PEST Pee ene mt aU UPN IFAKARA, TANZANIA DAYOSISI YA ULANGA KILOMBERO Hap Neca he TZN UM Re Ce OU | eer ae | ULANGA KILOMBERO DIOCESE EAI Ofisi ya Kumbu Na. Tarehe Office of the GENERAL SECRETARY Ref: ELCT/UKD/VRK/008/2020/003 Date 30.04.2020 Secretary for Tanzania Attn: Deacon Claus Heim Development and Mission for Evangelical Lutheran Church in Bavaria PO Box 68 91561 Neuendettelsau GERMANY Honourable Deacon Claus Heim, Secretary for Tanzania | send warmest greetings to you in the Holy name of our Lord Jesus Christ in whom we live, move and have our being RE:LETTER OF SUPPORT FOR STRATEGIC PREPAREDNESS AND RESPONSE PROGRAMME TO COMBAT COVID-19 PANDEMIC The subject captioned above refers. Reference is made to call for application for Corona Fund Mission OneWorld/Evangelical Lutheran Church in Bavaria to Evangelical Lutheran Church in Tanzania together with project funding application from Lugala Lutheran Hospital. On behalf of the management of the Evangelical Lutheran Church in Tanzania Ulanga Kilombero Diocese, | am humbled to recommend favourably for funding consideration the project titled Strategic Preparedness and Response Programme to Combat COVID-19’ Pandemic Project for Lugala Lutheran Hospital based in Malinyi District in Morogoro Region. This project aims to offer an investment possibility in preparedness and response to contain the spread of COVID-19 pandemic and will be implemented through Lugala Lutheran Hospital, Ngalimita Dispensary and Tanganyika Dispensary by professional and experienced teams already on the ground. For convenient reference, gaps remain around the areas of awareness creation on adherence to standard hygiene operational procedures and provision of personal protective equipment for which | am considerably recommend for favourably funding consideration of Tanzanian Shillings Twelve Million Four Hundred Fifty Three Thousand Only (TZS 12,453,000) to implement project activities within a period of thirty (30) days and a total of Tanzanian Shillings Two Million Two Hundred Twenty Two Thousand Only (TZS 2,222,000) will be resourced by the hospital for this project. Kindly find attached signed in funding application form for Corona Fund Mission OneWorld/Evangelical Lutheran Church in Bavaria to Evangelical Lutheran Church in Yours faj Philérign M. Mpendaye GENE! CRETARY Copyto: - Honourable Bishop ELCT Ulanga Kilombero Diocese P O Box 194 IFAKARAEVANGELICAL LUTHERAN CHURCH OF TANZANIA, ULANGA KILOMBERO DIOCESE Telephone: +255 786 665 800 Fax: mai: emmanuel chogo@amailcom Secretary for Tanzania Attn: Deacon Claus Heim: Development and Mission for Evangelical Lutheran Church in Bavaria P 0 Box 68 91561 Neuendettelsau GERMANY Deacon Claus Heim, Secretary for Tanzania 30.04.2020 We send greetings to you in the Holy name of our Lord Jesus Christ. RE: FUNDING APPLICATION FOR STRATEGIC PREPAREDNESS AND RESPONSE PROGRAMME TO COMBAT COVID-19 PANDEMIC Kindly refer to the subject captioned above. On behalf of the management of Lugala Lutheran Hospital, | have the honour to submit to you and your good office our heartfelt urgent financial application for implementation of our project titled Strategic Preparedness and Response Project to Combat COVID-19 Pandemic. This project aims to offer an investment possibility in preparedness and response to contain the spread of COVID-19 pandemic through the health facilities: Lugala Lutheran Hospital, Ngalimila Dispensary and Tanganyika Dispensary to prepare and cope with the COVID-19 epidemic and will be implemented by professional and experienced teams already on the ground. Consequently, Lugala Lutheran Hospital has developed the strategic preparedness and response project estimated at approximately Tanzanian Shillings Twelve Million Four Hundred Fifty Three Thousand (TZS 12,453,000) to implement project activities within a period of thirty (30) days in which the hospital will contribute the sum of Tanzanian Shillings Two Million Two Hundred Twenty Two Thousand (TZS 2,222,000), which will be resourced locally for this project. | hope that you will receive this application in a readable condition and | look forward to hearing from you for which | thank you for your highly cooperation. Yours faithfully, * Dr. Emmani , E, Chogo Medical Officer Incharge Copyto: - Honourable Bishop ELCT Ulanga Kilombero Diocese P 0 Box 194 IFAKARAApplicant: #3 Mission Hi? EineWelt Xi Lugala Lutheran Hospital Dr. Emmanuel E. Chogo Medical Officer Incharge P.O Box 11 Malinyi, Tanzania .. Telephone: +255 786 665 800 Project‘measure: Person in charge: Duration: Requested amount: Other requested support: Account holder: Account number: Bank name: Bank branch Address SWIFT CODE: Electronic mail: emmanuel.chogo@amail.com Strategic Preparedness and Response Project to