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11-20-2008 12:05 AM

Re: Identifying problems in grant implementation

I would not say this is a problem but call it a challenge in grant implementation. Maybe in my country I would say we have failed to implement due to these practises: favoritism, nepotism and as well as bribery and corruption. Why we have all this is that we do not look at helping the community or the sick but we are looking at the US dollar that is to be paid. We also do not consider capacity building but look at the numbers or any human resource that is required for the work to be done. We also do not bother if whoever we are recruiting as human resource can produce, results or do they qualify for the work to be done.
 
In what I have highlighted if the ccm can overcome the challenge, programmes can be implemented. I would also emphasize this. They should be no political inteference in health programs. They should be also a serious commitment from the political fraternity. This has destroyed our TB program in Zimbabwe. The ccm should seriously consider advocacy first with the politicians before they implement programs and also consider what capacity building are they  to use in human resource challenge.
 
Yours sincerely
 
Regina

11-19-2008 1:39 PM

Re: Identifying problems in grant implementation

One of the greatest needs in the implementation is to have the opportunity to revist the impact of the proposal at middle term, not to be tied by what has been written 5 years ago but to be able to redesign the project if some actions are not having impact. Remember some of these topics, specially HIV is a very changing one. We can´t stop having unuseful activities if they were once submited in the original proposal, currently our hands are tied. At the same time we have to have indicators that are measurable but some level of flexibilty.
 
Gracia Violeta Ross
Bolivian Network of people living with HIV, CCM member

11-19-2008 12:23 PM

Re: Identifying problems in grant implementation

The Global Fund (GF) should develop a well defined capability model to improve the relationship between Country Coordination Mechanisms (CCM) and the stakeholders, mainly towards Principal Recipients (PR).

 

Managing and meeting partner expectations is a major challenge for CCMs in their “business not as usual” relationships. The relationships between CCM and the involved stakeholders must overcome many challenges to be successful.

 

As such, it is proposed to set up a Coordination Capability Model (Ccm)

 

The objectives would be:

 

  1. Be able to define “Coordination capability model” which differs from the traditional evaluation models
  2. Enable the CCMs to become familiar with the factors of Ccm
  3. Improve the understanding of the CCM functions among stakeholders and supervision activities over PRs.
  4. Gain a sense of the “scaling up potential” for implementing a GF project through a well defined capability model

 

The main relationship challenges include:

        Ensuring compliance with GF requirements, especially in selecting CCM members.

        Implementing practices to translate explicit requirements into deliverables of defined and desired quality.

        Innovating, building flexibility, and increasing responsiveness to manage shortening health service lifecycles.

 

 

To help CCM organizations succeed in the face of these challenges, the GF will create an innovative and practical “best practices” capability models for both sides of the coordination relationship.

 

Such model should be built up on the GF’s successes identified as follows:

 

         Managing client health related expectations

         Ensuring positive experiences during interactions

         Managing cultural differences

         Managing PR and subcontractor relationships

         Guarding against communication breakdowns

         Developing partners satisfaction

         Measuring service performance

 

 

 

 

 

The  Coordination Capability Model Ccm for Country Coordination Mechanisms CCM will provide a framework to improve their capability to deliver consistently high quality services and aids them in establishing, managing, and continually improving relationships with stakeholders. The intent of the Ccm is to present CCM with a set of best practices that help them effectively manage coordinating relationships.

 

 

 

SO WHAT COULD BE THE STRUCTURE OF SUCH MODEL?

 

By grouping the Best Practices identified into increasing levels of capability, the Ccm MODEL willl describe an improvement path. CCM may advance from a minimal level of coordinating services, to the highest level where they are proactively enhancing value for partners, regardless of the requirements or scope of efforts.

 

 

Practices could be identified grouped by:

a.      Capability Level

b.      Life-cycle

c.      Capability Area

 

Definition practice

The practices must create an underlying infrastructure that enables effective implementation of the Country Coordinating Mechanisms activities and legitimates its functions.

They deal with such issues as organizational requirements and implementation of tools and procedures.

