USAID Global Health Supply Chain Program Annual Program Statement (APS)

USAID Global Health Supply Chain Program Annual Program Statement (APS) is sponsored by USAID. This APS seeks applications for projects that improve the efficiency and effectiveness of global health supply chains.

SUBJECT : Notice of Funding Opportunity (NFO) ANNOUNCEMENT TYPE : Annual Program Statement (APS) NFO NO. : 72049218APS00001 NFO TITLE : Improved Health for Underserved Filipinos ISSUANCE DATE : May 11, 2018 CLOSING DATE : May 11, 2019, unless amended.

The Notice of Funding Opportunity (NFO), in the form of an Annual Program Statement (APS), is used when USAID intends to support a variety of creative approaches towards developing methodologies to assess and implement development objective activities. Under this APS, the Mission will issue Addendums where specific objectives, expected results, funding ceilings, and other requirements shall be detailed.

These Addendums will be separately posted on Grants. gov. This NFO is authorized under the Foreign Assistance Act of 1961, as amended. The United States Agency for International Development (USAID) Mission in the Philippines is seeking concept papers from qualified U.S. and non-U.S. organizations for its Project entitled “Improved Health for Underserved Filipinos.

” This funding opportunity, by way of an Annual Program Statement, is open to all interested, eligible organizations, i.e., nongovernmental organizations, universities, consortiums, for-profit organizations 1, etc. See Section C for eligibility requirements.

This APS contains the general project statement where the project context and background information are presented, as well as guiding and other general principles, including the evaluation criteria and submission requirements. Separately-issued Addendums to this APS shall provide the specific objectives and detailed technical information. It is the intention that each Addendum will result in a Cooperative Agreement.

Under this APS, each separately-issued Addendum will have three phases: > 1For profits organizations willing to forego their fees NFO 72049218APS00001 Improved Health for Underserved Filipinos ● Phase 1 – Concept Paper: All concept papers received will be reviewed based on the merit evaluation criteria (see Section E. 2. a).

After the review, the applicants of the highest rated concept papers will be invited to participate in Phase 2. ● Phase 2 – Oral Presentation: The invited applicants are given the opportunity to present and discuss their concepts and technical approaches. The oral presentations will be in Manila, Philippines.

Based on the presentation/s, each application will be reviewed (see Section E. 2. b).

After the review, the applicant/s of the highest rated presentation/s will be invited to participate in Phase 3. ● Phase 3 – Co-Development: The invited applicant/s will be given the opportunity to co-develop a project description with USAID in a co-creation workshop. Following the co-development workshop, applicant/s will be asked to submit full technical and cost applications for USAID review (see Section E.

2. c). Based on this final review, USAID will determine the Apparently Successful Application (ASA) that will be considered for award.

Subject to the availability of funds, an award of a Cooperative Agreement will be made to the responsible organization whose co-developed application best meets the objectives of the specific Addendum issued under this APS. While one award is anticipated under the Addendum, USAID reserves the right to fund any or none of the applications that were developed.

The ASA, as Recipient, will be responsible for ensuring the achievement of the project objectives. For the purposes of this APS, the term “Cooperative Agreement” is synonymous with “Grant”; “Recipient” is synonymous with “Grantee”, and; “Agreement Officer” is synonymous with “Grant Officer”.

Prior to submitting an application, organizations are encouraged to thoroughly read this APS and the specific Addendum/s of their interest in order to understand the types of project sought, the application process, the submission requirements, and the evaluation process.

To be eligible for an award, organizations/applicants must provide all information required in this APS and the Addendum/s and must meet eligibility standards in Section C of this APS. This APS and all Addendum/s will be posted on www. grants.

gov and may be amended. Potential applicants must regularly check the website to ensure they have the latest information pertaining to this APS and Addendums. If applicants have difficulty registering on www.

grants. gov or accessing the funding opportunity, please contact the Grants. gov Helpdesk at 1-800-518-4726 or via email at support@grants.

gov for technical assistance. Any questions regarding this APS, its amendments (if any) and subsequent Addendums, and their amendments (if any), must be submitted by email to manila-roaa-rfa@usaid. gov .

