Project Title

APEC Conference on Prevention, Control and Care for Multi-Drug Resistant Tuberculosis (MDR-TB), and Supply of Second-Line Anti-Tuberculosis Drug 

Project Year

2015   

Project Number

HWG 01 2015A 

Project Session

Session 2   

Project Type

Standard 

Project Status

Completed Project   
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Project No.

HWG 01 2015A 

Project Title

APEC Conference on Prevention, Control and Care for Multi-Drug Resistant Tuberculosis (MDR-TB), and Supply of Second-Line Anti-Tuberculosis Drug 

Project Status

Completed Project 

Publication (if any)

 

Fund Account

APEC Support Fund 

Sub-fund

ASF: Human Security 

Project Year

2015 

Project Session

Session 2 

APEC Funding

99,755 

Co-funding Amount

85,924 

Total Project Value

185,679 

Sponsoring Forum

Health Working Group (HWG) 

Topics

Health 

Committee

SOM Steering Committee on Economic and Technical Cooperation (SCE) 

Other Fora Involved

 

Other Non-APEC Stakeholders Involved

 

Proposing Economy(ies)

Chinese Taipei 

Co-Sponsoring Economies

Malaysia; Singapore; United States; Viet Nam 

Expected Start Date

01/09/2015 

Expected Completion Date

31/10/2016 

Project Proponent Name 1

Steve Kuo Hsu-Sung 

Job Title 1

Director-General 

Organization 1

Centers for Disease Control 

Postal Address 1

No. 6, Linshen South Road, Taipei 10050 

Telephone 1

886-2 23918508 

Fax 1

Not Applicable 

Email 1

steve.kuo@cdc.gov.tw 

Project Proponent Name 2

Not Applicable 

Job Title 2

Not Applicable 

Organization 2

Not Applicable 

Postal Address 2

Not Applicable 

Telephone 2

Not Applicable 

Fax 2

Not Applicable 

Email 2

Not Applicable 

Declaration

Not Applicable 

Project Summary

In the APEC region, tuberculosis (TB) is a life-threatening communicable disease. WHO reports continue to show an increase in TB cases that are resistant to the first- line anti-TB drugs.  The rising multidrug-resistant TB (MDR TB) levels are a growing global health security concern. The significant healthcare costs for MDR-TB treatment has resulted in a serious economic impact on the APEC region.

With increasing MDR-TB cases in Asia, it is necessary to address health financing issues and strengthen health systems against the growing MDR-TB epidemic. Therefore, Chinese Taipei proposes a project that can provide APEC developing economies with a platform to share and discuss the preparedness efforts for effective management of MDR-TB. Delegates from all the economies are welcome to attend the conference, especially those who are in charge of MDR-TB control programs. This project is designed to support the “Healthy Asia-Pacific 2020” initiative and help develop sustainable and affordable health systems for MDR-TB management, which will ensure people’s health.

The proposed conference will be held in July 2016 and will include activities such as: (1) interactive sessions (2) poster presentation, and (3) site visit to the Taiwan MDR-TB Consortium (TMTC).

Relevance

In the APEC region, tuberculosis (TB) is a life-threatening communicable disease. Reports from WHO continue to show an increase in cases of TB that are resistant to the standard treatments of first-line anti-TB drugs.  The rising levels of multidrug-resistant TB (MDR TB) are a growing global health security concern.

According to WHO, approximately 480,000 people developed MDR-TB and 210,000 people died from the disease in 2013. 27 WHO Members States are classified by WHO as high MDR-TB burden members and the number of MDR-TB cases that occurred in these members account for over 85% of all MDR-TB cases worldwide. More than one half of these cases occurred in Asia, including China, Indonesia, the Philippines, Russia and Vietnam. In addition, the cost of treating MDR-TB can be 50-200 times more than that of treating regular TB. According to WHO, It is estimated that about US$ 8 billion per year is required for a full response to the TB epidemic in low- and middle-income members. In addition, it is estimated that USD 2 billion will be required for the diagnosis and treatment of MDR-TB in 2015. The significant healthcare costs for MDR-TB treatment has resulted in a serious economic impact on the APEC region.

To ensure the availability and affordability of MDR-TB health care systems and evaluate the management of MDR-TB in the APEC region, Chinese Taipei would like to propose this project to provide APEC developing economies with a platform to share and discuss effective MDR-TB health systems and strategies.  This project will focus on understanding of the current situation of MDR-TB in the region, discussion for effective implementation of policies and plans to control MDR-TB such as ways to strengthen surveillance systems in monitoring trends of drug resistance and improve clinical diagnostic skills and methods, and showcasing an effective medical care system and case management.

