Meaningful Involvement (workshop report)

8/2/2019 Meaningful Involvement (workshop report)

1/36

R E P O R T

Regional workshop

Meaningul Involvement


2/36

2

Contents

1. Workshopsaims,objectives,dates,venue3

2. Participants,organizersandexperts,andfunders33. Methodsandmaterials4

4. Sessionsanddiscussions4

5. Outcomesandoutputs,suggestedfollow-up166. Evaluationresults,recommendationsandlessonslearnt17

Annexes

A. Plannedagenda19

B. Participantlist31C. Workshopresolution34

Contacts

EurasianHarmReductionNetwork(EHRN)Siauliu5/1-21,LT-01133Vilnius,Lithuania

Ph.+370(5)2691600,fax+370(5)[email protected]

PreparedbyRamintaStuikyteinconsultationwithGennadyRosh-

chupkinandNataliyaLeonchuk.


3/36

3

1. Workshops aims,

objectives, dates, venue

TheworkshopMeaningfulInvolvementtookplaceon2224November2009attheBestWesternCityHotel,Soa,Bulgaria.Itaimedtoenhancetheinvolvementof

organisationsledbypeoplelivingwithHIV(PLHIV)andpeoplewhousedrugsin

projectssupportedbytheGlobalFundtoghtAIDS,TuberculosisandMalaria(Global

Fund).

Specic objectives o the meeting were:

toshareinformationaboutRound10ofGlobalFundgrants,aswellas

informationaboutproceduresandissuesrelatedtothedevelopmentofgrant

proposalsandtheinvolvementofnon-governmentalorganisations(NGOs)asPrincipalRecipientsorSub-Recipientsofthegrants;

todiscussbestpracticesforinvolvingpeoplewhousedrugsandPLHIVinthe

activitiesofCountryCoordinationMechanisms;

todiscussthetechnicalsupportneedsoforganisationsledbypeoplewhouse

drugsandPLHIV,aswellasofNGOsprovidingsupporttothem;

toplanregionalcooperationforstrengthenedinputfromandparticipationof

peoplewhousedrugsandPLHIVinGlobalFundprojects,andtoexpandaccess

toup-to-date,high-qualitytechnicalsupport.Thisincludesplanningactivities

fortheXVIIIInternationalAIDSConference(Vienna,1823July2010);andtogivecivilsocietyrepresentativesanopportunitytointeractdirectlywiththe

participantsinthe2009GlobalFundEasternEuropeandCentralAsiaRegionalMeeting,heldinSoaon2426November2009.

2. Participants, organizers

and experts, and undersForty-oneparticipantsfrom17countriesand15resourcepeopleattendedthemeeting.Thirty-fourparticipantsweresupportedwithscholarships,afterbeing

selectedfromaround60applicantswhorespondedtoanopencallaboutthe

workshopandscholarshipsavailablethatwasdisseminatedthroughharmreduction,HIV,PLHIVandGlobalFundcontacts.Oftheparticipants,22werefromdruguserand

PLHIVgroupsandorganisations.

TheworkshopwasinitiatedbytheCivilSocietyActionTeam(CSAT),aglobal

programmeforimprovingcivilsocietyparticipationintheGlobalFundsprocesses.


4/36

4

ItwasorganizedbytheEurasianHarmReductionNetwork(EHRN)andAIDS

FoundationEast-West(AFEW).Fundingforthemeetingwasgenerouslyprovidedby

GrantManagementSolutions(GMS),aswellasthroughanon-restrictivegrantfrom

Merck&Co.LocallogisticalpartnerwastheBulgarianFamilyPlanningAssociation.

Topreparethecontentoftheworkshopandselectscholarshiprecipients,theOrganizingCommitteewasestablished,comprisingexpertsfromtheorganizers,

theGlobalFund,GMSandtheEastEurope&CentralAsianUnionofPLHIV(ECUO).

TheOrganizingCommitteedenedtheobjectives,developedtheagenda,actively

participatedinsessionsasexpertsandpresenters,andmadetheworkshopsnal

evaluation.

3. Methods and materialsThemeetingintegrated15presentationswithfacilitateddiscussions,twogroup

sessionsandquestionandanswersegments.Mostsessionshaddidacticelementstobuildacommonunderstandingonprinciples,processesandguidelinesamong

experiencedparticipantsandpeoplethathadbeenlessinvolvedinGlobalFund

processessofar.Theagendawasusedexibly,andsomesessionswereextendedto

allowparticipantstoexpresstheiropinions,clarifyconceptsandaskquestions,which

resultedinextendingsomesessionsandshorteningothers.

TheworkshopwasconductedinEnglishandRussianwithsimultaneoustranslation

andbilingualfacilitators;presentationsweregiveninbothlanguagessimultaneously.

Asetofmaterialsgroupedbysessionswasprovidedtoparticipantsinelectronic

format,alongwithhandoutsofprintedpresentations.Themeetingdiscussionswere

recordedindetailednotes.

4. Sessions and discussionsThemeetingssessionsstartedwithlearningabouttheGlobalFundsstructures,processesandrequirements.Theywerefollowedbydescribinganeedsassessment

andwhatitisusedfor,andhowtosearchfortechnicalassistancetomeettheneeds

identied.Themeetingwasconcludedwithdiscussionsaboutregionalcooperation

anddevelopmentofthemeetingsresolution.


5/36

5

4.1. Overview o the Global Fund

TheGlobalFundwascreatedtodramaticallyincreaseresourcestoghtthreeoftheworldsmostdevastatingdiseases,andtodirectthoseresourcestoareasofgreatest

need.Sinceitscreationin2001,ithassupported572projectsin140countrieswith

$15.6billionoffunding.

Itsprinciplesdenethatitnancesbutdoesnotimplementactivities;itsgrant-making

processisquick,withanindependentreviewprocess,transparent,andaccountable.TheGlobalFundpursuesanintegratedandbalancedapproachtopreventionand

treatment,acrosstheregionsandthreediseasesAIDS,tuberculosisandmalaria.

Itsupportsprogrammesthatreectnationalownership,anditmakesavailableand

leveragesadditionalnancialresources,withoutdeterminingceilingsoffunding.

Thegrant-seekingproposalsaregathered,evaluatedandfundedthroughfundingcyclesthatarecalledrounds.Eachyearthereisatleastoneround,andbytheendof

2009therehavebeenninerounds.Theproposalsarefundedintwophases:afterthe

rstthreeyears(phase1)thereisareview,whichisusuallyfollowedbyafurther,two-

yearphase2.Disbursementsoffundingaredonebasedonperformance.Ifaproject

performsbadly,theGlobalFundcansuspendgrants.

Sixty-onepercentoftheGlobalFundsfundshavebeenallocatedtoHIVandAIDS.Most

ofthecostsareincurredinpurchasingmedicinesandcommodities(45%),followedby

humanresources(23%).Importantly,theGlobalFundnancesbuildingadministrative

capacities,recommendingthat510%ofgrantsareusedformonitoringandevaluation.

TheGlobalFundisaninnovativepartnershipbetweenimplementinganddonor

governments,private-sectorandprivatedonors,NGOs,andinternationalagencies.

Therefore,itsgovernance(Board)includesallthosesectors,anditrequiresthecountries

whichrequestfundingtoalsodevelopamultisectoraldecision-makingbodythat

includesgovernment,theprivatesector,civilsocietyandinternationalagencies.Itis

calledaCountryCoordinatingMechanism(CCM).

TheGlobalFundoperatesasaSwissfoundationwithheadquartersinGeneva,whereits

operationalbody(Secretariat)isbased.TheSecretariatdoesnothavenationaloces,andatcountrylevelitisassistedbyacontractedLocalFundAgent(LFA).Anumberof

workshopparticipantshadexperienceofcommunicationwiththeSecretariat,mainly

throughitscivilsocietyocersandsomealsothroughportfoliomanagers.

Furtherinformationisavailableatwww.theglobalfund.org(inEnglish,Russian,andotherlanguages).


6/36

6

4.2. The Board and its latest decisions

DecisionsregardingtheGlobalFundsfunding,strategiesandpolicies,budgets,

advocacyandmobilizationofresourcesaremadebyitsBoard,whichiscomposedof20delegations.