Relevant responses to APS questions will be posted under the APS on www. grants. gov .

Relevant responses to questions to Addendums will be posted under each specific Addendum on www. grants. gov .

NFO 72049218APS00001 Improved Health for Underserved Filipinos SECTION A: GENERAL PROGRAM DESCRIPTION Improved Health for Underserved Filipinos Project The United States Agency for International Development (USAID)/Philippines Office of Health is pleased to announce an Annual Program Statement (APS) to Improve Health of Underserved Filipinos.

Through this APS, USAID is soliciting concept notes that propose innovative approaches, to assist the Government of Philippines to meet the goals of the Philippine Health Agenda and achieve the Sustainable Development Goals.

Awards made through this APS should build on accomplishments to date toward achievement of the following three Sub-Purposes: Sub-Purpose 1: Healthy behaviors strengthened Sub-Purpose 2: Quality of service delivery fortified Sub-purpose 3: Key health systems bolstered and institutionalized.

In 2016, the Department of Health (DOH) embarked on its new Philippine Health Agenda, which focuses on financial risk protection, better health outcomes, and a health system that is responsive and provides access to services. This agenda will require bureaucratic systems that are effective and agile, strategic approaches to engender better health outcomes, and stakeholder vigilance over policies, budgets and systems.

This Health Agenda comes as the Philippines makes significant strides to address inequities and inefficiencies in health financing, service delivery, regulation and demand generation. The DOH budget continues to rise and social insurance, administered by the National Health Insurance Program (PhilHealth), continues to expand to cover the indigent.

Decentralization resulted in local government units (LGUs) funding approximately 13 percent of the total health budget. PhilHealth, the social insurance arm of the DOH, estimated it had reached 92 percent coverage of the projected population in 2015, including all of the 15. 3 million indigent households.

As of 2015, close to 49 percent of all PhilHealth beneficiaries (45 million) were indigent members. The number of PhilHealth-accredited outpatient clinics providing primary care benefits, maternity care and the Directly Observed Treatment Short-course (DOTS) package for tuberculosis (TB) continued to increase, with 83 percent of facilities in the LGUs providing these key public health services.

Gaps in the continuum of care are still evident, particularly in addressing maternal and neonatal NFO 72049218APS00001 Improved Health for Underserved Filipinos mortality, reproductive health, TB, HIV, emerging pandemic threats, under-nutrition and illegal drug use, as well as other health areas.

Underserved populations, especially those from the lowest income quintiles continue to suffer from a high prevalence of TB, including multidrug-resistant TB (MDR-TB), and preventable maternal and newborn deaths, due to limited adoption of healthy behaviors, weak health systems and governance, and inadequate service delivery.

Health sector performance is affected by weak logistics and pharmaceutical management, shortages of qualified health professionals in underserved areas, less than optimal capacity to utilize allocated budget, and under appreciation of private sector contribution to health. Significant variations in quality of health services, supervision and mentoring at both the national and local levels also exist.

Priorities for Improving Health Outcomes At the technical level, the USAID/Philippines Health Project prioritizes detecting and treating TB, especially MDR-TB; and improving family planning (FP) and maternal, and neonatal health to align with current USAID/Philippines funding streams. Other health issues may be added as resources allow.

Priorities for systems strengthening include fortifying public sector supply chain and pharmaceutical management; institutionalizing policy development and finance and technical training programs; and honing capacity to manage and oversee human and financial resources. These are areas that demonstrate critical challenges for the new Health Agenda, and critical bottlenecks preventing the Philippines from reaching greater health outcomes.

Project Purpose and Vision The purpose of the Health Project and therefore, this APS, is Improved Health for Underserved Filipinos. “Underserved” in the primary context of this Project, refers to people exposed to or with TB or MDR-TB; youth and adults at risk for unwanted, early pregnancy and childbirth; and pregnant women in need of antenatal care and life-saving, safe delivery for themselves and their newborns.

