Manuals, Guidelines & Frameworks Archives – Africa CDC https://africacdc.org/resource-type/manuals-guidelines-frameworks/ Africa Centres for Disease Control and Prevention Mon, 08 Apr 2024 10:59:50 +0000 en-GB hourly 1 https://africacdc.org/wp-content/uploads/2019/10/cropped-fav-32x32.png Manuals, Guidelines & Frameworks Archives – Africa CDC https://africacdc.org/resource-type/manuals-guidelines-frameworks/ 32 32 The Africa Pathogen Genomics Initative (Africa PGI) Integrated Genomic Surveillance and Data Sharing Platform (IGS) https://africacdc.org/download/the-africa-pathogen-genomics-initative-africa-pgi-integrated-genomic-surveillance-and-data-sharing-platform-igs/?utm_source=rss&utm_medium=rss&utm_campaign=the-africa-pathogen-genomics-initative-africa-pgi-integrated-genomic-surveillance-and-data-sharing-platform-igs Tue, 02 Apr 2024 10:49:57 +0000 https://africacdc.org/?post_type=wpdmpro&p=17147 Background Africa CDC Institute of Pathogen Genomics (IPG) was launched in November 2019 and operates under the Division of Laboratory Systems and Networks. IPG coordinate the implementation of molecular diagnostics, pathogen genomics and bioinformatics in National Public Health Institutions (NPHIs) and/or Reference Laboratories (NRLs) across Africa. Africa CDC and ASLM are coordinating a continental initiative […]

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Background
Africa CDC Institute of Pathogen Genomics (IPG) was launched in November 2019 and operates under the Division of Laboratory Systems and Networks. IPG coordinate the implementation of molecular diagnostics, pathogen genomics and bioinformatics in National Public Health Institutions (NPHIs) and/or Reference
Laboratories (NRLs) across Africa.
Africa CDC and ASLM are coordinating a continental initiative to maximize the benefits of molecular approaches and pathogen genomics for more effective outbreak preparedness, prevention, response, and for the control and elimination of endemic diseases in Africa. One of Africa CDC’s flagship initiative is the Africa
Pathogen Genomics Initiative (Africa PGI), a partnership that aims to strengthen laboratory systems and enhance genomic surveillance by equipping the continent’s
public health institutions with the tools, training, and data infrastructure.

About the Project
Approximately 700,000 deaths occur globally annually due to infections caused by antimicrobial-resistant (AMR) pathogens. In Africa, western sub-Saharan Africa,
is disproportionately affected by AMR relative to other regions. The pervasiveness of AMR in this region threatens to reverse health gains made over the past years,
curtailing the achievement of sustainable development goals. Thus, a robust surveillance system to the emergence and spread of AMR, particularly in bloodstream
infections (BSIs) which are associated with high morbidity and mortality is much needed. In this project, genomic sequencing technologies will be employed to rapidly analyse genomic sequences, identify markers of resistance, and facilitate timely data sharing to support evidence-based decision-making for public health
interventions.

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The Africa Pathogen Genomics Initative (Africa PGI) Integrated Genomic Surveillance for Outbreak Detection (DETECT) https://africacdc.org/download/the-africa-pathogen-genomics-initative-africa-pgi-integrated-genomic-surveillance-for-outbreak-detection-detect/?utm_source=rss&utm_medium=rss&utm_campaign=the-africa-pathogen-genomics-initative-africa-pgi-integrated-genomic-surveillance-for-outbreak-detection-detect Tue, 02 Apr 2024 10:40:27 +0000 https://africacdc.org/?post_type=wpdmpro&p=17142 Background Africa CDC Institute of Pathogen Genomics (IPG) was launched in November 2019 and operates under the Division of Laboratory Systems and Networks. IPG coordinate the implementation of molecular diagnostics, pathogen genomics and bioinformatics in National Public Health Institutions (NPHIs) and/or Refe- -rence Laboratories (NRLs) across Africa. Africa CDC and APHF are coordinating a continental […]

