USAID Liberia Civil Society Activity (CSA)

Request for Application (RFA)

Issuance Date: December 15, 2022

Closing Date: January 15, 2023 (30 days after issuance date)

Closing Time: 5:00 PM (GMT)

Subject: Request for Applications (RFA) Number: CSA-RFA-06

Theme: Drug Stock-out Mapping and Supply-Chain Management Advocacy

Reference: Issued Under USAID/Liberia Civil Society Activity

USAID Contract No. 72066922C00003

The Liberia Civil Society Activity (CSA) is a five-year program funded by the United States Agency for International Development (USAID) implemented by DAI Global, LLC (DAI). The goal of the activity is to strengthen Liberians’ ability to advocate for policy reforms, policy implementation, and service delivery improvements through multi-stakeholder coalitions that build feedback loops among the GOL, CSOs, and citizens around reform priorities. The project provides opportunities CSOs to build linkages with their peers and constituencies at national and subnational levels. Through these linkages, CSOs can communicate reform achievements back to their constituencies and engage them in policy dialogue.

Furthermore, the program promotes greater collaboration with Liberian traditional leaders and media outlets to communicate reform priorities to citizens across the country. Better connections with constituencies will not only help the CSA devise best-fit solutions to local problems, but also facilitate behavior change leading to greater civic awareness and citizen participation.

The Civil Society Activity is designed to address these challenges and take advantage of the emerging opportunities described above. The civil society activity will build on significant investments—such as USAID LAVI, USAID Local Empowerment for Government Inclusion and Transparency (LEGIT) Activity, and USAID Media Development Activity—to transform how Liberian civil society advocates for sustainable policy reforms and effective policy implementation. The activity will support the formation of coalitions representing diverse constituencies around key policy priorities, including the implementation of reforms supported by LAVI.

In line with the new focus on fostering a citizen-state compact, CSA will help coalition members extend their reach past Monrovia to provide mechanisms for the collection of citizen feedback. Sustainable coalitions will elevate citizens’ aspirations and concerns through feedback loops, use this input to co-design adaptive advocacy strategies, and communicate policy achievements back to citizens to encourage continued engagement. The activity will also build financial resilience and adaptability of coalition members so they can replicate these approaches beyond the life of the activity.

The Liberia Civil Society Activity has four complementary objectives:

1. Linkages between CSOs with shared priorities strengthened to increase their impact
2. Civil society’s ability to serve as a conduit for information between constituents and officials enhanced
3. Supported CSOs’ financial and organizational sustainability enhanced
4. Ongoing capacity development services available on the local market

In execution of the objective number 1 & 2 above, CSA is soliciting proposals from qualified registered local Liberian organizations who have met the eligibility criteria indicated in Section A below. Successful applicant(s) will be required to implement the program described in section D of this RFA in achieving the program goal and expected output.

Please refer to the Program Description for a complete statement of goals and expected results.

Pursuant to 2 CFR 700.13, it is USAID policy not to award profit under assistance instruments such as grant awards. However, all reasonable, allocable, and allowable expenses, both direct and indirect, which are related to the grant program and are in accordance with applicable cost principles (2 CFR 200 Subpart E for all non-profit organizations, and the Federal Acquisition Regulation (FAR) Part 31 for all for-profit organizations), may be paid under the grant.

For non-US organizations, the Standard Provisions for Non-US Nongovernmental Organizations (ADS 303mab) will apply. For US organizations, 2 CFR 200 and the Standard Provisions for U.S. Nongovernmental Organizations (ADS 303maa) will apply. See Annex 1 for the web address links to these Standard Provisions.

The estimated total funds available to implement Drug Stock-out Mapping and Supply-Chain Management Advocacy Program is $75,000 USD per award under this RFA and number of awards anticipated is up to 5, depending on the quality of the proposals received and the availability of funds. DAI reserves the right to fund any or none of the applications submitted.

Subject to the availability of funds, DAI intends to form coalitions of five to ten registered Liberian civil society organizations who shall each be awarded a grant for a period up to one year to advocate for improvement regarding issues identified in the health sector up to a maximum amount of US $75,000 each. The coalitions shall consist of at least three subnational CSOs with linkages to diverse constituencies outside of Monrovia, at least one “nontraditional” partner such as a private sector firm, business association, media organization, or a faith-based group and at least one member that represents the interests of a marginalized group.

For the purposes of this program, this RFA is being issued and consists of this cover letter and the following components:

Section A – Grant Application Instructions

Section B – Special Grant Requirements

Section C – Selection Process

Section D – Program Description

Annexes

Applications must be received at the USAID Liberia Civil Society Activity offices in Monrovia, Liberia not later than 30 days after the date of issuance indicated at the top of this cover letter at the place designated below for receipt of applications. Applications and modifications thereof shall be submitted in pdf (preferred) or other electronic format to the USAID Liberia Civil Society Activity at CSA_GrantApplications@dai.com .

Award will be made to the responsible applicant(s) whose application(s) offers the best value.

Issuance of this RFA does not constitute an award commitment on the part of DAI, nor does it commit DAI to pay for costs incurred in the preparation and submission of an application. Further, DAI reserves the right to reject any or all applications received. Applications are submitted at the risk of the applicant. All preparation and submission costs are at the applicant’s expense.