This Project will help address poverty as epidemiology shows a direct correlation of these health concerns with low income and poverty. The definition of underserved populations in this Project will be expanded if or when additional funding becomes available for other global health concerns.

The Office of Health identified a three-pronged set of sub-purposes designed to: 1) strengthen individual healthy behavior; 2) fortify the quality of health services to push for more patient-centered approaches; and 3) bolster and institutionalize key public health systems needed to support these behaviors and services.

In cooperation with government, non-government organizations (NGOs), civil society organizations (CSOs), other donors, public and private service providers, and underserved citizens, USAID will work in partnership with the Philippine government and other key stakeholders to “improve the health of underserved Filipinos” under this project.

Significant NFO 72049218APS00001 Improved Health for Underserved Filipinos changes are expected at the individual, community, services, and systems levels, and many of these expected outcomes will depend on positive changes at different levels of the health system. Individuals need to be in control of their own health to improve it.

To have this control they need access to evidence-based information and to affordable, quality services and commodities. For the poor, especially women and girls, this is a special challenge, as out-of-pocket expenditures can impoverish a family. To serve these underserved populations on a sustained basis, health systems require rational policies and strong leadership and governance.

The following chart and description of the Project’s theoretical framework examines how these needs and requirements may be met through the Project. The underlying theory or hypothesis of the Health Project is that strengthening key aspects of the health system will contribute to the health of underserved Filipinos, and the overall health profile of the country will improve.

By addressing the needs of the individual, the quality and equity of services, and the sustainability of services and systems, underserved Filipinos will be able to develop and maintain healthy behaviors and seek and receive quality health care.

For USAID, this translates into moving away from being a supporter that fills technical, personnel, and management gaps and towards fortifying and institutionalizing the behavior, services and system functions themselves. The Project’s increased focus on sustainability and self-reliance merits deeper engagement with local actors and the local systems that are crucial in achieving and sustaining overall health outcomes.

Three Sub-purposes form the outputs for the project and will help inform the content areas and NFO 72049218APS00001 Improved Health for Underserved Filipinos initiatives of each activity, as well as Project management and adaptation.

Sub-purpose 1: Healthy behaviors strengthened Healthy behaviors strengthened will be achieved through providing information, activities, and new local partnerships that allow individuals to make informed choices about how to protect their health, sustain the practice of healthy behavior, and access health services when needed.

An emphasis will be to bring relevant community partners, (e.g., NGOs, youth groups, TB patient groups, the private sector and schools) to better meet these needs. Lower level objectives for this sub-purpose will be: 1. 1 Improved individual adoption of healthy behavior.

1. 2 Improved community ownership/participation in health behaviors. Sub-purpose 2: Quality of service delivery fortified Emphasis will be on fortifying the quality of services using patient-centered approaches to diagnose, provide care and treatment, and, mentor other health care providers.

The APS will also contribute to identifying, developing, and implementing innovations to improve the quality of health services. Lower level objectives for this sub-purpose will be: 2. 1 Improved quality of health services through patient-centered approaches.

2. 2 Innovative approaches to improving quality of care tested and rolled out.

Sub-purpose 3: Key health systems bolstered and institutionalized Under this sub-purpose, selected functions of the health system —training, provision of commodities, regional and local governance, and financial risk planning and budgeting – that are considered critical by the DOH, USAID and other stakeholders will be fortified, institutionalized, and sustained. Lower-level results for this sub-purpose would be: 3.

1 Effective public-sector supply chain for medicine, technologies, and commodities rolled out 3. 2 Critical state-of-the-art training institutionalized and sustained by the DOH. 3.

3 Improved fiscal, financial and human resource management for health institutionalized at central, regional and local levels. This APS is aligned with the Health Project Vision, Purpose and Sub-purposes, as described above. This APS will provide overall guidance for two to eight Addendums issued under this APS and which, will discusses specific health challenges.