The three most relevant delegations or the meeting participants are:

theDelegationofCommunities(regionalrepresentatives:TerryWhite,Timur

Abdulaev;andTerryAnderson,whowaspresentatthemeetingaspartofthedelegationtoo);

theDelegationofDevelopingCountryNGOs(AnastasiaSolovyeva,Elena

Grigorieva,AlbertPancic,KarloBorasandtheMacedonianrepresentative);and

theDelegationofEasternEuropeanandCentralAsianStates(VladimirZhovtyak

fromAll-UkrainianNetworkofPLHIVisdelegatedbytheUkrainiangovernmentandCCM).

InvolvementintheBoardanditsDelegationsrequiresasubstantialtimecommitment,goodEnglishskills(oratranslator)andInternetaccess.Workshop

participantsrevealedthattheyhadratherlimitedawarenessabouttheDelegations,

theirmembershipandwork.TherelevantDelegationsneedtoimprovetheir

communications,andtheircommunicationpoints(apersonwhoisresponsiblefor

sharinginformationabouttheDelegation)shouldbebetterutilizedasanentrypoint

totheDelegations.

Aroundfourtosixmonthsofpreparationworkneedstobedonebeforeproposals

areactuallydiscussedbytheBoard.Draftversionsofdecisionsareusuallydeveloped

intheBoardscommittees.Alldecisionsneedsupportfromvarioussectors.For

example,withregardstoRussiasRound3grant,dierentDelegationswithEasternEuropeanmembershipwereinvolvedandcontactedotherDelegations.Alotof

informalnegotiatingisdonetoensuresupportfordecisions.Coordinationofand

acrossDelegationsisnotaneasytask.

At the Boards last meeting our important decisions were made:

newarchitecture:onePrincipalRecipientperdiseaseatcountrylevel(so-called

SingleStreamfunding);

approvalofRound9proposalsforfundingof$1.9billion(butwith10%ofprojectbudgetscutforeciency);

two-yearfundingforprevention,extendingHIVRound3grantintheRussian


7/36

7

Federation;and

Round10tobelaunchedinMay2010withdecisionsongrantsscheduledattheendof2010orearly2011.

Theparticipantscommentedthatcuttingfundsisbadlyaectingnancingofcapacity-buildingandotherimportantaspectsofgrants,particularlyforcivilsociety,

whichoftendoesnothavealternativefundingsources.Itisunfortunatethatsuch

anissuereceivesratherlittleattentionfromcommunitiesandcivilsocietygroups.

TheBoardwascongratulatedonitsdecisionregardingRussiasRound3grant,

andsomeconcernswereexpressedabouttheinvolvementofcommunitiesintheimplementationanddecision-makingofthisextendedgrant,aswellassome

disappointmentthatitdidnotaddresstreatmentproblemsinthecountry.

ItisextremelyimportanttounderstandtheGlobalFundsdecisions,astheyoften

aectgrants,theirdecision-makingandmanagementontheground.

4.3. Proposal development: opportunities

or civil society organisations

Theessentialperiodwhenmostofthedecisionsaremadeisduringthedevelopmentoftheprojectproposal.Proposaldevelopmentisdoneinstages:

1.FormationoftheCCM

2.Initiatingproposal(deningaimofthefutureproject)

3.Establishingaworkinggrouptodeveloptheproposal

4.Deningobjectivesoftheproposal

5.Collectionofdatafordevelopingtheproposal

6.Deningparticipantsofimplementationoftheproposal(PrincipalRecipient,

Sub-Recipients,Sub-Sub-Recipients)

7.Preparingabudgetfortheproposal

8.Developmentofasystemofindicatorsformonitoringandevaluationoftheproject

9.CCMapprovestheproposal

10.ChangesaremadebasedontheTechnicalReviewPanelsrecommendations

(TechnicalReviewPanelreviewsandprovidesfundingrecommendationstothe

GlobalFundsBoard)

11.Developingtheworkplanoftheproject.


8/36

8

Therearewaysforcivilsocietytoinuencedecision-makingatallthesestages.If

the governmentdoesnotmakeatimelydecisiontoformaCCM,anNGOconsortiumcan

serveasCCM.GettingmorecommunitypeopleinvolveddirectlyintheCCMandworking

groupscanhelptogetcommunityissuesintoproposalsmoreeasily.Similarly,involving

knowledgeableexpertsandcoordinatingwithotherpartnersisessential.Theimportantphaseinproposaldevelopmentiscollectionofdata.Atthisstage,community-basedgroups

need to have data on the needs of communities and must manage to turn those needs

andproblemsintoobjectivesfortheproposal.Developingbudgetsisamajorweakness

andaproblematicareaforcommunityinvolvement,butcommonlythereisapossibility

ofobtainingexternalsupportformakingthebudgetsanditshouldbeused.Budgetingrequiresinformationonsalaryrates,costsfordeliveringservices,andassessmentofneeds

fortechnicalassistanceandorganisationaldevelopment.Thecostsrequirejusticationin

terms of rates and proof that the services or activities need to be funded.

Duringtheproposaldevelopmentstage,gettinglegitimatecommunityrepresentativesintotheCCMandproposaldevelopmentCCMshouldgotogetherwithensuringtheircapacitytoactivelyparticipate.Communitygroupsneedtoknowtherequirementsand

recommendationsoftheGlobalFundandproposaldevelopmentexpertsandneedtobe

intouchwithvariousparties.Therepresentativesthenshouldhavewaytocommunicate

withlocalcommunitygroupsinorder,forexample,tocollectadditionaldataandreviewthe

proposalsobjectives,plansandbudgets.Allthisrequiresadequatetimeandcommitment

from the community representatives.

4.4. CCMs and opportunitiesfor community groups

ThereareguidelinesandrecommendationsfortheCCMsthatareworthstudyingmore

closelytounderstandhowtoimprovetheworkofcommunityrepresentativeswithand

insideCCMs.CCMsshouldcarryoutvefunctions,includingproposaldevelopmentand

oversightofgrantsandPrincipalRecipients.Theyarecountrypartnershipsthatshouldmeet

thefollowingsixcriteria:

transparentselectionprocessforCCMmembership;membershipofpersonsaectedbyHIV/AIDS,TBormalaria;

transparentanddocumentedprocesstoinviteandreviewproposals;

transparentanddocumentedprocessfornominatingthePrincipalRecipientand

overseeingprogrammeimplementation;

ensuringtheinputofabroadrangeofstakeholders;and

havingawrittenconict-of-interestplan.


9/36

9

WhileCCMsandcommunityinvolvementhavemadeamajorpositivestepforbringinggovernmentsandcommunitiestogether,thereareanumberofproblemspersistingontheground.Theoversightfunctionisoftenonlypartlyimplemented.Communitygroupsorevenbroadercivilsocietygroupsareoftenmarginalizedandmakeupasmallfractionofoppositionwhendecisionsaremade(sotheirproposalsareexcludedtransparently).

Somegovernment-aliatedNGOsareincludedinCCMstomeettheformalcriteriaforCCMs.SomecommunitiesthatarevulnerablearenotrepresentedinCCMssuchastheRomacommunity,particularlyintheBalkancountries.EachCCMdenesforitselfwhataectedbyHIVmeans.

AgoodwaytomanagemembershipoftheCCMistoonlyallowcommunitygroupstojointheCCMthatarealreadyorganizedinsomenetwork,thuscandemonstratewithdocumentsandothermeansthattheycancarryoutaneedsassessment,havecommunicationlinksandcanhavearepresentativewhowouldnotrepresentonlyhim-orherself,notevenonesingleorganisationbutthewholerelevantconstituency.

Thisnetworkcouldbeformalorinformalbutwithdocumentedinterestrepresentationprocesses.Itcouldusepartnershipswithinternationalorganisationsand/orsympatheticgovernmentocialstosupportthiscommunitysrequesttojointheCCM.Anyrequestformembershipshouldfollowthisprocedure.