Any questions concerning this RFA or a request for the Microsoft Word version of the application templates (Annex 03, Annex 04 and Annex 05) should be submitted in writing not later than 5 days prior to the closing date shown above to CSA_Grants@dai.com. Applicants should retain for their records one copy of all enclosures which accompany their application.

Thank you for your interest in USAID Liberia Civil Society Activity.

Sincerely,

Steve Terravecchia

Chief of Party

Drug Stock-out Mapping and Supply-Chain Management Advocacy

Table of Contents

Section A – Grant Application Instructions…………………………………………………………………….. 5

1. Application Procedure…………………………………………………………………………………………… 5
2. Completion and submission of applications………………………………………………………. 5
3. Preparation Instructions – Technical…………………………………………………………………. 5
4. Preparation Instructions – Financial and Administrative Documentation………….. 7
5. Special Grant Requirements……………………………………………………………………………………… 8
6. Selection Process…………………………………………………………………………………………………….. 11
7. Program Description………………………………………………………………………………………………. 14

Annex 1: Mandatory Standard Provisions……………………………………………………………………. 18

Annex 2: Certifications, Assurances, Other Statements of the Recipient………………………19

Annex 3: Application Form………………………………………………………………………………………….. 21

Annex 5: Budget………………………………………………………………………………………………………….. 23

Annex 6: CV Form and BioData Form…………………………………………………………………………… 24

Annex 7: Financial Capability Questionnaire……………………………………………………………….. 27

Annex 8: Instructions for Obtaining an Unique Entity ID (SAM)……………………………………. 37

Annex 9: Self Certification for Exemption from Unique Entity ID (SAM)Requirement………………………………………………………………………………………………………38

Annex 10: Application Checklist………………………………..……………………………………..………….39

Section A – Grant Application Instructions

1. Application Procedure

A. Completion and submission of applications

Eligibility Requirements

In order to be eligible for consideration by DAI under this RFA, organizations must meet the following eligibility requirements:

1. Support outcomes and results consistent with and linked to CSA’s outputs and objectives.
2. Support activities within the CSA target counties.
3. Be registered organizations (for-profit or non-profit U.S. or Liberian organizations, or local government entities). Individuals are not eligible for grant funding.
4. Include realistic and reasonable partner contributions (if applicable).
5. Have background or experience in implementing advocacy related programs

Application Submission Requirements

• Applications may be submitted only via email using the address indicated above (CSA_GrantApplications@dai.com)
• Applications must include:

• Completed Application Form (Annex 3)
• Projected Grant Budget and Budget Notes (Annex 5)
• CVs and BioData forms of all project team members (Annex 6)
• Completed Financial Capability Questionnaire and attachments (Annex 7)
• Statement of liability (part of application form)

Deadlines

Applications must be received at USAID Liberia Civil Society Activity not later than the submission due date indicated in the cover letter. Applications and modifications thereof shall be submitted in pdf (preferred) or other electronic format to USAID Liberia Civil Society Activity at CSA_GrantApplications@dai.com .

Late Applications

All applications received by the deadline will be reviewed for responsiveness and programmatic merit according to the specifications outlined in these guidelines and the application format. Section C of this RFA addresses the evaluation procedures for the applications. Applications which are submitted late or are incomplete run the risk of not being considered in the review process.

B. Preparation Instructions – Technical

Page Limitation: Applications should be specific, complete, presented concisely and shall not exceed 12½ pages (exclusive of annexes).

Applications submitted in response to this RFA must include the following information:

• Application Cover Page

The application must include a cover page that provides general information about the organization including, but not limited to, its email and physical addresses, names and addresses of its head and contact person, purpose/mission of the organization, etc.

• Executive Summary

The applicant must provide a summary of the project and any necessary background information and clearly indicate what the project will accomplish, in addition to why and how it will be implemented.

• Organization’s Profile and Past Performance

The applicant must provide a history and description of their organization and include information about its past experience in implementing similar activities.

• Project Background, Problem Statement and Advocacy Goal

The applicant should provide details about the problem that the organization is trying to solve as well as the goal of the advocacy.

• Project Results

The applicant should detail what tangible or specific changes in Knowledge, Attitudes, Practices, Behaviors does your organization and or coalitions anticipate that this grant will achieve.

• Program Description & Technical Approach

The applicant must specify the steps or activities that would be implemented to deliver the proposed project and which organization(s) or team members will be responsible for each.

• Monitoring (Results and Benchmarks)

The applicant should define, to the maximum extent possible at the application stage, results and benchmarks for monitoring the performance towards attainment of program objectives. The results and benchmarks must align with one or more of the relevant CSA objectives/sub-objectives and indicators indicated in section vi of the application template (see Annex 3).

• Gender Equity and Social Inclusion

The applicant must describe how the activity will ensure the active participation of

women, persons with disabilities and other marginalized communities and how the

project activities will affect women and girls, persons with disabilities and other

marginalized communities.

• Potential for Sustainability

The applicant should describe how the project or its benefits will continue after grant funding ends.

• Potential Impact

The applicant should describe the potential impact that the proposed activity will have

on the problem being solved or addressed.

• Project Management (Personnel)

The applicant should propose the names of key personnel who will implement the proposed project including their roles and responsibilities. Each applicant should provide, as part of their application, detailed curriculum vitae that demonstrate the Key Personnel’s ability to perform the duties outlined in the statement of work and in accordance with the evaluation factors found herein. DAI will evaluate the CV to determine the individual’s knowledge, skills and abilities in the areas listed herein.