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Background
Africa CDC Institute of Pathogen Genomics (IPG) was launched in November 2019 and operates under the Division of Laboratory Systems and Networks.
IPG coordinate the implementation of molecular diagnostics, pathogen genomics and bioinformatics in National Public Health Institutions (NPHIs) and/or Refe-
-rence Laboratories (NRLs) across Africa.
Africa CDC and APHF are coordinating a continental initiative to maximize the benefits of molecular approaches and pathogen genomics for more effective
outbreak preparedness, prevention, response, and for the control and elimination of endemic diseases in Africa. One of Africa CDC’s flagship initiative is the Africa
Pathogen Genomics Initiative (Africa PGI), a partnership that aims to strengthen laboratory systems and enhance genomic surveillance by equipping the continent’s
public health institutions with the tools, training, and data infrastructure.

About the Project
In 2023, 166 outbreaks and public health events were reported in Africa. This calls for a resilient laboratory systems for timely detection and reporting of current and future outbreaks. This project aims to scale up molecular diagnostic and genomic sequencing-based detection and characterization of outbreaks.
Africa CDC is working with Member States to develop guidance, diagnostic algorithm, training and capacity building to enable outbreak detection, and reporting to inform public health response.

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Guidance for Strengthening Non-Communicable Diseases, Injuries and Mental Health Surveillance Systems https://africacdc.org/download/guidance-for-strengthening-non-communicable-diseases-injuries-and-mental-health-surveillance-systems/?utm_source=rss&utm_medium=rss&utm_campaign=guidance-for-strengthening-non-communicable-diseases-injuries-and-mental-health-surveillance-systems Mon, 15 Jan 2024 14:47:34 +0000 https://africacdc.org/?post_type=wpdmpro&p=16486 Executive summary Non-communicable diseases, injuries, and mental health conditions (NCDI/MH) are substantial diseases and economic threats across African Union (AU) Member States (MS). The conditions are estimated to disable and prematurely end millions of lives across Africa each year. They constitute a serious impediment to achieving the vision of the Agenda 2063 of building an […]

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Executive summary

Non-communicable diseases, injuries, and mental health conditions (NCDI/MH) are substantial diseases and economic threats across African Union (AU) Member States (MS). The conditions are estimated to disable and prematurely end millions of lives across Africa each year. They constitute a serious impediment to achieving the vision of the Agenda 2063 of building an integrated, prosperous, and peaceful Africa driven by its citizens.
The existing data and estimates leave little doubt about the general trajectory of an increasing disease and mortality burden from NCDI/MH on the continent over
the next decades. Despite these predictions, recently collected population-based data for NCDI/MH and their risk factors and determinants remain scarce in many AU MS.
This guidance document for Member States was developed in evidence-based and consultative processes. It aims to support AU MS to progressively strengthen their NCDI/MH surveillance systems in line with national and continental strategies. Furthermore, this document is guided by and seeks to contribute to the realization of the Agenda 2063, the Africa Health Strategy 2016-2030), and Africa’s New Public Health Order.
Most specifically, this guidance document supports the implementation of the Africa CDC Non-Communicable Diseases, Injuries Prevention and Control and Mental Health Promotion Strategy 2022-26. The guidance also complements existing technical surveillance documents and links to global and regional monitoring frameworks.
This document concerns the surveillance of i) non-communicable diseases, injuries, and mental health conditions, ii) their risk factors and determinants, and iii) the national response to these threats. It also informs the integration of NCDI/MH indicators into the national Health information system (HIS) in order to strengthen the surveillance systems to support evidence-based decision-making for NCDI/MH prevention and control in AU MS. The target audiences for this document include ministries of health (MoH) and National Public Health Institutes (NPHIs) as well as additional ministries and national public institutions with mandates related to NCDI/MH surveillance.
This document has three core sections: Recommendations, Implementation support tools and outlook; Definitions and a complementary annex – a repository of practical documents. The recommendations to Member States are structured under 4 major headings:
A. Indicators, data sources and data types,
B. Surveillance system capacities,
C. Surveillance integration with existing systems, and
D. Data use. A summary of the key recommendations is highlighted in text box below.

