> ![](media/image1.png){width="1.34375in"
> height="1.2916666666666667in"}USAID/PAKISTAN
>
> FROM THE AMERICAN PEOPLE
>
> Issuance Date: February 5, 2007
>
> Closing Date: March 16, 2007
>
> Closing Time: 5:00 pm local time in
>
> Islamabad

Subject: Request for Applications USAID-Pakistan- 391-07-010

Title: Diversification of Family Planning Activities in Pakistan (DFPAP)

The United States Agency for International Development (USAID), is
seeking applications (proposals for funding) from U.S. or non-U.S.
non-profit or for-profit nongovernmental organizations (NGOs), and other
qualified non-USG organizations to implement a program to develop a
holistic approach for family planning services in Pakistan. Please refer
to the Program Description (RFA section C) for a complete statement of
goals and expected results. The authority for this RFA is found in the
Foreign Assistance Act of 1961, as amended.

Subject to the availability of funds, USAID/Pakistan plans to provide a
maximum of \$60,000,000 to be allocated over a five-year period. USAID
intends to award a single cooperative agreement as a result of this
solicitation. Cost sharing is required at 15%.

Pursuant to 22 CFR 226.81, it is USAID policy not to award profit under
assistance instruments. However, all reasonable, allocable, and
allowable expenses, both direct and indirect, which are related to the
program and are in accordance with applicable cost standards (22 CFR
226, plus OMB Circular A-122 for non-profit organizations, OMB Circular
A-21 for universities, and the Federal Acquisition Regulation Part 31
for for-profit organizations), may be paid under the award.
USAID/Pakistan reserves the right to fund any or none of the
applications submitted.

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

1\. Section A - Application Format;

2\. Section B - Selection Criteria;

3\. Section C - Program Description;

4\. Section D - Certifications, Assurances, and Other Statements of
Applicant/Recipient; and

5\. Section E - Attachments

To be eligible for award, the applicant must provide all required
information in its application, including the requirements found in any
attachments to this [www.Grants.gov](http://www.Grants.gov/)
opportunity. Any future amendments to this RFA can be downloaded from
[www.grants.gov](http://www.grants.gov/). It is the responsibility of
the recipient of the application document to ensure that it has been
received from [www.grants.gov](http://www.grants.gov/) in its entirety.

Any questions concerning this RFA should be submitted in writing to the
undersigned, via email to pkcontract@usaid.gov. The deadline for
submitting questions is **February 26, 2007, 8 AM** Islamabad time.

Applications and modifications thereof shall be submitted with the name
and address of the applicant and the RFA number (referenced above)
inscribed thereon, via email, to
[pkcontract@usaid.gov](mailto:pkcontracts@usaid.gov). Applicants shall
submit their applications by e-mail attachment formatted in Microsoft
Word (up to 2MB limit per email), with hard copies sent separately.
Faxed proposals are not acceptable. Applicants shall confirm with the
undersigned that their e-mail submissions were successfully received by
the required due date.

In addition to the submission of applications via email, an original and
two (2) hard copies of the technical applications, and an original and
one (1) hard copy of the cost proposals, shall be sent to:

[By Air Courier:]{.underline}

USAID/Pakistan

Diplomatic Enclave, Ramna 5

Islamabad, Pakistan

Tel:         92-51-2082636

If you decide to submit an application, it must be **received** by the
closing date and time indicated at the top of this cover letter at the
place designated below for receipt of applications. Hard copies and
email copies of submissions must arrive by the due date. Applications
will be accepted for consideration as long as they arrive at
USAID/Pakistan by the time stipulated. See RFA Section A.1.b regarding
late applications. In the event of inconsistencies between the hard copy
and email versions of the proposal, the hard copy version shall prevail.
Applicants are requested to submit the technical and cost portions of
their applications in separate volumes and emails so that they may be
reviewed separately.

Award will be made to that responsible applicant(s) whose application(s)
best meets the requirements of this RFA and the selection criteria
contained herein. Issuance of this RFA does not constitute an award
commitment on the part of USAID, nor does it commit USAID to pay for
costs incurred in the preparation and submission of an application.
Further, USAID reserves the right to reject any or all applications
received. In addition, final award of any resultant cooperative
agreement(s) cannot be made until funds have been fully appropriated,
allocated, and committed through internal USAID procedures, and the
USAID/Pakistan Operational Plan is approved. While it is anticipated
that these procedures will be successfully completed, potential
applicants are hereby notified of these requirements and conditions for
award. Applications are submitted at the risk of the applicant, and all
preparation and submission costs are at the applicant\'s expense.

In the event of any inconsistency between the sections comprising this
RFA, it shall be resolved by the following order of precedence:

\(a\) Section B - Selection Criteria;

\(b\) Section A - Grant Application Format;

\(c\) Section C - The Program Description; and

\(d\) This Cover Letter.

Applicants should take account of the expected delivery time required by
the proposal transmission methods, and are responsible to ensure that
proposals are received at USAID in Islamabad by the due date and time
specified above.

Applicants should retain for their records one copy of all enclosures
which accompany their application.

Thank you for your interest in USAID programs.

Sincerely,

![](media/image2.png){width="1.4583333333333333in" height="0.5625in"}

Karin Kolstrom

Agreement Officer

USAID /Pakistan

Islamabad, Pakistan

#  

# SECTION A - APPLICATION FORMAT

## 1. PREPARATION GUIDELINES

a.  All applications received by the deadline will be reviewed for
    responsiveness and programmatic merit in accordance with the
    guidelines herein. Section B addresses the evaluation procedures for
    the applications. Applications shall be submitted in two separate
    parts: (a) technical, and (b) cost or business application. An
    original and two (2) hard copies of the technical application and an
    original and one (1) hard copy of the cost application shall be
    submitted in addition to the email submission, as described in the
    cover letter of this RFA.

b.  Applications must be received no later than the date and time
    indicated on the cover page of this RFA, to the location stated in
    the cover letter accompanying this RFA. Applications which are
    received late or are incomplete run the risk of not being considered
    in the review process. Such late or incomplete applications will be
    considered in USAID\'s sole discretion depending on the status of
    USAID\'s application review process as of the time of receipt and/or
    the quality of other applications received.

c.  Technical applications should be specific, complete and presented
    concisely. A lengthy application does not in and of itself
    constitute a well thought out proposal. Applications shall
    demonstrate the applicant\'s capabilities and expertise with respect
    to achieving the goals of this program. Applications should take
    into account the evaluation criteria found in Section B.

> d\. Explanations to Prospective Recipients: Any prospective applicant
> desiring an explanation or interpretation of this RFA must request it
> in writing to the Agreement Officer at the email address set forth in
> the RFA cover letter. The questions and answers (Q&A) will be posted
> as an amendment to the RFA on
> [www.grants.gov](http://www.grants.gov/). The deadline for receipt of
> questions is February 26, 8:00 AM, Islamabad time. Oral explanations
> or instructions given before award of a Cooperative Agreement will not
> be binding. Any information given to a prospective recipient
> concerning this RFA will also be furnished to all other prospective
> recipients as an amendment to this RFA, if that information is
> necessary in submitting applications or if the lack of it would be
> prejudicial to any other prospective recipients.
>
> e\. Applicants should retain for their records one copy of the
> application and all enclosures which accompany their application.
> Erasures or other changes on hard copies must be initialed by the
> person signing the application. To facilitate the competitive review
> of the applications, applications should conform to the format
> prescribed below.
>
> f Submission of Applications by Email : Preferred software for email
> attachments: Microsoft Word (for narrative text) or Excel (for
> tables). Please convert your documents to one of these software
> programs before sending them to USAID. Zipped files cannot be accepted
> due to firewall restrictions; however, PDF files (for all files except
> budgets) are acceptable. Applicants are responsible for confirming
> that their complete applications were received electronically by
> USAID.
>
> g\. The hard copies of applications and modifications thereof shall be
> submitted in sealed envelopes or packages addressed to the office
> specified in the cover letter of this RFA, with the RFA number, the
> name and address of the applicant, and whether the contents contain
> technical and/or cost proposals noted on the outside of the
> envelopes/packages.
>
> h\. Telegraphic or fax applications will not be considered.
>
> i\. Preparation of Applications:
>
> 1\. Applicants are expected to review, understand, and comply with all
> aspects of this RFA. Failure to do so will be at the applicant\'s
> risk.
>
> 2\. Each applicant shall furnish the information required by this RFA.
> On the hard copies of applications, the applicant shall sign the
> application and certifications and print or type its name on the Cover
> Page of the technical and cost applications. Erasures or other changes
> must be initialed by the person signing the application. Applications
> signed by an agent shall be accompanied by evidence of that agent\'s
> authority, unless that evidence has been previously furnished to the
> issuing office.
>
> 3.Applicants which include data that they do not want disclosed to the
> public for any purpose or used by the U.S. Government except for
> evaluation purposes should:
>
> \(a\) Mark the title page with the following legend:
>
> \"This application includes data that shall not be disclosed outside
> the U.S. Government and shall not be duplicated, used, or disclosed -
> in whole or in part - for any purpose other than to evaluate this
> application. If, however, a grant is awarded to this applicant as a
> result of - or in connection with - the submission of this data, the
> U.S. Government shall have the right to duplicate, use, or disclose
> the data to the extent provided in the resulting grant. This
> restriction does not limit the U.S. Government\'s right to use
> information contained in this data if it is obtained from another
> source without restriction. The data subject to this restriction are
> contained in pages\_\_\_.\"; and
>
> \(b\) Mark each sheet of data it wishes to restrict with the following
> legend:
>
> \"Use or disclosure of data contained on this sheet is subject to the
> restriction on the title page of this application.\"

## TECHNICAL APPLICATION FORMAT

The technical application shall be divided into nine sections, separated
by tabs, with the maximum number of pages given per section as shown
below.

1.  Technical approach (20 pages)

2.  Gender analysis (one page)

3.  Institutional capability ( 2 pages)

4.  CVs of key personnel (no page limit)

5.  Past performance information (one page)

6.  Management plan ( 3 pages)

7.  Implementation plan ( 5 pages)

8.  Award monitoring plan ( 3 pages)

9.  Annexes (no page limit)

a\. Technical Approach

The technical application must set forth in sufficient detail the
conceptual approach, methodology, and techniques for the implementation
of the four major components of the proposed family planning program.
The technical application should demonstrate responsiveness to the high
disease burden in Pakistan, the urban/rural split as well as the
public/private sector challenges that are well-entrenched within
country.

b\. Gender Analysis

It is important to note that USAID is committed to gender equality. In
less than one page, the application should outline the most significant
gender issues related to integrated community health service provision
in Pakistan by reflecting on the following questions: (i) are men and
women involved or affected differently by the context or work to be
undertaken? (ii) If so, how will this difference be addressed through
managing for sustainable impact?

c\. Institutional Capability:

Applicants must provide evidence of their technical and managerial
resources and expertise (or their ability to obtain such) in program
management, grants management and training, as well as their experience
in managing similar programs in the past. Information in this section
should include (but is not limited to) the following:

> \(1\) Brief description of organizational history/expertise;
>
> \(2\) Past experience and examples of accomplishments in developing
> and implementing similar programs;
>
> \(3\) Relevant experience with proposed approaches;
>
> \(4\) Institutional strength as represented by breadth and depth of
> experienced personnel in project relevant disciplines/areas;
>
> \(5\) Sub-awardee or subcontractor capabilities and expertise; and
>
> \(6\) Financial controls.

d.  Past Performance:

Applicants must submit a list of the ten most recent U.S. Government
and/or privately-funded contracts, grants, cooperative agreements, etc.,
and the name, address, email address and telephone number of the Project
Officer, activity manager or other contact person.  Include the
following for each award:

> Name of awarding organization or agency;
>
> Address of awarding organization or agency;
>
> Place of performance of services or program;
>
> Award number;
>
> Amount of award;
>
> Term of award (begin and end dates of services/program);
>
> Name, current telephone number, current fax number, and email address
> (if one is available) of a responsible technical representative of
> that organization or agency; and Brief description of the program.

e.  Key Personnel:

Applicants must specify the qualifications and abilities of proposed key
personnel relevant to successful implementation of the proposed
technical approach. The Chief of Party should have a proven track record
of managing such programs. The applicant shall also include, in an
annex, resumes for all key personnel candidates. Resumes may not exceed
three pages in length and shall be in chronological order starting with
most recent experience.  Each resume shall be accompanied by a SIGNED
letter of commitment from each candidate indicating his/her: (a)
availability to serve in the stated position, in terms of days after
award; (b) intention to serve for a stated term of the service; and (c)
agreement to the compensation levels which correspond to the levels set
forth in the cost application. As references may be checked for all
proposed long-term personnel, a minimum of four references for each
proposed long-term person is required.  Applicants should provide
current phone, fax and email address for each reference contact.

f.  Management Approach:

    Applicants must submit a detailed Management Approach for USAID's
    review. Management Approaches must, as a minimum, address the
    following:

-   Placement of the program team within the larger organization(s).

-   Identification of key personnel, including their technical and
    managerial roles and responsibilities

-   A clear chain of authority on the project/program team, including
    subawardee staff.

-   A clear line of communication and reporting which allows for early
    identification and proposed resolution of problems by the prime
    awardee and provision of related information to USAID.

-   A clear, regular, and concrete means of communication between
    program staff in the field and their backstop officers in the
    headquarters office that functions without creating unnecessary
    overlap.