TransparencythatismentionedinanumberofCCMcriteriameansthattheprocessesshouldbedocumentedanditsdecisionsshouldrepresenttheopinionofthemajority.Iftheproceduresarenotfollowed,formalcomplaintsshouldbesubmitted.First,suchinquiresandcomplaintsshouldbeaddressedatcountrylevel,and,iftheCCMisnotresponsive,thentheycouldbedirectedtotheGlobalFundsSecretariat.Allcomplaints,

inquiresetc.shouldtakeplaceinwriting.ManagingtheseprocessesrequiresagoodunderstandingofGlobalFundproceduresandusingtools,suchastheCCMsSelf-AssessmentTool(availableinEnglishandRussianontheGlobalFundswebsite).TheGlobalFundsSecretariatcanprovidetechnicalassistancetoCCMs,butthatisdoneuponrequestfromtheCCM.Otherpartnerscanprovidesuchsupporttoo.DocumentingthataCCMisnotoperatingproperlycouldbedonethroughdocumentedinterviewswithCCMmembers,byreviewingallminutesofCCMs(iftheyarenotavailable,theCCMstransparencycriteriaarenotbeingmet),alackofaconict-of-interestpolicyornooversightcommitteewhentheCCMsconstitutionforeseesitetc.ACCMshouldalwaysknowwherethemoneyis,whethermedicinesarereachingpeopleinneed,whetherresourcesandtechnicalassistancearereachingSub-Recipients,andwhetherimplementationresultsmeettheperformanceindicators.

AnimportantaspectofCCMfunctioningisthatcountryproposalswithCCMsthatdonotmeettheabove-mentionedrequirementsarerejected,andthisisindicatedintheTechnicalReviewPanelsrecommendationsthatareforwardedtotheCCM.ThisisthecasewiththelatestKyrgyzstanproposalforRound9.Withinthemeeting,Kyrgyz

participantsagreedwiththeGlobalFundsSecretariattofollowuponthisinmore

detail.


10/36

10

FundingforCCMscancomefromtheGlobalFund.Itcouldbeeitheratalowerlevel

withminimumrequirementsorwithhigherfundingwhichcouldbeallocatedonly

withtheCCMsworkplanandsomeotheradditionalrequirements.

Ingeneral,mostproblemswithCCMsandgettingcommunityvoicesheardareatnationallevel.BeingtheminorityinCCMs,civilsocietyorganisations,particularly

communitygroups,arestrugglingtondsolutionsatnationallevel.Thereisa

needforexternalsupport,sincenotallproblemscanbesolvedatnationallevel.

Internationalpressureisrequiredonsomeissues,particularlyinsuchcountriesas

Uzbekistanwherecommunitypeopleareputbehindthebars(asindicatedbyoneparticipant).Regionalcollaborationamongcommunitygroupsisimportant,

especiallywhentherearenosupportersontheground.

WhileforsometheprogressofimprovingcommunityparticipationintheGlobal

Fundprocessesistooslow,thereareexamplesofsomemajorachievementswithPLHIVandharmreductioncommunitygroupsgettinginvolvedasimplementersandgettingmoresignicantrolesinCCMs(forexample,becomingVice-ChairofCCMs,asinUkraineandMoldova).This,however,isnottrueforcommunitiesofpeoplewhousedrugs.OnelessonfromthePLHIVmovementistobelievethatthecommunitiescanmakeachangeandtoworkhardonthat,usingexternalassistanceandpartnerships,includingbeingintouchwiththeGlobalFundsportfoliomanagers.4.5.SuccessfulproposalstotheGlobalFundandintegratingcommunityneedsThereisasetofissuesthattheTechnicalReviewPanelpointstowhenmakinggeneralobservationsonweaknessesofproposalstheyhavereceived.Thesecommentsare

importanttoconsiderinfurtherapplicationstotheGlobalFund,alongwithstrongcommunityrecommendationsofactivitiesinthenewapplications.IntheTechnicalReviewPanelscommentsofthelastRound9review,itisnotedthatpolicyissuesarenotalwayswellexplainedandhowtheyaecttheproposalandhowtheywouldbedealtwith.Co-infectionofHIVandTBisstillnotintegratedinallsubmittedproposals.Proposedactivitiesoftenlackdetails,andbudgetingofproposalsissometimesweak.Regionalproposalsoftenlackclarityabouttheiradditionalvalueatcross-countrylevel,howtheywouldinteractandnotduplicateexistingcountryprojectsthatarealreadyfundedbytheGlobalFund.InspiteofGlobalFundpolicies,submittedproposalslackintegrationofaspectsofcommunitysystemsstrengthening,andthereisaneedformoreclarityamongCCMsandproposaldevelopers.Forthersttime,theGlobalFunddecidedtofundnationalprogrammeapplications,andtheprocessselectedanumberofapplications.Amajorweaknessnotedwasalackofcostedactionplansandshowingtherelationshipwithhealthsystemstrengthening.Anumberofdisease-specicproposalsfrommiddle-incomecountrieslackanalysisofvulnerabilitiesandwhicharethemostaectedgroups;furthermore,theyarenotfocusingonvulnerablegroupsinspiteofclearindicationsfromtheGlobalFundthatitfundsfocusedactivities


11/36

11

forvulnerablegroupsinmiddle-incomecountries.TheseandothercommentsaredocumentedintheBoardsminutesandareavailableontheGlobalFundswebsite.

Representingcommunityinterestsinacountrysproposalisnotalwayseasy.Oftenitisbecausetheneedsandactivitiescalledforarenotwellunderstoodbyothers,theyare

notwelljustiedorgroupsdonotdemonstratethelegitimacyoftheirwork.Therefore,itisimportanttodocumentvariousdemandsofcommunities.Documentationcouldbedonethroughreferencestoexistingresearchreportsandsurveys,particularlythosepublishedinrespectablejournals.Ifsuchdatadoesnotexist,rst,thisfactshouldbestatedandtherelevantstudy/surveyshouldbeincludedinthenewproposalthatisbeingdeveloped.Inaddition,theopinionsofexperts,asmallsurveyandindirectdatacouldbeprovided.AnumberoforganisationsshouldconductvariousfocusgroupsordotheirownmonitoringandevaluationwhichshouldbeusedforjusticationwhentheircountrysproposaltotheGlobalFundisbeingprepared.

4.6. Community mobilization

and community systems strengthening

Understandingcommunitysystemsstrengthening(CSS)requiresunderstandingcommunities.Acommunitycomprisespeoplewhoareconnectedtoeachotherinadistinctwayforexample,theymayliveinadistinctgeographicalareaortheyhaveexperiences,livingsituations,culture,religion,identity,valuesorchallengesincommon.OneoftheexamplesisRoma.Community-basedorganisationsarethose

organisationsorgroupsthatarerootedinthecommunitiesthattheyaimtoserve.Civilsocietyisawidertermthatincludesorganisationsthataredistinctfromthestate,thefamilyorthecommercialmarketbuthavesomeroleinpublicpoliciesandprocesses.Thesystemsneededbyasmallgroupofneighbours,forexample,areverydierentinscaleandtypefromtheneedsofalargeNGOoranationalnetworkoforganisationscarryingoutawiderangeofactivities.Furthermore,communitysystemsintheeldsofHIV,tuberculosisandmalariamayormaynotbelinkedwithhealthdeliverysystems,dependingontheirfocusandactivities(andcommunityneeds).Somecommunitysystemsareaimedatllinggapsinpublichealthserviceprovision,butmanyhaveamuchlessdirectrelationshipwithimprovinghealthoutcomes.Thusifwespeakabout

streetdrugusers,theirneedsaremultipleand,therefore,wouldincludesuchaspectsasaddressinghomelessness.

ThereisnodenitionofCSS.Itverymuchdependsonlocalspecics(asworkmethodsmightvarytoofromcountrytocountry).OneoftheexamplesthatwaspresentedwasthedevelopmentoftheregionalunionofPLHIVorganisations,ECUO,whichsomesawmoreasorganisationaldevelopmentthanCSS,whileCSScanaddressvariousaspectsandneedsfromorganisationaldevelopmenttobuildingthesystem(ornetwork)to


12/36

12

socialandhealthneeds.Thisisamajoropportunityforcommunitygroupsthatcouldbeusedcreatively.Communitiescouldorganizebothaccordingtotheirvulnerabilitybutalsoasacommunityorganizedaroundoneidea,suchasreducingharmsfromdrugsorraisingorphanchildrenbygrandparents.AwarenessaboutthepossibilityofreceivingsupportforCSSislowincommunity-basedgroups.Furthermore,itis

noteasyatcountryleveltoconvincegovernment-dominatedCCMstointegrateCSSelementsincountryproposalsortosupportasubmissionofaseparateCSSproposal.CSScouldbeintegratednotonlyincountrybutalsoinregionalproposals.Regionalproposalscouldbesubmittedeitherfromregionalcoordinationmechanisms,fulllingtheabove-mentionedcriteriawhichistechnicallyrathercomplicatedorfromaregionalorganisation,suchasECUO,maybeITPCandEHRN,dependingonmeetingeligibilitycriteria.Veryfewregionalproposalsarereceivedandsupported(seealsoabovein4.5.SuccessfulproposalstotheGlobalFundandintegratingcommunityneeds).