Treatment for MDR-TB consists of what are called second-line drugs. Second-line drugs are much more toxic and considerably more expensive than the standard first-line anti TB-regimen. Therefore, specialized trainings and appropriate data programs for pharmacy and logistics staff are extremely important for the drug supply chain management. As, an uninterrupted supply of quality-assured, second-line anti-TB drugs can improve MDR-TB treatment effectively, this project will also focus on addressing current supply chain challenges in order to help strengthen APEC developing members’ capacity building to reduce stock-outs, improve inventory and supply management and improve overall access to care.

This project is designed to support the “Healthy Asia-Pacific 2020” initiative and help develop and strengthen sustainable and affordable health systems for MDR-TB management to ensure the health and well-being of the people around the world.

Objectives

1) To share experiences and information with different economies and stakeholders as well as to discuss the challenges of MDR-TB control strategies and the current situation concerning the supply chain of second-line anti-TB drugs.

2) To introduce the latest surveillance systems and establish the channel for international exchange of MDR-TB data in order to enhance APEC developing economies’ capacity building for the prevention, care and control of MDR-TB.

3) To reach a consensus on cooperation for MDR-TB control and prevention with all APEC member economies in order to foster an effective and long-term cooperation relationship in the future.

Alignment

Human security has been one of the priorities for APEC and APEC Leader’s Growth Strategy since 2010 toward 2015 because it is fundamental to economic growth and prosperity. MDR-TB poses a serious public health threat with a consequential economic burden, particularly in the Asia Pacific region. Proper strategies and systems for the management of MDR-TB will strengthen APEC member economies’ capacity building and contribute to human security in the APEC region.

This project directly responds to the declaration set by APEC Leaders and Ministers meetings. In the 2014 APEC Leaders’ Declaration, the leaders declared to “endorse the “Healthy Asia-Pacific 2020” initiative, which aims to achieve sustainable and high-performing health systems that will ensure people’s health”. The project also contributes to the 2014 APEC Ministerial Meeting where the ministers declared, “We reaffirm our commitment to strengthen health systems with a focus on the areas of: Universal Health Coverage; health financing; the prevention and control of non-communicable diseases and preparedness for effective management of infectious diseases”.

This project supports the Health Working Group (HWG) 2013-2015 Strategies Plan vision to “build resilient health systems and healthy populations” by laying the foundation to address the economic and health burden due to the high TB and MDR-TB incidence rates in the Asia Pacific region. In addition, this project meets the 2014 HWG priorities: (1) enhancing preparedness for effective, equitable and efficient management of emerging and re-emerging infectious diseases with pandemic potential, including tuberculosis and (2) strengthening health systems.

TILF/ASF Justification

This project is designed to provide APEC developing economies with a platform to share and discuss the preparedness efforts for effective management of MDR-TB. All APEC member economies will be invited to participate in this conference, especially the stakeholders from APEC developing economies will be encouraged to attend. At this conference, some of the successful examples and best practices in MDR-TB control and prevention programs will be shared and discussed, which will assist APEC developing economies to identify major challenges and constrains in their economies and enhance their capacity building in order to set up a better MDR-TB case management system and treatment.

The participants also will be encouraged to actively take part in the activities of the conference and provide brief information to showcase their results of MDR-TB researches, plans and strategies. The poster will be produced by the host and displayed during the conference.

Moreover, a site visit to the Taiwan MDR-TB Consortium (TMTC) will be arranged during the conference. TMTC was launched by the Centers for Disease Control, Chines Taipei, with the collaboration of several medical care groups that have since provided better MDR-TB care and management. TMTC is a specialized MDR-TB management hospitals, which has improved the preliminary treatment outcome of MDR-TB patients in Chinese Taipei. Through visiting the site, all the participants can observe MDR-TB case management and treatment firsthand in a hospital setting and have a tour of the negative pressure isolation wards, the pharmacy where the second-line anti MDR-TB drugs are stored and the laboratory. Hospital specialists will be on site to demonstrate their MDR-TB case management system and share their experience with all the participants. The participants can also exchange clinical experience and information with the health care professionals on site.