-   A clear, regular, and concrete means of communication between the
    prime recipient and its subawardees which ensures a cohesive working
    relationship and achievement of results

-   A use of both international and Pakistani expertise, with attention
    to gender balance, and the development of indigenous Pakistani
    capacity

-   The method of identifying sub awardees, and the tasks/functions they
    will be performing.  Applicants shall state whether or not they have
    existing relationships with these other organizations and the nature
    of the relationship (e.g., subgrantee, subcontractor, partnership.
    etc) and shall discuss the technical resources and expertise of
    proposed subcontract/subrecipient organizations.

-   A regular means of informal communication with the CTO, in addition
    to the required programmatic and financial reporting.

Program organizational charts with linkages to the key staff's parent
organization are recommended.

Applicants are encouraged to describe specific instances in which the
proposed management approach has had demonstrated success.

g.  Implementation Plan

Applicants shall submit an implementation plan for the entire period of
performance which should clearly outline links between the proposed
results, conceptual approach, performance milestones, and a realistic
timeline for achieving the semi-annual, annual, and end-of-program
results. The implementation plan serves several purposes including a
guide to program implementation, a demonstration of links between
activities, strategic objectives and intended results, a basis for
budget estimates and the foundation for the monitoring and evaluation
plan.

The implementation plan, at a minimum, shall include:

-   Brief situation analysis in the context of what other donors and
    implementing partners and host-country governments are contributing;

-   Life-of-program results;

-   Milestones (or benchmarks) toward achieving those results over the
    duration of the program;

-   Partner involvement and contributions to achieving the results;

-   Budget; and,

-   Timeline

h.  Award Monitoring Plan

    As part of its application, the applicant must submit a detailed
    Award Monitoring Plan (AMP) for USAID's review. The award monitoring
    plan (AMP) must include the Applicant's complete and considered
    strategy for monitoring progress towards indicators and targets
    included in the award. The strategy constituting the AMP must
    include, as a minimum, the following:

-   Description of the contractor/grantees' established system within
    which the particular AMP operates. The system refers to:

    -   Organization-wide policies and procedures for monitoring and
        their relation to the particular AMP, including the roles of
        different implementing partners (subcontractors/subgrantees).

    -   Organizational staffing/expertise, roles, and responsibilities
        and how the staffing and expertise is to be used in the
        particular AMP.

    -   Automated and other methods to gather, store, manipulate,
        summarize, analyze, and/or report performance data.

    -   Procedures for regular communication with USAID regarding the
        status of monitoring activities, including protocol for
        notifying USAID in the event of significant obstacles or issues
        of immediate concern.

    -   Means of addressing a discovered lack of progress or success.
        Procedures should focus on learning from mistakes, analyzing
        them, and ascertaining the reasons for missteps. Some of the
        questions that may be posed follow. Was it due to the plan? Was
        it the participants' lack of understanding or ownership? Was it
        the style of management, too little or too much participation?
        Was it outside factors, opposition, the weather, bad luck, or a
        combination of these? How will the lessons learned be used and
        disseminated to support continued work under the
        project/program?

    -   Procedures for monitoring prime and subawardee compliance with
        statutory requirements implemented in the resulting award, such
        as anti-terrorism and restrictions on family planning activities
        (i.e. Tiahrt, PD3, Mexico City policy).

-   Information about all activities to be monitored under the AMP. The
    list of activities should be provided in a logical framework which:

    -   Links activities to required contract/grant results.

    -   Describes assumptions being made about the relationship of the
        activity to the award result.

    -   Identifies the indicators against which progress is to be
        measured.

    -   Describes the methods to be used for monitoring. Methods for
        monitoring vary according to what it is being monitored. Some
        activities can be observed easily and costs and outputs can be
        measured against the original targets and timetable. Other
        activities are less easy to monitor in terms of quantitative
        achievements, especially such intangible effects as awareness
        and empowerment and their direct link to program interventions.
        Indirect or proxy indicators may have to be identified, even if
        these cannot be verified. By considering these factors at the
        planning stage, expected results can be kept realistic and
        cost-effective and the recipient can recognize that not all
        available and useful indicators are \'objectively verifiable.\'

    -   Provides an illustrative schedule for discrete monitoring
        activities tied to the overall project/program implementation
        plan.

    -   Includes a mechanism for oversight and verification of
        monitoring conducted by field staff.

g\. Annexes

Applicants shall include signed "letters of commitment" from key
personnel and sub awardees in this section. Applicants shall also submit
signed letters of commitment and/or collaboration from the Ministry of
Health at national and provincial levels.

i.  Page Limitation: 

The length of each section of the technical proposal is shown above;
text is to be presented with 1.0 lines of spacing, 11 point Arial font,
and standard one inch margins. Elaborate art work, expensive paper and
bindings, and expensive visual and other presentation aids are neither
necessary nor wanted.

j.  Branding Strategy and Marking Plan:

The successful applicant will be required to submit a branding strategy
and marking plan. Agency branding and marking guidance can be found at
the following websites:

<http://www.usaid.gov/business/business_opportunities/cib/pdf/aapd05_11.pdf>
(contains instructions on how to prepare the branding strategy and
marking plan); <http://www.usaid.gov/branding/> (contains samples of the
USAID logo in various formats)

## 3. COST APPLICATION FORMAT

The Cost or Business Application is to be submitted separate from the
technical application. Certain documents are required to be submitted by
an applicant in order for the Agreement Officer to make a determination
of responsibility. However, it is USAID policy not to burden applicants
with undue reporting requirements if that information is readily
available through other sources.

The following sections describe the documentation that applicants for
Assistance award must submit to USAID prior to award. While there is no
page limit for the cost proposal, applicants are encouraged to be as
concise as possible, but still provide the necessary detail to address
the following:

A. Applicants must submit budgets using Standard Form 424 and 424A which
can be downloaded from the USAID web site,
<http://www.usaid.gov/procurement_bus_opp/procurement/forms/sf424/>. In
addition, applicants must submit an accompanying budget narrative which
provides in detail the total proposed costs for implementation of the
proposed program. The budget shall discuss and support the components of
each SF-424 budget element, such as:

a)  The breakdown of all costs according to each partner organization
    (or sub-awardee) involved in the program, in the format described
    herein;

b)  The costs associated with home office, expatriate, and local
    in-country labor, ie identification of positions, daily or hourly
    compensation, hours/days to be worked, etc

c)  A breakdown of all other direct costs to include cost elements
    (communications, office supplies, printer, vehicle, office rent,
    etc), unit of measure (monthly estimate, cost per unit), number of
    units, basis of the estimate and programmatic need for the
    expenditure. \[Note: the authorized geographic code for this award
    will be 000. Title to property shall vest in the Cooperating
    Country.\]

d)  Details of travel, per diem and other transportation expenses to
    include number of international trips, expected itineraries, cost of
    travel, number of per diem days and per diem rates.

> e\) Copies of your organization's most recent Negotiated Indirect Cost
> Rate Agreement (NICRA) issued by your organization's cognizant audit
> agency or information to support any non-direct costs recovered by a
> percentage method

B.  Development focused budgeting (DFB)

    In addition to providing summary cost data in the SF424A format,
    applicants are required to summarize cost data using
    development-focused budgeting (DFB) in cost applications submitted
    in response to this solicitation. DFB is a customer-based,
    performance-driven, results-oriented budget system underpinned by
    outcome management. Outcome management is a management approach that
    focuses on the development results achieved by providing a service.
    DFB involves summarizing cost data to corresponding development
    results/outcomes. Cost data must be summarized in both the SF424A
    and DFB categories. If an input serves multiple development results,
    the applicant must allocate the input across the corresponding
    results and provide a rationale in the budget narrative for the
    method used for each allocated input.

A summary budget shall be presented in the following format (vertical
columns represent development results)

  -------------- ---------- ---------------- --------------- ------------- -------
  **Input        Creation   Revitalization   Reinforcement   Social        Total
  Categories**   of demand  of high quality  of high-quality Marketing of  
                 for family birth spacing    family planning Family        
                 planning   and family       and birth       Planning      
                 and birth  planning         spacing         Products (to  
                 spacing in services in the  services in the start Oct.1,  
                 Pakistan   public health    private sector  2007):        
                            sector:                                        

  Labor                                                                     

  Fringe                                                                    
  Benefits                                                                 

  Travel                                                                    

  Equipment                                                                 

  Subawards                                                                 

  Other Direct                                                              
  Costs                                                                    

  Subtotal                                                                  

  Overhead                                                                  

  **Total**      ** **      ** **            ** **           ** **          
  -------------- ---------- ---------------- --------------- ------------- -------

In addition, applicants shall submit the following development based
budget information that is activity specific for each development
result, as shown in the example below:

1.  Development result: *Creation of demand for family planning and
    birth spacing in Pakistan*

(note: the estimates below are NOT to be treated as Government
estimates; however applicants are instructed to separately estimate the
costs of administration as well as monitoring and evaluation)

  -------------------------------------- ------- ------------ -------------
  Activity Description                   Units   Unit Cost    Total
                                                              Estimated
                                                              Amount

  Creation of mass media campaigns       5       \$ 5000      \$ 25000

  Pilot project working with post office 1       \$100,000    \$ 100,000
  workers and/or railways (non-LHW                            
  areas)                                                      

  Creation of nationwide                 1       \$12,000     \$12,000
  information/education/communication                         
  /BCC materials, including Tiahrt                            
  posters                                                     

  Administrative staff, facilities, etc  5       Years        \$5,000,000
  needed to achieve this result (cost of                      
  field offices, portion of home office                       
  staff and time, Islamabad office                            
  share, etc)                                                 

  Monitoring and evaluation of this      5       years        \$500,000
  development result                                          
  -------------------------------------- ------- ------------ -------------

B. Required certifications and representations (as attached below in
section D of this RFA):

C.  Cost Sharing

Applicants will be expected to cost-share 15% of the program's cost.

D.  Applicants who do not currently have a Negotiated Indirect Cost Rate
    Agreement (NICRA) from their cognizant audit agency (USAID or
    another agency of the US federal government) shall also submit the
    following information:

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1.  Copies of the applicant\'s financial reports for the previous 3-year
    period, which have been audited by a certified public accountant or
    other auditor satisfactory to USAID;

2.  Projected budget, cash flow and organizational chart;

3.  A copy of the organization\'s accounting manual.

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E.  Applicants shall submit any additional evidence of responsibility
    deemed necessary for the Agreement Officer to make a determination
    of responsibility. The information submitted should substantiate
    that the Applicant:

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1.  Has adequate financial, management and personnel resources and
    systems or the ability to obtain such resources as required during
    the performance of the award.

2.  Has the ability to comply with the award conditions, taking into
    account all existing and currently prospective commitments of the
    applicant, non-governmental and governmental.

3.  Has a satisfactory record of performance. Past relevant
    unsatisfactory performance is ordinarily sufficient to justify a
    finding of non-responsibility, unless there is clear evidence of
    subsequent satisfactory performance.

4.  Has a satisfactory record of integrity and business ethics; and

5.  Is otherwise qualified and eligible to receive a grant under
    applicable laws and regulations (e.g., EEO).

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F.  Applicants that have never received a grant, cooperative agreement
    or contract from the U.S. Government are required to submit a copy
    of their accounting manual, personnel policies, travel policies, and
    procurement policies, and audits received for the past three years.
    If this material has already been submitted to the U.S. Government,
    the applicant should advise which Federal Agency has a copy.

G.  Certificate of Compliance: Please submit a copy of your Certificate
    of Compliance if your

> organization\'s systems have been certified by the USAID/Washington\'s
> Office of Acquisition and Assistance (M/OAA, formerly known as M/OP).

H. Unaccompanied post: At this time, Pakistan is an unaccompanied post
for US direct hire employees; for security reasons, family members of US
direct hire employees are not permitted to travel to or reside at post
with the employee at government expense.   Under the resulting
cooperative agreement, while USAID cannot expressly forbid a Recipient
employee from bringing family members to post at personal expense, it is
not encouraged or desired.  Under no circumstances will costs related to
dependents be considered allowable costs to the resulting award
including but not limited to housing, transportation, education, and per
diem.  Separate maintenance allowance (SMA) would be allowable if in
accordance with the standardized regulations and the recipient's
policies and practices.

**4. COOPERATIVE AGREEMENT AWARD**

The Government may award the resulting cooperative agreement on the
basis of initial applications received, without discussions or
negotiations. Therefore, each initial application should contain the
applicant\'s best terms from a cost and technical standpoint. As part of
its evaluation process, however, USAID may elect to discuss technical,
cost or other pre-award issues with one or more applicants.
Alternatively, USAID may proceed with award selection based on its
evaluation of initial applications received and/or commence negotiations
solely with one applicant.

A written award mailed or otherwise furnished to the successful
applicant(s) within the time for acceptance specified either in the
application(s) or in this RFA (whichever is later) shall result in a
binding cooperative agreement without further action by either party.
Before the application\'s specified expiration time, if any, the
Government may accept an application, whether or not there are
negotiations after its receipt, unless a written notice of withdrawal is
received before award. Negotiations or discussions conducted after
receipt of an application do not constitute a rejection or counteroffer
by the Government.

Neither financial data submitted with an application nor representations
concerning facilities or financing, will form a part of the resulting
cooperative agreement unless explicitly stated otherwise in the
agreement.

To be eligible for award of a cooperative agreement, in addition to
other conditions of this RFA, organizations must have a politically
neutral humanitarian mandate, a commitment to non-discrimination with
respect to beneficiaries and adherence to equal opportunity employment
practices. Non-discrimination includes equal treatment without regard to
race, religion, ethnicity, gender, and political affiliation.

Applicants are reminded that U.S. Executive Orders and U.S. law
prohibits transactions with, and the provision of resources and support
to, individuals and organizations associated with terrorism. It is the
legal responsibility of the recipient to ensure compliance with these
Executive Orders and laws. This provision must be included in all
subcontracts/subawards issued under this contract/agreement.