4.7. Monitoring and evaluation and the role o

communities

Themonitoringandevaluation(M&E)ofGlobalFundgrantsiswelldened,

withregularreportsthatthePrincipalRecipienthastosubmitonprogressof

implementationofgrants,useoffundingetc.totheCCMandLFA.TheM&EisconductedinlinewiththeM&Eplanthathastobedevelopedatthesigningofthe

grantagreementandreviewedbytheCCMandLFAbeforethat.Thereportisdone

onagreedindicatorsagainstsettargets.Ifnoreportsareprovided,nofundingisprovidedtherefore,GlobalFundnancingiscalledperformance-based.The

M&Ehastoinformgrantmanagement(conductedbySub-Recipients,Principal

Recipients),grantoversight(byCCM),reporting(byLFA)andnationalresponseformedbyministriesofhealthandrelevantnationalprogrammes.

Communitiescanparticipateinmonitoringnotonlythroughthissystembutalso

bydevelopingitsownindependentmonitoring.ExamplesofthesearetheSimona+

ProjectundertakeninRussiatomonitoractualaccessofpeopleinneedoftreatment

andwhethertheyreceiverelevantservicesinselectedregions.InKyrgyzstan,

threenetworksarestartingtoconductmonitoringofpurchasesofmedicinesandsuppliestointroducemoretransparencyinpricingandqualityofproductsbought.

Communitygroupscanhelptointroduceorchangeindicatorsforexample,to

advocateforindicatorsonqualityofservices.

M&Eisbothvaluableandapotentiallypowerfultool.M&Eshouldbeusednotonlytomonitorgovernmentbutalsotomonitoryourownwork.M&Esystemsshouldnot

besetupfordonorsbutshouldbeusedtoimprovework.Similarlywithtechnical


13/36

13

assistance:includingtechnicalassistancevisitsshouldnotbeseenasapunishment,

itshouldbeturnedintoanopportunitytoworkbetter.

4.8. Afected populations needs assessment

Theneedsofcommunitiesareoftenidentiedbyintuitionanumberofpeople

fromcommunity-basedgroupsthinkthattheycandescribetheneedsoftheircommunitieswell.However,theparticipantsagreedthatneedsassessmentsare

neededtodenethosedemands.Themethodsthatarealreadyusedbyparticipants

orweresuggestedvaryconsiderably.Thesecouldbesurveys,interviews,previous

reportsofservicesorreportsoffocusgroups,statisticaldata(forexample,on

burdenofdiseaseorinsuranceorhomelessness)orocial(governmental)records.

Somedatamightbebasedonevidenceandsomecouldbeanecdotal.Importantly,previousreportsofprojects,analysisofM&Esystems,evenreportsofauditors

identifyingcertaingaps,forexample,inthecapacityofaserviceprovidercouldandneedtobeusedtodescribetheneedsofpeopleweserveororganisationswework

for.

Usingvarioussourcesofinformationhelpstoconrmidentiedneedsandmaketheassessmentprocessmorereliableandobjective.Thedatashouldbeconvincing,

andyoumightwanttoaskyourselfwhetherthesedatawouldbeconvincingtoa

donortoproviderelevantfundingtomeetthoseneeds.IntheGlobalFundandother

proposalsitisimportanttousethebestdataavailable.Ifsomedataismissingandis

neededtoimproveapproaches,proposedactivitiesshouldincluderelevantresearch

orassessmenttocollectthistypeofdata.Suchresearch(andfundingforit)wouldbejustied.

Weneedtodescribebetterhowwegathertheneedsandwithwhomweconsult,

andwhythisgroupisrepresentative.Theneedsidentiedofpeoplewhousedrugs

mightnotbeasmuchaboutneedlesasaboutaccesstodentalservices.Thedrug

scenemightchange,and,therefore,theneedsofpeopleusingdrugsmightchange.Therecouldbevariousneedsofpoly-drugusers,whiletheneedsofpeoplewho

areusingamphetaminescouldbedierentfromthoseofheroinusers;needsmight

bedierentamongpeoplewhomweserve(whowearealreadyreachingthrough

services)andthosewhoarenotinservices.

4.9. Technical support and assistance

Toreceivetechnicalsupportandassistance(TSA),weneedtohaveanunderstandingoftheproblems(andprioritizationofproblems)tobeaddressed.Problemsmightbe

relatedtoorganisationaldevelopment(suchasgovernance,leadership,oversight),


14/36

14

programmaticandnancialmanagement,pharmaceuticalandsupplymanagement

orrelatedtoM&Eandreporting.ReceivingTSAmeansaparticipatoryprocesswhere

therecipientneedstobeavailableandpreparedforit.Bothsides,technicalsupport

providerandrecipient,shouldhaveaclearagreementontheproductsoftechnical

assistance.ThemeetingpresentedfourdierentTSAprovidersthatworkwithGlobal

Fundactorsatnationallevel.

GrantManagementSolutions(GMS)isfundedthroughtheUSPresidentsEmergency

PlanforAIDSRelief(PEPFAR)andprovidesTSAfreeofcharge,followingarequest

fromCCMsorPrincipalRecipients.Itstechnicalareascover:governance,oversight,

CCMissues;grantsmanagement(nancialmanagement,partnercoordination,e.g.PrincipalRecipientsandSub-Recipients);procurementandsupplymanagement;

M&EandreportingforPrincipalRecipientsandCCMs.Theyinvolveinternational

andnationalexpertsforalimitednumberofdaysandcanassistwithdiagnosticsof

problemsorshort-terminterventions.TheirTSAcomeswithahalf-yearmonitoring

plan.Thesupportcouldbeprovidedinthenationallanguage.

DeutscheGesellschaftfrTechnischeZusammenarbeit(GTZ)sBackupInitiative

supportscapacity-buildingofcivilsocietyandgovernmentstomoreeectivelyuse

globalnancestorespondtoAIDS,TBandmalaria.ThedierentmodesofBackup

technicalsupportare:FastAccessModeforsmall,one-oactivities(upto20,000),

ConsultancyModeforfundingofconsultancywork(upto40,000)andProjectMode

forimplementationofsetsofactivities(upto200,000).ProjectModerequiresaformalrequestfromaPrincipalRecipientorCCM,whichispreferredfortheother

modestoo.TheBackupInitiativehasforms,guidelinesandfurtherinformationin

EnglishandRussianat:http://www.gtz.de/backup.ThelocalGTZcountryoceshouldbeinformedabouttheapplication,buttheapplicationitselfisreviewedand

fundedbytheBackupInitiativewhichisbasedinGermany.

AFEWandInternationalPlannedParenthoodFederationEuropeanNetwork(IPPF

EN),withsupportfromUNAIDS,isstartingtohostaTechnicalSupportFacility(TSF)

tocoordinateandprovideTSAintheeldofHIVinEasternEuropeandCentralAsia.

TheinitiativehasasmallamountoffundingforactualTSAbutadditionallywillassist

inndingconsultants(primarilyregionaloneswhocandeliverTSAinRussianand

English),andmoreinformationaboutTSAwillbeprovidedonaspecialwebportal.Thefocusisonthestrategicplanning,implementationandM&Eofeortsinsupport

ofnationalHIV/AIDSprogrammes.Theinitiativewillberegional,withocesin

Almaty,Bucharest,MoscowandTbilisi.FurtherdevelopmentoftheTSFwilltakeplace

in the coming months.

EHRNishostingtheHarmReductionKnowledgeHub,whichisprovidingservicesforafee.Itsworkcoverstraining(includingadvancedseminarswithsomescholarships


15/36

15

available),trainingtoolsonharmreductionwithanewlydevelopedtoolongender-

sensitiveharmreductionservices,directtechnicalassistance,organizingstudyvisits,

makingneedsassessmentsetc.Ithasassistedindevelopingasimilarknowledge

hubfocusedontheCentralAsiasub-region.Therearetwootherregionalknowledge

hubs,oneontreatmentandcareandanotheronsurveillanceandM&E.More

informationisavailableat:www.harm-reduction.org.