• Budget

All proposals must include a completed budget; see Section C for more details.

• Grantee Contribution

Applicants are encouraged, but not required or compulsory, to propose in-kind or financial contributions in their applications. If an applicant does propose to provide contributions (e.g. in-kind items, labor time, venue rental costs, etc.) they must provide sufficient details regarding any such proposed in-kind or supplemental contributions by your organization.

In-kind contributions by grantees are allowable as cost share, in accordance with 2 CFR 200.306. This includes such things as proportionate shares of management and other employee time, equipment, office supplies, and other costs of program operation. Rates for employee services shall be consistent with those paid for similar work in the recipient’s organization. The value of equipment (i.e., computers) shall not exceed the fair market value of equipment of the same age and condition. The basis for determining the valuation of services, equipment and supplies shall be documented in the application.

• Other material

Applicants may also want to submit other material as attachments along with their applications such as letters of reference, newspaper clippings reporting on the organization’s activities, brochures or other promotional material. Support letters demonstrating partnerships and cooperation with local government are of particular interest. However, attachments should be limited to 5 pages and they will not be returned to the applicants.

C. Preparation Instructions – Financial and Administrative Documentation

• Completed Budget. All budget lines must be clearly linked to specific project activities. Although DAI will support organization staff and operating costs that are necessary for reaching project goals, applicants should direct their resources primarily to project implementation, rather than organization operating costs. See attached Annex 5 for the budget form. Supporting information shall be provided, as necessary, in sufficient detail to allow a complete analysis of each line-item cost.

• Completed Financial Capability Questionnaire, which includes:

• Audited Financial Reports: Copy of the applicant’s most recent financial report, which has been audited by a certified public accountant or other auditor satisfactory to DAI. If no recent audit, a “Balance Sheet” and “Income Statement” for the most current and previous fiscal year.

• Incorporation Papers or Certificate of Registration and Statute

• Organizational chart

• Documentation that the applicant has a satisfactory record of integrity and business ethics. (Documentation may include references from other donors or clients and a summary of previous awards, including type of funding, value, client, etc.)

• Depending on size, type, and complexity of the grant, the following may also specifically be requested at this stage:

• if applicable – NICRA, or if no NICRA, the profit and loss statements which include detail of the total costs of goods and services sold, by information of the applicant’s customary indirect cost allocation method, together with supporting computations of the basis for the indirect cost allocation method
• cash flow, description of management structure, and/or oversight procedures, if available
• copy of applicant’s accounting manual
• copy of applicant’s operations manual
• copy of purchasing policies and description of the applicant’s purchasing system (for large grantees)

1. Unique Entity ID (SAM). There is a mandatory requirement for the applicant to provide a Unique Entity ID (SAM) to DAI, if required per the criteria stated in the paragraph below. Without an Unique Entity ID (SAM), DAI cannot deem an applicant to be “responsible” to conduct business with and therefore, DAI will not enter into an agreement with any such organization. The award of a grant resulting from this RFA is contingent upon the winner providing an Unique Entity ID (SAM) to DAI. Organizations who fail to provide an Unique Entity ID (SAM) will not receive an award.

All U.S. and foreign organizations which receive a grant with a value of $25,000 and above are required to obtain an Unique Entity ID (SAM) prior to signing of the agreement. Organizations are exempt from this requirement if the gross income received from all sources in the previous tax year was under $300,000. DAI requires that grant applicants sign the self-certification statement if the applicant claims exemption for this reason.

For those required to obtain an Unique Entity ID (SAM), see Annex 8- Instructions for Obtaining an Unique Entity ID (SAM)- DAI’S Vendors, Subcontractors and Grantees.

For those not required to obtain an Unique Entity ID (SAM), see Annex 9- Self Certification for Exemption from Unique Entity ID (SAM)Requirement

B. Special Grant Requirements

The applicant shall bear in mind the following special requirements for any grants awarded in response to this RFA:

Separate Account: At DAI’s sole discretion, DAI may require the grantee to establish a separate bank account to house all funds provided under the grant, as well as all interest income.

Permitted Uses of Program Income: The Grantee will inform DAI of any program income generated under the grant and agrees to follow USAID’s disposition requirements for such program income, which is in accordance with 2 CFR 200.307. Program income earned under this agreement shall be applied and used in the following descending order:

1. Added to funds committed by USAID and the recipient to the project or program, and used to further eligible project or program objectives;
2. Used to finance the non-Federal share of the project or program; and
3. Deducted from the total project or program allowable cost in determining the net allowable costs on which the federal share of costs is based.

If the terms and conditions of the award do not specify how program income is to be used, then number 2) (above) shall apply automatically. Grantees who are commercial organizations may not apply Option 1) to their program income.

Use of Funds: Funds provided under any grant awarded shall be used exclusively to implement activities relating to Drug Stock-out Mapping and Supply-Chain Management Advocacy. Diversion of grant funds to other uses will result in cancellation of award and retrieval of funds disbursed to the grant recipient.