**5. AUTHORITY TO OBLIGATE THE GOVERNMENT**

The Agreement Officer is the only individual who may legally commit the
Government to the expenditure of public funds. No costs chargeable to
the proposed agreement may be incurred before receipt of either a fully
executed Agreement or a specific written authorization from the
Agreement Officer.

**SECTION B - SELECTION CRITERIA**

The criteria presented below have been tailored to the requirements of
this RFA.  The Applicant should note that these criteria serve to
identify the significant issues that Applicants should address in their
applications, and to set standards against which all applications will
be evaluated.  To facilitate the review of applications, Applicants are
requested to organize the narrative sections of technical proposals
according to the evaluation criteria set forth below.

Applications will be evaluated in accordance with the evaluation
criteria set forth below:

• Technical merits of the applications,

• Cost effectiveness and cost realism of the application,

• Past performance of the applicant

**[Technical Evaluation Criteria -- total 100 points]{.underline}**

**Technical Approach 35 points**

The technical approach will be evaluated based on 1) the extent to which
the application sets forth a clear, justifiable, and technically sound
course of action to achieve the program objectives and anticipated
results (12 points); 2) originality and creativity in proposing how to
implement the activities described, which will facilitate achievement of
program objectives (11 points); 3) the "fit" or complementarity of the
proposed program design and activities with existing interventions
already on the ground in Pakistan, whether financed by USAID or other
partners (12 points);

**Award Monitoring and Evaluation Plan 10 points**

The AMP will be evaluated based upon the following:

-   A clear description of of the Recipient's established system within
    which the particular AMP operates including:

    -   The organization-wide policy and procedures for monitoring and
        evaluation.

    -   Roles and responsibilities of sub-cooperating agencies in
        monitoring and evaluation

    -   A description of the system which will address lack of progress
        or success.

-   Information on activities to be monitored under the AMP including:

    -   How activities are linked to achieving required Agreement
        results.

    -   Assumptions being made about the relationship of the activity to
        the Agreement results

    -   Proposed indicators which track progress over the life of the
        activity with annual targets for each indicator

    -   Methods to be used for monitoring activities and collecting
        indicators results

    -   An illustrative schedule for monitoring activities

    -   A mechanism for oversight and verification of monitoring
        conducted by field staff

-   Procedures for monitoring prime and subawardee compliance with
    statutory requirements implemented in the resulting award, such as
    anti-terrorism and restrictions on family planning activities (i.e.
    Tiahrt, PD3, Mexico City policy).

Proposed monitoring methods for each activity must fit the activity to
be monitored and demonstrate cost-effectiveness and efficiency
considering the nature and scope of the program, including the level of
risk and the impact of failure. The AMP must be written in a manner that
those involved in monitoring can understand and without lengthy
theoretical discussions or jargon. It must not be merely boiler plate
statements or generalities about the Recipient's organizational
performance monitoring practices.

**Gender Analysis 5 points**

Gender issues are identified and appropriate interventions developed to
address these issues throughout all activities.

**Key Personnel 25** **points:**

Key personnel will be evaluated based on their relevant prior experience
directly related to the proposed work, including technical
qualifications, professional competence, relevant academic background,
and demonstrated experience. Key personnel will also be evaluated on
their professional references. The Chief of Party will be scored at 15
points, while the remaining key personnel positions will have a maximum
score of 10 points. **USAID reserves the right to obtain work
performance information from other sources beyond those named in the
proposal.**

**Management Approach 15 points**

Management Approaches will be evaluated based upon the following:

-   Strength of composition and organizational structure of the entire
    implementation team:

    -   Home Office

    -   In-country office

    -   Sub-cooperating agencie(s.).

-   Communication procedures:

    -   Among the implementation team members above.

    -   With USAID.

-   Clear articulation of roles, responsibility and authority:

    -   Among the implementation team members above.

    -   To USAID.

-   Strong problem-resolution strategies:

    -   Among the implementation team members above.

    -   Between the COP and the CTO.

    -   Between the Home Office and the CTO

-   A use of both international and Pakistani expertise, with attention
    to gender balance, and the development of indigenous Pakistani
    capacity

**Institutional Capability and Partnerships and Past Performance 10
points:**

Applicant's institutional capability and their proposed partners will be
evaluated based on 1) the Applicant's demonstrated capability to plan,
implement and monitor similar projects in similar settings (5 points)
and 2) the demonstrated capability of any proposed sub-cooperating
agencies to plan, implement and monitor projects in similar settings (5
points). USAID reserves the right to obtain past performance information
from other sources beyond those named in the proposal.

**Total (technical evaluation criteria): 100 points**

**COST EVALUATION:**

Cost has not been assigned a score but will be evaluated for cost
reasonableness, allocability, allowability, cost effectiveness and
realism, adequacy of budget detail and financial feasibility and cost
sharing. While cost may be a determining factor in the final award(s)
decision, especially between closely ranked applicants, the technical
merit of applications is substantially more important under this RFA.
The percentage of funds spent on programming versus administrative costs
will be taken into consideration, ie the cost of staff salaries,
equipment, and facilities vs. costs of field activities and
interventions that directly impact the target beneficiaries.

Cost sharing is required at 15%, which represents the portion of the
activity USAID deems critical to continue after USAID assistance ends.
Applicants that do not meet this requirement will not be considered for
this award.

# SECTION C -- PROGRAM DESCRIPTION

**I. [Purpose]{.underline}**

The purpose of this activity is to increase demand for family planning
by increasing knowledge of the advantages of birth spacing through a
concentrated mass media campaign as well as to increase utilization of
family planning services by strengthened public and private sector
facilities and clinicians who offer quality services. Further, this
activity seeks to use a multi-faceted approach to reach women and men in
a variety of outreach activities performed at different levels of
society. Finally, this activity seeks to build partnerships between the
public and private sectors for disbursement /sale of family planning
commodities.

**[II. Background]{.underline}**

Pakistan is a poor country characterized by low life expectancy, high
infant mortality, a high number of low birth weight infants, high
maternal mortality, and an increasingly troubling number of abortions.
Forty percent of Pakistani families live below the poverty line and only
a little over half are literate, with a generous disparity between men
and women. Pakistan's development indicators, while improving slightly
over the last few years, still reflect a high poverty level, a low
status of women, a low literacy level, high infant and maternal
mortality, high unemployment and a high dependency ratio.

Pakistan has an extremely high rate of population growth, which is
caused by a falling death rate and a continuing high birth rate. The
population growth rate remains high at 2% with a total fertility rate of
4.1. The Pakistani population, which is currently estimated to be around
167 million, will increase by 2.09% in 2006. The population doubling
time is a mere 25 years. At current rates, about 3.8 million are added
to the country's population annually. It is the sixth most populous
country; however, if population continues to grow unchecked, by 2020,
Pakistan will be the fourth most populous country in the world. The
continual growth of population most likely will have severe implications
for socio-economic development in Pakistan.

Peace and security are two of the major challenges that face the world
currently. Globally, factors that are historically associated with the
probability of civil conflict include the percentage of youth in the
population, urban growth rate, available crop land, and water. Countries
where young adults comprised more than 40% of the adult population were
more than twice as likely as countries with lower proportions to
experience an outbreak of civil conflict. In Pakistan this percentage is
46.5%. Pakistan's urban population growth rate is 3.5%, in the medium
range, however, Karachi's population is expected to double (from 9.7
million in 1995 to 19.3 million in 2015). Additionally, countries with
low availability of per capita cropland or renewable fresh water were
1.5 times more likely to experience civil conflict. On per hectare
cropland availability, Pakistan ranks in the extreme category, with 0.14
hectares per person. Finally, with respect to water availability,
Pakistan ranks in the high risk category, with only 1,384 cubic meters
available per person.

**[A. Health Services]{.underline}**

It is widely agreed that in Pakistan, an important factor contributing
to poor health outcomes is an inadequately functioning public health
system that provides low quality services. The data indicates that the
public health sector is facing significant challenges including a large
and complex (fragmented and highly verticalized) public health
infrastructure with very low utilization. While largely under-utilized,
the public health infrastructure of facilities and staff is vast and
cumbersome. The public health system has made progress in many areas but
the rate of improvement is slow as the GOP continues to struggle with
issues of both access and quality. While the GOP and donors have made
substantial investments in building the health infrastructure, access to
services is not uniform and the overall quality of health services,
particularly for essential clinical and public health services such as
maternal and child health and reproductive health, remains very poor.

As a consequence of overall dissatisfaction with public health care
services, an estimated 70% of the population seeks care through the
unregulated private sector and non-governmental organization (NGO)-run
health services. Private medical practices are frequently stand-alone
clinics operated by individual providers whose concern is often focused
on maximizing profits, at the expense of providing quality services.
Pakistan remains one of the few countries that do not regularly measure
National Health Accounts (NHA), but a rough estimate is that out of
pocket private expenditures constitute 77% of overall health
expenditures per capita \-- higher than most developing countries.
Ability to pay is clearly associated with the utilization of services,
creating gross inequalities in access to quality healthcare.

As mentioned earlier, the majority of Pakistanis utilize the private
sector for health care and over 70% of health care expenditures are met
by consumers themselves. Both the public sector and private sector
require innovative ideas to increase availability and improve the
quality of family planning services. While only a minority of the
population currently seeks family planning services from the public
sector, it is still an important source, particularly for the poorest
and most vulnerable and has the potential for expanding its role in
family planning product and service provision. It is important to
address the family planning needs of the country with a multi-sectoral
response that includes collaboration with the Ministry of Health (MOH)
and the Ministry of Population Welfare (MOPW). For both the private and
public sectors, improving the quality of family planning services and
expanding access to such services through community and clinic-based
approaches are important, especially targeting the rural and urban poor.

**[B. Family Planning in Pakistan:]{.underline}**

Pakistan's extremely high rate of population growth is caused by a
falling death rate and a continuing high birth rate. Between 1950 and
1990 the death rate dropped by over 50%, from 27 to 12 deaths per 1000
people. By 2006 it fell further still, to 8.23 deaths per 1000 people.
Throughout this period, the birth rate has decreased from 44 to 29.74
births per 1000 people (from 1950 to 2006); however the decline in birth
rates has not kept up with the decline in death rate. Currently
Pakistani women have an average of four children. Based on these
figures, the Pakistani population, which is currently estimated to be
around 167 million, will increase by 2.09% in 2006.

Unless otherwise indicated, the data below is from *["The Women's Health
in Pakistan 2005: Knowledge, Attitude, and Practice Survey on
Contraception in Pakistan]{.underline}*," undertaken by Population
Council, OASIS International, Greenstar Social Marketing and Key Social
Marketing with funding from USAID. The report, in its entirety, can be
found on the USAID Pakistan website at:
[http://www.usaid.gov/pk/health/download/SMO%20KAP%2030%20June%202006.pdf](http://www.usaid.gov/pk/health/download/SMO KAP 30 June 2006.pdf)

The majority of Pakistani women know at least one modern method of
family planning; the key is promoting knowledge so women can effectively
choose the method that fits their current needs. While 82.8% of women
know at least one modern method, there is a gap between urban women,
with 91.2% knowing one modern method, and 79.1% of rural women with
equal knowledge. Oral contraceptives are the most widely known modern
method with 76.4% citing this method, while 73.9% are knowledgeable
about injections and 71% report knowing about female sterilization. IUD
knowledge rounds out the group with 64.4% of women reporting knowing
about IUDs. Overall, Pakistani women are well-positioned to learn more
about the wide variety of methods to increase birth spacing.

A key challenge in Pakistan is to create an enabling environment in
which family planning and birth spacing can be agreed upon at the family
level; communication about fertility desires is a key factor in making
such decisions. Women in rural areas are more likely than urban women to
believe their husbands want more children (47.8% in urban versus 57.1%
in rural areas). Women in the higher income and education quintiles are
more likely to report being in agreement with their husbands regarding
family size than those who are less educated and are poorer. The women
in the poorest quintile are also less likely to know their husbands'
opinions on the optimal size of their family. Overall, 53% of women
report concordant views on family size while 20% aren't sure and 18%
believe their husbands would like more children than they desire. A
slight majority of women (63.5%) report discussing their current method
with their spouse while 38.7% report speaking with their doctor, 20.2%
consulting a Lady Health Worker (LHW) or Lady Health Visitor (LHV) and a
surprisingly low 3.7% consulted their mothers-in-law. Of interest, women
residing in Balochistan and Sindh are more likely than women residing in
Punjab and Northwest Frontier Province (NWFP) to seek advice on family
planning.

There are a number of known barriers, both at the community and
household levels. Community interpretations and beliefs about Islam
often result in people feeling that practicing family planning is a sin
and that a woman already has her fate written. Natural methods
(withdrawal, Lactation Amenorrhea Method or LAM) seem to be more
acceptable than modern methods. However, studies in other Islamic
countries show that Islamic scholars are keenly aware of the burden that
too many children spaced too closely together mean for a family. Uptake
of family planning is also hampered by unpredictable services, cost, and
transport difficulties, as well as women's limited freedom of movement
within the community; all of which often prevent women from exploring
family planning options. At the household level, mothers-in-law appear
to have a very heavy hand in deciding whether family planning is
acceptable. Many women report that their husbands are only willing to
space births if their own mother is agreeable. Often times,
mothers-in-law can be convinced of family planning if a male son has
been produced already. Unpredictable services, cost, and transport
difficulties, as well as limited freedom of movement within the
community, often prevent women from exploring family planning options.
Presenting services in the right place, at the right time, with the
right messages, are three key outcomes that must be achieved to increase
birth spacing among Pakistani families at the community level.