SomeTSAisalsoneededtorequestTSA;theTSFsoces,forexample,willbeableto

assistwithdeningtermsofreferencesforconsultants.MostTSAprovidersrequire

legalregistration(butthatisnotthecasewithGMSorEHRN).Moreover,anumberof

peopleareassistingeachother,andthissharingofknowledgeandcollaborationis

an important part of the support and assistance received.

4.10. Regional cooperation

Meansofcommunicationatregionallevelmustbalancebetweenaccessibility,

costandexpectedresults.Peopleoftenuseemailsandlistservsand,lessoften,

meetings.Regionalcollaborationcouldhelponanumberofcommoninterests,

suchaseligibilitycriteria,bettercommunityinvolvementandbetteraddressingcommunityneeds,addressingsomeGlobalFundproceduresandprocesses,possible

regionalproposalstoaddresspolicygaps,unaddressedissuesofchildrenlivingwith

AIDS,low-thresholdaccesstotheGlobalFundgrantsforsmallorganisations,and

addressingtheRomapopulation.

Atthegloballevel,thereareanumberofissuesthatrequiregoodinvolvementofregionaladvocatestoensurethatsuchinitiativesasnationalstrategyfunding,

healthsystemsstrengthening,theInitiativeonInjectingDrugUseandmanyothers

includevoicesfromcivilsocietyandtheregionsperspective.IfEasternEurope/

CentralAsiaandcivilsocietydonotgetinvolvedthemselves,decisionswillbemade

withoutthem.Themajorglobalissuesthatwillhaveanimpactoncivilsocietyare

summarizedintheconclusionsofanAmsterdammeetingthatareavailableinEnglishandRussian(availableattheGlobalFund).

RegionalcooperationcouldhelptoutilizeourregionalrepresentativesontheGlobal

FundsBoardandsomemajormeetingssuchastheInternationalAIDSConference(opportunitiesforwhicharepresentedattheworkshop).Moreover,togetherwecan

helpeachothertounderstandGlobalFundprocessesanddecisions(andstronglyadvocateformakingGlobalFunddocumentsinmoreaccessiblelanguage).Priority

ideasandprinciplesareidentiedintheworkshopsresolution,whichwillbe

presentedattheGlobalFundEasternEuropeanandCentralAsianRegionalMeeting.

Theresolutionwasdevelopedbyaworkinggroupfromtheworkshopsparticipants

andagreedattheplenary.


16/36

16

5. Outcomes and outputs, suggested

ollow-up

The major immediate results o the meeting are:

asetofmaterialswithrelevantpresentationsandfurtherresourcescovering

basicsandmorecomplexGlobalFundprocesseswasproducedandmade

availableinEnglishandRussian;

thecommunityrepresentativesidentiedthreekeyareasforregionaladvocacy

andcollaborationwhichweresummarizedinaresolutionpresentedatthe

GlobalFundRegionalMeeting;

communityleaderswereintroducedtoandsomeestablishedlinkswithkey

GlobalFundSecretariatstamembersforcommunityleaders(includinganew

civilsocietyocer,apersonresponsibleforCCM);

participantswereveryactiveintheGlobalFundRegionalMeetingsdiscussions;

participantsactivelyrespondedtoaconsultationontheGlobalFundsInitiative

onInjectingDrugUse(atleasttworeactionsreceivedinwrittenformanda

numberofpeopleparticipatedinasessionduringtheGlobalFundRegional

Meeting);

technicalsupportresourceswereidentiedandatleastoneparticipant

followedup;

apreliminaryagreementwassetforimprovingtheCCMinKyrgyzstan;andtworegionalnetworks,EHRNandECUO,agreedtofollowupontheresultsof

theworkshop(usingtheresolution),withparticularfocusonworkaroundthe

GlobalFundeligibilitycriteria.

The organizers are suggested to ollow up

on a number o issues within a short time period:

getintouchwithregionalrepresentativesoftheGlobalFundDelegations

andrequestinformationabouttheirwork,includinginvolvementinrelevantcommittees,possibilitiesofinvolvement,andwhatsupportisneeded(with

contactdetailsofparticipants);

askGlobalFundcivilsocietyocerstoshareinformationregardingthe

responsibilitiesofrelevantocerswithintheGlobalFundandtheircontacts;

disseminateanadditionalresourceontheBoardandconstituencies(theGlobalFundsbrochureavailableinEnglishandRussian),theconclusionsof


17/36

17

theAmsterdamcivilsocietymeeting,and,ifpossible,sendrelevantquestions

documentedatthemeetingtorelevantGlobalFundSecretariatmemberstoget

responses;

formtheagreedworkinggroupfortheworkshopfollow-upwiththe

involvementofrelevantsub-regionsandshareinformationaboutfurthersteps

throughlistservsofexistingnetworks;

communicateresultsoftheworkshoptoregionalrepresentativesoftheAIDS

2010andGlobalFundDelegations;and

makethekeypresentations(particularlythosenotincludedintheUSBsor

nottranslatedforthemeeting)availableonlineandsendarelevantlink,and

distributethemeetingreportinEnglishandRussian.

6. Evaluation results,

recommendationsand lessons learnt

Themeetingwasasuccess,eventhoughonlysome4060%ofobjectiveswere

achievedandtherewasamixedlevelofpreviousinvolvementwiththeGlobal

Fundintheroom.TheOrganizingCommitteeandparticipantswereunanimousinsuggestingrepeatingsimilareventsoncommunitiesandtheGlobalFundin

the future.

Theagendawasambitiousandratherdense,tryingtomeettheneedsofmoreandlessexperiencedparticipants.Itwasusedexibly.However,someimportant

issueswithamajorimpactoncivilsocietygroupswerenotcovered.More

spaceintheagendashouldbeleftforemergingissues.Moregroupworkand,if

needed,splittingtheparticipantsintogroupsaccordingtotheirinterestscould

be used in the future.

Connectingthecommunitypre-meetingwiththeGlobalFundRegional

Meetingworked.Inthefuture,thetransitionbetweentwomeetingscouldbe

addressedbetter,sothatparticipantsarenotlost(thusnotduplicatingmeetingdates),andhavingmoreclarityandtransparencyabouttheselectioncriteriafor

bothmeetingsandbetterlogisticalcoordination.

TheselectionofcountryfortheGlobalFundmeetingsandcommunitymeetings

shouldincludeanassessmentofavailabilityofmethadoneandbuprenorphine

toensurethatanyhealthneedsofparticipantsaremet.

Thelogisticalsideofthemeetingwasdonewell,inspiteofaratherlatestartof

theprocess.Themeetingarrangementswerecomfortable,whilesomedetails

couldbeimproved,suchashavingamorespaciousroom.


18/36

18

TheuseofEnglishandRussianlanguageswaswellbalanced,andshowing

PowerPointpresentationsintwolanguagessimultaneouslywasuseful;

however,thediscussionsweredominatedbyRussianspeakers.Improvement

ofinterpretationisamust,andbringingnativeRussian-speakingtranslators

experiencedintheeldshouldbeconsidered.

Involvingdierentorganisationsintheorganisationofsuchanimportant

meetingshouldbeanexampleforthefuture,andmorecollaborationshouldbe

encouraged.


19/36

19

A N N E X A

Regional workshop

Meaningul Involvement2224 November 2009

Soa, Bulgaria

The Workshop objectives:

Toshareinformationaboutthe10throundofGlobalFundgrants,aswellasin-

formationaboutproceduresandissuesrelatedtothedevelopmentofgrantpro-

posalsandtheinvolvementofNGOsasPrincipalRecipientsorSub-Recipientsof

the grants.

Todiscussbestpracticesforinvolvingpeoplewhousedrugsandpeopleliving

withHIV(PLHIV)intheactivitiesofCountryCoordinationMechanisms(CCMs).

Todiscusstechnicalsupportneedsoforganizationsledbypeoplewhouse

drugsandPLHIV,aswellasNGOsprovidingsupporttothem.

Toplanregionalcooperationforstrengthenedinputandparticipationofpeople

whousedrugsandPLHIVinGlobalFundprojects,andtoexpandaccesstoup-

to-date,high-qualitytechnicalsupport.Thisincludesplanningactivitiesforthe

XVIIIInternationalAIDSConference(Vienna,1823July2010).