Reporting Procedures: A description of reporting requirements will be included in the Grant Agreements. The types of reporting required, along with the schedule of reporting, will depend on the grant type and project duration. Reporting forms will be provided to grant recipients. Types of reporting will generally include the following:

• Program report to be submitted during project implementation according to a schedule determined by DAI. This report will include a description of project activities and progress towards meeting the project goal; problems in project implementation; actions taken to overcome them; and plans on how the next phase of the project will be implemented.

• Final program report will describe how the project objectives and goals were reached, results of the project, and problems and solutions during implementation. This information should be presented in a manner suitable for presentation to the public.

• Financial reports will be submitted to DAI according to a schedule described in the grant agreements. Types of financial reports, as well as the schedule of reporting, will depend on the type of grant, length of project, and amount of grant funding. Financial reports will be required in order to receive grant installments. These reports will describe the amount of grant funds spent during the previous period, total amount spent to date, and amount remaining in each budget line item. In addition, all grant recipients are required to submit a detailed Final Financial Report.

Issuance of the final installment of grant funds is contingent upon DAI’s receipt and acceptance of Final Financial and Final Program Reports.

Project Monitoring: DAI staff will monitor projects in terms of both programmatic and financial aspects. Grant recipients will be expected to facilitate monitoring by making relevant information available to DAI staff.

Restrictions: The Grant Funds provided under the terms of this Agreement shall not be used to finance any of the following:

1. Goods or services which are to be used primarily to meet military requirements or to support police or other law enforcement activities,

2. Surveillance equipment,

3. Equipment, research and/or services related to involuntary sterilization or the performance of abortion as a method of family planning,

4. Gambling equipment, supplies for gambling facilities or any hotels, casinos or accommodations in which gambling facilities are or are planned to be located,

5. Activities which significantly degrade national parks or similar protected areas or introduce exotic plants or animals into such areas, or

6. Establishment or development of any export processing zone or designated area where the labor, environmental, tax, tariff, and/or safety laws of the country in which such activity takes place would not apply.

7. Pharmaceuticals,

8. Pesticides,

9. Logging equipment,

10. Luxury goods (including alcoholic beverages and jewelry),

11. Establishing or expanding any enterprise that will export raw materials that are likely to be in surplus in world markets at the time such production becomes effective and that are likely to cause substantial injury to U.S. producers,

12. Activities which would result in the loss of forest lands due to livestock rearing, road construction or maintenance, colonization of forest lands or construction of dams or other water control structures,

13. Activities which are likely to have a significant adverse effect on the environment, including any of the following (to the extent such activities are likely to have a significant adverse impact on the environment):

1. Activities which may lead to degrading the quality or renewability of natural resources;
2. Activities which may lead to degrading the presence or health of threatened ecosystems or biodiversity;
3. Activities which may lead to degrading long-term viability of agricultural or forestry production (including through use of pesticides);
4. Activities which may lead to degrading community and social systems, including potable water supply, land administration, community health and well-being or social harmony.

14. Activities which are likely to involve the loss of jobs in the United States due to the relocation or expansion outside of the United States of an enterprise located in the United States, or

15. Activities which the Grantee is aware are reasonably likely to contribute to the violation of internationally or locally recognized rights of workers,

16. Activities to support the production of agricultural commodities for export from Liberia when such commodities would directly compete with exports of similar United States agricultural commodities to third countries and have a significant impact on United States exporters.

Other: As mentioned, grants will be made available to qualified Liberian civil society organizations in grant amounts ranging up to $75,000 USD (all grants will be distributed in USD or local currency equivalent). Payment will be made according to a monthly or installment schedule, and in no event will more than 90% of the total agreed budget be disbursed prior to receiving and approving the Final Financial and Final Program Report.

C. Selection Process

Within 5 working days of the deadline for submitting applications, a review panel will convene. The review panel will include relevant technocrats from CSA who shall be voting members and non-voting to include representatives from USAID and CSA Core Partners (CENTAL , Accountability Lab and NAYMOTE) who shall serve as observers for the grant selection process. Throughout the evaluation process, DAI shall take steps to ensure that members of the review panel do not have any conflicts of interest or the appearance of such with regard to the organizations whose applicants are under review. An individual shall be considered to have the appearance of a conflict of interest if that person, or that person’s spouse, partner, child, close friend or relative works for or is negotiating to work for or has a financial interest (including being an unpaid member of a Board of Directors) in any organization that submitted an application currently under the panel’s review. Members of the panel shall neither solicit nor accept gratuities, favors, or anything of monetary value from parties to the awards.

All applications that meet the application requirements will be reviewed by the review panel. Verification of the application submission requirements will be conducted at the USAID Liberia Civil Society Activity Headquarters by its grants staff.

If suitable applications are received, one or more awards will be made (at DAI’s discretion) within 21 working days of the review panel meeting provided that the awardee(s) furnish(es) DAI with all the required documentation as itemized in Section A of this RFA.

The applications will be evaluated according to the evaluation criteria set forth below. To the extent necessary (if award is not made based on initial applications), negotiations may be conducted with each applicant whose application, after discussion and negotiation, has a reasonable chance of being selected for award. Award will be made to responsible applicants whose applications offer the best value.

Awards will be made based on the ranking of applications by the review panel according to the evaluation criteria and scoring system identified below:

The following criteria should be adjusted as necessary to suit project needs.

• Organization’s Profile, Past Performance, and Capabilities

The applicant’s past experience and capabilities in conducting projects of a similar nature.