On average, Pakistani women wait 28 months between births. As might be
expected, younger and lower income women have a shorter interval than
older and wealthier women. A total of 40% of women interviewed had an
interval of 36 months or more while 50% of women surveyed want no more
children. Interestingly, only 10% of women between 20 and 30 years of
age indicate they would like to space their pregnancies. This might be
indicative of a preference for birth limiting rather than birth spacing,
a common challenge in implementing family planning programs in Pakistan.

Use of contraception is low but could be increased by assisting women
and their families to understand the benefits of birth spacing. Only 42%
report ever-use of modern contraception with 29% currently using and 13%
reporting past use. An astounding 58% of women report never having used
a modern method of contraception with Balochistan and NWFP having a
higher rate of never-use than Sindh and Punjab. Overall, female
sterilization is the most popular method among current users (32%),
followed by 21.1% reporting withdrawal, and 19.2% of current users
reporting condom use. Birth limiting is, according to this data, more
popular an option than birth spacing. Many women report having no
intention of using family planning (64%), while 15% are planning to use
it and 21% don't know what their intentions are. Bridging the gap
between those having no intention to use and those who don't know is
critical for a family planning intervention's success. Paradoxically,
33% of women who have never used family planning would like no more
children, meaning this could be a key opportunity to provide birth
limiting services.

Pills and condoms are most often procured through a pharmacy or drug
store (47.5% and 39.2% respectively). Husbands normally (46.8%) procure
condoms. Injectables, IUD's, and male and female sterilization are most
often provided by a government facility (33.5%, 65.3%, and 80.4%
respectively).

Much has been done to promote family planning use and generate
couple-years of protection (CYPs) in Pakistan. However, few women
receive counseling on their family planning needs and how the
contraceptive methods can fit their needs at various stages in their
reproductive lives. Both public and private service providers find
themselves with little time or inclination to counsel women on which
method might best serve their present family planning needs. Because of
the counseling gap, many women report discontinuation of their first
method. Excessive bleeding was reported by 33.2% of women who
discontinued their first method while 15.8% reported giddiness and 15.7%
reported irregular menses. Of those who have not discontinued and are
currently using a modern method, 39.8% of women report excessive
bleeding while 28.4% report irregular menses, and 20.5% report
headaches.

According to the above-referenced study, the need for limiting services
is 23.4% while the unmet need for spacing is a very low 3%. Combined
together, unmet need is 26.4% with almost 90% of unmet need comprised of
women who do not want any more children. There are no substantial
differences in unmet need between urban and rural women. However, it is
widely believed that the unmet need is 33% in Pakistan and that an equal
share of unmet need is split between spacing and limiting. Further,
rural women clearly have less access to family planning services and
commodities, which would logically indicate that their unmet need is
higher than that of urban women.

After unprotected intercourse, 11.7% of women report knowing at least
one method to avoid pregnancy, while 7.9% know about pills to prevent
pregnancy after unprotected intercourse. More than half of the women
interviewed (63.6%) report that they would do nothing if they got
pregnant but have no desire to be pregnant, 26.3% report not knowing
what they would do, with 2.7% resorting to abortion and 1.4% using
emergency contraception. In total, 22.3% of women who faced a situation
requiring emergency contraception reported doing something to prevent
pregnancy. 31% had a dilatation and curettage (DNC)/cleaning while 30%
used pills, 22% reported using any other, though unspecified, measure,
and 14% reported using other medicines. The cultural paradigm of
"cleansing the uterus" is a manner in which Pakistani women have control
over their reproductive future. This AGREEMENT seeks to decrease the
number of Pakistani women who find themselves pregnant without desiring
to be.

Among media outlets, television offers the greatest impact in reaching
women, with 60% watching TV, 14% reading newspapers, and only five
percent listening to the radio. While 46.5% report watching television
five or more times a week, 39.7% report never watching TV. PTV is the
number one choice spontaneously mentioned by 36.9% of women surveyed.
Women who watch television are more likely to be current users of family
planning but this might be attributable to the high socio-economic
status (SES) level of women reporting television viewership. Over 95.0%
report never listening to the radio while 3.4% report listening to radio
five days or more per week. Print media lags substantially behind
television with 85.9% reporting that they never read the newspaper and
89.4% never reading magazines. Like television, there is a similar
relationship between reading print media, specifically newspapers, and
contraceptive use. Women who read the newspaper are twice as likely to
report being a current user of family planning as those who do not read
newspapers. Again, this might be attributable to the socio-economic
level of print media readers.

**[C. Government of Pakistan (GOP) Family Planning
Activities:]{.underline}**

Starting in the early 1980s, the MOH began developing vertical programs
to combat critical public health problems with significant funding from
several donor agencies. In February 2002, the GOP announced the "Interim
Population Sector Perspective Plan 2012" which recognized the link
between poverty reduction and population growth. The GOP objective is to
reduce annual population growth from 2.1% (2001) to 1.82% in 2004, and
1.6% by 2012. The GOP aims to increase the contraceptive prevalence rate
(CPR) from 28% in 2001 to 43% by 2006 and 53% by 2012.

The MOH and the MOPW are the two government agencies charged with the
implementation of family planning programs in Pakistan. The two
Ministries are also chiefly responsible for delivering on the objectives
of the GOP's population policy.

Under the MOH, the National Program for Family Planning and Primary
Health Care (NP-FP/PHC) is responsible for implementing the 2002
Population Policy. The responsibility of the MOH with regard to family
planning includes provision of a broad range of health and family
planning services through health care outlets across the country.

As the major public sector health services delivery mechanism, the MOH
has a number of different opportunities to better integrate family
planning into its service delivery package. Basic Health Units (BHUs)
and Rural Health Centers (RHCs) are located at the primary care level.
There is at least one BHU in each Union Council which is the smallest
administrative unit in local governments, covering a population of about
10,000-15,000. Four to five BHUs are attached to one RHC, which are
intended to provide preventive and primary level curative services to
catchment areas of 50,000-100,000. There are also about 20 beds in each
RHC. At the secondary level, tehsil headquarters hospitals (THQs) are
located in towns and provide inpatient care with 20-50 beds. Finally,
there are district headquarters hospitals (DHQs) located at the center
of the districts. Most of the specialties are present at the THQs and
DHQs, though with more sophistication at the DHQ level. Teaching
hospitals, found in large cities provide tertiary care and serve as
referral centers.

The MOH has not integrated family planning into this system in an
efficient and streamlined manner, which has limited the effectiveness of
the MOH in providing its clients family planning services. Two important
factors that have limited the efforts of the MOH have been the lack of
provider training programs and the lack of commodities available at MOH
clinics. The aforementioned factors have created two substantial
bottlenecks in creating access to family planning services. Providers
have not been trained to provide a wide-range of services. Though women
often seek care, they are disappointed to find few regular family
planning services. Second, because the MOH is not charged with the
procurement and distribution of commodities, few, if any, commodities
can be found in public facilities, which drives clients to the private
sector to fulfill their family planning needs.

The Ministry of Health also has community-based outreach, including some
family planning service provision. The LHW program responds to the need
for culturally appropriate and mobile health workers. The LHWs, who
number approximately 90,000, receive 18 months of training and are then
assigned to their indigenous communities. Paid LHWs, hired by the
program, provide basic primary healthcare services to communities where
they live. The LHWs are multipurpose workers intended to function in an
integrated service delivery model to identify and refer complex cases,
and provide essential health education and basic preventive and curative
care. It has been difficult to retain LHWs to work in the more rural and
underserved areas, only further exacerbating the issue of access to care
for the most marginalized and vulnerable populations.

The MOPW has one central level public health initiative that includes
the provision of services, the Family Welfare Centers (FWC). FWC were
created to exclusively provide family planning services. However, FWCs
have been disappointing as the number of clients served has been lower
than expected. Many women are hesitant to seek care from FWCs because of
the stigmatization associated with family planning. Again, bottlenecks
can be found in the training and commodities provision within the FWCs.
The MOPW has encountered problems in creating a workable logistics
management system to distribute family planning commodities and this,
again, drives potential clients to the private sector for their family
planning needs.

One of the challenges that implementers face is the difference between
the MOH and the MOPW regarding commodity pricing. The MOH believes that
commodities should be dispersed without charge, even though the MOH
doesn't have the budget or the mandate to make this directive
functional. Conversely, the MOPW believes that commodities should be
sold at a symbolic price within public health services. Even though the
MOPW has the mandate and budget for the procurement of commodities,
their functional logistics management system is weak and needs to be
strengthened. Finally, the MOPW doesn't possess the funds to transport
the commodities, once purchased at the federal level.

**[D. USAID Activities (2003-2006):]{.underline}**

**USAID/Pakistan SO Framework**

USAID/Pakistan's Health Strategic Objective 7 (SO7) for fiscal years
2003-2006 is stated as "Improved Health of Vulnerable Populations in
Pakistan".  Under the overall objective, USAID has defined the following
intermediate results (IRs):

 

>         IR 7.1: Improved quality and use of maternal, newborn, and
> child health and reproductive services in target districts.          
>
>         IR 7.2: Improved administrative and financial management of
> primary healthcare programs.  
>
>         IR 7.3: Increased use of proven interventions to prevent
> major diseases.

 

USAID/Pakistan's current health program is designed to achieve the above
objective and focuses on activities to improve reproductive, maternal
and neonatal health, to strengthen fiscal and administrative management
of service delivery, and to prevent major infectious diseases. 

**USAID's Reproductive Health Portfolio**

USAID/Pakistan's current health program is nationally focused, working
in all four provinces. Initiatives, relevant to health and family
planning, supported by USAID/Pakistan include:

-   *Maternal and Newborn Health (10-04 to 9-09):* The Pakistan
    Initiative for Mothers and Newborns (PAIMAN) is USAID's flagship
    project designed to reduce maternal and neonatal mortality. The
    project is being implemented in 10 districts of all four provinces
    of Pakistan. (Implementing Partner: John Snow Incorporated)

-   *Demographic and Health Survey (DHS):* USAID provides funding and
    technical assistance for the Pakistan DHS and Maternal Mortality
    Study. Data collection is underway with a preliminary report of
    findings expected in May 2007 and the final report in December 2007.
    (Implementing Partners: Macro International and National Institute
    of Population Studies)

-   *Improving Reproductive Health and Family Planning:* Overall, social
    marketing accounts for over 25% of all CYPs in Pakistan. Support is
    provided to increase use of modern contraceptive methods and expand
    the contribution of the private commercial sector through improving
    reproductive health services and social marketing of contraceptives.
    Though initially it was agreed that the Social Marketing
    Organizations should focus on rural markets as well as urban
    outlets, progress in rural markets has been slow. These two social
    marketing activities will end implementation activities in September
    2007[.]{.mark} (Implementing Partners: Constella/The Futures Group &
    Greenstar).

    -   Greenstar Social Marketing and Constella/The Futures Group began
        operations in 1991 and 1996, respectively. Together they
        contributed over 2.5 million CYPs in 2005-2006. The socially
        marketed products include: condoms, oral contraceptives,
        injectables, emergency contraception, and IUDs.

**[III. Scope]{.underline}**

The USAID Mission seeks to support the GOP's goals of providing
accessible and affordable health care for all, with an emphasis on
making reproductive health and family planning services efficient,
equitable and effective. The objective of this program is to improve the
health and well-being of Pakistani women and children by providing
broad-based, multi-sectoral, and efficient family planning products and
services. This program will work closely with the health systems
strengthening program as well as the PAIMAN initiative (mentioned above)
until its expiration in 2009. Finally, this program will be responsible
for strengthening the contraceptive Logistic Management Information
System (LMIS) at the service delivery points below the district level
(RHU, BHC, FWC) and to work with the LHWs' supervisors to strengthen
contraceptives in regards to the supply management for the LHWs; USAID
will cover other levels of the LMIS (federal-provincial-district) under
another mechanism.

This program will focus on four results:

-   Creation of increased demand for family planning and birth spacing
    in Pakistan;

-   Increased utilization of family planning service by revitalization
    of high quality birth spacing and family planning services in the
    public health sector;

-   Increased utilization of high quality family planning and birth
    spacing services in the private sector; and

-   Social marketing of family planning commodities.

Each of these components, while listed separately, is an integral piece
of the activity; if woven together they should create functional
integration of family planning into the overall health and reproductive
health framework. Ongoing monitoring and evaluation should be integrated
throughout the scope of the program and ensure a cohesive platform from
which implementation activities can be objectively evaluated. Below are
illustrative activities situated within the proposed components;
however, USAID challenges applicants to provide other innovative
activities within the proposed components.

It should be noted that portions of Component One are national in scope.
Component Four (Social Marketing), will include all provinces except
NWFP which will be covered by another donor. Component Four is not bound
by the districts cited below, except for the community-based pilot
projects mentioned below.

**[Collaboration with Existing Partners:]{.underline}**

In order to maximize opportunities for synergy and coordination, as well
as opportunities to measure the impact of multiple versus single
intervention(s) on major socio-economic indicators, the proposed family
planning program has been designed to overlap geographically with other
USAID-initiatives; namely, the PAIMAN project, implemented by John Snow,
Inc., the health systems strengthening project that has not yet been
awarded, the water project, implemented by Abt Associates, Inc., and the
Districts That Work initiative implemented by the Urban Institute under
Strategic Objective Four (Democracy and Governance). USAID is currently
in negotiations with the provinces to finalize the locality of the
interventions. It is envisaged that a total of twenty districts will be
chosen.

The proposed program should also work to build on or expand the
activities of other donors working in the area of family planning.