Overall, the conference  include interactive sessions, poster presentation and a site visit that are aimed to provide participants with comprehensive information of MDR-TB control and prevention. We expect the conference to help APEC developing economies formulate better future strategies to help mitigate the economic and health burden of MDR-TB.

Beneficiaries and Outputs

Outputs: This project will be carried out in the form of international conference exploring better strategies for the prevention and control of MDR-TB in the APEC region. It consists of a 2-day conference, which will be held in Chinese Taipei in 2016. Experts who are in charge of the prevention, treatment and control of MDR-TB from the private and the public sectors in APEC economies and non-APEC stakeholders will be invited to introduce the latest MDR-TB surveillance systems and case management. In addition, the conference manual will be a collection of updated information and successful experiences shared by Chinese Taipei and other economies. Further, a contact information booklet containing the contact details of the participating MDR-TB experts will be developed to facilitate further communication among all the economies after the conference.

Participants from APEC member economies will be invited to provide brief information on their own MDR-TB researches, plans and strategies. Research posters will be produced by the host and the poster sessions will take place during the conference. Presenting the MDR-TB researches through graphic communication allows a great opportunity to get feedback and suggestions from other MDR-TB experts.

 At the end of conference, a completion report on the conference will be generated. The completion report will include comments and suggestions from participants and conference evaluation done by the participants and attending experts to measure the degree of success of the conference.  All the conference documents and materials will be submitted to the HWG and uploaded to the APEC HWG website.

Outcomes: The project outcome will help participants understand the significance of MDR TB control programs through learning about the current MDR TB epidemic, the supply chain for MDR-TB second line drugs, the latest MDR-TB surveillance system and the latest diagnosis, treatment and case management. MDR-TB experts from the APEC region will be invited to attend the conference to share their experience and knowledge. Moreover, an MDR-TB expert network will be established during the conference to enable participants to consult and exchange information with other experts even after they return to their economies. We expect this project to help the participants identify the major challenge and constrains in their economies, enhance their capacity of MDR TB control and prevention, and modify their MDR-TB control programs to meet the global trend.  Ultimately, we wish to achieve a long-lasting cooperation relationship and for MDR-TB control and prevention program among APEC economies could be created and achieved.

Additionally, hard and soft copies of the conference materials will be prepared and distributed at the conference. It will facilitate participants in further applications of the knowledge and information acquired during the conference. The participants are encouraged to make an optimal use of the conference materials. They can duplicate the CD and share it with the experts in their economies who can also obtain the same information and knowledge on the latest MDR-TB surveillance system and case management. All the conference documents will also be uploaded to the APEC HWG website. 

Beneficiaries: The targeted beneficiaries of this project are public health officials, health policy makers, health care workers and pharmaceutical professional, especially those who are in charge of MDR-TB prevention, control and treatment, from APEC economies and relevant partners in the private sector, academia, NGOs, and international organizations such as WHO and International Union Against Tuberculosis and Lung Disease.

During the conference, MDR-TB experts’ researches and speeches on the topic of MDR-TB prevention, control and care will be shared and discussed. We expect through the sharing of information and the exchanging of experience, participants can improve their capacity building in developing and enhancing MDR-TB control programs and have accurate understanding of the clinical and economic impact of MDR-TB.  We expect they will be able to objectively evaluate their existing MDR-TB control programs and implement appropriate control efforts in their economies.  Furthermore, they are encouraged to utilize the knowledge and information they have gained during the conference to influence decision makers or other health care workers in their respective economies. We hope this methodology can be applied via a hub and spoke model to augment the benefits of this proposal beyond the direct course participants.

Major beneficiaries of this project will be the basis for future actions by healthcare professionals as well as healthcare authorities in the APEC economies. This will benefit not only MDR-TB patients, but also hospitals and other APEC economies by reducing the overall health care costs for MDR-TB treatment and improving regional health security.

Dissemination

To ensure a productive conference, the presentation slides and the training materials will be collected ahead of the conference and distributed to the participants on site. All the conference documents and materials, including conference agenda, a contact information booklet containing the contact details of the participants, participant feedback evaluation and conference materials will be prepared in hard and soft copies and about 120 copies will be released. The final report will comply with the APEC publications and logo guidelines and copyrights and will be submitted to the APEC Secretariat after the conference.

We will encourage all participants to actively take part in the events of the conference. Prior to the conference, when they register for the conference, participants will be requested to provide brief information to showcase their MDR-TB research results, plans and strategies. During the conference, 2/3 of the APEC member economies are expected to attend and research posters will be produced by the host and displayed during the conference.