Very good = 15 points; good = 10 points; average = 5 points; poor = 0 points

• Project Background: Problem Statement and Advocacy Goal

How clear and achievable are the problem statement and advocacy goal?

Very good = 5 points; good = 4 points; average = 3 points; poor = 0 points

• Project Result

What tangible or specific changes in knowledge, attitudes, practices, and/or behaviors does your organization and or coalitions anticipate that this grant will achieve

Very good = 5 points; good = 4 points; average = 3 points; poor = 0 points

• Program Description and Technical Approach

Is the design innovative, creative and realistic?

Very good = 30 points; good = 15 points; average = 5 points; poor = 0 points

• Monitoring and Evaluation

Alignment of proposed monitoring and evaluation activities with CSA indicators

Very good = 15 points; good = 10 points; average = 5 points; poor = 0 points

• Gender Equity and Social Inclusion

To what extent does the proposed project include gender equity and social inclusion?

Very good = 10 points; good = 7 points; average = 5 points; poor = 0 points

• Potential for Sustainability

Is the project or its benefits likely to continue after grant funding ends?

Very good = 5 points; good = 4 points; average = 3 points; poor = 0 points

• Potential Impact on Drug Stock-out Mapping and Supply-Chain Management Advocacy:

Is the project likely to improve the supply-chain management and availability of medical drug at public health facilities?

Is there evidence of buy-in and involvement?

Very good = 5 points; good = 4 points; average = 3 points; poor = 0 points

• Project Management (Personnel).

Is the cost reasonable in terms of the expected results?

Very good = 10 points; good = 7 points; average = 5 points; poor = 0 points

Signing of Grant Agreements

Upon USAID concurrence of the applicant, a Grant Agreement will be prepared. After DAI and the successful applicant have signed the Grant Agreement, DAI will provide training on financial management and reporting on grant funds. All reporting and contractual obligations will be explained to the grant recipients. Before receiving the first grant installment, all DAI may require grant recipients must open a separate bank account as the means by which grant funds will be transferred from DAI to the grant recipient.

D. Program Description

Title: Drug Stock-out Mapping and Supply-Chain Management Advocacy

Thematic Window: Health

CSA Project Activity Locations: Montserrado, Bong, Nimba, Lofa, Margibi and Grand Bassa Counties

Organization(s): Civil Society Organizations (both National and Sub-national-CSOs)

Period of Performance: February 2023 – February 2024

This Statement of Work (SOW) for Drug Stock-out Mapping and Supply-Chain Management Advocacy will support advocacy for transparency and accountability in service delivery through improved systems and policies, more decentralized management of resources, and greater accountability in the health care delivery system. For the purpose of CSA’s Coordinated Coalitions Concept, there will be multiple grants to multiple applicants to work in one or more counties as well as multiple activities as outlined under the Description of Program Activities.

Problem Statement

This grant is necessitated by the result of three studies that pointed out Liberia’s health system as an issue of concern that needed redress. The GeoPoll/Mobile SMS survey of March 2022 identified health as the one of the top three issues that citizens wanted government, civil society and development partners to prioritize. The other two were jobs and education. This was followed by the nationwide problem identification workshops by CSA’s core subcontractors CENTAL and NAYMOTE, in April 2022. The workshops, conducted in fourteen of the fifteen counties revealed that the major constraints to quality health service delivery were unavailability of essential drugs, lack of qualified health workers in most facilities, low incentives for health workers, including inadequate and irregular compensation and inadequate logistics among others. The political economy analysis (PEA) research in July and August 2022 provided details about the dynamics and drivers of the problems identified by NAYMOTE and CENTAL, the influencers of the problems, and potential champions and allies for advocacy to address those challenges. Respondents and participants ,

The findings from the health sector PEA and CENTAL and NAYMOTE nationwide problem identification workshops are summarized by the key governance themes as follow:

• Governance and Accountability is low across all the counties. Most of the local public officials are not open and transparent about financial management and county development issues.

• Policy and system are weak due to funding constraints and weak enforcement of both the Free Healthcare Policy.

• Inclusiveness in decision-making processes remains a challenge. Apart from County Sittings convened wherein delegates come from different districts to discuss issues related to the County Social Development Funds (CSDFs), no other community discussions about the county takes place. And some of the- delegates who come to the County Sittings are not deemed to be true representatives of the communities they come from because their selection are often influenced by political interests.

• Decentralization/Service Delivery-Some efforts have been made to decentralize public health services by establishing County, District and Community Health Teams. These structures do have the full authority in decision making and resource management needed to make them responsive to local needs and health challenges.

• Access to Information: Thanks to community radio stations across the counties whose platforms have been used to disseminate information to citizens at the subnational level. Apart from that, there are very limited opportunity for citizens to get relevant public service information.

Health Sector Thematic Area

Based on findings from its foundational research activities, CSA has identified the various advocacy goals which have been consolidated under five categories for the health sector.