The Addendums to this APS will be the basis for Concept Note submission, and subsequent award.

USAID Activities and Mechanisms In-Place The USAID/Philippines Health portfolio is being implemented through support for a NFO 72049218APS00001 Improved Health for Underserved Filipinos combination of state-of-the-art field platforms, technical innovations, and systems strengthening activities/mechanisms, along with robust monitoring, evaluation, and learning.

As of April 2018, the following new health activities have been awarded: ● TB Innovations and Health Systems Strengthening, implemented by FHI 360. The goal of this activity is to significantly reduce cases of multi-drug resistant TB through the introduction of state-of-the-art technologies and approaches to scale up MDR diagnosis, prevention and treatment.

● TB Platforms for Sustainable Detection, Care and Treatment, implemented by URC. This activity aims to support the Government of the Philippines to expand and scale up prevention, detection, and treatment of tuberculosis and multi-drug resistant TB in order to increase TB case detection rates, increase treatment success rates and cure rate. ● Human Resources for Health.

The goal of this activity is to provide capacity-building to the department of Health to strengthen the deployment, training, and management of a fit-for purpose and practice workforce to improve access and quality of FP and TB services for vulnerable populations. ● Collaborating, Evaluation and Learning, implemented by the Panagora Group.

This activity provides technical support to USAID/Philippines Health project in carrying out its monitoring and evaluation, learning and adaptive management work.

It aims to: streamline and strengthen Health Project monitoring and evaluation processes and tools, provide an evidence base for continuous learning and adaptive management, enhance the skills of USAID/Philippines health staff and implementing partners on the use of data for decision-making; and create a culture that supports collaborating, learning and adapting.

Awards to new activities under this APS shall form part of the whole package of linked health activities that USAID is funding that will contribute to improve the health of underserved Filipinos. A.

4 Geographic and Target Population The Health Project will focus on geographic areas where the health burden is the greatest, e.g., where the TB disease burden is the highest, where unmet need for FP is the highest, and where there are high teenage pregnancy rates. Funds for maternal child health (MCH) will be programmed in areas where the nexus for high unmet need and high teenage pregnancy rates meets with high neonatal deaths.

Health systems strengthening activities will be national in nature. USAID will also work at the national level using TB, FP, MCH and any new funding streams that may be made available to develop policies and guidelines and assist the DOH with systematic implementation of policies and guidelines at the regional and local government unit levels.

This APS and its Addendums will consider the following guiding principles: NFO 72049218APS00001 Improved Health for Underserved Filipinos Innovations and evidence-based implementation. Refers to testing and scaling-up new, non-traditional, state-of-the-art approaches and technologies to achieve healthy behaviors, strengthen client-centered care and institutionalize critical health systems reforms.

Also refers to collecting, measuring and using data and evidence to develop policies and interventions. Capacity-building . Refers to strengthening local institutions, the transfer of technical skills, and promoting appropriate policies at all levels of the health system to move towards significant, positive change in the health system as a whole.

As a result, the Philippine health system will absorb, institutionalize, and sustain technical and systems approaches to meet the needs of the underserved. Sustainability and self-reliance. Refers to the ability of a country, working across its sectors (government, civil society, citizens, economy) to solve its own development challenges.

This needs the re-orientation of donor assistance to better support the journey of a country towards self-reliance through appropriate policies and systems reforms. Includes recognition that this process requires changes in management of resources, both human and financial, and a change in culture within the health system regarding what can be accomplished on a sustained basis without recurrent donor support.

Partnering with local organizations and non-traditional partners. Refers to establishing new partnerships to multiply the impact of public sector programs in family planning, maternal and newborn health and tuberculosis, multi-drug resistant tuberculosis, and other health priorities that may be identified in the future.

Partnerships with local communities, schools and academic institutions, health care organizations, public and private providers, professional societies as well as faith-based, non-governmental, and civil society organizations shall be explored. Gender. In designing new approaches, gender dynamics will be fully considered.