Combat COVID-19 Pandemic will aim at preventing infection in vulnerable high risk groups, treat sick patients and protect front line health workers through purchase of medical and hygiene equipment and awareness and prevention work Dr. Steven M. Kyelula Assistant Medical Officer Incharge Lugala Lutheran Hospital P.O Box 11 Malinyi, Tanzania Telephone: +255 789 936 993 Electronic mail: stevenkyelula@gmail.com This project will cover a period of thirty (30) days for implementation of project activities starting from 11™ of May 2020 through 9" of June 2020. Amount requested from Mission EineWelt is Five Thousand Euros Only (€ 5,000). The diocese has not applied for other funding in response to COVID-19 pandemic. Lugala Lutheran Hospital 21603500093 National Microfinance Bank Makara Branch P O Box 33, Ifakara, Morogoro. Tanzania NMIBTZTZ 4.0 Short project description 4.1 Where will it (project) take place? This project will be based at Lugala Lutheran Hospital positioned at Lugala Village in Malinyi District in Morogoro Region with its dispensaries of Ngalimila and Tanganyika in Kilombero District in Morogoro Region. Geographical coordinates of the hospital are Latitudes of 8°55'28"South and Longitudes 36°08'16"East. Ngalimila Dispensary is located at Ngalimila Village in Kilombero District with geographical coordinates ofLatitudes 8°57'0"South and Longitudes 35°50'0"East and Tanganyika Dispensary is located at Tanganyika Village in Kilombero District with geographical coordinates of Latitudes 9°7'0"South and Longitudes 35°39'0"East. 4.2 Which problem related to the Covid-19 Pandemic is it aiming to solve? Statistical indicators and daily experience on the spread of COVID-19 pandemic indicate that the disease will lead to severe mortality and morbidity if will remain poorly controlled or only partially mitigated. Lugala Lutheran Hospital expects the impact of COVID-19 epidemic on people living in low-income settings or affected by humanitarian crises to be much more severe due larger household sizes, intense social mixing, poor housing situation making isolation or quarantine near impossible, specific cultural and faith practices such as mass prayer gatherings, large funerals and overcrowded settlement patterns, high prevalence of comorbidities and higher case-fatality, Therefore, to save lives in resource-poor settings, the hospital has defined high impact action lines including protection of front-line health workers as a top priority through provision of personal protective equipment while ensuring continuation of essential health services, establishment of triage at the entrance in order to identify suspected COVID-19 patients and assign to designated area, separate from other patients; and support hygiene supply for health facilities such as soap for hand wash, alcohol, chlorine; hygiene equipment like buckets, basin, mops and cloths so as to provide hand-washing facilities and establish strict hand hygiene protocols in health facilities as needed 1.3. How will you organise the projectimeasure (purchase, distribution)? The following COVID-19 specific interventions will be implemented at Lugala Lutheran Hospital, Ngalimila Dispensary and Tanganyika Dispensary as health facilities identified by the management of the hospital to contain spread of the disease and mitigate its impacts: (1) Activity 1 - Facilitate capacity building of health care workers on COVID-19 and health education for patients at the health facilities: Lugala Lutheran Hospital, Ngalimila Dispensary and Tanganyika Dispensary. (2) Activity 2 - Provision of personal protection equipment such as masks, gloves, goggles and gowns and supplies for hand hygiene such as hand sanitizers, soap for health care workers who will be working in isolation wards and support transport for suspected COVID-19 cases to isolation centres. (3) Activity 3 - Monitoring and evaluation of implementation of project and provision of feedback so that operational plans can be improved and actions taken where needed to correct shortfalls and constraints in order to attain efficient and effective performance standards 1.4 How many people will benefit from the projectmeasure? Direct beneficiaries of this project will be 162 (80 females and 82 males) health care workers of the hospital with its dispensaries whom 125 (56 females and 69 males) front-line health workers as top priority and will receive special training, mentoring and coaching and provided with personal protective equipment to protect them from infection of the virus while continuing delivering essential health services. Indirectbeneficiaries will be 161,701 (81,557 females and 80,144 males) people in Malinyi District and southern part of Kilombero District and it is a first referral health institution within the country's public and district health system. 1.5 How will they be selected? Front line health workers of the hospital and its dispensaries who are particularly vulnerable group will be selected by the management of the hospital as beneficiaries based on rate of vulnerability due to their exposure to the virus, thus protecting them from infection will be-of paramount importance in combating COVID-19 and maintaining primary health care through provision of personal protective equipment while ensuring continuation of essential health services. Other health workers will be selected based on their roles and responsibilities to assist delivery of medical support for weak health systems confronted with a threatening COVID-19 epidemic, thus are particularly vulnerable group due to their exposure to the virus and will be provided with personal protective equipment and awareness raising to protect against infection. Entire population in Malinyi District and southern part of Kilombero District will be selected based on their locality being with the catchment area of the hospital and its dispensaries as the only referral health institutions. 4.6 Description of financial reporting/proof Financial reporting will comply the reporting standards of Mission OneWorld that require a breakdown of sources of funding including funds contributed by implementing partner and how funding was spent in project implementation. Financial reporting form in Microsoft Excel will be used to report expenditure of funds adhering to the financial reporting procedures of the Development and Mission of Evangelical Lutheran Church in Bavaria providing detailed breakdown of activity costs with corresponding numbered receipts arranged systematically by ascending order in which earlier receipts preceding later receipts and will be scanned and sent to Mission OneWorld together with narrative and financial reports. Receipts that will be produced by EFD machines will be photocopied immediately to avoid fading 2.0 Cost and financing plan 2.1 Project costs Cost per item Total toma ___| qocatcurreney) |_2¥8MtY _| Vocal currency) | ‘Activity 1 - Facilitate capacity building of health care workers on COVID-19 and health education for patients at the health facilities: Lugala Lutheran Hospital, Ngalimila Dispensary and Tanganyika Dispensary Breakfast 4,000 | 125 persons 500,000 ‘Lunch 70,000 | 125 persons 7,250,000. Refreshment 2,000 | 125 persons. 250,000 Upkeep for participants 40,000 | 425 persons 4,250,000 Ball pens { 500 | 125 persons 62,500 Notebooks 7,500 | 125 persons. 487,500 ‘Marker pens 70,000 | 2 boxes 20,000 Flipcharts eo [st 40,000 | 2 pes 20,000 Masking tapes: 4,000 | 4 pes: 16,000 Training room 100,000 | 3 sessions 300,000 “Transport costs for facilitator —_|—_ 2.300 [50 litres: 115,000 DSA for faciitator = ‘80,000 | 3 sessions 240,000 DSA for driver of facilitator 60,000 | 3 sessions 180,000tems Cost per item (local currency) |_ Quantity (local currency) Total ‘who will be working in isolation wards and ‘to isolation contros ‘Activity 2 - Provision of personal protection equipment such gowns and supplies for hand hygiene such ‘a8 masks, gloves, goggles and as hand sanitizers, soap for health care wor! ‘support transport for suspected COVID-19 cases Sanitisers {65,000 | 20 gallons 7,300,000 Gloves 7,500 | 100 pes "750,000, Chiorine 33,400 | 20 gallons 668,000, Liquid soaps: 9,800 | 20 bottles 196,000 Surgical masks 700,000 | 50 cartons 5,000,000, ‘Oxygen masks 6,000 | 100 pes | 600,000, Goggles 70,000 | 50 pes 500,000 Heavy gloves 4,000 | 40 pes. 160,000 ‘Apron 70,000 | 5 pos 50,000 Hand washing buckets 25,000 | 10 pes: 250,000, Mob set 90,000 | 1 pe 90,000 ‘Activity 3 - Monitoring and evaluation of im shortfalls and constraints in order to attain plementation of project and prov ision of feedback ‘so that operational plans can be improved and actions taken where needed to correct efficient and effective performance standards Paper ream 10,000 | 4 pe 30,000 Cartridge HP O5A 785,000 | 2 pe 370,000 Scanning documents 7,000 | 60 pages 160,000 Photocopying 100 | 300 pages 30,000) Fuel for administrative activites 2,300 | 100 litres, 230,000 TOTAL r i 44,675,000 2.2. Financing plan = — —— Activity Summary MEW | Diocese | Total Activity 1 - Capacity building to frontline health workers | 2,889,000} 1,502,000) 4,301,000 Activity 2 - Purchase personal protective equipment 9,564,000 =| 9,884,000 ‘Activity 3 - Monitoring and evaluation -| 720,000} 490,000 | TOTAL COSTS | 12,483,000 | 2,222,000 | 14,675,000 | N.B: Please note that the actual exchange rate of the LMC (TZS to the EURO) will be used (Euro 1 = TZS 2,490.60). a f 30.04.2020 4 Dr. Emmanue E. Chogo (MD) Medical Officer Incharge Date ‘Signature ‘stamp name and position