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Business and Operational Models for African Biomanufacturing Training Centres https://africacdc.org/download/business-and-operational-models-for-african-biomanufacturing-training-centres/?utm_source=rss&utm_medium=rss&utm_campaign=business-and-operational-models-for-african-biomanufacturing-training-centres Wed, 13 Dec 2023 09:23:38 +0000 https://africacdc.org/?post_type=wpdmpro&p=15777 Introduction & Background The African Union (AU) has set an ambitious goal to increase local vaccine production to 60% of the continent’s requirements by 2040. The AU’s Partnerships for African Vaccine Manufacturing (PAVM), hosted by the Africa Centres for Disease Control and Prevention (Africa CDC), was established in 2021 and estimates between 900-1600 current Full […]

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Introduction & Background
The African Union (AU) has set an ambitious goal to increase local vaccine production to 60% of the continent’s requirements by 2040. The AU’s Partnerships for African Vaccine Manufacturing (PAVM), hosted by the Africa Centres for Disease Control and Prevention (Africa CDC), was established in 2021 and estimates between 900-1600 current Full Time Equivalents (FTEs) in manufacturing need upskilling, while an additional 7000-8800 newly qualified FTEs will be required by 2040. Allowing for workforce turnover and other mitigating circumstances 14,000 people will need to be trained to meet the Continent’s needs. Training must encompass research and development, process development, upstream processes,
downstream processes, formulation, fill and finish operations, and cross-cutting training in analytical testing in a quality control environment. PAVM have been given the mandate to lead the workforce development program to meet those needs.

Challenges
Establishing suitable training centres face challenges including building a facility that can adequately simulate real production processes, the creation of course content and the development of sustainable business models as the overall biomanufacturing ecosystem is established.
At present, several initiatives across Africa, including Institut Pasteur Dakar in Senegal, CSIR in South Africa, the University of the Western Cape also in South Africa, the Kemri Welcome Trust Research Program in Kenya, the EAC Regional Centre of Excellence for Vaccines, Immunization and Health Supply Chain Management in Rwanda, and the Kina Foundation in Ghana, are exploring options to establish such training centres. These
initiatives have secured some funding, although at the time or writing it is not clear what funding is for onetime capital investment and what is committed for continuous support for ongoing training. PAVM proposes to develop Regional Capability and Capacity Centre Networks (RCCCNs) to resolve the three main challenges in talent development: lack of coordination between local talent development initiatives, brain-drain of local
talent, and sustainable financing.

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Africa CDC Reproductive Health | Strategic Priorities 2022-2026 https://africacdc.org/download/africa-cdc-reproductive-health-strategic-priorities-2022-2026/?utm_source=rss&utm_medium=rss&utm_campaign=africa-cdc-reproductive-health-strategic-priorities-2022-2026 Mon, 04 Dec 2023 17:32:55 +0000 https://africacdc.org/?post_type=wpdmpro&p=15646 EXECUTIVE SUMMARY In 2006, the Special Session of African Union Health Ministers adopted the Maputo Plan of Action for implementing the Continental Policy Framework on sexual and reproductive health and rights (SRHR), which expired at the end of 2015. The goal was for all stakeholders and partners to join forces and re-double efforts, so that […]

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EXECUTIVE SUMMARY

In 2006, the Special Session of African Union Health Ministers adopted the Maputo Plan of Action for implementing the Continental Policy Framework on sexual and reproductive health and rights (SRHR), which expired at the end of 2015. The goal was for all stakeholders and partners to join forces and re-double efforts, so that together, the effective implementation of the Continental Policy framework including universal access to sexual and reproductive health by 2015 in all countries in Africa can be achieved. The Revised Maputo Plan of Action (MPoA) 2016 – 2030 was subsequently endorsed by the African Union Heads of State at the 27th AU Summit in July 2016 in Kigali, Rwanda. The plan reinforces the call for universal access to comprehensive sexual and reproductive health services in Africa and lays foundation to the Sustainable Development Goals, particularly Goal 3 and 5, as well as the African Union Agenda 2063.