Related documents will also be uploaded to the APEC HWG website and website of the Chinese Taipei CDC for access by the general public, especially those who are in charge of MDR-TB control and prevention programs. In addition, the conference will be recorded in DVD format and uploaded to the E-learning website of Chinese Taipei CDC. Free online learning sessions will be made available for public health workers and health care professionals to obtain the updated information even they are not able to attend the conference.

The participants are encouraged to make an optimal use of the conference documents. They can duplicate the conference materials and disseminate the knowledge gained upon returning to their economies to share with their colleagues and decision makers.  We will update the expert list and related information about TB/MDR-TB control strategies frequently on the HWG website as we receive feedback from participants.

We have no intention in selling outputs arising from this project.

Gender

The project does not explicitly or implicitly discriminate based on gender and target beneficiaries are open to all. Men and women are encouraged to attend this conference equally. The project team (including leadership) is composed of both men and women, with women as the slight majority. Invitation will be circulated to all APEC member economies, with the expectation of equal participation.

To provide women with more opportunities, Chinese Taipei will consult women experts and invite as many women as possible to attend the conference as either speakers or delegates. The involvement of women in this project begins from planning, managing, and organizing up to implementing the project. And also, we will consult the Chinese Taipei GFPN during the planning stage to ensure specific arrangement for women’s involvement.

In addition, according to WHO, more men than women are diagnosed with TB and die from it. However, about 700,000 women die of TB and over three million contract the disease annually.  In some remote areas, the sociocultural factors that prevent women to benefit from quality health services. Considering the gender-related barriers to TB and MDR-TB care, we will encourage the speakers to present their new epidemiological surveys and discuss the gender-related problems of access to and care within TB and MDR-TB control programs.

Work Plan

The project consists of a 2-day conference that including three stages:

1. Preparation Period:

a) Establish a planning team and assign responsibilities

b) Identify speakers and send out invitation letters

c) Send out invitation letters and Administration Circular to all APEC members

d) Prepare conference documents

During the preparation of the project, the co-sponsoring economies and related agencies from the host economy and co-sponsoring economies will be consulted to develop the proposed conference.  In addition, experts from the APEC regions will be consulted and invited as either speakers or participants.

2) Implementation Period:

a) The conference will be divided into different sessions, including (1) MDR-TB Surveillance System; (2) Clinical Diagnosis & Treatment; (3) Current Situation of Supply Chain for MDR-TB Second-Line Drugs; (4) Medical Care System & Case Management. Each session will focus on the topic with the view to achieving the objectives set out for the conference. The agenda, participant list and conference documents will be distributed to all participants during the conference.

b) A site visit to the Taiwan MDR-TB Consortium (TMTC), which is a specialized MDR-TB management hospital, will be arranged for the participants during the conference.

c) Poster presentation: Participants from APEC member economies will be invited to provide brief information that includes tables, graphs or pictures of their of MDR-TB researches, plans and strategies. The poster will be produced by the host and displayed during the conference.

d) Participants: around 120 experts from 2/3 of the APEC member economies are expected to take part in the conference.  It is expected to have 2 delegates recommended by each member economy to attend the conference. The participants will include government officials, health policy makers, public health officers and health care workers, non-governmental agencies and other stakeholders, especially those who are in charge of MDR-TB prevention, control and treatment. Experts from non- APEC member economies and other international organizations such as WHO and International Union Against Tuberculosis and Lung Disease will be invited to attend the conference as well. We will remain in close contact with the APEC Secretariat for advice on non-member participation and ensure the non-member participation guidelines are closely followed.

3) Evaluation Period:

a) Conduct a questionnaire survey of the conference.

b) Formulate an evaluation report to be submitted to the HWG after implementing the conference.

c) The conference materials and related reports will be submitted to the APEC and upload to the APEC

d) HWG website.

4) In the further: Through the conference, it is anticipated a consensus on cooperation for MDR-TB control and prevention with all APEC member economies could be reached. Long-term cooperation relationship among APEC member economies may be established to control MDR-TB together in the APEC region in the further stage.

Risks

Risk 1: Selected topics might not meet the needs of all HWG members.

Solution: We conduct ongoing consultation with HWG members during the preparation stage. And, we will provide the updated agenda and related information of the conference to HWG members frequently and expect to get the feedback from them. In addition, we will work closely with potential speakers to secure their presentations meet the needs of all HWG members.