 

Capability Levels

Level 2 focus is on meeting Global Fund requirements at the engagement level

At Capability Level 2, a CCM is able to

         Systematically capture and understand client requirements

         Design (but not yet to deploy) a Coordination service to meet the Global Fund requirements

         Successfully deliver the service according to agreed upon service levels

At Level 3, this is broadened to organizational level in order to deploy a Coordination service to meet the Global Fund requirements with increased focus on performance and knowledge management

At Level 4, this is expanded with increased focus on innovation and efficiency value-driven decision making

 

Life-cycle

The temporal dimension is important: there are three phases: 1- Initiation (submission of one national proposal : snp & selection of principal recipient: spr), 2- Delivery (coordination of the program and evaluation: cpe 3- Completion

 

Globally speaking, the average length of a contract is 5 years, which means that the Global Fund Secretary and the CCM can reset the terms of the contract according to the performances delivered by the Principal recipient (s) on a fixed time basis.

The period of contract is long enough to make the best use from the investments, and more purposefully, to undertake a continuous improvement process through Capability Levels

The Ccm Model does address the entire planning process, including pre and completion phases

 

Capability Area

There are five Organizational Elements : Knowledge, People, Performance, Relationship, Technology, Threat

 

 

The Coordination Capability Model (Ccm) could contain a series of 84 practices that describe the activities a Country Coordinating Mechanisms CCM should do

 

Proposed list of practices

First column: Practice reference

Second column: Capability level

 

 

Knowledge Management

 

Managing information and knowledge systems so that stakeholders have efficient access to the knowledge needed to effectively perform their work.

 

1

3

Policy

Share knowledge

2

3

Procedure

Identify, control, and provide the information that partners need to perform their work

3

3

Procedure

Establish and implement a knowledge system to identify, control, and provide information

4

3

Procedure

Establish and maintain a set of process assets for use across the PR and sub contractors.

5

3

 

Communicate planned actions and their outcomes to relevant stakeholders

6

3

 

Involve relevant stakeholders in creating, improving, reviewing, and approving the procedures as appropriate

7

4

 

Maintain and improve the procedures as appropriate

8

4

 

Analyse the data on resource consumption

 

 

 

 

 

People Management

 

Managing and motivating CCM members and CCM secretary to effectively deliver service.

 

1

2

Policy

Mobilize all actors in decisions

2

3

Policy

Encourage innovation

3

3

Requirement 1

CCM members representing the NGO sectors must be selected by their own sectors

4

3

Requirement 2

All CCMs are required to show evidence of membership of PLVIH

5

3

Requirement 3

CCMs must have a written plan in place to mitigate conflict of interest when PR and Chair or Vice Chair are from the same entity

6

3

Procedure

Assign roles and responsibilities to personnel working within the CCM organization and secretary based on appropriate personnel competencies

7

3

Procedure

Define and communicate the roles, responsibilities, and authority of personnel in the CCM organization

8

3

 

Meet identified CCM members and secretary competency needs by providing training

9

3

 

Establish and implement procedures to plan and deliver training among CCM members and CCM secretary

10

4

 

Representation of a gender perspective

11

4

Procedure

Survey process for evaluating the roles and responsibilities of employee secretary and main CCM roles

 

 

 

 

Performance Management

 

Managing performance in order to ensure that not only are Global Fund's requirements being met, but that the CCM organization is continually learning from its experience and using that learning to improve across engagements.

 

1

2

Policy

Funds are allocated on a strict performance criteria

2

2

Procedure

Define and communicate strategic objectives and their corresponding key performance indicators

3

3

Procedure

Establish and implement tools and procedures to verify that programs are consistently performed as defined

4

3

Procedure

Verify that the program is consistently and effectively performed according to the strategic action

5

3

Procedure

Identify and control adequate resources that partner need to perform their work.

6

3

 

Provide sponsorship and resources for creating the tools and procedures among needed stakeholders

7

3

 

Monitor the programs are on track and meet objectives through regular field visit

8

3

 

Update the procedures for overseeing the proposal implementation

9

4

 

Benchmark the performance

10

4

 

Challenge the performance

11

4

Procedure

Apply the Coordinating Capability Model

 

 

 

 

Relationship Management

 

Managing relationships with stakeholders, including the MoH/International Partners and Civil Society/private sector who are integral to delivery of service to the client. 

