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KNCV Tuberculosis Foundation
KNCV Tuberculosis Foundation (KNCV) is an international non-profit organization dedicated to the fight against tuberculosis (TB), which is still one of the deadliest infectious diseases in the world. KNCV is an international center of expertise for TB control that promotes effective, efficient, innovative and sustainable TB control strategies in a national and international context. We are an organization of passionate TB professionals, including doctors, researchers, training experts, nurses and epidemiologists. We aim to stop the spread of the worldwide epidemic of TB and to prevent the further spread of drug-resistant TB. For more information see www.kncvtbc.org.

Over the past century KNCV has built up a wealth of knowledge and expertise, initially by successfully controlling TB in the Netherlands. Since the 1970s, we have also shared our knowledge and expertise with the rest of the world. We operate from a central office in The Hague in the Netherlands, and two regional offices, one in Central Asia and the other in East Africa, as well as many country offices worldwide. In Malawi we are based at the National Tuberculosis Programme at CHSU at Mtunthama Drive in Area 3 in Lilongwe. KNCV raises funds from private, institutional, corporate, and government donors.

Challenge TB
KNCV is the lead partner in Challenge TB (CTB), the current United States Agency for International Development (USAID)-funded 5-year global project to decrease TB mortality and morbidity in high burdened countries. We lead an international consortium with eight partner organizations: American Thoracic Society (ATS), Family Health International (FHI 360), Interactive Research & Development (IRD), Japanese Anti Tuberculosis Foundation (JATA), Management Sciences for Health (MSH), Program for Appropriate Technology in Health (PATH), The International Union Against Tuberculosis and Lung Disease (The Union), and the World Health Organization (WHO).

The overarching strategic objectives of CTB are to improve access to quality patient centered care for TB, TB/HIV, and MDR-TB services; to prevent transmission and disease progression; and to strengthen TB platforms. CTB project includes TB control activities in 23 countries and several overarching core projects in multiple countries. For more information see www.challengetb.org.

CTB in Malawi
The CTB project in Malawi works towards reducing the number of deaths due to TB and TB/HIV co-infection by improving the access to quality patient-centered care, prevention of transmission and progression to disease, and supporting the establishment of enhanced and sustained systems. KNCV is the lead partner implementing the project in Malawi. CTB has focused activities in 15 districts of Malawi and is also supporting national level activities such as joint TB/HIV supervision, infrastructure renovation, quality assurance of national strategies including active case finding, and use of new laboratory diagnostic tools such as the Xpert MTB/RIF assay, amongst others.
Following aggressive implementation of collaborative TB/HIV activities and increased support to TB control by the government, HIV co-infection among TB patient has declined from 70% to 56% between 2005 and 2013 . The decline is as a result of improved coverage of HIV testing among TB patients (51% to 93%)

Community involvement in TB control has been part of programmatic implementation with health care providers called Health Surveillance Assistants (HSAs) involved in community level case finding, initiation of treatment and patient follow-up care. In addition, the HSA’s provide community level sensitization and tracing of patient contacts.

The Malawi CTB project is supporting NTP efforts to enhance the creation of demand for TB services by raising community awareness of TB signs and symptoms through engagement of CSO or CBO working on TB and HIV services. This will enhance early TB diagnosis in the community and high-risk populations through active case finding. The NTP, as outlined in the current National Strategic Plan (2015-2020), plans to prioritize high-risk populations for early diagnosis and treatment through media outlets, with involvement of community organizations and HSAs for case finding and management. CTB will work with local partners including ACTION AID, a co-principal Global Fund recipient and other CSO working on TB and TB/HIV programs to enhance early TB case finding and help reduce the risk of catastrophic costs for TB patients in all the five administrative zones in Malawi.

Purpose of assignment
Although there has been an increase in the number of CSCPs in rural communities, there is still a need to support and sustain these CSCPs. The purpose of the assignment is therefore to ensure that CSCPs meaningfully contribute to National Tuberculosis Programme’s strategic plan goal of reducing tuberculosis related morbidity and mortality by indentifying more presumptive TB cases at community level for early TB diagnosis and treatment.

Objective of the assessment
This Request for Proposals is intended to engage the services of a well-established local research organization registered and based in Malawi (further called ‘The organization’) with the capacity to evaluate the CSCP system in Malawi, garner lessons learned and provide recommendations to guide future investments on this.

Please find the full Request for Proposals (RFP) For Sub-award in support of Challenge TB Malawi Year 1+2 here: EVALUATION OF COMMUNITY SPUTUM COLLECTION POINTS IN MALAWI USAID Cooperative Agreement No. AID-OAA-A-14-00029

Please find here the USD budget template  for sub-awards final version (06 07 2015)

Application process
The proposal must be prepared in accordance with the instructions provided in the below section. Each organization shall submit only one proposal.
Issuance of this RFP does not in any way constitute an award or commitment on the part of the CTB, nor does it commit CTB to pay for costs incurred in the preparation and submission of a proposal.
To ensure you receive any modifications to the RFP, send an email to eleanor.banda@kncvtbc.org requesting that your organization be put on the distribution list.