An in-depth analysis of the issues relative to gender disparities in the provision and utilization of reproductive, maternal, neonatal, and tuberculosis services shall be articulated and gender-responsive and transformative strategies proposed to address the issues identified. Resilience and Conflict-sensitive Assistance.

Refers to the ability of the health system to manage and mitigate climate risks and disruptions in the delivery of health services brought about by conflict. Strategies to establish resilient health systems that are equipped to respond to adverse events, including climate and conflict-related shocks should be considered. A.

6 Authorizing Legislation and Applicable Regulations and Policies The authority for this APS and any resulting award is from the Foreign Assistance Act of 1961, as amended. Applicable policies of ADS 303 and any Standard Provisions will apply to any awards. For U.S. organizations, 2 CFR 700, 2 CFR 200, and ADS 303maa, Standard Provisions for U.S. Non-governmental Organizations are applicable.

NFO 72049218APS00001 Improved Health for Underserved Filipinos For non-U.S. organizations, ADS 303mab, Standard Provisions for Non-U.S. Non-governmental Organizations will apply. [End of Section A] NFO 72049218APS00001 Improved Health for Underserved Filipinos SECTION B: FEDERAL AWARD INFORMATION B.

1 Estimate of Funds Available and Number of Awards Contemplated Subject to the availability of funds, USAID intends to make two to eight awards as a result of the Addendums to this APS. The range of dollar values for each award will be indicated in each Addendum. Each Addendum will be issued separately.

USAID reserves the right to fund any or none of the applications developed under each Addendum. USAID reserves the right to fund activities incrementally over the duration of said awards if necessary, depending on the availability of funds, the level of performance against approved indicators, and their continued relevance to USAID programs. B.

2 Anticipated Start Date and Period of Performance for Federal Awards Awards under the Addendums of this APS will be for a minimum of 36 months and a maximum of 60 months. Because award selection will be made on a rolling basis depending on the Addendums, specific start dates will vary per award. Individual award start dates will be mutually determined during the Addendum’s Phase 3 – Co- Development.

USAID anticipates the awards issued under this APS to be assistance instruments. USAID intends to award one Cooperative Agreement per Addendum. Please note that there are several phases to this process and that the final award will be determined after final technical and cost applications are collaboratively developed between the selected applicant, USAID and key stakeholders.

USAID is not responsible for any costs incurred prior to awarding an agreement. USAID reserves the right to fund any one or none of the applications submitted. Potential applicants should note that USAID policy prohibits the payment of fee or profit to for-profit organizations under assistance instruments, and that foregone profit does not qualify as cost sharing or leveraging.

No new construction activities will be financed under any awards resulting from the various Addendums to this APS. The principal purpose of the relationship of USAID with any award recipient is to transfer funds for it to accomplish its stated purpose of supporting the broad goals and objectives stated in Section A of this APS and the specific goals and objectives of each Addendum.

NFO 72049218APS00001 Improved Health for Underserved Filipinos Under each Addendum, the successful Recipient will be responsible for ensuring the achievement of activity objectives as well as efficient and effective administration of the award through the application of sound management practices.

The Recipient will assume responsibility for administering Federal funds in a manner consistent with underlying agreements, program objectives, and the terms and conditions of the Federal award.

The Recipient has the primary responsibility for employing its own unique combination of staff, facilities, and experience, as well as necessary organizational and management techniques in order to assure proper and efficient administration of the resulting award. Under this APS, each separately-issued Addendum will have three phases.

The purpose of this process is to identify an Applicant with the best-combined technical approach that will have the greatest chance of success in the Philippines. This Applicant should build on the strengths of each individual organization that it will partner with, in a collaborative spirit and a clear shared vision, on how to best impact the health status of the country. Below is the process diagram for all Addendums under this APS.

● Phase 1 - Concept Paper : Applicants will be invited to submit a Concept Paper not to exceed ten pages, including a notional budget estimate. Annexes are not to exceed five pages. Information regarding the Concept Paper submission is in SECTION D of this APS.