1. Monitoring quality of care and responsiveness by giving voice to marginalized groups, promoting equity, and representing patients’ rights. Channeling and negotiating patient complaints and claims.
2. Conducting advocacy for policy setting and decentralization, promoting equality and pro-poor policies.
3. Negotiating public health standards and approaches and building policy consensus, disseminating policy positions, and enhancing public support for policies.
4. Assessment and Advocacy around implementation of key legislation, including but not limited to 2018 Local Governance Act, 2010 Freedom of Information Act, 2018 Land-Rights Act, 2019 Revised Health Act, and potential practical implications of 2022 Revenue Sharing Bill
5. Strengthening community, district and county oversight institutions

Goal of the Statement of Work (SOW)

The goal for this SOW is to advocate for regular and sustained supply and availability of basic, essential drugs to public health facilities, thereby reducing the length of stock-outs at such facilities. According to the policies, regulations and protocols of the Ministry of Health and similar or complimentary protocols that govern the supply, management and usage of drugs and medical supplies at public health facilities.

Program Strategy

Demonstrating knowledge of the subject matter, advocacy capacity, and the specific details of prevailing situations in the above named counties, the Awardees will use the Fixed Amount Award to plan and implement advocacy activities that clearly articulate engagement with the following stakeholders: health service providers, citizens, community leaders, community based organizations (CBOs), officials and decision makers in the Executive and Legislature, governmental and nongovernmental stakeholders in the health sector and local government officials and other subnational public officials.

CSA will provide the required technical support to Awardees/Grantees to develop clearly defined advocacy policies and strategies as well as setting up the advocacy structures, or Coalitions, and to hold national and sub-national levels dialogues with health sector actors, public officials, citizens, private sector stakeholders as well as monitoring of the activities to be implemented by the Fixed Amount Award.

Expected Deliverables

• Pre-advocacy Deliverables

1. Completion of CSA institutional capacity assessment
2. Completion of CSA advocacy capacity assessment
3. Completion and adoption of workplan
4. Advocacy strategy co-created and adopted with coalition members

• Advocacy Deliverables

1. Community engagement/advocacy activities completed
2. Engagement with subnational and national officials on drug supply and management
3. Citizen-to-government dialogue forums organized

• Monitoring/Mapping Deliverables

1. Drug stock-out assessments
2. Drug delivery/supply reports
3. Feedback from health authorities, public officials and other stakeholders

• Media Deliverables

1. Number of media and public information campaigns developed and implemented
2. Number of citizens and residents reached by planned media campaigns at national and subnational levels
3. Number of urban and rural citizens and residents providing feedback to information disseminated through media campaigns

• Gender Deliverables

1. Number of women, persons with disabilities, and other marginalized populations who reported information about availability of specialized drugs and medications
2. Gender-disaggregated treatment/health outcomes attributed to advocacy activities

• Research/Training/Capacity Building Deliverables

1. Number of health facilities adopting stock management strategies
2. Monitor and/or research applicable laws, regulations, policies and practices adopted/integrated into advocacy strategy

Description of Program Activities

`The applications for the Fixed Amount Award should adequately and concisely describe how the Awardee will work with other CSOs in a coalition to undertake the activities under one or more of the following areas of concentration, and how proposed activities will contribute to the goal of the SOW. Based on self-assessment and capacity, each applicant should select from one or more of the five following concentration areas that contribute to the goal and objectives of the SOW. The following activities under each area are illustrative and applicants are encouraged to include other creative ideas in their applications that also contribute to the advocacy strategy and goal. Applicants can also submit proposals to work in one or more of the counties named above.

• Advocacy Activities

• National and sub-national level inception meetings on laws/policies with health stakeholders.
• Consultative meetings with policy makers, including relevant committees and leaderships of the Legislature.
• Hold policy dialogue, involving health stakeholders.
• Hold health advocacy forums to share information and facilitate interaction and coordination among health actors and stakeholders.
• Organize and hold community dialogues.

• Mapping and Monitoring Activities

• A coordination mechanism that clearly lays out how grantee intends to work with other CSA coalition partners during the project implementation
• Follow up on use of CSDF funds, especially support to the health sector in general and to the advocacy goal of this grant activity

• Media Activities

• Video documentary to highlight conditions of service at health facilities
• National and/or local radio talk shows to communicate key information to stakeholders and partners about the project and advocacy campaign
• Other media programs and activities that would promote and highlight the benefits of Revolving Drug Funds

• Gender Activities

• Work with existing structures at national and sub-national level to create opportunities for consultative dialogues on gender and youth policy with women and youth groups and all health stakeholders
• Organize youth, women, people with disabilities and other groups on health at national and sub-national level to sustain ongoing advocacy for engagement, participation, decision making about drug supply and availability.

• Research Activities

• Conduct study to gather evidence or data to support the advocacy strategy and service delivery outcomes
• Research into the national health laws, policies, regulations and guidelines on the supply, management, usage and reporting on drugs and other essential supplies
• Status of the implementation of the Local Government Act of 2018, Revenue Sharing Law, and implementation guidelines and timelines and the potential benefits to the health sector, especially the availability of drugs at health facilities
• National health sector decentralization policy, its implementation and the implications for the advocacy goal.

Annex 1: Mandatory Standard Provisions

Mandatory Standard Provisions for US Nongovernmental Recipients: https://www.usaid.gov/sites/default/files/documents/303maa.pdf

or

Mandatory Standard Provisions for Non-US Nongovernmental Recipients:

https://www.usaid.gov/sites/default/files/documents/303mab.pdf

Annex 2: Certifications, Assurances, Other Statements of the Recipient

In accordance with ADS 303.3.8, DAI will require successful grant applicants to submit a

signed copy of the following certifications and assurances, as applicable:

• Assurance of Compliance with Laws and Regulations Governing Non-Discrimination in Federally Assisted Programs (Note: This certification applies to Non-U.S. organizations if any part of the program will be undertaken in the United States.)