**[Target Service Delivery Areas:]{.underline}**

This activity is meant to direct USAID resources to the most
under-served populations and marginalized areas of the country. Through
this activity USAID seeks to bridge the gap and address its resources
where the greatest need for family planning exists. USAID understands
that reaching out to more rural and conservative areas of the country
has its challenges including increased unit costs and slower
implementation, however, the Recipient will be expected to reach their
proposed targets so benchmarks should be considered carefully. The
districts that are chosen will, by the end of the program, help
determine which approaches have been effective and which approaches will
require modification. USAID is currently in negotiations with the
provinces to finalize the locality of the interventions and thus far has
tentatively identified some of the districts.

-   

-   

-   

-   At least six districts in Northwestern Frontier Province (): Two in
    which the PAIMAN and water projects are currently underway (Upper
    Dir and Buner), two in which only the water project is taking place
    (Batagram and Swat), and two districts that have no other
    USAID-funded projects being implemented (Lakki Marwat and TBD).
    (Districts that Work is not yet active in NWFP.) Six districts in
    Balochistan: Two in which the PAIMAN and water projects are
    currently underway (Lasbella and Jaffarabad), two in which only the
    water project is taking place (Zhob, Turbet-Kech), and two districts
    that have no other USAID-funded projects being implemented (Gwadar
    and Khuzdar). (Districts that Work is active in Lasbella);

-   At least six districts in Rural Sindh: Two in which the PAIMAN and
    water projects are currently underway (Sukker and Dadu), two in
    which only the water project is taking place (Larkana and Thatta),
    and two districts that have no other USAID-funded projects being
    implemented (Sanghar and TBD). (Districts that Work is active in
    Dadu and Sukkur); and

-   Two districts in Rural Punjab: Both districts in Punjab will be
    districts in which the PAIMAN and water projects are active (Jhellum
    and DG Khan).

**[IV. Expected Results and Activities and Suggested
Activities:]{.underline}**

Below are illustrative activities situated within the proposed
components; however, USAID challenges applicants to provide other
innovative activities within the proposed components. Each component has
a percentage assigned to it. This value represents the component's
importance, and is indicative of the budgeting for each component.

***[A. Result: Creation of demand for family planning and birth spacing
in Pakistan:]{.underline}***

Program emphasis: 20%

By creating demand through mass media, Pakistani families will better
understand the advantages of birth spacing for the health of their
families. Further, by reaching out to a broad base of the population,
especially men, it is hoped that family planning and birth spacing will
become more culturally acceptable. Engaging both men and women through
community-based outreach as well as mass media is a dual-pronged
approach to increase use of birth spacing and family planning in its
entirety.

Unmet need for family planning continues to hover around 33%. This gap
can be addressed by assuring an affordable supply of family planning
products and services and facilitating access to these. A broad-based
and innovative behavior change communication (BCC) strategy aimed at
increasing knowledge and strengthening the enabling environment for
informed family planning decision-making can also lead to couples
seeking out products and services that address this need.

Overall, there are a number of key opportunities to introduce birth
spacing as a viable option for the majority of Pakistani women and their
families. Increasing knowledge of the array of methods and ensuring
commodities are on-site along with care providers who are trained and
motivated to offer quality family planning services are key challenges
to a comprehensive family planning intervention. Increasing access of
women to birth spacing with culturally appropriate staff, timing, and
location are also of increased importance. Working with religious
leaders in the community might be one way to encourage religious
scholars to speak out about the benefits of birth spacing. Pre-use
counseling of women regarding potential side effects could assist them
in choosing a modern method whose side effects they find tolerable.
Working with men and mothers-in-law could be key areas of intervention
in increasing the acceptability of family planning at the household
level. Finally, working with district-level authorities to provide
overall guidance, leadership, and to create an enabling environment will
vastly improve the possibilities of success of family planning programs
at the community-level.

\*\*Note: USAID does not at this time envision providing support to any
communication centers.

**[Expected Activities:]{.underline}**

1.  Use of mass media and interpersonal communication techniques to
    increase knowledge, create an enabling environment, and increase
    demand for birth spacing.

-   If requested, provide international expertise to oversee media
    components and work closely with the MOH and MOPW to build internal
    skills and expertise within the staff of both ministries as required

-   Creation of nationwide information/education/communication /BCC
    materials, including Tiahrt posters

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-   Creation of mass media campaigns

2.  

3.  **[Suggested Activities:]{.underline}**

4.  Social mobilization to educate Pakistani men and women about birth
    spacing and birth limiting services as a means of decreasing
    maternal and infant mortality. Applicant should propose the number
    of sites for the pilot projects whilst ensuring the equal
    distribution throughout provinces and districts.

-   Pilot project working with post office workers and/or railways
    (non-LHW areas)

-   Pilot project reaching men through activities focused on increasing
    male involvement through male committees

-   Pilot project reaching women through national and local women's
    groups

-   Pilot project using social networks as an outreach method to reach
    women and men

***[B. Result: Revitalization of high quality birth spacing and family
planning services in the public health sector:]{.underline}***

Program emphasis: 30%

The public sector is chiefly responsible for providing health care to
the Pakistani population. Collaborating with district and provincial
government authorities is vital in creating a base of leadership for
birth spacing and family planning initiatives within their electorates.
This component will also help district teams understand how investments
in family planning reduce other social sector investments and thus
contribute to poverty reduction and socio-economic development.

Increasing capacity and streamlining the efforts of the MOH and MOPW are
crucial to the success of an effective national family planning program.
Creating cohesion in policy assists implementing entities. By ensuring
cohesive curricula and training packages, service delivery providers
will be better able to counsel and address their patients' needs in
regard to their family planning options. Finally, commodities must reach
the community-level and women and men desiring to space births for
family planning programs to be successful.

**[Expected Activities:]{.underline}**

1\. Creation of standardized training packages, used by the MOH and the
MOPW to promote the use of a unified, cohesive curriculum. Ensure health
professional clarity on family planning methods, effective service
delivery, and proper counseling techniques.\*

-   

-   The standardized training packages should include refresher
    trainings, pre-service training, and on-the-job training for a wide
    variety of health professionals, including the cadres of physicians,
    nurses, paramedics, and technician staff. This will include the
    printing of packages.

    -   standardize curriculum that covers the family planning continuum
        of care including Lactation Amenorrhea Method (LAM), standard
        days method, IUDs and injectables, and permanent methods. This
        should be integrated into the medical schools' curriculum (as
        part of core curriculum).

-   Strengthen and harmonize regulations and guidelines for the national
    family planning program and provide technical assistance to develop
    systems to monitor implementation of said regulations and
    guidelines.

-   Collaborate with USAID, the MOH, and the MOPW to clarify population
    policies and ensure their uniformity (i.e. price policy, among
    others).

    2\. Facilitate improved information sharing among the varying levels
    of the GOP, donors, NGO's, and other governmental partners.\*

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-   Work in coordination with the new USAID Health System activity and
    the Ministries of Health and of Population Welfare to implement a
    logistic management information system (LMIS) system in public
    sector clinics to secure logistics management at the service
    delivery points below the district level (RHU, BHC, FWC) and to work
    with the LHWs' supervisors to strengthen contraceptives supply
    management for the LHWs.. **[NOTE]{.underline}**: Equipment
    procurement on a grand scale is not required or desired.

-   Collaborate with district health offices, especially those in more
    rural and under-served areas, with an emphasis on the District
    Health and Population Management Team (DHPMT).

-   Work with pertinent nazims, union councils and village health
    committees, where present, to promote local leadership for birth
    spacing.

-   3\. Provide training to service providers involved in family
    planning and/or other government-run health services in which family
    planning can be integrated. This could include refresher trainings,
    pre-service training, and on-the-job training for a wide variety of
    health professionals, including the cadres of physicians, nurses,
    paramedics, and technician staff.

    4\. Pilot a project that works with the MOH to integrate injectables
    into the LHW program in selected districts. Applicant should propose
    the number of sites for the pilot project whilst ensuring equal
    distribution throughout provinces and districts.

**[Suggested Activities:]{.underline}**

5\. Promote the use of innovative and evidence-based tools and training
materials and improve outreach programs for health education and service
delivery.

***[C. Result: Reinforcement of high-quality family planning and birth
spacing services in the private sector:]{.underline}***

Program emphasis: 25%

Approximately 70% of the population seek care in the private sector.
USAID seeks to strengthen quality of care for those who do seek care
from the private sector for family planning by supporting innovative
private sector models of service delivery. By using new and more rural
models, it is hoped that the most under-served will have access to
quality family planning services. Workplace programs will reach those
that most family planning outreach activities miss as the wage earners
are not typically at home when LHWs visit; thus, workplace programs are
a new approach to reach rural men where they spend the majority of their
time.

**[Suggested Activities:]{.underline}**

1.  Quality improvement approaches to service delivery, which reach
    populations traditionally under-served in family planning and
    reproductive health. This component could include options available
    for new private sector models; i.e. franchising, pre-payment plans,
    insurance schemes, etc. Applicant should propose the types and
    number of sites for the pilot projects whilst ensuring the equal
    distribution throughout provinces and districts.

-   New and innovative private sector models could include:

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-   Pilots with LHVs or midwives with private practices

-   Pilots with private clinicians

-   Pilots with Hakims

> o Workplace programs with private sector companies located in rural
> areas. These might include poultry, textiles, cotton, sugar, milk and
> livestock industries

***[D. Result: Social Marketing of family planning commodities (to start
Oct.1, 2007):]{.underline}***

Program emphasis: 25%

Social marketing (SM) has proven to be an effective strategy in
expanding access to a range of modern contraceptives in Pakistan. It has
also been successful in changing social norms and behaviors of the
Pakistani population. Today in Pakistan, SM provides more than one
quarter of all modern contraceptives used in Pakistan. In 2005-2006 an
impressive 2.5 million CYPs were generated by the social marketing
organizations. This Agreement seeks to continue social marketing in
three of the four Pakistani provinces; Punjab, Balochistan, Sindh with
an emphasis on the urban areas. The applicant should examine USAID's
existing program for to build on, when appropriate.

**[Expected Activities:]{.underline}**

1\. Improve the scope and breadth of communities' choices in socially
marketed family planning products.

-   Product Branding and Marketing

-   Strengthen distribution network and channels

-   Develop and implement BCC for product promotion

Commodities are currently available only for year one of the program.
USAID will be actively seeking donors to fund commodities for years two
through five; however, the Recipient is encouraged to leverage
commodities from other sources. Funding for this component will be
determined annually based on the availability of commodities.

[]{.mark}

[]{.mark}

[]{.mark}

[]{.mark}

**[V. Monitoring and Indicators:]{.underline}**

In the newly developed USAID global element framework, the health sector
will "Invest in People."  Specifically, USAID strives "To help nations
achieve sustainable improvement in the well-being and productivity of
their populations through effective and accountable investments in
education, health, and other social services."  The Recipient shall
submit a monitoring plan, which collects data on the following
indicators as well as other proposed by the recipient. The Recipient
will be required to report on these indicators quarterly. Projects in
family planning will globally be measured by the following indicators,
and thus are considered critical: 

\* Couple-years of protection (CYP) in USG-supported programs by method

\* Number of people trained in family planning/reproductive health (by
gender)

\* Number of individuals counseled on family planning/reproductive
health (by gender)

\* Number of people that have seen or heard a specific family
planning/reproductive health message

\* Number of policies or guidelines developed or changed to improve
access to and use of family planning/reproductive health services

\* Number of new approaches (e.g.  tools, technologies, operational
procedures, information systems, etc) successfully introduced

\* Number of service delivery points providing family planning
counseling or services

\* Amount of in-country public and private financial resources leveraged
for family planning/reproductive health

\* Number of service delivery points (SDP) reporting stock-outs of any
contraceptive commodity offered by the SDP at any time during the
reporting period

Applicants are encouraged to propose additional indicators by which to
monitor the inputs, process, outputs, and outcomes of the program.

**[VI. Cross Cutting Issues]{.underline}**

*[Monitoring and Evaluation:]{.underline}* Identifying program
strengths, weaknesses, successes, and obstacles through monitoring and
evaluation of program activities. Monitoring and evaluation is a
critical piece of this agreement. Monitoring, especially in the current
family planning context, is critical to identify gaps, weaknesses, and
successes of project interventions. Recipients should be clearly
monitoring the activities and initiatives contained in this Agreement so
as to allow quarterly desk evaluations of their results. Formal mid-term
and end-point evaluations will be financed and implemented by USAID. The
Recipient's monitoring system will be crucial in conducting the mid-term
evaluation that will be undertaken and by which USAID will base its
programming decisions for the final two years of activity.

The Recipient shall produce the following metrics:

-   Quantitative baseline and end-point surveys in all districts

-   Qualitative analysis of family planning behavior, attitudes, and
    perceptions at baseline and end-point

-   Quality of care surveys in both private and public facilities

*[Cultural and Geographic Considerations]{.underline}:* Pakistan is a
complex and culturally rich country, all of which can impact the
successful implementation of programs. The Recipient is expected to
demonstrate sensitivity and flexibility when taking into account the
different provinces and their cultures, population size, geographical
makeup and general ways of doing business. Activities and approaches
must be properly tailored to meet the cultural and geographic
challenges.

*[Partnering, Linkages, and Coordination:]{.underline}* Fostering
collaborative linkages and partnerships among USAID-funded implementing
partners and within the wider health sector community, especially with
the Pakistan MOH, MOPW, and the Ministry of Industries, Production and
Special Initiatives (MOIP & SI) will be an important principle
throughout the award period. Support and commitment from the GOP is
essential to the success of this program and the Recipient shall develop
and maintain collaborative relationships to ensure ownership and support
throughout all phases of program planning, implementation and monitoring
and evaluation. Effective linkages/partnerships leading to closer
coordination and collaboration among parties working in community
reproductive health in Pakistan are intended to avoid duplication of
efforts, and to increase and improve the government's ownership and
accountability. Carefully planned and soundly designed program
activities which foster linkages/partnerships are intended to lead to
long term programmatic sustainability of health interventions. Forming
linkages/partnerships beyond the health sector, to community development
initiatives (such as the PRSP) in education, anti-trafficking, good
governance, clean water and sanitation, etc., are strongly encouraged.
The project will establish satellite offices, within GOP installations.
The MOH, MOPW, and provincial directors have agreed to provide office
space to implementing agencies in the provincial capitals.

