• Time frame: Enough time should be allowed in between activities, so far there is rush and risk of quality.
  
  
• Action should be grounded before data generation.
  
  
• Supervision with supervisory checklist should be in place and cannot be replaced with M&E.
  
  
• Capacity strenghtening will go a long way in making CSOs available and ready for program implementation, evaluation, reporting and sustainability.
  
  
• The process of program reporting should be simplified to accommodate the ability of some grassroot CSOs.

Paul,

 

This coming from you as part of Kenya's CCM means a lot . At least you have a heart to understand the plight of the people you serve and want to consciously make a difference and be inclusive.

 

"The G.I.P.A card developed by UNAIDS need to be widely distributed to the communities for study as an advocacy tool to enhance their skills. - Increased funding by governments reducing dependency on donor funds to ensure sustainability. - Funds are spent enormously during planning with limited allocations to implementation and evaluation processes". If communities are illiterate and semi literate you cant expect them to study this tool.

 

"Proposal calls are too demanding for the rural and semi-rural communities who do not have access to computers hence denying them and locking out totally from Global Fund benefits".If communities are illiterate and semi literate it compounds things worse....

 

" Funds are spent enormously during planning with limited allocations to implementation and evaluation processes"...this is a tragedy of national proportions

 

So your CCM doesn't have women???

 

You are a true advocate of what happens to the endusers that are disenfranchized and marginalized.

God Bless you.
 

 

Fenna

 

Dear colleagues,

• Monitoring and Evaluation need urgent improvement in the Global Fund due to its weak mechanisms particularly in the field of HIV and TB
• There is noted duplication of services on the ground especially in capacity building resulting in misplacement of resources.
• There is need for feedback on assessment reports from the Global on performance of implementers for improvement.
• The funding mechanisms have often been unpredictable creating gaps on programs implementation hence reversing gains already achieved.

Thanks.

PAul Moses

First I want to thank Asima Chakraborty and Fenna Bacchus for their very kind comments on my first post. This has encouraged me to open my mouth once again. I think Tecomfoundation has given excellent examples of the life in Africa, which is also true in many parts of South Asia, and is so relevant to the Global Fund's mission. Hope they are listening. After having read Tecomfoundation's comment, I would like to raise following questions: Can we fight TB effectively by chemotherapy alone while people are living in abject poverty, are malnourished and living and working in congested environments? Can we eradicate malaria mainly by pills and nets if our towns and cities lack proper sanitation and drainage and means to control disease carrying mosquitoes? Can we eliminate HIV virus by only treating the infected persons while society continues to practice unsafe sexual and hygiene practices; health personnel either do not have safe appliances or do not have the conviction to use them; and unemployed youth continue to find escape in sharing needles for drugs? In other words, can we succeed in attaining our objectives by using the single intervention approach to tackle one or two or even three pandemic diseases by generally ignoring the big picture, that includes endemic diseases killing and disabling the population although without threatening neighbouring populations? Can we succeed in improving global health without improving public health and socio-economic conditions of a country as well as acknowledging cultural beliefs, values and practices? May be not for a long time- until the donor fatigue sets in and menace of disease reverts back to the level of bad old days. (The story of malaria eradication is a case in point!) At the risk of repeating myself, I wish to reiterate that donors should help build the public health infra-structure as a a whole rather than stay focused on treatment of pandemics only, with an aim to build national capacity in the long run. For this purpose, capacity of the service providers and institutions must be built on the one hand and awareness and participation of the population be raised in a parallel effort, through communication and functional literacy programs. In both of these efforts, government’s long term commitment should be assured. By following this policy, countries will slowly but surely overcome not only the current pandemics, but will also build up their ability to handle other urgent needs of public health that are threatening now or in the future. If nothing else, Global Fund through its policies and approach can take specific measures that target the overall improvement of public health including health education via institution building for the three chosen diseases. That will be a start and a worthwhile goal.

