- Distribution
- Inspection and Receipt
- International freight, transit requirements and use of INCOTERMS
- Inventory Management
- Overview - Health Product Management
- Pharmacovigilance
- Product Selection
- Quality monitoring of health products
- Quantification and Forecasting
- Rational use
- Risk Management for PSM of health products
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Sourcing and regulatory aspects
- Development of List of Health Products
- Development of the Health Procurement Action Plan (HPAP)
- Global Health Procurement Center (GHPC)
- Guidance on donations of health products
- Health Procurement Architecture
- Local Procurement of health products
- Other Elements of the UNDP Procurement Architecture
- Procurement of non-pharmaceutical Health Products
- Procurement of Pharmaceutical Products
- Submission of GHPC CO Procurement Request Form
- Storage
- Supply Planning of Health Products
- UNDP Health PSM Roster
- Waste management
- Grant Reporting
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Risk Management
- Introduction to Risk Management
- Overview
- Risk management in crisis settings
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Risk Management in the Global Fund
- Additional Safeguard Policy
- Challenging Operating Environment (COE) Policy
- Global Fund Review of Risk Management During Grant Implementation
- Global Fund Risk Management Framework
- Global Fund Risk Management Requirements During Funding Request
- Global Fund Risk Management Requirements for PRs
- Local Fund Agent
- Risk management in UNDP
- Risk Management in UNDP-managed Global Fund projects
- UNDP Risk Management Process
- Sub-Recipient Management
Storage
Health products are stored in various storage points along the national supply chain: they are usually stored in the national Central Medical Store (CMS) [1] after reception in-country, before being distributed to intermediate stores (regional and district stores), and then to health facilities where they are dispensed to patients. Health products for use in clinical laboratories may be managed through a dedicated national supply chain system due to temperature requirements and limited shelf-life of many reagents and consumables. Sometimes health products may even be delivered to the community level through community health workers or through non-government organisations (NGOs).
Considering the number of public health facilities storing health products in a country, it is beyond UNDP’s reach to guarantee good storage practices in all health facilities of a country. However, when working through the Ministry of Health supply chain (Central Medical Stores CMS, regional/district stores, health facilities), UNDP, as a development partner, should support the MoH in achieving the standards for good storage practices. This can be achieved through technical assistance and financial support, to the extent allowed by budget availability.
Using funds available under the Global Fund grant(s), UNDP COs can support activities that will help government and/or non-governmental organisations to achieve standards for GSP (e.g., QA and GSP training; procurement of temperature recording devices; procurement and installation of cooling units; etc). These activities should be primarily implemented at central level, and then cascaded down the supply chain to the extent the budget allows. GF grant funds may not be used to support system strengthening of private sector facilities.
Storage Facilities
Existing national storage facilities/warehousing system and distribution mechanisms for health products are the logistics channels of choice for UNDP programmes if they are adequate or if deficiencies can be remedied during the implementation of the programme. If these channels do not meet the necessary standards, storage facilities run by non-governmental organizations (NGOs), other UN agencies, or international organizations may be a viable alternative. It may also be possible to use private facilities and distribution networks run by commercial companies while national systems are being improved. sector institutions, including teaching hospitals, clinical laboratories, and other not-for-profit private Institutions.
Situation 1: the medical store(s) are directly managed by UNDP CO
UNDP COs must ensure that good storage practices according to WHO Good Storage and Distribution Practices (GSDP) is implemented in the store.
Situation 2 (most common): the medical stores(s) are managed by an external entity (e.g., Ministry of Health or service provider)
UNDP COs must ensure that good storage and distribution practices, according to WHO GSDP, are included or referred to in the agreement (i.e GF Sub-Recipient agreement) or service contract with the entity.
In the context of Global Fund projects, or if UNDP is responsible for the storage of health products, the UNDP CO should ensure that the facilities are secure and compliant with storage requirement in WHO’s Good Storage and Distribution Practices.
At a minimum, it is expected that UNDP CO:
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Perform a formal assessment of storage conditions in storage entities that have a contract with UNDP CO (usually the CMS, but sometimes also some intermediate stores) on an annual basis (this verification is done using a standardized supervision form – see Storage and Inventory Management Checklist issued by GFPHST).
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Perform assessment of storage conditions during supervision visits in a selection of other stores (intermediate and peripheral) used in the project, on an annual basis.
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A more thorough assessment (covering a higher number of facilities) could also be funded with funds allocated in the grant, if any.
These assessments should be done jointly with a representative of the NRA (or other designated government entity responsible for GSDP standards) and the recommendations compiled in a report and implementation monitored by the NRA (or other designated government entity).
To support UNDP COs with engaging the CMS either through a SR Agreement or through a Service Contract, GFPHST issued a guidance note.
[1] The term “Central Medical Stores” (CMS) describes the national warehouse system that is mandated by the government to manage health products. The CMS is, generally, responsible for the procurement, storage, and distribution of pharmaceutical products and other health products such as HIV- and malaria- rapid diagnostic test kits, condoms, lubricants, and laboratory reagents to public sector institutions, including teaching hospitals, clinical laboratories, and other not-for-profit private Institutions.
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