 

1

2

Policy

Interaction with a broad range of stakeholders

2

3

Requirement 3

CCMs are required to put in place a documented process to solicit submissions for possible integration into proposal

3

3

Requirement 4

Establish and implement procedures to nominate potential Principal Recipients for the election step

4

3

Procedure

Analyze and use stakeholders information

5

3

Procedure

Establish and implement procedures to manage Principal Recipient(s) relationships.

6

3

 

Ensure linkage and proper communication with Global Fund institution

7

4

 

Ensure linkage and consistency with other programs

8

4

Procedure

Establish and implement tools and procedures to manage client relationships

 

 

 

 

Technology Management

 

Managing the availability and adequacy of the technology infrastructure used to support delivery of service.

 

1

3

Policy

Health protocols have to be updated regularly

2

3

Policy

 Information and Communication Technologies are a reservoir of efficiency

3

3

 

Establish procedures to acquire technology

4

3

 

Implement procedures to deploy technology

5

3

 

Tech Integration

6

4

Procedure

Establish and implement procedures to proactively identify and introduce appropriate technology

 

 

 

 

 

Threat Management

 

Identifying and actively managing threats to the CCM organization's ability to meet its strategic objectives and the requirements of the vision of Global Fund.

 

1

2

Policy

Risk management is used as a means of improving control over the Global Fund program

2

3

Procedure

Identify, assess, and manage risks specific to the Principal recipient(s) engagement

3

3

 

Proactively manage risks with regards to the Principal recipient(s) engagement

4

3

 

Assess risks with regards to the Global Fund program

5

3

 

Statutory Compliance

6

3

 

Proactively manage risks with regards to the Global Fund program

7

4

Procedure

Disaster Recovery

 

 

 

 

Temporal Capability Areas

Initiation Phase

 

Submission of one National Proposal

 

Managing the process of gathering client and stakeholder requirements, analyzing them, and drafting one national proposal that describes how the organization will meet those requirements.

 

1

2

Policy

Civil society organizations are playing a crucial role

2

3

Requirement 3

CCMs are required to maintain a process to review submissions for possible integration

3

3

Requirement 5

CCM must ensure that stakeholders have the opportunity to contribute to proposal development

4

3

Procedure

Establish and implement guidelines for budgeting

5

3

 

Confirm existing conditions from Global Fund

6

3

Procedure

Plan negotiations

7

3

Procedure

Gather Requirements

8

3

 

Review Requirements

9

3

 

Respond to Requirements

10

4

 

Anticipated Contract roles

11

4

 

Comment Contracts

 

 

 

 

Selection of Principal Recipient

 

Translating the Global Fund requirements and contract language of "what" will be provided into a detailed design for "how" it will be provided by the Principal Recipient and for effectively deploying that design.

 

1

2

Policy

PRs are evaluated based on their ability to meet identified requirements

2

3

Requirement 4

CCMs are required to put in place a process to elect a PR for program implementation

3

3

Procedure

Planning till PR election

4

3

 

Define the expected service design based on Global Fund service specification

5

3

 

Communicate Rqmts and Service Specification

6

3

 

Design Feedback from potential PRs

7

3

Procedure

Selection PRs

8

4

 

Service Deployment simulation

 

 

 

 

 

Service Transfer IN

 

Transfer of resources from on going contracted PR to new one

 

1

2

Procedure

Establish and implement procedures to verify and account for resources transferred to the new PR

2

2

Procedure

Personnel Transferred in to the new PR

 

 

 

 

Delivery Phase

 

Coordination of the Program and Evaluation

 

Ongoing delivery of coordination service according to the commitments made to the stakeholders and based on tools and procedures.

 

1

2

Policy

 

2

2

Requirement 5

CCMs must ensure that stakeholders have the opportunity to contribute to grant oversight

3

2

Procedure

Deliver coordination services according to the service delivery plan.