Boli, Well stated ...I would love to hear more of this. If we don't address this how can we expect to have good client outcomes? Our main object are the people that we serve. We need to see teambuilding, consensus and congruency between finance and program staff toi get best client outcomes and satisfaction. This requires transformation of worldview towards efficient colloboration and appropriate product and services utilization. Fenna

Abraham, I always feel your warm smile and heart. I support your sound and brief submission.

Bless your heart my brother...my African roots are in your country and I can relate to your pain on the global level. I'm very humbled by your submission and fully support you. Your very first bullet: "Illiteracy is a problem in Africa; as such majority cannot read and understand. Therefore programs are not well understood especially on television To solve this, women and girl child, which forms the greater percentage of the population should be educated by granting scholarship to brilliant but needy student and non formal education to train illiterate women", hopefully has send a strong signal to the GF. Finally I'm seeing a ray of hope that will encourage more participants to press on for a paradigm shift. The scourge ILLITERACY problem is at the core to solving CONFLICT, POVERTY, ABANDONING OF BACKWARD CULTURAL PRACTICES AND EVEN UNSANITORY PRACTICES. If people become aware that education is a right and understand how to conduct their lives, they will not fight over the control of resources, land or water but will form cooperatives and collaborative partnerships. With a hand up, they will become very resourceful at creating opportunities for themselves to become resourceful to improve their standard of living, they will not engage in unsanitory circumcision or enforce the precepts of BUNDU society and will not engage unsanitory practices to compromise their environment. They will know recognize mosquito breeding grounds and take effective action to mobilize the right institutions to take care of the problem. They will not throw around old basins, pots and tires in canals or places where they can collect rain water to encourage fertile breeding ground. I hope we can lay a strong foundation for a paradigm shift... Congratulations my brother Fenna E. Bacchus CEO/President Functional Illiteracy Research and Education Inc. 544 Walnut Street Altamonte Springs, FL 32714-2329 - USA Tel/Fax:+ 1 (407) 774-6542 Cell: + 1 (407) 484-0292 (Emergency Contact) www.fireinc.org

Global fund aim to find lasting solution to the Global three killer diseases such as HIV/AIDS, Malaria and Tuberculosis It also aim to fight against poverty especially in Africa sub region. Programs are carried out in conjunction with Government, private organization and other affiliated members. Issues which make implementation of programs difficult are as follows • Illiteracy is a problem in Africa; as such majority cannot read and understand. Therefore programs are not well understood especially on television To solve this, women and girl child, which forms the greater percentage of the population should be educated by granting scholarship to brilliant but needy student and non formal education to train illiterate women • War is another obstacle which makes implementation of programs difficult because if there is war there is no peace therefore education and campaign becomes halt Money injected by GF becomes wasted. Africa leaders must see to solve dialogue early before it get out of hand e.g. Zimbabwe • Poverty in Africa sub region also contribute to this because it brings about girl child labor, child prostitution and rural urban migration, all these promote sexual injustice which will result in HIV/AIDS. To solve this women should be assisted by GF to learn a trade and capital to start business • Cultural practice In Africa. Some of our cultural practices are very outmoded eg male and female circumcision by non professional people. Also sanitation problem in Africa. .In Ghana where to dump our refuse is a problem Gutters are choke environmental pollution are common therefore mosquitoes bleeding is on its ascendancy. To solve these problem proper measures must be put in place by Global Fund to eradicate mosquito bleeding. . GF should criticized circumcision by organizing workshop to educate the people • Lack of distribution centers in all the district capitals to distribute preventive materials such as condom, mosquito nets and HIV/AIDS drugs GF should solve this problem and abolish sale of this product. • Inadequate campaign input to stake holders to facilitate campaign is another issue to be address. GF should make availability of input such as automobile, horns and other logistic materials to actors to catalyzed their activities To end it all misappropriation of funds on behalf of some stake holders should be checked, road network must be improved in Africa as well as unemployment. I also suggest that continues campaign should be instituted in all the communities and mass environmental spraying should be adopted by GF to eradicate mosquito bleeding in Africa. All my point are centered in Africa because it is the continent which suffers the most