However, seven years into the SDGs, key RH indicators are off track for Africa: Maternal Mortality ratio for Africa is 542/100, 000 live births (Global average 211/100, 000, and SDG target 70/100, 000), universal access to sexual and reproductive health-care services for sub-Saharan Africa is 28%, north Africa is 35% (Global average 44%) and Universal Health Coverage index for Africa is 46% (Global average 66%).

Africa CDC is very strong in responding to infectious disease outbreaks on the continent, but these outbreaks directly and indirectly cripple SRH services, and supporting SRH services during these emergency situations is not prioritised. Countries affected by humanitarian crisis disproportionately contribute to global maternal and newborn mortality and morbidity; 61 per cent of global maternal deaths occurred in
countries affected by humanitarian crises, whilst more than 80% of countries with the highest newborn mortality have suffered from recent conflict, natural disaster or both.1 2

Emergent humanitarian settings and situations of conflict, post-conflict, disease outbreaks and disaster significantly hinder maternal and newborn health (MNH) improvement efforts required to meet global targets. 4,5 More than 235 million people (75%) in need of humanitarian assistance globally are women and children. 6 To compound the situation further, women, newborns, their families and health care providers are grappling with the impact of the COVID 19 pandemic, projected to negatively impact coverage of maternal and newborn health services, with a resultant increase in mortality. 7,8 For example, evidence shows a significant increase in clinically relevant anxiety, depression and intimate partner violence in the first 9 months of the pandemic – all of which are concerningly relevant to perinatal health .9 Using COVID 19 pandemic over the last 2 years as an emergency situation scenario, against the back drop of the predicted impact of covid-19 on sexual and reproductive health services/maternal and newborn health services, an in-depth analysis of the impact of covid-19 on SRHR/MNH/Adolescent health in the continent, including in humanitarian settings is required.

 

 

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Laboratory Equipment Management, A Guidance to African Union Member States https://africacdc.org/download/laboratory-equipment-management-a-guidance-to-african-union-member-states/?utm_source=rss&utm_medium=rss&utm_campaign=laboratory-equipment-management-a-guidance-to-african-union-member-states Thu, 12 Oct 2023 12:59:55 +0000 https://africacdc.org/?post_type=wpdmpro&p=14983 Executive Summary In recent years, African countries have made great advances in capacity for laboratory testing for clinical use, surveillance and public health emergency management, and for research and development through substantial investments in infrastructure, including the deployment of large numbers of laboratory analyzers. However, weaknesses in laboratory equipment management remain key concerns and threaten […]

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Executive Summary

In recent years, African countries have made great advances in capacity for laboratory testing for clinical use, surveillance and public health emergency management, and for research and development through substantial investments in infrastructure, including the deployment of large numbers of laboratory analyzers. However, weaknesses in laboratory equipment management remain key concerns and threaten to undermine these advances. Challenges include lack of appropriate maintenance, limited formal equipment operation and maintenance training, failure to implement regular calibration and institute service contracts, and inadequate designated equipment space, among others. Equipment management, which includes the administration, monitoring and maintenance of laboratory equipment, is an essential component of patient care, public health research, technology transfer, and public health emergency management.

Significant experience in equipment management has been gained in some settings in recent years and this provides a source for best practices that member states can adapt to support the establishment of well-organised equipment management programs. These include key considerations for procurement and acquisition of laboratory equipment, equipment operation, maintenance and calibration and retirement and disposal of equipment. Documentation and records are also essential management requirements, including a full and accurate inventory of all laboratory equipment, materials provided by the manufacturer on operation, maintenance and troubleshooting, and records of all preventive maintenance and repair actions.

This document assembles these best practices and provides a resource for the proper management of equipment in the laboratory to ensure accurate, reliable and timely testing, and maintain a high level of laboratory performance. Improved equipment management also lowers repair costs, lengthens instrument life, reduces interruption of services due to breakdowns and failures, and enables laboratory accreditation and the achievement of high-quality and accessible laboratory
services at all levels of healthcare service delivery.