Concept Papers will be reviewed for technical soundness, organizational and management approach and the applicant’s institutional capability and past experience. The highest rated concept paper applicants will be invited to participate in Phase 2. In the event USAID determines that none of submitted Concept Papers are acceptable, USAID will issue an amendment to the Addendum to seek a second round of interested applicants.

● Phase 2 - Oral Presentation : Invited Applicants will be asked to orally present their concepts approximately three weeks after concept papers are received. The oral presentation is a requirement and will be held at the USAID office, US Embassy, Manila. The format and technical requirements will be made available to those Applicants invited to partic ipate in the oral presentation phase.

The Applicant’s concept paper author/s and lead technical backstops must be part of the presentation team. NFO 72049218APS00001 Improved Health for Underserved Filipinos Within approximately two weeks after oral presentations are completed, the highest rated applicant/s will be asked to participate in Phase 3.

● Phase 3 - Application Co-Development : The Applicant/s selected from Phase-2 will be notified by letter approximately two weeks after the completion of oral presentations. Approximately two weeks after notification, a one-week collaborative workshop will be hosted by USAID in Manila.

This workshop, attended by the Applicant/s, USAID, key representatives from the Philippine Department of Health, and relevant organizations, will bring together the various technical approaches and innovations of each partner and further define activities. Programmatic budget levels, as well as cost share and/or leverage, will also be determined during this phase.

The goal is that after the one-week workshop, a programmatic framework will be in place which clearly illustrates how the Applicant/s will implement the proposed strategies to achieve the goals and objectives stated in the Addendum. Over the following two weeks, Applicant/s will continue to work remotely to refine its approach and will draft a robust program description and detailed cost application.

USAID will review these two documents and provide additional clarificatory questions, if any. The Applicant/s will have one week to respond. At the end of the two weeks (or earlier), USAID will then receive the revised program description and cost application for final review.

Based on the results of the final review, USAID will determine the Apparently Successful Applicant (ASA). USAID reserves the right to ask two or more applicants to work collaboratively on a program description and cost application if, in USAID’s opinion, combining their concepts will result in a more effective overall program. No funding will be made available to any applicant prior to the award of a Cooperative Agreement.

Applicants are responsible for all costs prior to the award of the Cooperative Agreement, including costs incurred during the various phases--from concept note preparation, oral presentation, co-creation/collaboration and pre-award. Presented in the table on the following page is an estimated timeline on the process to be followed for each Addendum that will be issued under this APS.

Please note that these are approximations and the actual time periods may be shorter or longer, and subject to change, depending on Mission priorities, personnel and workload. Any revision/s on the Process Timeline will be posted on Grants. gov and ample time (at least two weeks) between the notification and actual date of the activity will be provided.

[This portion intentionally left blank] NFO 72049218APS00001 Improved Health for Underserved Filipinos B. 7 Authorized Geographic Code The authorized geographic code for the procurement of services and commodities is 937. Code 937 is defined as any area or country including the recipient country (Philippines), but excluding any country that is a prohibited source per USAID regulations.

There are currently no prohibited source countries, but the list is updated regularly and can be found here: http://www. usaid. gov/sites/default/files/documents/1864/310mac.

pdf . B. 8 Benefitting Geographic Area The benefiting geographic area is exclusively the Philippines.

B. 9 Substantial Involvement USAID will remain substantially involved over the life of the Cooperative Agreement to assist the Recipient in achieving the expected outcomes and results of the program. Substantial involvement under the proposed award may include the following: 1.

Approval of the Recipient’s Implementati on Plan.

Annual implementation plans with Steps Week Addendum posted 1Questions re: Addendum 2Responses to Addendum Qs 3Submission of Concept Papers 5Review of Concept Papers 6-7 Notification to Phase-2 8Oral Presentations 11 Oral Presentation Review 12 Notification to Phase-3 13 Time between notification and workshop 14 Workshop 15 Application writing (remote) 16-17 Submit application 18 Application review by USAID; questions 19 Applicant responds to Qs 20 Applicant submits revised application 21 USAID final review 22-24 USAID Determines ASA 25 Cost Analysis/Realism 26+27 Preaward Survey, if needed 28-31 Responsibility Determination 29 Draft Award 30 Award Signing 31 Total Time from Addendum Posting to Award 31 wks or 7.