Togivecivilsocietyrepresentativesanopportunitytointeractdirectlywiththe

participantsofthe2009GlobalFundEasternEuropeandCentralAsiaRegionalMeetingthatwillbeheldinSoaon2426November2009.

Working hours:

09.0018.00,withtwo2030-minutecoeebreaksandaone-hourbreakforlunch.


20/36

20

November 22, Day 1

Time Outputs Method Experts

Introduction session

Opening and welcome rom organizers09.00

09.10Presentations.

Introduction o participants

09.10

09.45

Participantsknoweachothersnames, organizations, countries

and communities represented,

especiallythosefromthesame

sub-regions(1. Balkans, 2. Ukraine

and Moldova, 3. Caucasus, 4. Russia

and Belarus, 5. Central Asia, 6.Others1).

1.Participantsworkinsmall

groups1(names,interestsandexperience/expertise)(10).

2.Shortpresentationofeachsmallgroup(wherepeople

from, main experience and

expertise)(25)

2.Listintheparticipantsfolder(PF)

Overview o the Workshop agenda,

presentation o speakers and experts, and logistical issues

09.45

10.00

1.Participantshavegeneralviewof the Workshop objectives and

outputs, agenda and process, as

wellasparticipantfolder.

2.Participantsknowspeakersandexperts(name,organization,

themeofexpertise).3.Participantsareclearaboutlogisticalissues.

1.Presentation(10).2.Listofthespeakersand

expertsinPF.3.AgendainPF.

4.LogisticsnoteinPF

Session 1.

Overview o GFATM

Theme 1.1

What is the Global Fund?; CCMs and PRs: Structure and Function;

Involvement o Civil Society in Global Fund -supported Projects

10.0010.40

Participantshavegeneralviewofandunderstandingofrolesofthe

GlobalFund, governments, andcommunity-basedorganizations

(CBOs)andinterlinksbetween

themwithinnationalandregionalresponse to the epidemics.

1)Presentation(20)2)Discussion(waspresented

informationnew?,whatdidparticipantsknowaboutthe

GlobalFundandwhatare

theirsourcesofinformation?)(20)

GMS(generalinormation on

the Global Fund

and civil society

involvement in

supported projects),

10.40 11.00 COFFEE BREAK

1 Each time composition of small groups will be different to allow participants to get to know each other better.


21/36

21

Time Outputs Method ExpertsTheme 1.2

Governance o the Global Fund. Update rom the last meeting o the Global Fund

Board

11.00

11.15

1)Participantsunderstandthe

processofdecision-makingintheGlobalFund.2)Participantsawareonthemost

recent issues discussed by the

GlobalFund Board.

Oraland/orppt

presentations(5+8)

GMS(update on theBoard meeting),

GlobalFundDelegationmembers

andSecretariat(governance and civil

society representation)


Session 2

Opportunities or civil society organizations

Participantsknowtheentrypointstojointheproposaldevelopment

process, and take part in further

implementationandM&Eof

projects supported by the GlobalFund.

Theme 2.1

Main stages o the proposal development.

Where and how civil society organizations can join the proposal development?

11.15

11.30

Participants understand a process of

proposaldevelopmentincluding:

- Whoinitiatesproposal

developmentandwhy(inclRCC)

- Mainstepsofproposaldevelopmentprocessform

creatureofCCMtilltheagreementbetweenPRand

GlobalFund

- Who makes decisions on each

stepofproposaldevelopment

processandhow

1)Presentation(15)

2)HandoutsinPF

GlobalFund,

CSAT


22/36

22

11.3012.00

Participantssharedwitheachothertheirexperiencerelatedtoproposal

development

0)Introduction(2)

1)Discussioninsmallgroups(tolistcases/examplesof

participants attempts to

participateinproposals

development)(15)2)Eachgrouppresentsone

(13)

Theme 2.2

Structure o the proposal and requirements to good quality o proposal

12.0012.20

1.Participantsknowthestructure

oftheproposal,andwhatarethe

latestupdatesintheproposalformforthe10thRoundofgrants

2.Participantsunderstandhowtojustifyproposedactivities(whathas

to be used as reference information

to justify proposed activities and

wherethisinformationmustbe

takenfrom)

1)Presentation(12)CSAT/Gennady(5) on saying

whyyouareproposingyouractivities(andhowtosay

why)2)HandoutsinPF

GlobalFund,CSAT

Theme 2.3

Representing interests o IDUs, PLHIV and other vulnerable communities in the

Country Coordination Mechanisms (CCMs)

12.20

13.00

1. Participants understandrecommendations ofGlobalFundandotherinternational

organizationsinregardtoCCM

compositionandwork(themaingoalandfunctionofCCM,who

hastobeinvolvedinCCM,whyinvolvementofaectedpopulations

representativesisimportant,howtheycouldbeinvolved,whoand

howmakesdecisions)

2. Participants discussed and

listedthemaingapsinregardtoCCMsworkingeneralandespeciallyparticipationofaected

populationsrepresentativesintheir

countries

1)Presentation(15)

2)Participantsshareexperience:howwere

selectedrepresentativesofCBOsandaected

communitiesinCCMinparticipantscountries?How

theyreceivedassistance?

(20)

3)Commentsfromexperts

GMS(CCM composition

and work (i.e.,

the six minimum

criteria or CCM

eligibility; principal

responsibilities o a

CCM; CCM composition;

the ve key unctions o

a CCM, etc.)

GlobalFund(commenting)

13.00 14.00 LUNCH


23/36

23


Session 3

Community mobilization and Community Systems Strengthening (CSS)

Participantsunderstandhowtheycanparticipateinandinuence

proposaldevelopmentandfurther

implementationandM&EofGlobalFund granted projects

Theme 3.1

Building capacity o the community: gender sensitivity, Communities Systems

Strengthening (CSS), and development o CBO-based services

14.00

15.00

1.ParticipantsunderstandwhatCSSis?

2.SuccessfulexamplesofCSS

3.ParticipantsdiscussedandlistedhowCSScouldlookintheir

countries

1)Presentations(2 x 10)2)Discussioninsmall

groups, and presentation

oftheresults(with ollow-up comments rom experts)

(30)

GlobalFund,

ECUO(successstory on CSS)

Theme 3.2

M&E o Global Fund granted projects

15.0015.30

Participantsknowinternalandexternalmechanismsofthegranted

projectsmonitoringandevaluation

(whatindicatorsare,whodevelopsitandhow),andunderstandhowthey

wouldparticipateintheprojectsM&E(aswatchdogs,and/orto

cooperatewithPRand/orCCM)

1)Presentation(15)2)Plenarydiscussion(15)

Ifyoudomonitoringandevaluation,thenthese

data have to be used.

CCMistheonewho

shouldbe

GMS (CCMoversight,

monitoring and

evaluation, and

how and why

indicators or

Principal Recipients

and Sub-Recipients

are established,

monitored, and

reported)



24/36

24

Theme 3.3

I the Country Coordinating Mechanism does not work

16.00

17.30

1.Participantslearnedexamplesfrom other countries and regionshowtheywouldactifCCMisnot

workingproperlyand/orifaectedcommunities have no proper

representationinnationalCCM(buildingofeectivecooperation

withCCMmemberswhorepresentNGOsforinstance,possible

advocacy activities, participation in

CCMtechnical/working/discussiongroups(ifitexisted)orinitiation

ofsuchgroups,coordinationwithGlobalFundcivilsocietyliaisonsand

portfoliomanagers).2.Participantsdiscussedandlisted

themostrealisticactionstheycan

undertake in the near future in

their countries to improve their

meaningfulinvolvementinworkofnationalCCMs.Thediscussionis

linkedwiththepreviousworking

group.

1)Presentation(GMS)(15)

2)Presentation(ECUO)

(10)3)Discussioninsmall

groups(25)4)Presentationofthe

discussionresultswithfollowupcommentsfrom

experts(25)(getinput

fromNatasha)5)Commentsfrom

experts

GMS (a conficto interest matrix,

a CCM sel-

assessment, a rapid

assessment matrix,

and meeting

minutes analysis

matrix, a typologyo CCMs)

ECUO (experienceo Ukrainian PLH

Network)

Feedback on Day 1

17.3018.00

Conclusionsoftheday.Inputinnaldocument

Feedback


25/36

25

November 23, Day 2


9.00-9.10

ParticipantsarerefreshedwiththediscussionsofDay1andhave

understanding of objectives andsessionsofDay2.Emergingissues

are addressed

Session 4

Afected populations needs assessment (NA)

Participants understand

whathastobethemain

goalsoftheirparticipationin

proposaldevelopmentandimplementationandM&EofGlobalFund granted projects

Theme 4.1

What is NA?

09.10

10.30

1.Participantsunderstandgoal

oftheneedsassessment,howtousedatacollected,anddierence

betweenneedsassessmentandother research.

2. Participants discussed

whattheyknowabouttheir

communities needs, sources of

theirinformation,andqualityofdatatheyhave(isitexperts

opinion,resultsofnew/oldresearch,orjustpersonaland

non-structuralexperienceandopinion).

1)Exercise(what

participantsknowaboutneedsofaected

populations,andwherethis information came

from?)(45)2)Presentation(whatNA

is, and steps to conduct

it)(20)3)Discussion(how

participants use

information about

aectedpopulationsneeds?)(20)

CSAT,

ECUO



26/36

26


Theme 4.2

Who can do NA and how

11.0011.50

1. Participants understand that

communitymobilizationanddevelopmentofnetworkingisthe

main precondition of gathering

data on needs.

2.Participantsknowwhomay

helptheminplanningand

conducting the needs assessment.

1)Exerciseand

discussion on

preconditions for

good-qualityneeds

assessment(30).2)Presentation(case

studies:assessmentofneedsofPLH

organizationsinCentral

Asia, assessment ofneedsofamfARMSM

initiative grantees in

EECA)(2 x 10)

CSAT,ECUO

Session 5

Technical support and assistance

Participants understand

howtheycanimprovetheir

capacitiesformeaningfulinvolvement

Theme 5.1

What is technical support and assistance (TSA)?

11.50

13.00

1.ParticipantsknowwhatTSAis.

2. Participants discussed and

listedwhatthemainTSAneeds

of their organizations and other

organizations in their countriesare, and sources of information

aboutTSAtheyusuallyuse.

1)Presentation(GMS)

(20)2)Discussioninsmall

groups(20),and

presentation of theresults(30)

GMS(how

organizations identiy

their technical support

needs and seek the

support they need tosolve their problems),

CSAT

13/00 14.00 LUNCH


27/36

27

Theme 5.2

How to nd and use technical support and assistance (TSA)

14.001530

1. Participants shared their

experienceinsearchingforTSA

(successandgaps)2.Participantsunderstandwho

canbeasourceofTSAandfundsfor it

3.ParticipantsunderstandwhattheyhavetodotondtheTSA

theyneed(preparationoftermsofreference,forinstance)andtouse

itwithmaximumeciency(M&E

ofTSA).4.Participantsanalysetheir

experienceandcreatealistof

recommendations

1)Discussioninsmallgroups(experiencetoseekTSA)(20)

2)Discussionofresults

ofsmallgroups(25)3)Presentations

generalandonGMSservices(GMS)(30)

4)InformationonTSAprovidersinPF

GMS



Theme 5.2

How to nd and use technical support and assistance (TSA)(continuation)

16.0016.30

1.ParticipantsunderstandhowtoplanandtogetTSAaspartof

proposalstotheGlobalFund

1)Presentations(GTZBackUpInitiative,UNAIDS/AFEWRegionalTSF,EHRN

KnowledgeHub)(3 x 10)

GTZ,AFEWEHRN

Session 6

Regional cooperation

Participantshaveaplan

andplatformforfurthercoordinated actions aimed to

meaningfulinvolvementandaccesstoTSA


28/36

28

Theme 6.1

How can community-based organisations in the region support each other?

16.30

17.30

1. Participants discussed the

common agenda in regard

tomeaningfulinvolvementofaectedcommunities,includingCSSandtechnical

support.

2.Participantsdiscussedhow

they can exchange experience

betweeneachother.

3.Participantsdiscussed

internationalandregionaleventswheretheycould

promote communities

involvementinGlobalFund

granted projects and advocateforaccesstoTSA(incl18th

InternationalAIDSConference

inVienna,2010,InternationalHarmReductionConference,

andothers).4.Participantsdiscussedhow

theywouldsupporteachotherincoordinationandbuilding

partnershipswithnational

governmentsandinternational

organizations in their countries,andwiththeGlobalFund.

1)Exerciseonnetworking(CSAT)(20)

2)Discussioninsmall

groups(howparticipants

couldcommunicatewitheachother;themost

importantnationalandinternationalevents

[conerences, action days,

and so on] and processes

[advocacy or law change,

preparation o proposals,

and so on] variousparticipantsinvolvedin)(15)

3)Presentationon

InternationalAIDS

Conference2010(ECUO)(10)

4)Brainstormonpossible

coordination(AIDS2010

and other events and

processes).(15)

ECUO(AIDS 2010),

CSAT,GlobalFund,EHRN

GMS(the relationshipsbetween Principal

Recipients and Sub-

Recipients and Sub-

Sub-Recipients)

Feedback on Day 2

17.3018.00

Conclusionsoftheday.Input

intonaldocumentFeedback


29/36

29

November 24, Day 3


9.00-9.10

Participants are refreshed

withthediscussionsofDay

2 and have understandingof objectives and sessions of

Day3.Emergingissuesare

addressed

Session 6

Regional cooperation (continuation)

Participantshaveaplanandplatformforfurther

coordinated actions aimed at

meaningfulinvolvementandaccesstoTSA

Theme 6.1

How can community-based organisations in the region support each other?

(continued)

09.10

10.40

1.Participantsdiscussedhow

they can exchange experience

betweeneachother.

2. Participants discussed

internationalandregional

eventswheretheycouldpromote communities

involvementinGlobalFund

granted projects and advocate

foraccesstoTSA(incl18th

InternationalAIDSConferenceinVienna,2010,International

HarmReductionConference,andothers).

3.Participantsdiscussedhowtheywouldsupporteachother

incoordinationandbuildingpartnershipswithnationalgovernmentsandinternational

organizations in their countries.

4.Workinggrouptopromote

TSAforcommunity-based

organizations and community

leadersexisted.

1)DiscussionontheWorkinggroup(incl

self-nominationofWGparticipants from each

sub-region)(45)

2)Discussioninsmallgroups(developmentof

actionplantilltheendof

2010),presentationoftheresultsanddraftingthe

plan(45)

ECUO

CSAT,

GlobalFund,

EHRN


30/36

30


Theme 6.2

Preparation or the meeting with the Global Fund Board

11.00

12.20Participants discuss a meeting

resolution

Facilitatedwork:using

keyissueshighlightedinthepreviousworkshops

sessions for shaping the

resolution

CSAT,GlobalFund,ECUO,

EHRN

Feedback on the Workshop

12.2012.50

Evaluation

12.50 13.50 Lunch

The 2nd part o Day 3 (ater lunch)

Participants have got an

experience of coordinated

action

14.0018.00

Participation in the GlobalFund2009EasternEuropeand

CentralAsiaRegionalMeeting:

- Session3CivilSocietyPartnership in combating

theDiseases(14.0015.00)

- Session5:GFBoardandthe

EECAVoice(16.30-17.30).

(tobeconrmedwiththeGlobalFund)

GlobalFund,

CSAT,EHRN,

ECUO


31/36

31

A N N E X B

Seminar and Working MeetingMeaningul Involvement

2224 November 2009, Soa,

Bulgaria

List o Participants and Experts

The seminar and working meeting are organized by partnering initiatives and organizations: Civil Society ActionTeam (CSAT), Eurasian Harm Reduction Network (EHRN), AIDS Foundation East-West (AFEW) and Bulgarian FamilyPlanning Association (BFPA); and with nancial support rom Grant Management Solutions (GMS) and Merck & Co.