4

3

Procedure

Verify the quality of coordination services

5

3

Procedure

Correct Problems

6

3

Procedure

Prevent Known Problems

7

3

Procedure

Service Modification with PRs

8

4

Procedure

Manage finance in partnership Local Fund Agent

 

 

 

 

 

 

 

 

Completion Phase

 

 

Service Transfer OUT

 

Transfer of resources from on going contracted PR to new one

 

3

2

Procedure

Ensure Service Continuity During Transfer from on going contracted PR to another one

4

2

Procedure

Resources Transferred out from previous PR

5

2

Procedure

Personnel Transferred out from previous PR

6

3

Procedure

Transfer Knowledge Gained from on going contracted PR to another one

 

 

 

 

 

Summery

 

The Coordination capability model:

        Gives Country Coordinating Mechanisms CCM a progression path towards improvement

        Provides Global Fund with a consistent basis for comparing CCM services provided to PR (s) and stakeholders

        Is compatible with and complementary to on going or scheduled procedures or tools implementation plan

11-19-2008 7:00 AM

Re: Identifying problems in grant implementation

 

Dear friends,

            I had already discussed in the E-forum discussion earlier about this the country co-ordinting mechanism (CCM) have to receive recommend and review the proposal from the principle Receipients and sub-Receipients. This CCM have to mobilize all other resources to meet the gap out of my Global fund program. Regarding implementation of the Global fund program, the CCM have to Monitor and evaluate the program without any partiality. If there is any deviation or delay in the implementation of the program successful. The CCM must hard a brotherhood activities on Principle / Sub Receipients. The CCM should act co-ordinators between the my Global fund and the implementors. The CCM should not misnse the powers as veshed by the my Global fund.

            The CCM can act as a catalyst to implement the my Global fund program.

                                                                                               

Thanking you,

C.Ravichandran

                                                                                                                 India

11-18-2008 2:15 PM



  • mukonjia
  • Top 25 Contributor
  • Somalia
    Not currently affiliated with the Global Fund
  • Posts 28

Re: Identifying problems in grant implementation

I believe good and timely communication between CCMs and the stakeholders would help in early identification of problems hence better intervention---the clients need this as some of these cases are urgent.CCMs and stakeholders should strengthen accountability,opennes,information sharing and lessons learnt.This can be done,as mentioned earlier at project monitoring sessions or meetings,correspondence,forums  among others.Note that the beneficiaries should be represented.I would also add that the stakeholders(CSOs,government departments et al) become more and more transparenct and accountable...Please it would be good to share experiences,lows and highs,successess,lessonslearnt/shared learning points,challenges and way forward among others.It is from them that a focused way forward would be drawn and implemented.I would like to believe that we all have complimentary roles and good sharing would lead to good implementation and good realized impact on the end users-both qualitative and quantitative...we have to turn people's lives around...
 
Thank you pals for this shared learning....
 
Warmest Regards,

Susan

11-18-2008 4:39 AM

Re: Identifying problems in grant implementation

First of all i think it is important that CCM it self functions properly. If this happens they should be able to identify and put in place mechanisms such as proper monitoring, faster responses in making decisions, proper line communications and equal partnership during the implementations process.

11-18-2008 2:26 AM



  • unyimeabasi
  • Top 200 Contributor
  • Nigeria
    Not currently affiliated with the Global Fund
  • Posts 4

Re: Identifying problems in grant implementation

The CCM has a crucial job to do here as never before, firstly, to factually through M&E check the grant beneficiaries. Its unfortunate the most programmes revolves around urban areas. The effectiveness of grant cannot be impacting if the rural people do not have the first-hand information before migrating to urban areas.

Local and youth groups should be involved decision-making and in carrying out projects, wherever.

Tag(s): , ,

11-17-2008 4:56 PM

Re: Identifying problems in grant implementation

Dear GF
Too long I am off from GF discuss. Now I am feel happy to follow talking with GF, really, especially about this interesting thema. Your qustion is too hard but very-very important. I think first  possible mechanisme for CCM is CCM itself must more active and more responsible for their jobs. Because their job related with human problems, human dignity. so if CCM slow, late, less sensitivty, then GF program can be  failure. I have nothing real data about my perception. But i think we talking on the real world. Case of HIV/AIDS in my country tendes to increase. We sad. We loss to fight Malaria. We difficult to minimize TB. I dont know, where the  problems lies. I think funds from GF to support to CCM acitivity never stopping. Second,  I suggest may be GF open oppurtunity looking for others, trust persons from (for example) NGO, volunteer in order to anticipate miss management .
 
