New CCM Guidelines CS Opportunities

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    Orientation Workshop on Civil Society

    representation within the CCMCairo, Egypt November 12, 13 - 2011

    New CCM guidelines

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    Presentation outline

    Background

    Reasons and processes for change

    Objectives of changes to the new CCM Guidelines

    Main elements

    Summary of key changes

    Implications of the new CCM Guidelines

    Additional Resources

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    CCM Guidelines last changed in 2005

    March 2009: Board requests Secretariat to revise CCMGuidelines to:

    Reflect best practice

    Better articulate core principles

    Reflect Global Fund policy changes

    2009-2011: Consultation process to review CCM experienceand update Guidelines

    May 2011: Board approval of new CCM Guidelines

    Background

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    Studies on CCMs 2008-2010 26 research/evaluation reports and policy documents

    40 CCM case studies

    Global Fund Experience/Reports Five-Year Evaluation

    4 rounds of screening; OIG Reports Gender and SOGI Policies, Partnership Strategy, New Architecture, etc.

    Stakeholder consultations on the role of CCMs in 2009-2011 CCM e-surveys in 6 languages

    CCM regional workshops

    Online consultations with multiple stakeholders and Board members

    Cross-Secretariat working groups (1 focused on civil society & private sector)

    3 day multi-stakeholder consultation in July 2010 (CCM members included)

    Reasons and processes for change

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    Clarifies the role, authority and accountability of CCMs

    Strengthens guidance to CCMs for improved governanceand function

    Outline expectations of CCMs using requirements,standardsand recommendations

    Objectives of changes to the new CCM guidelines

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    Executive Summary

    Section 1: Purpose and Structure

    Section 2: Core Principles

    Section 3: Role and Core Functions

    Section 4: Multi-Stakeholder Engagement

    Section 5: CCM StructureSection 6: Good Governance Principles and Practice

    Section 7: Aid Effectiveness

    Section 8: CCM Eligibility

    Section 9: CCM Financial and Technical AssistanceSection 10: CCM Performance

    Annex: Types of Constituency Representation

    Key elements (1)

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    Core Principles

    Reaffirms the principles of the Framework Document, emphasizing:

    National ownership

    Partnerships

    Participation of communities

    Elimination of stigma and discrimination Transparency

    Accountability

    Acknowledges the importance of government and diverse countrycontexts

    States a commitment to a rights-based approach to health (Allpeople living with the 3 diseases (PLWD) should have access toprevention, treatment, care and support)

    Key elements (2)

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    Role and Core Functions

    Clarifies the roles and relationships between CCMs, PRs, SRs,the Global Fund and LFAs

    Outlines the legal obligations of PRs to share information withCCMs, and the CCMs authority to change PRs if necessary

    States Requirement 1: to coordinate a transparent anddocumented funding application process that engages multiplestakeholders

    Provides guidance on developing consolidated proposals tosupport national objectives, taking into account: harmonizationwith existing entities, health and community systemsstrengthening, maximizing synergies for sustainability, and theimportance of consultation and planning TA

    States Requirement 2: a transparent and documented processto nominate all PRs and to manage related conflict of interest

    Defines CCMs role in working with PRs to select SRs

    Key elements (3)

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    Role and Core Functions (continued) States Requirement 3: CCMs to submit and follow an

    oversight plan with detailed activities and engagement ofprogram stakeholders

    Guides CCMs on obtaining key information including:

    developing a strategy with PRs for report sharing; inviting LFAs to participate in CCM meetings;

    involving non-CCM members to site visits

    Indicates where CCMs should be more watchful and activelymitigate bottlenecks before they impact on performance

    Maintaining drug and equipment supplies Knowing their role vis a vis audits

    Facilitating TA and other help to identify and resolve problems

    Indicates opportunities at periodic review to reallocate funds andchange implementation

    Key elements (4)

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    Multi-Stakeholder Engagement

    States Requirement 4:non-government member selection

    States Requirement 5: membership to include PLWD

    Indicates the need for CCM membership to reflect keystakeholders

    Clarifies the obligations of CCM members to share informationwith and involve their constituencies in decision making

    Suggestions for CCM membership include terms of reference,use of alternates, term limits, staggered membership renewal,orientation and periodic training for members