32/36

32

List o participants

No Name, Surname Afliation Country Email Telephone

1. Anahit Harut yunyanPositive People ArmenianNetwork

[email protected];[email protected]

+374 9100 0560

2. Zulfa MustaaevaAzerbaijan Harm ReductionNetwork

Azerbaijan [email protected] +994 503 682 118

3. AliaksandrKhadanovich Alternativa Belarus [email protected] +375 8 2342 26952

4. Aleh Yaromin Belarusian AIDS Network Belarus [email protected] +375 29 778 36 08

5. Albert Pancic World VisionBosnia andHerzegovina

[email protected] +387 3366 0426

6. Milen Chavrov Hope against AIDS Bulgaria

7.KonstantineLabartkava

Novy Vektor Georgia [email protected] +995 5510 1994

8. Marine JavakhadzePsychological Counseling andInormation Centre Akhali Gza

Georgia [email protected] +995 3314 3993

9. Natalya Malysheva Komek Kazakhstan [email protected] +7 22 2 42 47 35

10. Viktor Ivakin Unit Kazakhstan [email protected] +7 87053322770

11. Erik IriskulbekovCentral Asian Harm Reduction

Knowledge HubKyrgyzstan [email protected] +996 550 75 93 63

12. Aibar Sultangasiev Association Partners Network Kyrgyzstan [email protected]+996 312 45 40 06,+996 555 61 95 58

13. Burulbubu Isaeva Union o PLH Association Kyrgyzstan [email protected] +996 555 74 66 01

14. Ibragim Lebuzov Public Foundation RANS Plus Kyrgyzstan [email protected] +996 312 93 73 66

15. Madina Tokombaeva Kyrgyz Harm Reduction Network Kyrgyzstan [email protected] +996 555 62 29 06

16. Sherboto Tokombayev Kyrgyz Harm Reduc tion Network Kyrgyzstan [email protected] +996 555 62 29 08

17. Zulaika Esentaeva Soros Foundation Kyrgyzstan [email protected] +996 550 28 72 37

18. Shona SchonningEurasian Harm Reduction Network(EHRN)

Lithuania [email protected] +370 5 212 2154

19. Asta MinkevicieneEurasian Harm Reduction Network(EHRN)

Lithuania [email protected] +370 5 212 2154

20. Ruta SulcaiteEurasian Harm Reduction Network(EHRN)

Lithuania [email protected] +3705 26901600

21. Elizabeta BozinovskaH.E.R.A. Health Education andResearch Association

Macedonia [email protected] +389 7539 6186

22. Natasha MilanovaAssociation or healthy lie stylesPULSE Kumanovo

Macedonia [email protected] +389 7080 3801

23. Igor Chilcevschii Molavian League o PLH Moldova [email protected] +373 6931 6199

24. Alina Tacmelova Healthy FutureMoldova(Transdniestria)

[email protected] +373 6977 4718

25. Costin Aurel Militaru Integration Association Romania [email protected] +40 757 073 696

26. Aleksandr Savitskiy Russian PLWHA Network Russia [email protected] +7 905 770 63 37

27. Albert Zaripov Vera Russia [email protected] +7 905 311 16 09

28. Evgeny Pisemsky Russian PLWHA Network Russia [email protected] +7 920 284 84 84

29. Irina Maslova Silver Rose Russia [email protected] +7 911 928 85 31

30. Nevena Ciric NGO AID+ Serbia [email protected]

31. Laslo Sili NGO Udruzenje Stav+ Serbia


33/36

33

32. Dilorom Egamberdieva Buzurg Tajikistan [email protected] +992 927079554

33. Tolibzhon Saydaliev Public Organization Sudmand Tajikistan [email protected]+992 -95-152-76-21

34. Olena TsukermanCharitable FoundationDrop In Center

Ukraine [email protected] +380 63 343 03 67

35. Olga ByelyayevaNational Associationo Substitution Therapy Receivers

o Ukraine


36. Tatiana Bordiuzhenko Zlagoda Ukraine [email protected] +380 93 757 22 70

37. Pavlo Kutsev Drop-in-Centre Ukraine [email protected] +380 44 497 70 48

38. Andrey Mykyt ynUkrainian Coalitiono HIV-Service organisations


39. Mariya GrishinaEastern Europe and Central AsianUnion o PLWH (ECUO)

Ukraine [email protected]+380 44 467 7565;+380 44 467 7582

40. Elmira AkramovaInitiative Group o PLH living inNamangan Oblast

Uzbekistan [email protected] +998 9 3264 3737

41. Sergy y Uchayev The LPHIV Coalition in Uzbekistan Uzbekistan [email protected] +998 9 7470 3734

List o speakers, experts, acilitators, organizers

No Name, Surname Afliation Country Email Telephone

Facilitators

42. Natalia Leonchuk Eastern Europe and CentralAsian Union o PLWH (ECUO)


43. Raminta Stuikyte Expert Lithuania [email protected] +370 699 666 77

44. Gennady Roschupkin Expert Russia [email protected]+7 9099895809;+375 33 320 04 33

Speakers

45. Vladimir Zhovtyak

East Europe and Central AsiaUnion o PLW (ECUO)/All-Ukrainian network o peopleliving with HIV/AIDS


46. Elena DecimaGrant Management Solutions

(GMS)

USA [email protected] +1 703 524 6575

47. Terry AndersonGrant Management Solutions(GMS)

USA [email protected]+1 703 310 3406 (direct)+1 703 524 6575 (main)

Experts

48. Tarek Elshimi The Global Fund Switzerland [email protected]

49. Mick Matthews The Global Fund Switzerland [email protected] +41 58 791 1137

50. Vitaly Djuma The Global Fund Switzerland [email protected] +41 58 791 1137

51. Shanon Kovalskyi OSI

52. Lucica DitiuWorld Health Organization(WHO)

Denmark [email protected] +45 39 171 378

53. Svenja HerrmannWorld Health Organization

(WHO)

Denmark [email protected] +45 39 171 611

Organizers

54. Radosveta StamenkovaBulgarian Family PlanningAssociation

Bulgaria [email protected]+359 29433052;+359 887263329

55. Joost van der MeerAIDS Foundation East-West(AFEW)

Netherlands [email protected] +31 20 638 1718

56. Yury SarankovAIDS Foundation East-West(AFEW)


Note-keepers

57. Dimitar Sotirov Note-keeper Bulgaria [email protected]

58. Tanya Karadjova Note-keeper Bulgaria [email protected]


34/36

34

A N N E X C

To the participants o the 2009 Eastern Europe and Central Asia Regional Meeting

o the Global Fund to ght AIDS, Tuberculosis and Malaria,

2426 November 2009 in Soa, Bulgaria:

Resolution o the regional workshop

Meaningul Involvement

(2224 November 2009 in Sofa, Bulgaria)

We,representativesof350civilsocietyorganizationsrepresentinghundredsofthousandsofpeoplelivingwithHIV,tuberculosisandwithdrugdependencefromEasternEuropeandCentral

Asia(EECA),aregratefultothedonorstoandSecretariatoftheGlobalFundforrecognitionofthemeaningfulroleofcommunityinresponsestoHIVandtuberculosis.

Wethougharedeeplyconcernedregardingexistingbarriersfortheparticipationofpeopleliving

withHIVandgroupsatriskfromHIVandTBaswellasnon-governmentalorganizationsinthe

implementationofprogrammesfundedbytheGlobalFund.

WebelievethattostrengthentheresponsestoHIVandTBinthecountriesofourregionitisnecessaryto:

1.ReviewtheGlobalFundseconomicandepidemiologicaleligibilitycriteriain

ordertoensureuniversalaccesstoprevention,treatment,careandsupporttovulnerableandstigmatizedpopulationsinmiddle-incomecountries.

2.Ensureaccesstoadequatetechnicalandnancialsupportforcommunity

systems,includinglow-thresholdaccesstotheGlobalFundsresources.Thiswillenablecommunitiestocontributemeaningfullytotheprocessesof

developmentofnationalprogrammesandpreparationofcountryproposalstotheGlobalFund,aswellastheirimplementation,monitoringandevaluation.

3.Ensuretheinvolvementofregionalnetworksofcommunitiesintheprovision

oftechnicalassistancetonationalcommunitysystemsstrengthening.

WereconrmourcommitmenttocollaboratewiththeGlobalFundanditsdonors,andwith

governments,toachievetheMillenniumDevelopmentGoals,universalaccesstoHIVandTBprevention, treatment, care and support.

WearecondentthatthenaldocumentoftheregionalGlobalFundmeetingwillreectthese

recommendationsandthevoicesofpeoplelivingwithHIV,TBanddrugdependence.


35/36

35

Notes


36/36

Notes

Documents

Meaningful Involvement (workshop report)