5 mos. NFO 72049218APS00001 Improved Health for Underserved Filipinos supporting budgets, and subsequent revisions thereto, are subject to prior written approval by USAID’s Agreement Officer’s Representative (AOR) before any substantive work for each year of the Agreement is executed. 2.

Approval of Key Personnel. Up to five (5) positions will be designated as key to the successful implementation of the program objectives of this Agreement. The key positions will be identified during the co-development workshop.

These personnel are subject to prior written approval by the Agreement Officer: 3. USAID and Recipient Collaboration or Joint Participation. The Recipient's successful accomplishment of program objectives will benefit from USAID's technical knowledge; thus, the Agreement Officer (AO) may authorize the collaboration or joint participation of USAID and the Recipient on the program.

USAID involvement may include but is not limited to: a. Geographic Targeting. Prior written USAID AOR concurrence is required on final decisions concerning the geographic targeting of the “TB Platforms” activity.

b. Approval of the Recipient's Activity Monitoring, Evaluation and Learning Plan (AMELP). In consultation with USAID through the AOR, the Recipient will develop the AMELP which will align with the monitoring and reporting framework, and other relevant reporting mechanisms required by USAID/Philippines.

During the first ninety (90) days from award date, the Recipient will work closely with the AOR to establish major milestones, program monitoring indicators, as well as baseline data and performance targets which will demonstrate successful achievement of the results expected from this activity. c. Joint participation in Steering or Technical Committees.

The Recipient and USAID will jointly participate in steering or technical committees, including but not limited to NTP planning meetings, TB technical working groups and other TB-related committees. d. Monitoring the Activity.

USAID will monitor the “TB Platforms” activi ty to ensure activities are supporting Mission purpose, to share best practices and capture lessons learned and will authorize direction and/or redirection of interventions specified in the Program Description due to GPH and US foreign policy objectives and priorities, as well as interrelationships with other programs, including those of USAID’s.

Monitoring includes but will not be limited to site visits; reviewing terms of reference, quarterly and other types of reports, deliverables and other products; and participating in technical meetings as appropriate. NFO 72049218APS00001 Improved Health for Underserved Filipinos e. Approval of Subawards.

Per 2 CFR 200. 308, all subawards (whether contracts 2 or subgrants) not included and approved in the original cooperative agreement will require prior written Agreement Officer approval. In addition, prior written AOR concurrence with substantive provisions of subawards is required.

Furthemore, USAID will participate as a member of any contracting and financing mechanism established by the 4. Agency authority to immediately halt a construction activity. USAID retains the authority to immediately halt any construction that may be undertaken under this activity.

For purposes of this activity, “construction” means: construction, alteration, or repair (including dredging and excavation) of buildings, structures, or other real property and includes, without limitation, improvements, renovation, alteration and refurbishment. The term includes, without limitation, roads, power plants, buildings, bridges, water treatment facilities, and vertical structures.

No new construction activities are authorized under this cooperative agreement. Title to property financed by USAID under a cooperative agreement awarded under any Addendum to this APS will vest in the Recipient, and will be subject to the USAID Standard Provisions for US Non-Governmental Organizations or Non-US Non-Governmental Organizations, whichever is applicable.

> 2Except contracts for the acquisition of supplies, materials, equipment or general support services. NFO 72049218APS00001 Improved Health for Underserved Filipinos SECTION C: ELIGIBILITY INFORMATION This funding opportunity is open to all eligible U.

S and non-U.S. non-governmental organizations (other than those from foreign policy restricted countries), including foundations, institutions of higher education, consortiums and public international organizations, etc. Individuals are not eligible to