• Certification Regarding Lobbying (This certification applies to grants greater than $100,000.)

• Prohibition on Assistance to Drug Traffickers for Covered Countries and Individuals (ADS 206)

• Certification Regarding Terrorist Financing, Implementing Executive Order 13224

• Certification Regarding Trafficking in Persons, Implementing Title XVII of the National Defense Authorization Act for Fiscal Year 2013 (Note: This certification applies if grant for services required to be performed outside of the United States is greater than $500,000. This certification must be submitted annually to the USAID Agreement Officer during the term of the grant.)

• Certification of Recipient

In addition, the following certifications will be included Part II – Key Individual Certification Narcotics Offenses and Drug Trafficking (Note: Only as required per ADS 206 for Key Individuals or Covered Participants in covered countries.)

Part III – Participant Certification Narcotics Offenses and Drug Trafficking (Note: Only as required per ADS 206 for Key Individuals or Covered Participants in covered countries.)

Part IV – Representation by Organization Regarding a Delinquent Tax Liability or a Felony Criminal Conviction

Part V – Other Statements of Recipient

Part VI – Standard Provisions for Solicitations

(Note: Parts V & VI – Are included in the grant file as part of the grant application.)

Annex 3: Application Form

Kindly click on the icon below to access the application form (Annex 3)

Annex 5: Budget

Kindly click the icon below to access the grant budget and budget notes template:

Annex 6: CV Form and BioData Form

ANNEX 6

Curriculum Vitae

Proposed position in the project:

Name (First, Middle, Last):

Citizenship:

Education:

Language proficiency – indicate proficiency on a scale of 1 (poor) to 5 (native):

Membership of NGOs or other professional bodies:

Key skills and qualifications relevant to the project (e.g. computer literacy, etc.):

Employment history:

Other relevant information: (e.g. publications, seminars/courses etc.):

Kindly click on the icon below to access the biodata form

Annex 7: Financial Capability Questionnaire

Accounting System and Financial Capability Questionnaire

For DAI Grant Recipients

The main purpose of this questionnaire is to understand the systems adopted by your institution for financial oversight and accounting of grant funds, especially those provided through the U.S. Federal Government. The questionnaire will assist DAI program and accounting staff to identify the extent to which your institution’s financial systems match the requirements of the U.S. Federal Government. This information will help the program staff work with you and your institution to review any problem areas that may be identified; thereby avoiding any problems or oversights which would be reportable should an audit of the program or institution be required.

The questionnaire should be completed by the financial officer of your institution in collaboration with DAI program staff. This questionnaire is informational only, and will not have any bearing on the agreement to support your institution based on the technical merit of the proposal. Therefore, please answer all questions to the best of your knowledge.

While 2 CFR 200 does not cover awards to non-U.S. recipients, DAI shall rely on the standards established in that regulation in determining whether potential non-U.S. recipients are responsible to manage Federal funds. A determination shall be made on the potential recipient’s ability, or potential ability, to comply with the following USAID and federal-wide policies:

1) 2 CFR 200 Subpart D (Financial and Program Management);

2) 2 CFR 200 Subpart D (Property Standards);

3) 2 CFR 200 Subpart D (Procurement Standards); and

4) 2 CFR 200 Subpart D (Performance and Financial Monitoring and Reporting).

SECTION A: General Information

Please complete this section which provides general information on your institution.

Name of Institution:

Name and Title of Financial Contact Person:

Name of Person Filling out Questionnaire:

Mailing Address:

Street Address (if different)

Telephone, Fax, Email (if applicable)

Enter the beginning and ending dates of your institution’s fiscal year:

From: (Month, Day) To: (Month, Day)

SECTION B: Internal Controls

Internal controls are procedures which ensure that: 1) financial transactions are approved by an authorized individual and are consistent with U.S. laws, regulations and your institution’s policies; 2) assets are maintained safely and controlled; and 3) accounting records are complete, accurate and maintained on a consistent basis. Please complete the following questions concerning your institution’s internal controls.

1. Does your institution maintain a record of how much time employees spend on different projects or activities?

Yes:  No: 

2. If yes, how?

1. Are timesheets kept for each paid employee?

Yes:  No: 

1. Do you maintain an employment letter or contract which includes the employee’s salary?

Yes:  No: 

4. Do you maintain inventory records for your institution’s equipment?

Yes:  No:  (if no, explain)

5. How often do you check actual inventory against inventory records?

6. Are all financial transactions approved by an appropriate official?

Yes:  No: 

7. The person responsible for approving financial transactions is: ________________ Title: ______________

8. Is the person(s) responsible for approving transactions familiar with U.S. Federal Cost principles as described in 2 CFR 200 Subpart E?

Yes:  No: 

9. Does your institution use a payment voucher system or some other procedure for the documentation of approval by an appropriate official?

Yes:  No: 

10. Does your institution require supporting documentation (such as original receipts) prior to payment for expenditures?

Yes:  No: 

11. Does your institution require that such documentation be maintained over a period of time?

Yes:  No: 

If yes, how long are such records kept?

