The Global Fund purpose is to raise, manage and disburse additional funding to countries to support them in their fight against the three diseases. As such, it does not implement or manage programs on the ground, relying instead on the expertise of partners. The partnership model of the Global Fund rests on certain core structures at a global level and at a country level.
Country Coordinating Mechanisms (CCMs) are multi-sectoral partnerships at the country level that are central to the Global Fund's commitment to country ownership and participatory decision-making. CCMs have representatives from the public and private sectors including governments, multilateral or bilateral development agencies, NGOs, faith-based organisations (FBOs), academic institutions, private businesses, key populations and people living with and affected by the diseases. All CCM members participate fully and equally in CCM activities on a voluntary basis, and CCM members make decisions preferably based on consensus, or through voting, or both. CCMs should have equal representation of men and women and possess strong expertise on gender balance in order to ensure effective responses to the three diseases.
The composition and size of each CCM varies according to the country context and should be based on the socio-epidemiological situation in country.
CCMs are responsible for
CCMs meet on a regular basis to review documents and reports that the PRs produce, to conduct oversight activities, to communicate with the Global Fund Secretariat, and to address any issues related to grant implementation that are beyond the PRs’ capacity.
CCMs usually develop founding/framework documentation, which can be in the form of dedicated terms of reference (TORs) describing their structure and operations, or in the form of by-laws, a governance manual, or Standard Operating Procedures. These should include detail on any working groups or committees established to perform CCM functions, such as concept note development or oversight. CCMs should align their functioning and operations in accordance with the Global Fund guidelines for CCMs.
The Global Fund has outlined six eligibility requirements, which CCMs must meet in order to obtain Global Fund financing, and provide minimum standards in these requirements that are compulsory for grant signing. The CCM Eligibility and Performance Assessment Tool details the minimum standards for each eligibility area, and provides indicators to measure compliance to these minimum standards.
Requirements 1 and 2 are assessed at the time of Concept Note submission Requirements 3 to 6 are assessed annually through the CCM Eligibility and Performance Assessment tool, with the support of a Technical Assistance (TA) provider.
The Global Fund appoints one or more Principle Recipients (PRs) in each country to be legally responsible for implementation results and financially accountable for the Global Fund grant. They can be government agencies (e.g. Ministries of Finance or Health), NGOs, or private-sector entities. Each country can have multiple PRs. The Global Fund recommends ‘dual-track financing’, which means that CCMs nominate both a government entity and a non-governmental entity to be PRs of the CCM’s grants, given that comprehensive national programs are best implemented through a multi-sectoral approach.
The PRs receive funds periodically from the Global Fund for the implementation of the approved concept note, and they must report on progress made in grant implementation and use of these funds within a specified period. It is the responsibility of PRs to ensure that effective arrangements are in place for:
In order to successfully assume these implementation responsibilities and reliably account for grant funds, PRs need certain minimum capacities and systems.
Each PR may be responsible for several Sub-Recipients (SRs), who will receive funds and are responsible for specific programme activities. The SRs themselves are often responsible for other service delivery partners, such as small CSOs, who are known as Sub-sub-recipients (SSRs). SRs are usually local or national entities and can be from the governmental, civil-society, or private sectors.
The Global Fund does not have a country-level presence outside of its offices in Switzerland. Instead, it hires Local Fund Agents to oversee, verify and report on grant performance. LFAs are typically audit and accounting firms that the Global Fund Secretariat hires to assess the financial management and administrative capacity of nominated PRs and to verify and report on grant performance. A comprehensive reference guide, the LFA Manual, describes the LFA’s role.
The LFA provides local knowledge and context that might be relevant to grant performance and works closely with the Global Fund Secretariat. They are known as ‘the eyes and ears of the Global Fund’.
Their tasks include: