1. The CCM

2. Overview GF Basics CCM Basics Useful Tools for the CCM CCM Funding
CCM Oversight tool

3. How Is Global Fund Innovative? National Ownership
Old idea (1970s): Development aid went directly to governments, with little attention to civil society
Newer idea (1990s): Money went directly to civil society organizations
Newest idea (now—the Global Fund): Public and non-public sectors must work together & coordinate their work
First 2 paradigms were not successful
Global recognition (donor and recipient constituencies) that providing additional resources required knowledge as to what all sectors were already providing; a CCM as a mechanism whereby all national stakeholders can work together, provide input and participate in key decisions 3

4. The Global Fund Architecture

5. Key actors of the Global Fund
Main message:
A diagram of the ‘Global Fund-world’ representing the bodies of the Global Fund and the interaction of the Global Fund institutions and in-country bodies as already described for slides 2 & 6. This slide focuses on the roles of the bodies for grant management.
Academic/
Educational Sector
The Global Fund
Board
Approval
CCM
Technical Review
Prepares and submits proposals
Selects Principal Recipient(s)
Provides governance during implementation
Monitors impact
Assessment
Local Fund Agent
TRP
Reports
Advise
Screening
Grant agreement
Principal
Recipients
Secretariat
Proposal
Reports
Funds
Funds
Instruction to disburse
Sub- recipients
Trustee (World Bank)

6. Entry points for partner engagement during grant lifecycle
Engagement in/through CCM
Proposal development
New Round of funding
Phase 2
RCC
Ongoing oversight
Identifying challenges
Developing responses
Providing/soliciting TA
Through partner representation on/to CCM
Implementation
PR (dual-track financing) SR
Proposal Development
Grant
Signing
Phase 2
RCC 1 2 3 4 5
Main messages:
A main focus of the Global Fund is to intensify the engagement of civil society, the private sector and multilateral & bilateral partners to support grant implementation where necessary.
As the body responsible for proposal design and oversight of grant implementation, engagement can best be facilitated through the CCM. This slide presents the possible entry points for possible partner engagement. Partners can play a crucial role through the CCM in helping identify bottlenecks and challenges to grant implementation and facilitating the provision of technical assistance/management support to the PR to help alleviate the problems.
Proposal Development
Support proposal development: Identify gaps in current activities; develop strategies and interventions
Assist with TRP clarifications
Support grant negotiations & address CPs
Develop TA plan & provide/solicit TA
During Phase 1
Address implementation challenges (Financial Mgmt, PSM, M&E)
Support preparation of CCM’s Phase 2 Request
Support Phase 2 grant negotiations incl. addressing CPs
During Phase 2
Address implementation challenges (Financial Mgmt, PSM, M&E)
Support RCC proposal development
Support RCC grant negotiations incl. addressing CPs
Provide/solicit TA

7. The Global Fund recognizes that only through a country-driven, coordinated and multi-sector approach involving all relevant partners will additional resources have a significant impact on the reduction of infections, illness and death from the three diseases.

8. CCM – 6 minimum eligibility requirements
Non-government representatives transparent selection
People living with and/or affected by diseases
Transparent proposal solicitation and review
Transparent PR nomination & program oversight
Stakeholder input
Conflict of Interest policy
Non-government sector members must be selected by their own sector(s) based on documented, transparent process, developed within each sector. It is recommended that at least 40% of the membership of CCMs be from non-governmental sectors
CCMs are required to show evidence of membership of people living with and / or affected by the diseases
Transparent, documented process to (a) solicit and (b) review submissions for possible integration in to the proposal
Transparent, documented process to (a) nominate PRs and (b) oversee program implementation – Optional but recommend in R8 Dual-track financing – recommendation to routinely include government and non-government PRs to expand service delivery potential by elevating capable civil society and private sector applicants to a leading role
Transparent, documented process to ensure the input of a broad range of stakeholders, incl. CCM members and non-members, in proposal development and grant oversight process
When PRs and Chair or Vice-Chair of the CCM are the same entity, the CCM must have a written plan in place to mitigate against the inherent conflict of interest, While the requirement is specifically directed towards the circumstance where PRs and CCM Chairs come from the same entity, it is highly recommended that COI policies are designed to apply to all members of the CCM, i.e. increasingly more and more CCM members represent institutions that are also sub-recipients.
these requirements must be met by the CCM, they are not negotiable and determine
proposals from CCMs that do not meet those requirements are not eligible for funding
The following slides will provide guidance on types of documents that could, depending upon context, adequately prove that a particular requirement has been met. Please note that the list is not comprehensive or exhaustive; in certain situations and circumstances, alternative forms of evidence may be adequate, necessary.

9. Guidelines for Coordinating Mechanisms
Broad Representation
minimum 40% non-government representation
geographical & gender representation
people living with the diseases
key affected populations
Participation and transparency
Own constituency member selection
Transparent, inclusive proposal development process
Transparent, inclusive PR selection process
Process for oversight of implementation
Governance
Chair & Vice chair from different constituencies

10. CCM – Roles and Responsibilities
Year 1
Year 2
Year 3
Year 4
Year 5
Proposal.
development
Oversight of grant implementation & PR performance
PR(s)
nomination
TRP
clarification
Grant
negotiation
Phase 2
Request
Phase 2
Grant
Closure
RCC
Technical assistance needs and coordination
Coordination with other in-country structures

11. CCM Roles and Responsibilities
Coordinate the submission of coordinated country proposal
Select appropriate organization(s) to act as Principal Recipient(s) (PR) for the Global Fund grant(s)
Oversee implementation of approved grants
Approve any major changes/reprogramming in implementation as necessary
Evaluate the performance of grants and PR
Submit phase two requests for continued funding
Ensure linkages and consistency between Global Fund grants and other development and health programs in support of national priorities

12. CCM and GF Principles Forum for multi-stakeholder partnerships
Increase accountability through multi-stakeholder participation
Forum where civil society can partner effectively with government
CCMs offer opportunities for harmonization/alignment
CCMs promote good governance and transparency
CCMs enhance country ownership
The Global Fund is designed to work through existing or new multi-sectoral partnerships in developing countries – partnerships named Country Coordinating Mechanisms (CCMs); CCMs Mirror the GF’s own Board of Directors

13. The Role of the CCM Applying good governance principles
Represents the interests of all stakeholders relevant to AIDS, TB and Malaria
Coordinates the development of proposals for funding national programmes
Nominates (PR) to undertake programme implementation
Oversight of the PRs to support programme performance
Facilitates the resolution of programme challenges with the PR(s)
Ownership of Global Fund grants, reprogramming of funds or change of PR
Coordination among partners to promote harmonization among donors and alignment with in-country programmes

14. Role of the CCM Member
Represents an entire constituency – not one organization or individual
Consults constituency in all CCM decisions
Shares information and communicates openly with constituency members
Role requires that all CCM discussions are well documented to ensure transparency and effective participation
CCM members cannot delegate their role to a committee or to CCM Chair/Vice-Chairs for example
Important to define CCM member roles in clear terms of reference, and to select members with the necessary capacities and commitment

15. The Global Fund depends on three key bodies in recipient countries to administer and manage its grants : Principal Recipients, Country Coordinating Mechanisms, and Local Fund Agents
The Principal Recipient(s) is the legally accountable party in country which disburses to sub-recipients and ensures reporting of results to the Global Fund
The Global Fund
Advice and data verification
Funds
LFA
PR(s)
Reporting
Country Coordinating Mechanism
Funds
Reporting
Main messages:
The Global Fund bodies in-country:
The Principle Recipient (PR) has a grant agreement with the Global Fund Secretariat and is responsible for grant implementation and reporting results achieved. The PR receives funds from the Secretariat.
The PR may organise for the implementation of some activities to be carried out by other bodies. It will arrange for implementation of these activities by sub-recipients. The PR will enter into grant agreements with each sub-recipient to formalize activities to be undertaken, disbursement of funds and reporting requirements.
The CCM is a multi-stakeholder forum in-country responsible for the submission of proposals (including Phase 2 requests and RCC proposals) and the oversight of grant implementation by the PR. This means the CCM should receive periodic reports from the PR on the status of grant implementation and any challenges encountered and facilitate support for the PR by technical partners where necessary.
The LFA is the “eyes and ears” of the Global Fund in-country. The Global Fund does not have offices in-country. It relies on the LFAs in each country to initially assess the capacity of the PR to implement the programs financed through the grant, receive reports on progress of grant implementation from the PR, verify results and make recommendations based on the issues at stake and knowledge of the in-country context to the Secretariat. The Secretariat will consider recommendations provided by the LFA when negotiating grants, making decisions to disburse funds and making recommendations for Phase 2 requests.
Sub- recipient(s)
The Country Coordinating Mechanism (CCM) is the local partnership that develops proposals for the Global Fund and oversees grants – the CCM is central to the Global Fund’s commitment to transparency and local ownership
The Local Fund Agent is the "eyes and ears" of the Global Fund in country, assessing Principal Recipients and advising the Global Fund on ongoing performance

16. CCM oversight: A national responsibility
THE GLOBAL FUND
LFA PR
CCM SR SR SR

17. Conclusion CCM is the cornerstone of GF architecture
CCM is an expression of GF principles
CCM can influence access to GF Funding
The CCM plays important roles:
In programme development
In programme oversight
CCM Support available, including useful new tools

