Dear Ms Tchwenko,

Thank you kindly for your enquiry.  Typically, the Global Fund is not able to support the construction of “large infrastructure projects (such as the construction of hospitals and other large investments”)”.  This exception to providing support for infrastructure is explained in Annex 3 to the Round 8 Guidelines for Proposals.  This is because the Global Fund is seeking to rapidly disburse additional funding to help countries make a difference to disease outcomes, and infrastructure/construction projects often take a very long time.  However, it is for the CCM of your country to decide whether you think that care centre is, or is not, a “large infrastructure project”.  If you do not think it is, then perhaps the CCM will decide to include this in the proposal.  If it is included in the proposal, we encourage the CCM to make sure that the care centre project is very well explained, all unit costs are very detailed, and that the item can be clearly separated from other interventions in the proposal, should the TRP decide that the proposed care centre is not technically appropriate in all the circumstances.  We regret that we cannot provide any indication on whether or not, in the particular circumstances of your country, such a care centre is appropriate – as this very much depends on the rationale provided in the proposal.

Kind regards

Proposal Advisory Services