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Le Cadre Juridique de la Biosécurité et de la Biosûreté pour les Etats Membres de l’Union Africaine https://africacdc.org/download/le-cadre-juridique-de-la-biosecurite-et-de-la-biosurete-regionales-pour-les-etats-membres-de-lunion-africaine/?utm_source=rss&utm_medium=rss&utm_campaign=le-cadre-juridique-de-la-biosecurite-et-de-la-biosurete-regionales-pour-les-etats-membres-de-lunion-africaine Sat, 20 May 2023 07:29:38 +0000 https://africacdc.org/?post_type=wpdmpro&p=13837 RÉSUMÉ L’évaluation externe conjointe de l’Organisation mondiale de la Santé (OMS) menée entre 2016 et 2019, l’Indice de sécurité sanitaire mondiale (GHSI) et les consultations régionales coordonnées par les Centres africains de contrôle et de prévention des maladies (CDC Afrique), une institution technique spécialisée de l’Union africaine (UA), ont mis en évidence des lacunes des […]

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RÉSUMÉ

L’évaluation externe conjointe de l’Organisation mondiale de la Santé (OMS) menée entre 2016 et 2019, l’Indice de sécurité sanitaire mondiale (GHSI) et les consultations régionales coordonnées par les Centres africains de contrôle et de prévention des maladies (CDC Afrique), une institution technique spécialisée de l’Union africaine (UA), ont mis en évidence des lacunes des capacités en matière de biosécurité et de biosûrêté parmi les États membres de l’UA. Pour remédier à ces lacunes et aider les États membres à renforcer leurs capacités à se conformer aux exigences et réglementations internationales en matière de biosécurité et de biosûreté, le CDC Afrique, le Centre panafricain de vaccins vétérinaires de l’Union africaine (AU-PANVAC) et le Bureau interafricain des ressources animales de l’Union africaine (UA-BIRA), en collaboration avec les États membres de l’UA, et ses centres de collaboration régionaux (CCR), a lancé l’Initiative régionale sur la biosécurité et la biosûreté (BBI). L’un de ses principaux objectifs est de développer un cadre juridique régional pour la biosécurité et la biosûreté (BSBS) qui puisse être adopté, pour être ensuite incorporé et transposé dans la législation nationale.

Le cadre juridique BSBS fournira des orientations et soutiendra les opérations de biosécurité et de biosûreté dans les États membres de l’UA en en expliquant comment les laboratoires, les institutions peuvent gérer les agents pathogènes à haut risque. Il définira la manière dont les établissements de formation et les organismes de réglementation pourraient renforcer les pratiques de biosécurité et de biosûreté à l’aide d’une approche ” Une seule santé ” englobant les secteurs humain, animal, végétal et environnemental. Il définira les exigences techniques globales pour les laboratoires et les établissements qui manipulent et/ou stockent des agents et des toxines à haut risque (HCAT). Il définira les normes de formation et les exigences en matière de renforcement des capacités et les spécifications des
professionnels de la biosécurité et de la biosûreté. Les États membres dotés d’une architecture juridique préexistante devraient utiliser ce cadre juridique BSBS comme référence pour examiner l’adéquation de la portée et du détail et mettre à jour leurs dispositions juridiques en conséquence. Lorsqu’il n’existe pas de documents juridiques sur la biosécurité et la biosûreté, les États membres peuvent adopter ce cadre juridique BSBS pour élaborer leur législation nationale.

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Optimizing Strategies for COVID-19 Vaccine Roll-out in Benin and Ghana https://africacdc.org/download/optimizing-strategies-for-covid-19-vaccine-roll-out-in-benin-and-ghana/?utm_source=rss&utm_medium=rss&utm_campaign=optimizing-strategies-for-covid-19-vaccine-roll-out-in-benin-and-ghana Tue, 16 May 2023 05:11:07 +0000 https://africacdc.org/?post_type=wpdmpro&p=13819 POLICY BRIEF This Policy Brief builds on previous evidence (Policy Brief Release: 10 May 2022), summarizing the latest research on the Epidemiological and Economic Impact of COVID-19 Vaccine Roll-out Scenarios in Africa. This quantitative analysis compares the costs and outcomes of different vaccine roll-out scenarios in two unique national contexts, namely: Benin and Ghana – […]