18. A partnership of stakeholders
Our Governance Model
A partnership of stakeholders
NGOs North
NGOs South
Communities living with the diseases
Donors
Recipients
Public Sector
(Governments)
Civil
Society
Private Sector
Foundations
WHO
UNAIDS
World Bank
Main messages:
The Global Fund defines itself as a public/private partnership.
The Board has representation of donor and recipient governments, NGOs, communities, foundations and the private sector. The Board has 20 seats: 10 for developed/donor and 10 for developing/recipient countries including NGO representatives of communities living with the diseases, NGOs of developed countries, NGOs of developing countries, and representatives of private foundations and the private sector.
UNAIDS, WHO, the World Bank and the Swiss Government may attend the Board meetings, however are non-voting members.
This model is to be reflected in-country through the CCM, i.e. a public-private partnership at the country-level to best design inclusive proposals and best implement and maximize the impact of Global Fund grants.
The CCM creates a rich, sometimes difficult forum for conversations on how best to design and implement a program.
Private
Sector
Technical
Partners

19. The Network of partners in-country is crucial for the success of country-led efforts supported by the Global Fund
Main message:
A slide representing the ‘Global Fund world’ however this time highlighting all the different partners that should be/need to be engaged at both the global and country levels for the Global Fund to be successful in supporting the mitigation of HIV/AIDS, tuberculosis & malaria.
As a financing entity, the Global Fund relies heavily on in-country partners including bilaterals & multilaterals to provide support to countries with grant implementation.
Examples of partner activities:
Resource mobilization
Parallel financing
Technical assistance to prepare proposals
Strengthen linkages to existing country-led efforts
Capacity building support for implementing parties
Monitoring of impact and additionality
Advocacy and fund-raising

20. Comments/Questions ?

21. Global Fund Governance
A partnership of stakeholders
Civil
Society
Technical
Partners
Private
Sector
Donor & Recipient
Governments
NGOs North
NGOs South
Communities
affected by the
three diseases
Donors (8)
Recipients (7)
Private Sector
Foundations
The Board’s 24 members (20 voting members) represent a unique partnership of both public and private stakeholders in the global fight against these diseases
WHO*
UNAIDS*
World Bank*
Switzerland
*non voting members 21

22. General Principles of the Global Fund
Operates as a financial instrument, not an implementing organization
Makes available and leverages additional financial resources
Supports programs that reflect national ownership
Operates in a balanced manner in terms of different regions, diseases, and interventions
Pursues an integrated and balanced approach to prevention and treatment
Evaluates proposals through independent reviews
Establishes a simplified, rapid, and innovative grant-making process and operates transparently, with accountability 22

23. The Global Fund is a Swiss foundation constituted by four bodies, including an international Board, an expert Technical Review Panel and a day-to-day Secretariat
Technical review of proposals
Biannual counsel on policy
Technical
Review Panel
Board
Partnership Forum
Overall governance, approval of funding for proposals, budget
Standing members
Meets to review proposals
Ad hoc composition
Meets every two years
Main messages:
To understand the role and functions of the LFA, it is important to have a fundamental understanding of the Global Fund, the ‘bodies’ that constitute the Global Fund, and their respective roles.
The Global Fund is a Swiss foundation constituted by four bodies: a Board (of Directors), an expert Technical Review Panel, a Secretariat and a partnership forum.
The Board makes executive decisions concerning the functioning of the Global Fund, policy decisions, approves funding and approves the Secretariat’s annual budget.
The Secretariat manages the ‘day-to-day’ work of the Global Fund finalizing grant agreements and disbursing funds to countries that perform and fulfill their periodic targets.
The Technical Review Panel consists of technical (medical) experts (i.e. doctors of the three diseases and persons with knowledge of health systems issues) who review proposals submitted to the Global Fund from countries. The TRP makes funding recommendations to the Board. It is the Board though that decides whether or not a proposal will be funded. It bases its decisions on the recommendations of the TRP.
The Partnership Forum consists primarily of NGO partners which meet every two years to discuss the strategy of the Global Fund and specific policy development.
The Global Fund was established in 2002 to be a ‘financing entity’ – to push large amounts of resources to countries with dire needs to fight the three pandemics. The Global Fund (ie Secretariat) therefore finances programs against the three diseases in developing countries. The Global Fund does not implement grants. Nor does the Global Fund design programs for countries. One of the fundamental principles of the Global Fund is the principle of ‘country ownership’. Countries submit proposals. They are reviewed by the TRP for their technical merit. The Board approves/doesn’t approve a proposal. The country is responsible for implementing the grant. The Global Fund therefore has no country offices. All its staff are based in Geneva. Fund Portfolio Managers travel often to the countries they manage. Countries may experience difficulties, challenges or bottlenecks implementing Global Fund grants. Technical partner agencies and other partners in-country will assist in their resolution.
Secretariat
Based in Geneva

24. Challenges Many CCMs do not have true representation
CCM size and effectiveness
Weak constituency consultation and information sharing
PR-CCM tensions exist
Communication between PR-CCM-LFA not optimal
PR and Sub-recipient selection is not transparent
Oversight is not optimal