*[Building Human Resources and Sustainability:]{.underline}* The
Recipient shall implement measures to develop competencies for
decision-making among an increased number of Pakistani counterparts at
all levels to develop long-term sustainability. The Recipient shall
ensure that counterparts will increasingly be in a position to take
senior management and technical roles, authorities and responsibilities
in the area of reproductive health. The Recipient's own human resource
base, particularly Pakistani, at senior, middle and entry level should
be developed through specific planning and professional development
activities.

*[Gender:]{.underline}* Gender differences and discrimination play a
significant role in determining the health status of women and girls in
Pakistan. The Grantee shall take into consideration the impact of gender
and ensure that equity concerns will be an integral element of all
program activities. Appropriate internal and external management
structures and personnel processes are required to demonstrate that
issues of gender are incorporated into all program interventions.

**[VII. Key Personnel]{.underline}**

The Proposal must specify the composition and organizational structure
of the implementing team (including home office support), particularly
those considered to be Key Personnel, and describe each staff member's
role, technical qualifications/expertise and estimated amount of time
each will devote to the program. It is expected that each critical area
of program focus will be represented by relevant technical expertise.
There should also be discussion on how these Key Personnel and other
relevant technical staff will effectively contribute to the implementing
team. It should indicate the names, positions, titles and provide full
resumes of important managerial and technical personnel who will be
involved in program activity. CV's for key personnel should contain
contact information (e-mail and phone number) of supervisors for the
four most recent positions the candidate has held. Each CV must be
limited to two pages with an additional page granted for supervisory
contacts. Key personnel should be in-country within 20 working days of
the signing of the agreement. Applicants should consider a mix of
Pakistani/expatriates for key personnel positions; no additional points
will be given based on the nationality of proposed key personnel.

Please note that according to the Department of State, Pakistan is an
unaccompanied post. Family members of US direct hire employees are not
permitted to travel to or reside at post with the employee at government
expense.   Under the resulting contract, while USAID cannot expressly
forbid a Recipient employee from bringing family members to post at
personal expense, it is not encouraged or desired.  Under no
circumstances will costs related to dependents be considered allowable
costs to this contract including transportation, education, and per
diem.  Separate Maintenance Allowance (SMA) is authorized for US Direct
hires, and is authorized for Recipient employees if permitted by the
Recipient's policies and practices.  If a Recipient employee brings
family members to post, he or she is not eligible to receive SMA.  
Housing for employees shall be based on the space needs of an individual
without family.

The Key Personnel positions under this program shall include the
following: Chief of Party, Director of Administration and Financial
Management, Monitoring and Evaluation Advisor and Senior Technical
Advisors with experience in multiple aspects of reproductive health and
family planning. Key personnel can be expatriates, Pakistani citizens or
some combination of the two. USAID must approve all Key Personnel.

Required qualifications and functions for Key Personnel include the
following:

*[Chief of Party:]{.underline}* The Chief of Party shall be responsible
for the overall management and implementation of the program and report
directly to the designated USAID Cognizant Technical Officer (CTO). S/he
shall supervise project implementation, serve as the principle
interlocutor with USAID and the GOP and ensure the program meets stated
goals and reporting requirements. The Chief of Party shall have an
advanced degree (master's degree or equivalent) in a relevant field from
an accredited university. The Chief of Party shall have at least 10
years of experience in managing and implementing reproductive health
programs in developing countries and specifically in the areas outlined
above. S/he shall have demonstrated exemplary diplomatic and
interpersonal skills to ensure internal coherence amongst diverse team
members as well as relations with the GOP, donors and the international
community. The Chief of Party shall possess excellent English writing
skills.

The Chief of Party serves as the representative of the Program including
any sub-Grantees, if any, and will be the point of contact in Pakistan
for all purposes of this project, unless delegations of authority are
presented to and agreed by the Mission CTO.

*[Director of Administration and Financial Management:]{.underline}* The
Director of Administration and Financial Management shall be responsible
for overseeing the administrative and financial management and
accountability requirements of the program. S/he shall have an earned
graduate degree in accounting or business administration from an
accredited university and at least five years experience in project
administration.

#### *[Monitoring and Evaluation Advisor]{.underline}*: The Monitoring and Evaluation Advisor shall be responsible for coordinating the development of a performance management plan for the project, including performance monitoring criteria. The Advisor is required to hold an earned degree from an accredited university in a relevant field. S/he shall have at least five years of relevant experience working in developing country settings. S/he shall have excellent writing skills in English. 

*[Program Advisors (2):]{.underline}* The technical team shall be
composed of two experienced and well-qualified family planning and
reproductive health advisors with at least five years of demonstrated
expertise in their particular fields in a developing country. Special
focus shall be given to experience in capacity building, quality
assurance, and evidence-based decision making. All technical team
members shall have excellent writing skills in English.

**[VIII. Reporting Requirements]{.underline}**

## ***\*\* Applicants are advised that periodic performance reports will be required under the resulting Cooperative Agreement. Requirements for periodic performance reports are contained below and supplement the requirements of 22 CFR 226.51. After award, the exact format for preparation of and timing for submission of all reports shall be proposed by the Recipient and concurred by the CTO. Applicants are reminded to budget prudent and adequate resources for completing the required reporting**.* 

### *[A. Annual Implementation Plan (2 hard copies + electronic copy):]{.underline}*

Implementation plans shall be submitted on a schedule established by the
CTO. The first annual implementation plan will cover the 12 month period
following mobilization. The first annual implementation plan is due
within 50 working days of the signing of the agreement.

The implementation plan serves several purposes including a guide to
program implementation, a demonstration of links between activities,
strategic objectives and intended results, a basis for budget estimates
and the foundation for the monitoring and evaluation plan.

Implementation plans shall be organized to clearly link activities to
the expected results. The implementation plans shall approved by the CTO
in consultation with the GOP. Additionally, the implementation plan
budget shall delineate an overall budget and the budget per activity
showing fully loaded costs.

The implementation plan, at a minimum, shall include:

-   Brief situation analysis in the context of what other donors and
    implementing partners and host-country governments are contributing;

-   Life-of-program results;

-   Milestones (or benchmarks) toward achieving those results over the
    duration of the program;

-   Partner involvement and contributions to achieving the results;

-   Budget; and,

-   Timeline.

### 

### *[B. Award Monitoring Plan (AMP) (2 hard copies + electronic copy):]{.underline}* 

Four months after award, the Recipient, in consultation with
implementation partners and USAID, shall finalize the Award Monitoring
Plan (AMP) for the project, including final selection of indicators,
baseline data needs and establishment of program targets. In addition to
internal project impact and monitoring indicators for the Recipient's
use, USAID may require the collection of data on a set of core
indicators to be finalized during AMP development. Please note that a
the initial monitoring and evaluation plan should be submitted with the
Applicantion.

### *[C. Quarterly Performance Monitoring Reports (2 hard copies + electronic copy):]{.underline}* 

### Quarterly performance monitoring reports shall be submitted to the CTO, in coordination with Mission internal reviews. Reports should [briefly]{.underline} document actual accomplishments toward the program objectives, intermediate results and milestones, including conformance with environmental guidelines. The last performance monitoring report of the fiscal year shall be a summation of the results and progress toward results made during that year. Key indicators shall be tracked and graphed against pre-defined targets as agreed upon by the CTO. The report shall be presented in the following format and shall not exceed 30 pages:

Executive Summary -- This section is a narrative summary of overall
achievements against planned achievements and a brief description of any
realized or potential performance challenges[^1]. Achievements should be
quantified against both principal and collateral award
targets/indicators wherever possible, leaving detailed analysis for
later sections.

Summary Table - The Executive Summary should be followed by a table
which identifies all results and their corresponding targets/indicators.
Overall grant goals for each target and indicator shall be identified as
well as planned and actual goals for the reporting period. In addition,
costs inccurred by result or group of results should be identified as
well as planned and actual expenditures for the reporting period. This
table is intended to serve as an at-a-glance data summary. An
illustration is provided below:

Correlation to AMP - In this section, the Recipient should describe how
the performance being reported was monitored. This description should
reference the AMP methods used during the reporting period. If the AMP
was not strictly followed, the grantee should provide a rationale for
not using it.

Result by Result Analysis -- This section will provide detailed analysis
of the results summarized above as well as additional narrative
regarding the achievements and challenges.

Financial Summary - This section is not a financial report; rather it
summarizes financial expenditure data in reference to achievements. The
most tangible statement in this section will be one regarding whether
spending towards each result is "less than anticipated, on target with
estimates, or more than anticiapted." Reports which indicate that
expenditures are less or more than anticipated will be supported with
rationale detailing the probable cause(s). Reports which indicate that
expenditures are more than anticipated must also include a plan for
ensuring that the performance of the result will be met within the
estimated award budget for that result.

### 

*[D. Quarterly Financial Reports:]{.underline}* The Grantee shall submit
to the USAID CTO, a quarterly financial report that specifically
includes the SF-269 (long form), SF-424 line item budgets, expenditures
and accruals and a pipeline (balance remaining). This table with
expenditures and accruals shall be submitted to the CTO no less than 15
days before the end of each (USAID) fiscal year quarter throughout the
life of the project.

### 

### *[End of Program Report (3 hard copies + electronic copy):]{.underline}* The Recipient shall submit a final report 90 days after the completion date of the Agreement which includes: an executive summary of the Recipient's accomplishments in achieving results and conclusions about areas in need of future assistance; an overall description of the Recipient's activities and attainment of results during the life of the Cooperative Agreement; an assessment of progress made toward accomplishing the Strategic Objective 7; significance of these activities; important research findings, if any; comments and recommendations; and a fiscal report that describes how the Recipient's funds were used. 

*[F. Distribution of Reports]{.underline}*

The Recipient shall submit an original and two copies of the final
report to the CTO and one copy to the USAID Development Experience
Clearinghouse: E-mail (the preferred means of submission) is:
<docsubmit@dec.cdie.org>. The mailing address via U.S. Postal Service
is: Development Experience Clearinghouse, 8403 Colesville Road, Suite
210, Silver Spring, MD 20910.

Reports required as described in this section will be sent to the CTO.
Reports and intellectual products required above will also be submitted
to the USAID Development Experience Clearinghouse either electronically
via e-mail (the preferred means of submission) to
<docsubmit@dec.cdie.org> or in hard copy via U.S. Postal Service to
Development Experience Clearinghouse, 8403 Colesville Road, Suite 210,
Silver Spring, MD 20910.

SECTION D - CERTIFICATIONS, ASSURANCES OF APPLICANTS

U.S. AGENCY FOR INTERNATIONAL DEVELOPMENT

CERTIFICATIONS, ASSURANCES, AND OTHER STATEMENTS OF APPLICANTS
\[1\]\[2\]

\[To be submitted as part of an Applicant's cost proposal. To be signed
by an authorized agent of the applicant at the end of this Section D.\]

## PART I - CERTIFICATIONS AND ASSURANCES

1\. **ASSURANCE OF COMPLIANCE WITH LAWS AND REGULATIONS GOVERNING
NON-DISCRIMINATION IN FEDERALLY ASSISTED PROGRAMS**

> \(a\) The recipient hereby assures that no person in the United States
> shall, on the bases set forth below, be excluded from participation
> in, be denied the benefits of, or be otherwise subjected to
> discrimination under, any program or activity receiving financial
> assistance from USAID, and that with respect to the grant for which
> application is being made, it will comply with the requirements of:
>
> \(1\) Title VI of the Civil Rights Act of 1964 (Pub. L. 88-352, 42
> U.S.C. 2000-d), which prohibits discrimination on the basis of race,
> color or national origin, in programs and activities receiving Federal
> financial assistance;
>
> \(2\) Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. 794),
> which prohibits discrimination on the basis of handicap in programs
> and activities receiving Federal financial assistance;
>
> \(3\) The Age Discrimination Act of 1975, as amended (Pub. L. 95-478),
> which prohibits discrimination based on age in the delivery of
> services and benefits supported with Federal funds;
>
> \(4\) Title IX of the Education Amendments of 1972 (20 U.S.C. 1681, et
> seq.), which prohibits discrimination on the basis of sex in education
> programs and activities receiving Federal financial assistance
> (whether or not the programs or activities are offered or sponsored by
> an educational institution); and
>
> \(5\) USAID regulations implementing the above nondiscrimination laws,
> set forth in Chapter II of Title 22 of the Code of Federal
> Regulations.
>
> \(b\) If the recipient is an institution of higher education, the
> Assurances given herein extend to admission practices and to all other
> practices relating to the treatment of students or clients of the
> institution, or relating to the opportunity to participate in the
> provision of services or other benefits to such individuals, and shall
> be applicable to the entire institution unless the recipient
> establishes to the satisfaction of the USAID Administrator that the
> institution\'s practices in designated parts or programs of the
> institution will in no way affect its practices in the program of the
> institution for which financial assistance is sought, or the
> beneficiaries of, or participants in, such programs.
>
> \(c\) This assurance is given in consideration of and for the purpose
> of obtaining any and all Federal grants, loans, contracts, property,
> discounts, or other Federal financial assistance extended after the
> date hereof to the recipient by the Agency, including installment
> payments after such date on account of applications for Federal
> financial assistance which were approved before such date. The
> recipient recognizes and agrees that such Federal financial assistance
> will be extended in reliance on the representations and agreements
> made in this Assurance, and that the United States shall have the
> right to seek judicial enforcement of this Assurance. This Assurance
> is binding on the recipient, its successors, transferees, and
> assignees, and the person or persons whose signatures appear below are
> authorized to sign this Assurance on behalf of the recipient.