    Key elements (5)

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    CCM Structure & Governance Principles Outlines the value of CCM Secretariats to:

    support administration,

    document and share CCM processes (e.g. meeting minutes),

    coordinate logistic support (e.g. calls for proposal and oversight)

    Shows how to use the CCM Funding policy to fund Secretariats

    Suggests that Secretariats be independent from PRs and SRs Provides recommendations on CCM committees/working groups

    States Requirement 6: CCMs must develop and implement aconflict of interest plan that applies to allCCM members, across allfunctions

    Provides suggestions on avoiding conflict of interest: Non-voting roles for PRs and SRs

    Choosing Chairs and Vice-Chairs from different constituencies

    Advice on good decision-making and voting procedures

    Mechanisms to report conflict of interest and promote transparency

    Key elements (6)

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    Aid Effectiveness

    Suggests how to apply aid effectiveness principles through CCM corefunctions

    Emphasizes alignment through: Using existing national multi-stakeholder bodies to fulfill CCM roles, if possible

    Nominating national PRs

    Including systems-strengthening measures for procurement, monitoring andevaluation and finances

    Aligning reporting schedules to national cycles

    Key elements (7)

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    Human rights is highlighted as a core principle More operational detail on core functions, reflecting the latest

    operational and policy changes

    Description of the roles of key actors (e.g. CCM, PR, LFA, GF)

    Legal authority of CCM is outlined in the context of grant agreement Detail on good governance practices (e.g. terms limits, rotation of

    leadership, conflict of interest, communication)

    Governance structures (e.g. CCM Secretariat and sub-committees)

    6 CCM requirements are strengthened Ongoing monitoring of CCM requirements, particularly at proposal

    submission and periodic review

    Specific examples on how CCMs can contribute to aid effectiveness

    More detail on mechanisms for CCM support (e.g. CCM funding and TA)

    What changed? (1)

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    What Changed? (2)

    6 Requirements

    Must be met to access

    Global Fund financing

    Standards

    Considered vital for effective

    CCM performance

    Recommendations

    Suggested as examples of good CCM practice

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    Overview of Key Changes to CCM Requirements

    Requirements Measures to Strengthen and Clarify the Requirements

    1: ProposalDevelopment

    Documented efforts to involve key population groups and most-at-risk populations forHIV/AIDS is required

    2: PR Nomination

    Documented management of conflict of interests related to PR nomination process Applied equally to new and continuing PRs Based on clearly defined and objective criteria

    3: Oversight

    Submit and follow an oversight plan Oversight activities must be detailed Involvement of non-government sectors and PLWD in oversight is specified

    4: PLWDMembership

    Relates differently to HIV, TB and malaria (people living with HIV and people affected byTB or malaria

    5: Non-GovernmentMember Selection

    Specifies that the requirement does apply to PLWD members, but not to multilateral andbilateral partners

    6: Conflict of Interest

    Develop and publish a policy Applied to all members, across all CCM functions (not only PR nomination) Members periodically declare conflicts of interest Applicable throughout life of grant

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    Standards That Count

    Chapter/Theme New Standards of Excellence

    ProposalDevelopment

    Documented efforts to involve key population groups and most-at-risk populations forHIV/AIDS is required

    PR Nomination Both government and non-government PRs should be nominated

    Oversight Activities contribute to elimination of stigma and discrimination

    PLWD Membership Relates differently to HIV, TB and malaria (people living with HIV and people affected by

    TB or malaria Ensure membership of key affected populations

    Non-GovernmentMembership

    Non-government seats on the CCM should be minimally 40% (excluding ML/BL) Strong gender expertise andgender balance Balanced geographical representation

    Consult ideas and share information with constituency base

    CCM Structure /Good Governance

    Establish a Secretariat Periodic change of leadership Elect Chairs and Vice Chairs from different constituencies CCM should publish and have a communications strategy

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    Changes to the CCM requirements apply immediately

    CCMs must demonstrate compliance as part of Round 11

    Performance framework is being developed to track CCMfunctions and provide targeted support for CCMs whereneeded

    Implications

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    CCM Guidelineshttp://www.theglobalfund.org/en/ccm/guidelines/