Risk 2:   Unexpected diseases or natural disaster happens before or during the conference period.

Solution: If an unexpected disaster happens before the conference, we will consult with the APEC Secretariat and all APEC economies to decide whether the conference should proceed. After considering the threat of the disaster and opinions from the APEC Secretariat and all APEC members, the decision whether the conference should be postponed or held on time will be made. Moreover, a well-organized preparedness plan for unexpected disasters will be formulated during the planning stage of the conference. Local emergency units and police departments will be consulted in order to ensure a safe environment for all participants.

Monitoring and Evaluation

The projects will be implemented under the umbrella of the APEC. Once the project is approved and the agenda is set, a detailed plan would be generated. We will set a strict internal timeline of actions for the project, which includes duration, activity, output, deadline, person in charge, etc. Each task will be assigned to a staff to conduct, and this person will have to organize and communicate all relevant matters with the team. In addition, PO will organize group meetings at 3~4-week intervals to have operators reporting on the progress. Records will be made at each meeting for after project review. The Review meetings can ensure all the substantive and logistic arrangements for the conference are on its path.  In addition, we will work closely with co-sponsor economies during the planning and implementing stages.

A questionnaire survey will be handed out to the participants at the conference. The feedback and comments from Speakers/ Participants regarding the content of the conference will be collected and analyzed. The evaluation report reflecting the lessons learned and experience earned by respective APEC member economies will be formulated, which will help Chinese Taipei design better conference content in the future. At the end of the conference, an evaluation report, recommendation or statement will be built upon the feedback from participants and submitted to the HWG and uploaded to the APEC HWG website.

We expect that there will be around 120 experts from 2/3 of the APEC member economies to take part in the conference. In the early stage of the conference, we will use different accesses to send the invitation letter to HWG and LSIF members and encourage them to participate. The conference will involve at least 30-50 percent of female speakers. Additionally, we will actively encourage female MDR-TB researchers or health care workers to join the conference. At least 40-50% of the invited participants will be female. Further, we expect more than 70% of the participants will be satisfied with the result of the conference.

Linkages

During the preparation of the project, we will engage the co-sponsoring economies and related agencies. Experts from non-APEC member economies and other international organizations will be invited to participate as either moderators or speakers at the conference. We will also invite the representatives from the Life Sciences Innovation Forum (LSIF)to attend this conference.

In 2013, the issue of “Tuberculosis” was first included in the APEC HWG priority area to make a critical contribution to strengthening the human security. In HWG Strategies Plan 2013-2015,“Tuberculosis” was included in the objective of enhancing preparedness for effective, equitable and efficient management of emerging and re-emerging infectious diseases with pandemic potential. This is the first tuberculosis control and prevention project proposed at APEC.

Sustainability

This project is designed to provide APEC developing economies with a platform to share and discuss the preparedness efforts for effective management of MDR-TB. In addition, it is expected to help developing economies to develop and strengthen sustainable and affordable health systems for MDR-TB management.

In the conference, new technologies and innovations in MDR-TB management from a number of APEC economies will be shared and discussed, which will assist the developing economies to identify major challenges and constrains in their economies and enhance their capacity building in order to establish a better MDR-TB surveillance and management system. Participants can apply the knowledge and information learned from the conference to develop more suitable strategies for their own economies.

Before the end of the conference, we will develop a contact information booklet containing contact details of the participating MDR-TB experts, including the moderators, speakers and participants who are the MDR-TB control program stakeholders in their respective economies and will disseminate the information. We hope to facilitate further communication among economies after the conference.

Through the oral and poster presentation during the conference, the consensus on importance of MDR-TB control in APEC region can be reached and strengthened. Furthermore, through utilizing the expert network, sustained sharing of expertise to update each other on the latest MDR-TB management and surveillance system will be achieved. The cooperation and coordination for MDR-TB control and prevention will be taken into consideration in the further stage. It is anticipated that long-term cooperation relationship among APEC member economies may be established to control MDR-TB together.

In addition, Chinese Taipei will encourage APEC member to utilize the APEC HWG website to share their updated MDR-TB information and control programs with all APEC HWG members. When Chinese Taipei receives feedback or updated information from HWG members, we will be responsible for uploading those information to the database of the HWG website as well as providing assistance to the participant when necessary.