2\. **CERTIFICATION REGARDING LOBBYING**

The undersigned certifies, to the best of his or her knowledge and
belief, that:

> \(1\) No Federal appropriated funds have been paid or will be paid, by
> or on behalf of the undersigned, to any person for influencing or
> attempting to influence an officer or employee of any agency, a Member
> of Congress, an officer or employee of Congress, or an employee of a
> Member of Congress in connection with the awarding of any Federal
> contract, the making of any Federal grant, the making of any Federal
> loan, the entering into of any cooperative agreement, and the
> extension, continuation, renewal, amendment or modification of any
> Federal contract, grant, loan, or cooperative agreement.
>
> \(2\) If any funds other than Federal appropriated funds have been
> paid or will be paid to any person for influencing or attempting to
> influence an officer or employee of any agency, a Member of Congress,
> an officer or employee of Congress, or an employee of a Member of
> Congress in connection with this Federal contract, grant, loan, or
> cooperative agreement, the undersigned shall complete and submit
> Standard Form-LLL, \"Disclosure of Lobbying Activities,\" in
> accordance with its instructions.
>
> \(3\) The undersigned shall require that the language of this
> certification be included in the award documents for all subawards at
> all tiers (including subcontracts, subgrants, and contracts under
> grants, loans, and cooperative agreements) and that all subrecipients
> shall certify and disclose accordingly.
>
> This certification is a material representation of fact upon which
> reliance was placed when this transaction was made or entered into.
> Submission of this certification is a prerequisite for making or
> entering into this transaction imposed by section 1352, title 31,
> United States Code. Any person who fails to file the required
> certification shall be subject to a civil penalty of not less than
> \$10,000 and not more than \$100,000 for each such failure.
>
> Statement for Loan Guarantees and Loan Insurance
>
> The undersigned states, to the best of his or her knowledge and
> belief, that: If any funds have been paid or will be paid to any
> person for influencing or attempting to influence an officer or
> employee of any agency, a Member of Congress, an officer or employee
> of Congress, or an employee of a Member of Congress in connection with
> this commitment providing for the United States to insure or guarantee
> a loan, the undersigned shall complete and submit Standard Form-LLL,
> \"Disclosure Form to Report Lobbying,\" in accordance with its
> instructions. Submission of this statement is a prerequisite for
> making or entering into this transaction imposed by section 1352,
> title 31, U.S. Code. Any person who fails to file the required
> statement shall be subject to a civil penalty of not less than
> \$10,000 and not more than \$100,000 for each such failure.

3\. **PROHIBITION ON ASSISTANCE TO DRUG TRAFFICKERS FOR COVERED
COUNTRIES AND INDIVIDUALS (ADS 206)**

USAID reserves the right to terminate this \[Agreement/Contract\], to
demand a refund or take other appropriate measures if the \[Recipient/
Contractor\] is found to have been convicted of a narcotics offense or
to have been engaged in drug trafficking as defined in 22 CFR Part 140.
The undersigned shall review USAID ADS 206 to determine if any
certification are required for Key Individuals or Covered Participants.

If there are COVERED PARTICIPANTS: USAID reserves the right to terminate
assistance to, or take or take other appropriate measures with respect
to, any participant approved by USAID who is found to have been
convicted of a narcotics offense or to have been engaged in drug
trafficking as defined in 22 CFR Part 140.

4\. **KEY INDIVIDUAL CERTIFICATION NARCOTICS OFFENSES AND DRUG
TRAFFICKING**

I hereby certify that within the last ten years:

1\. I have not been convicted of a violation of, or a conspiracy to
violate, any law or regulation of the United States or any other country
concerning narcotic or psychotropic drugs or other controlled
substances.

2\. I am not and have not been an illicit trafficker in any such drug or
controlled substance.

3\. I am not and have not been a knowing assistor, abettor, conspirator,
or colluder with others in the illicit trafficking in any such drug or
substance.

Signature: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Date: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Name: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Title/Position: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Organization: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Address: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Date of Birth: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

NOTICE:

1\. You are required to sign this Certification under the provisions of
22 CFR Part 140, Prohibition on Assistance to Drug Traffickers. These
regulations were issued by the Department of State and require that
certain key individuals of organizations must sign this Certification.

2\. If you make a false Certification you are subject to U.S. criminal
prosecution under 18 U.S.C. 1001.

5\. **CERTIFICATION OF COMPLIANCE WITH STANDARD PROVISIONS ENTITLED
"CONDOMS" AND "PROHIBITION ON THE PROMOTION OR ADVOCACY OF THE
LEGALIZATION OR PRACTICE OF PROSTITUTION OR SEX TRAFFICKING"**

This certification requirement only applies to the prime recipient.
Before a U.S. or non-U.S. non-governmental organization receives
FY04-FY08 HIV/AIDS funds under a grant or cooperative agreement, such
recipient must provide to the Agreement Officer a certification
substantially as follows:

"\[Recipient\'s name\] certifies compliance as applicable with the
standard provisions entitled "Condoms" and "Prohibition on the Promotion
or Advocacy of the Legalization or Practice of Prostitution or Sex
Trafficking" included in the referenced agreement."

**6. Certification Regarding Terrorist Financing**

By signing and submitting this application, the prospective recipient
provides the certification set out below:

1\. The Recipient, to the best of its current knowledge, did not
provide, within the previous ten years, and will take all reasonable
steps to ensure that it does not and will not knowingly provide,
material support or resources to any individual or entity that commits,
attempts to commit, advocates, facilitates, or participates in terrorist
acts, or has committed, attempted to commit, facilitated, or
participated in terrorist acts, as that term is defined in paragraph 3.

2\. The following steps may enable the Recipient to comply with its
obligations under paragraph 1:

> a\. Before providing any material support or resources to an
> individual or entity, the Recipient will verify that the individual or
> entity does not (i) appear on the master list of Specially Designated
> Nationals and Blocked Persons, which list is maintained by the U.S.
> Treasury's Office of Foreign Assets Control (OFAC) and is available
> online at OFAC's website:
> <http://www.treas.gov/offices/eotffc/ofac/sdn/t11sdn.pdf>, or (ii) is
> not included in any supplementary information concerning prohibited
> individuals or entities that may be provided by USAID to the
> Recipient.
>
> b\. Before providing any material support or resources to an
> individual or entity, the Recipient also will verify that the
> individual or entity has not been designated by the United Nations
> Security (UNSC) sanctions committee established under UNSC Resolution
> 1267 (1999) (the "1267 Committee") \[individuals and entities linked
> to the Taliban, Usama bin Laden, or the Al Qaida Organization\]. To
> determine whether there has been a published designation of an
> individual or entity by the 1267 Committee, the Recipient should refer
> to the consolidated list available online at the Committee's website:
> <http://www.un.org/Docs/sc/committees/1267/1267ListEng.htm>.
>
> c\. Before providing any material support or resources to an
> individual or entity, the Recipient will consider all information
> about that individual or entity of which it is aware and all public
> information that is reasonably available to it or of which it should
> be aware.
>
> d\. The Recipient also will implement reasonable monitoring and
> oversight procedures to safeguard against assistance being diverted to
> support terrorist activity.

3\. For purposes of this Certification-

> a\. "Material support and resources" means currency or monetary
> instruments or financial securities, financial services, lodging,
> training, expert advice or assistance, safehouses, false documentation
> or identification, communications equipment, facilities, weapons,
> lethal substances, explosives, personnel, transportation, and other
> physical assets, except medicine or religious materials."
>
> b\. "Terrorist act" means-
>
> \(i\) an act prohibited pursuant to one of the 12 United Nations
> Conventions and Protocols related to terrorism (see UN terrorism
> conventions Internet site:
> <http://untreaty.un.org/English/Terrorism.asp>); or
>
> \(ii\) an act of premeditated, politically motivated violence
> perpetrated against noncombatant targets by subnational groups or
> clandestine agents; or
>
> \(iii\) any other act intended to cause death or serious bodily injury
> to a civilian, or to any other person not taking an active part in
> hostilities in a situation of armed conflict, when the purpose of such
> act, by its nature or context, is to intimidate a population, or to
> compel a government or an international organization to do or to
> abstain from doing any act.
>
> c\. "Entity" means a partnership, association, corporation, or other
> organization, group or subgroup.
>
> d\. References in this Certification to the provision of material
> support and resources shall not be deemed to include the furnishing of
> USAID funds or USAID-financed commodities to the ultimate
> beneficiaries of USAID assistance, such as recipients of food, medical
> care, micro-enterprise loans, shelter, etc., unless the Recipient has
> reason to believe that one or more of these beneficiaries commits,
> attempts to commit, advocates, facilitates, or participates in
> terrorist acts, or has committed, attempted to commit, facilitated or
> participated in terrorist acts.
>
> e\. The Recipient's obligations under paragraph 1 are not applicable
> to the procurement of goods and/or services by the Recipient that are
> acquired in the ordinary course of business through contract or
> purchase, e.g., utilities, rents, office supplies, gasoline, etc.,
> unless the Recipient has reason to believe that a vendor or supplier
> of such goods and services commits, attempts to commit, advocates,
> facilitates, or participates in terrorist acts, or has committed,
> attempted to commit, facilitated or participated in terrorist acts.
>
> This Certification is an express term and condition of any agreement
> issued as a result of this application, and any violation of it shall
> be grounds for unilateral termination of the agreement by USAID prior
> to the end of its term.
>
> Signed:
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> Name and Title*:*
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> Name of Organization: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> Date:
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_[\_]{.underline}

7\. **SURVEY ON ENSURING EQUAL OPPORTUNITY FOR APPLICANTS**

<http://www.usaid.gov/forms/surveyeo.doc> contains a survey on ensuring
equal opportunity for applicants. The applicant's completion of the
survey is voluntary. The absence of a completed survey in an application
may not be a basis upon which the application is determined incomplete
or non-responsive. Applicants who volunteer to complete and submit the
survey under a competitive or non-competitive action are instructed
within the text of the survey to submit it as part of the application
process; applicants who chose to submit the survey shall include it in
the technical application in the "annexes" section.

**PART II - OTHER STATEMENTS OF RECIPIENT**

1\. AUTHORIZED INDIVIDUALS

The recipient represents that the following persons are authorized to
negotiate on its behalf with the Government and to bind the recipient in
connection with this application or grant:

Name Title Telephone No. Facsimile No. Email Address

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

2\. TAXPAYER IDENTIFICATION NUMBER (TIN)

If the recipient is a U.S. organization, or a foreign organization which
has income effectively connected with the conduct of activities in the
U.S. or has an office or a place of business or a fiscal paying agent in
the U.S., please indicate the recipient\'s TIN:

TIN: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

3\. CONTRACTOR IDENTIFICATION NUMBER - DATA UNIVERSAL NUMBERING SYSTEM
(DUNS) NUMBER

\(a\) In the space provided at the end of this provision, the recipient
should supply the Data Universal Numbering System (DUNS) number
applicable to that name and address. Recipients should take care to
report the the number that identifies the recipient\'s name and address
exactly as stated in the proposal.

\(b\) The DUNS is a 9-digit number assigned by Dun and Bradstreet
Information Services. If the recipient does not have a DUNS number, the
recipient should call Dun and Bradstreet directly at 1-800-333-0505. A
DUNS number will be provided immediately by telephone at no charge to
the recipient. The recipient should be prepared to provide the following
information:

\(1\) Recipient\'s name.

\(2\) Recipient\'saddress.

\(3\) Recipient\'s telephone number.

\(4\) Line of business.

\(5\) Chief executive officer/key manager.

\(6\) Date the organization was started.

\(7\) Number of people employed by the recipient.

\(8\) Company affiliation.

\(c\) Recipients located outside the United States may obtain the
location and phone number of the local Dun and Bradstreet Information
Services office from the Internet Home Page at
http://www.dbisna.com/dbis/customer/custlist.htm. If an offeror is
unable to locate a local service center, it may send an e-mail to Dun
and Bradstreet at globalinfo@dbisma.com.

The DUNS system is distinct from the Federal Taxpayer Identification
Number (TIN) system.

DUNS:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

4\. LETTER OF CREDIT (LOC) NUMBER

If the recipient has an existing Letter of Credit (LOC) with USAID or
another US federal agency, please indicate the LOC number:

LOC:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

5\. PROCUREMENT INFORMATION

\(a\) Applicability. This applies to the procurement of goods and
services planned by the recipient (i.e., contracts, purchase orders,
etc.) from a supplier of goods or services for the direct use or benefit
of the recipient in conducting the program supported by the grant, and
not to assistance provided by the recipient (i.e., a subgrant or
subagreement) to a sub Recipient or subrecipient in support of the sub
Recipient's or subrecipient\'s program. Provision by the recipient of
the requested information does not, in and of itself, constitute USAID
approval.

\(b\) Amount of Procurement. Please indicate the total estimated dollar
amount of goods and services which the recipient plans to purchase under
the grant

\$\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\(c\) Nonexpendable Property. If the recipient plans to purchase
nonexpendable equipment which would require the approval of the
Agreement Officer, please indicate below (using a continuation page, as
necessary) the types, quantities of each, and estimated unit costs.
\[Note that the authorized geographic code under the resulting award
will be 000:\]

Nonexpendable equipment for which the Agreement Officer\'s approval to
purchase is required is any article of nonexpendable tangible personal
property charged directly to the grant, having a useful life of more
than one year and an acquisition cost of \$5,000 or more per unit.