Dear Sir, Thank you very much for sending me the mail in the regard of sharing ideas and experiences. In my opinion, Global fund should (must) have to rethink about third world community based programs compared to developed country for smoothly conducting of country program (designing and planning and formation of care and support as well.) There is always centralized opinion and ideas within the country level so it must be decentralized and care and support should consist of regional(province)representatives. So program should be offered on the basis of all interested and concerned representation. Program staffs, (not only finance staffs) should be exposed in the exhibitions (inside and outside country)from PRs. And program must be planned in team approach. And every Program staffs must receive capacity building training)in their own organisation or outside and can provide feedbacks to the PRs in this regard. On the basis of practical experiences it is felt that some of the finance staffs are making plans themselves (In their country )-PR1. They are not consulting program staffs but even not having ownership, program staffs have to justify the program which they didn’t build in team. Finance staffs are themselves reviewing and sending the program that’s why it is felt difficulty to monitor in each program smoothly.

Dear GF I think that's intresting question. Implementation programs of GF must related with "changes", especially the community as a objects programme. First steps GF of cource, make assesment about how role and functions of the GF in country structures. Seconds steps, evaluation of all role and functions. Thirds steps empowerment them role and functions. GF can be conducting international meeting with them.

Asima and all Forum Members and e-forum Facilitators, My deepest respect and appreciation for all you have taught me. I'm deeply indebted to you for providing me this experience. It gives me insight into your mindset, your passions and the level of dedication you have to transform the GF. I took my time to review "COMMITMENTS ON HIV/AIDS MUST BE MATCHED BY ACTIONS – ASSEMBLY PRESIDENT" Srgjan Kerim. THE DECLARATION OF COMMITTMENT ON HIV/AID in a special session on HIV/AIDS in the United Nations on June 21-27, 2001 among many others are quite fascinating. However, “for every two people that begin HIV treatment, there are five new HIV/AIDS infections". Do you know now why after reading all the painstaking responses that I have submitted to the e-forum for the past weeks? Furthermore, I find it quite curious why functional literacy was left out of the above...and left out of all discussions in the e-forum. AIDS, TB and Malaria or any mortality and Life Expectancy issues cannot be solved if we leave functional literacy out of the equation. One of the things I found that is markedly absent in all the fora that I have participated in, is addressing innovations of new technologies in communication and education that should propel the GF and country initiatives forward. We need a more holistic rather than fragmented approach to what we do. Asima its unlike my nature to regurgitate the wonderful things by the Bretton Woods Institutions when there is a implementation strategy that is wanting. I cannot swallow such without raising the redflag that something is wrong with all this. I hope you now know exactly why. We need technological innovators and highly creative practitioners that will stop at nothing to deliver COMMITTMENT TO EXCELLENCE and that take a critical look at the pattern of simply regurgitating and instead delivering above and beyond the call of duty to liberate the mindset of the GF. What has happened to all the thinkers, doers and high powered consultants in the GF? I fail to see the creativity and feel that this forum needs to take it couple notches higher to keep me interested. I would love to hear your voice on skype if you see my headlights beaming. Fenna E. Bacchus CEO/President Functional Illiteracy Research and Education Inc. 544 Walnut Street Altamonte Springs, FL 32714-2329 - USA Tel/Fax: +1 (407) 774-6542 Cell: +1 (407) 484-0292 (Emergency Contact) www.fireinc.org skypename: soulmateprincess1

Dr. N. N. Dayanandarao, MBBs Your pain was felt and your small voice was heard in Altamonte Springs, FL USA. What suggestions does this forum have for inclusiveness? Asima you can help this brother...you are right there Fenna E. Bacchus