Project Overseers

Project Overseer: Dr. Steve Hsu-Sung Kuo is currently the Director-General of the Centers for Disease Control, which is the authority responsible for the prevention and control of infectious diseases in Chinese Taipei. He received MD degree from National Yang- Ming Medical College in 1982, MPH degree from National Taiwan University in 1984, and a PhD degree in health policy from Yale University in 1991.

In leading the Centers for Disease Control, Chinese Taipei, he has launched a series of reforms and programs, which included the establishment of a National Health Command Center (NHCC), the completion of an influenza pandemic preparedness plan that resulted in a successful fight against the 2009 H1N1 flu pandemic, the implementation of a 10-year plan to halve TB incidence and a harm reduction program to control HIV, setting up an IHR Focal Point for communications with WHO and other economies that engage in IHR implementation, and conducting numerous cooperative programs with many member economies.

Professional Career:

- Director-General, Centers for Disease Control, Ministry of Health and Welfare, Chinese Taipei (2013–Present)

- Senior advisors, Taipei Economic and Cultural Representative Office in the US (2010–2013)

-  Director-General, Centers for Disease Control, Department of Health, Chinese Taipei (2004–2010)

- Chief Coordination Officer and Spokesman of the Taiwan SARS Task Force (2003)

- Director-General, Bureau of Health Planning Department of Health, Chinese Taipei (2001 –2002)

- Secretary General, National Yang-Ming University, Chines Taipei (1998 – 2000)

- Assoc. Professor of Epidemiology and Medicine; Assoc. Dean, School of Medicine, National Yang-Ming University, Chinese Taipei  (1991 – 2000)

Contact person
Hui-Yi Chien (Ivy)
International Cooperation Officer
Centers for Disease Control
Ministry of Health and Welfare
Chinese Taipei

Tel:  +886 2 23579861 
Fax: +886 2 23920190
E-mail: ivy0311@cdc.gov.tw

Cost Efficiency

Not Applicable.

Drawdown Timetable

Not Applicable.

Direct Labour

We will hire 2 short-term clerical staff from a professional conference organizer for 3 months to assist us in preparing and hosting the conference. Their responsibilities include event graphic design, selection and booking of the site and venue, food selection, transportation arrangement, logistical activities management and so on. Their roles are to assist us in ensuring the smooth running of the event  and the needs of all participants are appropriately met. All final decisions will be made by the project coordinator.

Waivers

In the afternoon of the second day of the conference, a site visit to the Taiwan MDR-TB Consortium (TMTC), which is the specialized MDR-TB management hospital, will be arranged for all the foreign participants, including the moderators, speakers and delegates from participating APEC member economies. The visit will allow all participants to observe MDR-TB case management and treatment firsthand in a hospital setting. The visit also include a tour of the negative pressure isolation wards, the pharmacy where the second-line anti MDR-TB drugs are stored and the laboratory. Hospital specialists will be on site to demonstrate their MDR-TB case management system and share their experience with all the participants.

Are there any supporting document attached?

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Version HistoryVersion History

Project No.

Project Title

Project Status

Publication (if any)

Fund Account

Sub-fund

Project Year

Project Session

APEC Funding

Co-funding Amount

Total Project Value

Sponsoring Forum

Topics

Committee

Other Fora Involved

Other Non-APEC Stakeholders Involved

Proposing Economy(ies)

Co-Sponsoring Economies

Expected Start Date

Expected Completion Date

Project Proponent Name 1

Job Title 1

Organization 1

Postal Address 1

Telephone 1

Fax 1

Email 1

Project Proponent Name 2

Job Title 2

Organization 2

Postal Address 2

Telephone 2

Fax 2

Email 2

Declaration

Project Summary

Relevance

Objectives

Alignment

TILF/ASF Justification

Beneficiaries and Outputs

Dissemination

Gender

Work Plan

Risks

Monitoring and Evaluation

Linkages

Sustainability

Project Overseers

Cost Efficiency

Drawdown Timetable

Direct Labour

Waivers

Are there any supporting document attached?

hdFldAdmin

Project Number

Previous Fora

Secretariat Comments

Reprogramming Notes

Consolidated QAF

Endorsement By Fora

PD Sign Off

Batch

Forum Priority

Committee Ranking Category

Committee Priority

PDM Priority

Priority Within Funding Category

Monitoring Report Received

Completion Report Received

PMU Field 1

PMU Field 2

PMU Field 3

On Behalf Of

Proposal Status

Originating Sub-Forum

Approval Status
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