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POLICY BRIEF
This Policy Brief builds on previous evidence (Policy Brief Release: 10 May 2022), summarizing the latest research on the Epidemiological and Economic Impact of COVID-19 Vaccine Roll-out Scenarios in Africa.
This quantitative analysis compares the costs and outcomes of different vaccine roll-out scenarios in two unique national contexts, namely: Benin and Ghana – shares recommendations for structuring vaccine roll-out to achieve the greatest benefits and maximize value in resource allocation. Recognizing prevailing shifts in continental COVID-19 epidemiology, the recent announcement ending the COVID-19 global health emergency period, and broader continental policy discourse signaling the pursuit of long-term control strategies for COVID-19 across African Union (AU) Member States is timelyi; the brief offers critical insights which can be harnessed in strengthening regional pandemic preparedness and responses to future public health emergencies and inform decision-making considerations for emerging continental priorities.

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IPC | Legal Framework, Background and Annotations https://africacdc.org/download/infection-prevention-and-control-ipc-legal-framework-background-and-annotations/?utm_source=rss&utm_medium=rss&utm_campaign=infection-prevention-and-control-ipc-legal-framework-background-and-annotations Mon, 15 May 2023 14:42:16 +0000 https://africacdc.org/?post_type=wpdmpro&p=13817 PREFACE In healthcare facilities, Infection Prevention and Control (IPC) requires a scientific approach to prevent harm caused by infection to patients and healthcare workers. Healthcare-acquired infections (HAIs), which include healthcare-associated antimicrobial resistance (HAI-AMR), are a major threat to health and safety. First, health systems have an ethical duty to “do no harm” when patients receive […]

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PREFACE
In healthcare facilities, Infection Prevention and Control (IPC) requires a scientific approach to prevent harm caused by infection to patients and healthcare workers. Healthcare-acquired infections (HAIs), which include healthcare-associated antimicrobial resistance (HAI-AMR), are a major threat to health and safety. First, health systems have an ethical duty to “do no harm” when patients receive medical care and the responsibility to protect their employees, volunteers, and visitors. This is an issue of urgency given the expansion of universal healthcare in Africa. Second, Member State signatories to the African Charter on Human and Peoples’ Rights have obligations, including under Article 16, to protect the health of their people. Third, healthcare facilities accelerate and amplify emerging infectious diseases, such as COVID-19 and Ebola. Preventing such infections through the implementation of a routine IPC programme can help limit disease transmission during community outbreaks. Fourth, healthcare facilities help drive emergence and transmission of antimicrobial resistant (AMR) infections, due to the heavy use of antimicrobial agents in the treatment of infections. Effective IPC programmes can reduce the prevalence of AMR infections in hospitals.

As such, healthcare facilities play a key role in effective preparedness and response. By ensuring IPC standards are implemented appropriately, healthcare facilities can provide safe services not only on a daily basis but also when there is a surge in healthcare need.

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Africa CDC Procurement Process Mapping https://africacdc.org/download/africa-cdc-procurement-process-mapping/?utm_source=rss&utm_medium=rss&utm_campaign=africa-cdc-procurement-process-mapping Wed, 19 Apr 2023 16:37:48 +0000 https://africacdc.org/?post_type=wpdmpro&p=13617 Summary Guidance Note  – Slide 2 Timeline – Slide 3 economyHiring of Consulting Firms – Consultancy Services – Slide 4 Procurement of Goods – Slide 5 TimelineProcurement of Goods and Services under Workshop/Technical Assistance/Training – Slide 6  

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Summary Guidance Note  – Slide 2

Timeline – Slide 3

economyHiring of Consulting Firms – Consultancy Services – Slide 4

Procurement of Goods – Slide 5

TimelineProcurement of Goods and Services under Workshop/Technical Assistance/Training – Slide 6

 

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