Thank You,
 
Warm regards,  
 
Abraham C. FanggidaE 

11-17-2008 8:55 AM



  • mukonjia
  • Top 25 Contributor
  • Somalia
    Not currently affiliated with the Global Fund
  • Posts 28

Re: Identifying problems in grant implementation

 

I  would suggest mechanism that would ensure that the intended impact reaches the intended target.
  • Have committees that are representative and are composed of relevant expertise from different  but relevant fields(in terms of the disease being tackled) and implementing agencies,the health and development sectors among others.
  • CCMs should have  M&E team/committees(in each country) in place to continually monitor and evaluate the projects to ensure that the activties are on course ie the performance against the objectives within the time frame.
  • The Committees should have M&E tools that are user friendly(SMARTER) and capture both qualitative and quantitative impact of activities to the end users and are relevant to the projects.
  • The tools should reflect what is on the results based log frames presented along with the proposals 
  • There should be regular M&E meetings to evaluate the projects...quartely would be fine,then mid term and end term evaluation to measure the impact of activities on the end users.
  • CCMs should engage the services of external consultants to carry out mid and end term evaluations...this would strengthen objectivity because of neutrality of the consultants.
  • It is imperative that CCMs should be as participatory as possible...representatives of all players should be included at one level or the other (quartely or every six months)so as to have first hand informamtion and reporting on the activities and variances identified,discussed and put on course.
  • I would also suggest CCMs  project site visits(randomly selected) and conduct spot checks to verify and validate the literature (Reports)recieved.
  • The CCMs with all stakeholders should have a capacity building framework in place...continually capacitate the partners/implementers on  good project management systems including the monitoring tools and project administration.
  • The monitoring tools should be relevant to he LFA  of the project:questionnaires,interviews with the stakeholders,beneficiaries included,Focus Group Discussions,site visits to get end users own voices and pictoriall eveidence,surveys(even household in a representative random sample).
  • A look  reports by other players in the mitigation should be mandatory-government ,other CSOs within scope of work and independent reseachers reports.
Thanks to  each one of ou for the good work.
 
Susan Mulievi

11-15-2008 11:01 PM

Re: Identifying problems in grant implementation

In order to timely identify the problems in grants implementation M&E committee should be established in CCM. The M&E committee should regulary review the program implementation and report to CCM accordingly. In addition PRs should seek support from CCM, if any un-expected problem negatively effects program performance.

11-14-2008 3:38 PM

Re: Identifying problems in grant implementation

The better  CCM could be able to identify the needs to involve the urban/local  medical practitioners ,health centers, faith  based organisations, associations and local NGOS  in the  grant implementation process, the better the services would be delivered to the bottom areas of the rural communities.The grant implementation system should be overhaulled, new ideas and techninics should be introduced, study, discuss and implement ..A successful grant implementations formula depends on a well organised implementations plans.How to organise it, start it, implement it and a successful out come.The more a better strategies is recruited to force, the better the outcome of the project.
         The CCM in each benefitting country should organised a seminar inviting medical practitioners,local ngos, faith based organisations, community associations, community leaders etc. to present abstracts on :identifying problems in grant implementations,1. to the urban/cities dwellers,2.rural communities 3.interior rural communities where road access is unpracticable-these are the communities mostly affected by poor health.The more more arms are involved in the implementation of the GF health projects in the country level,the more many communities and people would benefit from its programes.

11-10-2008 1:32 PM



  • Info
  • Top 10 Contributor
  • Switzerland
    Global Fund Secretariat
  • Posts 829

Identifying problems in grant implementation

One of the critical responsibilities of CCMs is the oversight of grant implementation. In many countries there are bottlenecks which affect grant performance and the overall success of programs. CCMs do not often have any systems for the early identification of these problems. 

Q. What possible mechanisms should be put in place by CCMs so that problems or bottlenecks during grant implementation can be identified early on? 

Your answer can include (but does not have to be limited to): your experience in the early identification of problems; relevant tools to identify problems and solutions; the need for a systematic process for CCM capacity building and who could provide the support.

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