TYPE/DESCRIPTION(Generic) QUANTITY ESTIMATED UNIT COST

6\. TYPE OF ORGANIZATION

The recipient, by checking the applicable box, represents that -

> \(a\) If the recipient is a U.S. entity, it operates as \[ \] a
> corporation incorporated under the laws of the State of\_\_\_\_\_, \[
> \] an individual, \[ \] a partnership, \[ \] a nongovernmental
> nonprofit organization, \[ \] a state or loc al governmental
> organization, \[ \] a private college or university, \[ \] a public
> college or university, \[ \] an international organization, or \[ \] a
> joint venture; or

a.  If the recipient is a non-U.S. entity, it operates as \[ \] a
    corporation organized under the laws of
    \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
    (country), \[ \] an individual, \[ \] a partnership, \[ \] a
    nongovernmental nonprofit organization, \[ \] a nongovernmental
    educational institution, \[ \] a governmental organization, \[ \] an
    international organization, or \[ \] a joint venture.

    7.  CERTIFICATION OF RECIPIENT

The recipient certifies that it has reviewed and is familiar with the
proposed cooperative agreement format (included in section E as
attachment 2) and the regulations applicable thereto, and that it agrees
to comply with all such regulations.

Solicitation (RFA) No.
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Application/Proposal No.
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Date of Application/Proposal
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Name of Recipient
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Typed Name and Title
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Signature
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Date \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**SECTION E- ATTACHMENTS**

**Cooperative Agreement Format**

![](media/image1.png){width="1.34375in" height="1.2916666666666667in"}

> USAID/PAKISTAN
>
> FROM THE AMERICAN PEOPLE

(NAME)

(ADDRESS)

Reference:

Subject: Cooperative Agreement No.\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Dear \_\_\_\_\_\_\_\_\_:

Pursuant to the authority contained in the Foreign Assistance Act of
1961, as amended, the U.S. Agency for International Development (USAID)
hereby awards to [(Organization/Recipient),]{.underline} hereinafter
referred to as the "Recipient", the sum of \$ \_\_\_\_\_\_\_\_\_\_ to
provide support for a program in \_\_\_\_\_\_\_\_\_\_\_ as described in
the Schedule of this award and in Attachment B, entitled \"Program
Description.\"

This Cooperative Agreement is effective and obligation is made as of the
date of this letter and shall apply to expenditures made by the
Recipient in furtherance of program objectives during the period
beginning with the effective date \_\_\_\_\_\_\_ and
ending\_\_\_\_\_\_\_\_. USAID will not be liable for reimbursing the
Recipient for any costs in excess of the obligated amount.

This Cooperative Agreement is made to the Recipient
\_\_\_\_\_\_\_\_\_\_\_\_\_, on condition that the funds will be
administered in accordance with the terms and conditions as set forth in
Attachment A (the Schedule), Attachment B (the Program Description), and
Attachment C (the Standard Provisions), all of which have been agreed to
by your organization.

Please sign the original and all enclosed copies of this letter to
acknowledge your receipt of the Cooperative Agreement, and return the
original and all but one copy to the Agreement Officer.

Sincerely,

Karin Kolstrom

Agreement Officer

Attachments:

A. Schedule

B. Program Description

C. Standard Provisions

ACKNOWLEDGED:

BY: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

TITLE: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

DATE: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Fiscal Data:

\[to be inserted after award\]

# SCHEDULE

##  A.1 PURPOSE OF COOPERATIVE AGREEMENT

> The purpose of this Cooperative Agreement is to provide support for
> the program described in Attachment 2 to this Cooperative Agreement
> entitled \"Program Description.\"

##  A.2 PERIOD OF COOPERATIVE AGREEMENT

> 1\. The effective date of this Cooperative Agreement is
> \_\_\_\_\_\_\_\_\_. The estimated completion date of this Cooperative
> Agreement is \_\_\_\_\_\_\_\_\_.

##  A.3 AMOUNT OF COOPERATIVE AGREEMENT AND PAYMENT

> 1\. The total estimated amount of this Cooperative Agreement for the
> period shown in A.2.1 above is \$­­­\_\_\_\_\_\_\_\_.
>
> 2\. USAID hereby obligates the amount of \$\_\_\_\_\_\_\_\_\_\_\_ for
> program expenditures. USAID is not obligated to reimburse the
> Recipient for the expenditure of amounts in excess of the total
> obligated amount.
>
> 3\. Payment will be made to the Recipient by \_\_\_\_\_\_ in
> accordance with procedures set forth in 22 CFR 226

A.4 COOPERATIVE AGREEMENT BUDGET

> The following is the Agreement Budget, including local cost financing
> items, if authorized. Revisions to this budget shall be made in
> accordance with 22 CFR 226.

  -------------- ---------- ---------------- --------------- ------------- -------
  **Input        Creation   Revitalization   Reinforcement   Social        Total
  Categories**   of demand  of high quality  of high-quality Marketing of  
                 for family birth spacing    family planning Family        
                 planning   and family       and birth       Planning      
                 and birth  planning         spacing         Products (to  
                 spacing in services in the  services in the start Oct.1,  
                 Pakistan   public health    private sector  2007):        
                            sector:                                        

  Labor                                                                     

  Fringe                                                                    
  Benefits                                                                 

  Travel                                                                    

  Equipment                                                                 

  Subawards                                                                 

  Other Direct                                                              
  Costs                                                                    

  Subtotal                                                                  

  Overhead                                                                  

  **Total**      ** **      ** **            ** **           ** **          
  -------------- ---------- ---------------- --------------- ------------- -------

##  A.5 REPORTING AND EVALUATION

### 

### 

### A.5.1[. Annual Implementation Plan (2 hard copies + electronic copy):]{.underline}

Implementation plans shall be submitted on a schedule established by the
CTO. The first annual implementation plan will cover the 12 month period
following mobilization. The first annual implementation plan is due
within 50 working days of the signing of the agreement.

The implementation plan serves several purposes including a guide to
program implementation, a demonstration of links between activities,
strategic objectives and intended results, a basis for budget estimates
and the foundation for the monitoring and evaluation plan.

Implementation plans shall be organized to clearly link activities to
the expected results. The implementation plans shall approved by the CTO
in consultation with the GOP. Additionally, the implementation plan
budget shall delineate an overall budget and the budget per activity
showing fully loaded costs.

The implementation plan, at a minimum, shall include:

-   Brief situation analysis in the context of what other donors and
    implementing partners and host-country governments are contributing;

-   Life-of-program results;

-   Milestones (or benchmarks) toward achieving those results over the
    duration of the program;

-   Partner involvement and contributions to achieving the results;

-   Budget; and,

-   Timeline.

### 

### [A.5.2. Award Monitoring and Evaluation Plan (AMP) (2 hard copies + electronic copy):]{.underline} 

Four months after award, the Recipient, in consultation with
implementation partners and USAID, shall finalize the Award Monitoring
and Evaluation Plan (AMP) for the project, including final selection of
indicators, baseline data needs and establishment of program targets. In
addition to internal project impact and monitoring indicators for the
Recipient's use, USAID may require the collection of data on a set of
core indicators to be finalized during AMP development.

### 

### A.5.3[. Quarterly Performance Monitoring Reports (2 hard copies + electronic copy):]{.underline} 

### Quarterly performance monitoring reports shall be submitted to the CTO, in coordination with Mission internal reviews. Reports should [briefly]{.underline} document actual accomplishments toward the program objectives, intermediate results and milestones, including conformance with environmental guidelines. The last performance monitoring report of the year shall be a summation of the results and progress toward results made during that year. Key indicators shall be tracked and graphed against pre-defined targets as agreed upon by the CTO. The report shall be presented in the following format and shall not exceed 30 pages:

Executive Summary -- This section is a narrative summary of overall
achievements against planned achievements and a brief description of any
realized or potential performance challenges[^2]. Achievements should be
quantified against both principal and collateral award
targets/indicators wherever possible, leaving detailed analysis for
later sections.

Summary Table - The Executive Summary should be followed by a table
which identifies all results and their corresponding targets/indicators.
Overall grant goals for each target and indicator shall be identified as
well as planned and actual goals for the reporting period. In addition,
costs inccurred by result or group of results should be identified as
well as planned and actual expenditures for the reporting period. This
table is intended to serve as an at-a-glance data summary.

Correlation to AMP - In this section, the Recipient should describe how
the performance being reported was monitored. This description should
reference the AMP methods used during the reporting period. If the AMP
was not strictly followed, the grantee should provide a rationale for
not using it.

Result by Result Analysis -- This section will provide detailed analysis
of the results summarized above as well as additional narrative
regarding the achievements and challenges.

Financial Summary - This section is not a financial report; rather it
summarizes financial expenditure data in reference to achievements. The
most tangible statement in this section will be one regarding whether
spending towards each result is "less than anticipated, on target with
estimates, or more than anticiapted." Reports which indicate that
expenditures are less or more than anticipated will be supported with
rationale detailing the probable cause(s). Reports which indicate that
expenditures are more than anticipated must also include a plan for
ensuring that the performance of the result will be met within the
estimated award budget for that result.

### 

[A.5.4 Quarterly Financial Reports:]{.underline} The Grantee shall
submit to the CTO, a quarterly financial report that specifically
includes the SF-269 (long form), SF-424 line item budgets, expenditures
and accruals and a pipeline (balance remaining). This table with
expenditures and accruals shall be submitted to the CTO no less than 15
days before the end of each (USAID) fiscal year quarter throughout the
life of the project.

### 

### [A.5.5. End of Program Report (3 hard copies + electronic copy):]{.underline} The Recipient shall submit a final report 90 days after the completion date of the Agreement which includes: an executive summary of the Recipient's accomplishments in achieving results and conclusions about areas in need of future assistance; an overall description of the Recipient's activities and attainment of results during the life of the Cooperative Agreement; an assessment of progress made toward accomplishing the Strategic Objective 7; significance of these activities; important research findings, if any; comments and recommendations; and a fiscal report that describes how the Recipient's funds were used. 

[A.5.6. Distribution of Reports]{.underline}

The Recipient shall submit an original and two copies of the final
report to the CTO and one copy to the USAID Development Experience
Clearinghouse: E-mail (the preferred means of submission) is:
<docsubmit@dec.cdie.org>. The mailing address via U.S. Postal Service
is: Development Experience Clearinghouse, 8403 Colesville Road, Suite
210, Silver Spring, MD 20910.

Reports required as described in this section will be sent to the CTO.
Reports and intellectual products required above will also be submitted
to the USAID Development Experience Clearinghouse either electronically
via e-mail (the preferred means of submission) to
<docsubmit@dec.cdie.org> or in hard copy via U.S. Postal Service to
Development Experience Clearinghouse, 8403 Colesville Road, Suite 210,
Silver Spring, MD 20910.

## A.6 INDIRECT COST RATE

Pending establishment of revised provisional or final indirect cost
rates, allowable indirect costs shall be reimbursed on the basis of the
following negotiated provisional or predetermined rates and the
appropriate bases:

Description Rate Base Type Period

> 1/Base of Application:
>
> Type of Rate: Provisional
>
> Period:
>
> 2/Base of Application:
>
> Type of Rate: Provisional
>
> Period:
>
> 3/Base of Application:
>
> Type of Rate: Provisional
>
> Period:

##  A.7 TITLE TO PROPERTY

Property Title will be vested with the Cooperating Country.

##  A.8 AUTHORIZED GEOGRAPHIC CODE

The authorized geographic code for procurement of goods and services
under this award is 000.

##  A.9 COST SHARING

The Recipient agrees to expend an amount not less than 15% of the total
activity costs.

## A.10 SUBSTANTIAL INVOLVEMENT

Substantial involvement during the implementation of this Agreement
shall be limited to approval of the elements listed below:

a.  Approval of Recipient Implementation Plans.

b.  Approval of specified key personnel assigned to the positions listed
    below. The personnel currently listed have been approved. All
    changes thereto must be submitted for the approval by the Cognizant
    Technical Officer.

> Title: Name:
>
> Title: Name:

c.  Approval of Recipient's monitoring and evaluation Plans

d.  Agency monitoring to permit specified kinds of direction or
    redirection because of interrelationships with other projects.

## 

## A.11 PROGRAM INCOME

The Recipient shall account for Program Income in accordance with 22 CFR
226.24. Program Income earned under this award shall be added to the
project.

## A.12 UNACCOMPANIED POST

At this time, Pakistan is an unaccompanied post for US direct hire
employees; for security reasons, family members of US direct hire
employees are not permitted to travel to or reside at post with the
employee at government expense.   Under the resulting cooperative
agreement, while USAID cannot expressly forbid a Recipient employee from
bringing family members to post at personal expense, it is not
encouraged or desired.  Under no circumstances will costs related to
dependents be considered allowable costs to the resulting award
including but not limited to housing, transportation, education, and per
diem.  Separate maintenance allowance (SMA) would be allowable if in
accordance with the standardized regulations and the recipient's
policies and practices.

Standard Provisions: Mandatory and Optional Standard Provisions will be
included in the award document as required and as applicable to the
programmatic activities implemented in the award. The following weblink
provides full text of the provisions.

<http://www.usaid.gov/policy/ads/300/303maa.pdf>

> \[End of Request for Applications\]

[^1]: Where performance challenges are caused by or related to
    management issues, the Recipient shall include an additional
    reporting section on the matter, including the remedy taken or the
    proposed remedy to be taken.

[^2]: Where performance challenges are caused by or related to
    management issues, the Recipient shall include an additional
    reporting section on the matter, including the remedy taken or the
    proposed remedy to be taken.