12. Are different individuals within your institution responsible for approving, disbursing, and accounting of transactions?

Yes:  No: 

13. Are the functions of checking the accuracy of your accounts and the daily recording of accounting data performed by different individuals?

Yes:  No: 

14. Who would be responsible for financial reports? ________________________________________

SECTION C: Fund Control and Accounting Systems

Fund Control essentially means that access to bank accounts and/or other cash assets is limited to authorized individuals. Bank balances should be reconciled periodically to the accounting records. If cash cannot be maintained in a bank, it is very important to have strict controls over its maintenance and disbursement.

An Accounting System accurately records all financial transactions, and ensures that these transactions are supported by documentation. Some institutions may have computerized accounting systems while others use a manual system to record each transaction in a ledger. In all cases, the expenditure of funds provided by the USAID-funded program must be properly authorized, used for the intended purpose, and recorded in an organized and consistent manner.

1. Does your institution maintain separate accounting of funds for different projects by:

Separate bank accounts: 

A fund accounting system: 

2. Will any cash from the grant funds be maintained outside a bank (in petty cash funds, etc.)?

Yes:  No: 

If yes, please explain the amount of funds to be maintained, the purpose and person responsible for safeguarding these funds.

4. If your institution doesn’t have a bank account, how do you ensure that cash is maintained safely?

5. Does your institution have written accounting policies and procedures?

Yes:  No: 

6. How do you allocate costs that are “shared” by different funding sources, such as rent, utilities, etc.?

7. Are your financial reports prepared on a:

Cash basis:  Accrual basis: 

8. Is your institution’s accounting system capable of recording transactions, including date, amount, and description?

Yes:  No: 

9. Is your institution’s accounting system capable of separating the receipts and payments of the grant from the receipts and payments of your institution’s other activities?

Yes:  No: 

10. Is your institution’s accounting system capable of accumulating individual grant transactions according to budget categories in the approved budget?

Yes:  No: 

10. Is your institution’s accounting system designed to detect errors in a timely manner?

Yes:  No: 

11. How will your institution make sure that budget categories and/or overall budget limits for the grant will not be exceeded?

12. Are reconciliations between bank statements and accounting records performed monthly and reviewed by an appropriate individual?

Yes:  No: 

13. Briefly describe your institution’s system for filing and keeping supporting documentation.

SECTION D: Audit

The grant provisions require recipients to adhere to USAID regulations, including requirements to maintain records for a minimum of three years to make accounting records available for review by appropriate representatives of USAID or DAI, and, in some cases, may require an audit to be performed of your accounting records. Please provide the following information on prior audits of your institution.

1. Is someone in your institution familiar with U.S. government regulations concerning costs which can be charged to U.S. grants (2 CFR 200 Subpart E “Cost Principles” )?

Yes:  No: 

2. Do you anticipate that your institution will have other sources of U.S. government funds during the period of this grant agreement?

Yes:  No: 

3. Have external accountants ever performed an audit of your institution’s financial statements?

Yes:  No: 

If yes, please provide a copy of your most recent report.

4. Does your institution have regular audits?

Yes:  No: 

If yes, who performs the audit and how frequently is it performed?

5. If you do not have a current audit of your financial statements, please provide this office with a copy of the following financial statements, if available:

1. A “Balance Sheet” for the most current and previous year; and
2. An “Income Statement” for the most current and previous year.

6. Are there any circumstances that would prevent your institution from obtaining an audit?

Yes:  No: 

If yes, please provide details:

CHECKLIST AND SIGNATURE PAGE

DAI requests that your institution submit a number of documents along with this completed questionnaire. Complete this page to ensure that all requested information has been included.

Complete the checklist:

 Copy of your organization’s most recent audit is attached.

 If no recent audit, a “Balance Sheet” “Income Statement” for the most current and previous fiscal year.

 All questions have been fully answered.

 An authorized individual has signed and dated this page.

 Incorporation Papers or Certificate of Registration and Statute is attached.

 Information describing your institution is attached.

Optional:

 Organizational chart, if available is attached (if applicable).

The Financial Capability Questionnaire must be signed and dated by an authorized person who has either completed or reviewed the form.

Approved by:

_________________________

Print Name

_________________________

Signature

__________________________

Title Date _____________

Annex 8: Instructions for Obtaining an Unique Entity ID (SAM) – DAI’S Vendors, Subcontractors and Grantees

Annex 9: Self Certification for Exemption from Unique Entity ID (SAM) Requirement

Annex 10: Application Checklist

Before submitting your application, please check to make sure the following are included:

☐ The application is submitted in electronic format

☐ Budget is included (Annex 5)

☐ In the budget, the applicant’s contribution is identified (if applicable)

☐ The CVs and Biodata Forms are included (Annex 6)

☐ The statement of liability is signed and stamped (cover page of application form – Annex 3)

☐ Completed Financial Capability Questionnaire (Annex 7)

☐ Audited Financial Reports: Copy of the applicant’s most recent financial report, which has been audited by a certified public accountant or other auditor satisfactory to DAI. If no recent audit, a “Balance Sheet” and “Income Statement” for the most current and previous fiscal year.)

☐ Incorporation Papers or Certificate of Registration and Statute

☐ Organizational Chart (Optional)

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