    Guidance Note: CCM Requirementshttp://www.theglobalfund.org/en/ccm/guidelines/

    Other CCM Reports and Case Studieshttp://www.theglobalfund.org/en/ccm/documents/

    Global Fund staff (FPM, CCM Team)

    Civil Society Action Team (CSAT)http://www.csactionteam.org/

    Sources

    http://www.theglobalfund.org/en/ccm/guidelines/http://www.theglobalfund.org/en/ccm/guidelines/http://www.theglobalfund.org/en/ccm/documents/http://www.csactionteam.org/http://www.csactionteam.org/http://www.theglobalfund.org/en/ccm/documents/http://www.theglobalfund.org/en/ccm/guidelines/http://www.theglobalfund.org/en/ccm/guidelines/
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    ?!

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    CCM Guidelines

    Revisions to CCM RequirementsNew CCM Requirements Previous CCM Requirements

    Requirement 1: Proposal Development

    The Global Fund requires all CCMs to:-Coordinate the development of all funding applications through transparent anddocumented processes that engage a broad range of stakeholders - including CCMmembers and non-members in the solicitation and the review of activities to beincluded in the application-Clearly document efforts to engage key population groups in the development offunding applications, including most-at-risk populations for HIV in the case of HIVapplications.

    CCMs are required to put in place and maintain atransparent, documented process to solicit and reviewsubmissions for possible integration into the proposal,and ensure the input of a broad range ofstakeholders, including CCM and non-members, inthe proposal development process.

    Requirement 2: PR Nomination

    The Global Fund requires all CCMs to:-Nominate one or more PR(s) at the time of submission of their application forfunding

    -Document a transparent process for the nomination of all new and continuing PRsbased on clearly defined and objective criteria-Document the management of any potential conflicts of interest that may affect thePR nomination process (see section 6 on good governance)

    CCMs are required to put in place and maintain atransparent, documented process to nominate thePrincipal Recipient.

    Requirement 3: Oversight

    Recognizing the importance of oversight, the Global Fund requires all CCMs tosubmit and follow an oversight plan for all f inancing approved by the Global Fund.The plan must detail oversight activities, and must describe how the CCM willengage program stakeholders in oversight, including CCM members and non-members, and in particular non-government constituencies and people living withand/or affected by the diseases.

    CCMs are required to put in place and maintain atransparent, documented process to oversee programimplementation, and ensure the input of a broadrange of stakeholders, including CCM and non-members, in the grant oversight process.

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    Revisions to CCM Requirements (cont)

    New CCM Requirements Previous CCM Requirements

    Requirement 4: PLWD Membership

    The Global Fund requires all CCMs to show evidence of membership of peopleliving with HIV and of people affected by TB or malaria (where funding is requestedor has previously been approved for the respective disease). People affected byTB or malaria include people who have lived with these diseases in the past or whocome from communities where the diseases are endemic.

    All CCMs are required to show evidence ofmembership of people living with and/or affected bythe diseases.

    Requirement 5: Non-government Member Selection

    The Global Fund requires all CCM members representing non-government

    constituencies to be selected by their own constituencies based on a documented,transparent process, developed within each constituency. This requirementapplies to members representing people living with or affected by the threediseases, but not to multilateral and bilateral partners.

    CCM members representing the non-government

    sectors must be selected by their own sector(s) basedon a documented, transparent process developedwithin each sector.

    Requirement 6 : Conflict of Interest

    To ensure adequate management of conflict of interest, the Global Fund requiresall CCMs to:

    -Develop and publish a policy to manage conflict of interest that applies to all CCMmembers, across all CCM functions. The policy must state that CCM members willperiodically declare conflicts of interest affecting themselves or other CCMmembers. The policy must state and CCMs must document that members will nottake part in decisions where there is an obvious conflict of interest, includingdecisions related to selection or financing PRs or SRs.-Apply their conflict of interest policy throughout the life of Global Fund grants, andpresent documented evidence of its application to the Global Fund on request

    When the PRs and Chair or Vice Chair(s) of the CCM

    are the same entity, the CCM must have a writtenplan in place to mitigate this inherent conflict ofinterest (COI).