What are the characteristics of a well performing CCM

Nationwide approach (jobrumu)

Accessible to all, involvement of all citizens, must be participatory, people living with the diseases, sexual minorities, all stakeholders in planning and implementation of programmes (jobrumu) (Dr. Hilary Ene Otimanam) (Ashish Srivastava) (Rele) (c.Ravichandran) (mukonjia) 

No conflict of interest within CCM members (Ashish Srivastava) (Mahesh Sharma)

Focused on meeting objectives and goals, gGoal oriented (Dr. Hilary Ene Otimanam) (Sawsan El-Sheikh) (c.Ravichandran) (mukonjia) 

Must not be gender discriminatory (Dr. Hilary Ene Otimanam) 

Must be accountable (Dr. Hilary Ene Otimanam) (Rele) (Mahesh Sharma) (mukonjia) (Jane) 

Must be transparent (membership criteria, mechanism to select new members, access to and dissemination of information about proposal applications, selection of PRs and SRs, invite observers as outside experts to CCM meetings)
(Dr. Hilary Ene Otimanam) (Rele) (Ashish Srivastava) (c.Ravichandran) (promboon) (svetamcgill) (Javed S. Ahmad) (Jane) (Hugo Rolando Valladares Morales) 

Must not be monopolized and government doesn’t impose or influence decisions (Dr. Hilary Ene Otimanam) (Mahesh Sharma) 

Coordination and alignment of GF program with country's policies & strategies (Ashish Srivastava) (promboon) (Jane) (Janna), (Birkus)

Participation of all members of a global Fund application in implementation, follow-up and evaluation phases (Sawsan El-Sheikh) 

All partners must be brought under one address for mutual benefits (Sawsan El-Sheikh) (c.Ravichandran) 

Delivery of programs and finances (Rele) 

Have a set of qualitative performance standards and criteria (Ashish Srivastava) 

Communicate efficiently, create awarnessawareness, so that all individuals of a country are informed or have easy access to information regarding CCM activitesactivities and decisions, tTimely communication to allow stakeholders participation,  (mukonjia) (svetamcgill) (Jane) (CMwangi) (Gerasim-K)

Successful implementation of the Global Fund grants with quarterly verification of the grant’s implementation. The result of this assessment must not less than category B. (Alexander Kahn) 

Ability to effectively function after the closure of the grant period and using the national financing and the new funding sources (Janna) 

Existence of the CCM’s annual Work Plan (Alexander Kahn) 

How would you measure good performance? 

Considering the CCM participation (jobrumu)

Considering the guidelines they use (jobrumu) (Birkus)

Considering nation wide population participation (jobrumu) 

The percentage of the target population reached (Dr. Hilary Ene Otimanam) 

There must be NGOs serving as PR and SR in various states (Dr. Hilary Ene Otimanam)

There must be definite methods of implementation of programmesprograms designed and developed by PR and SR in reaching the target population. (Dr. Hilary Ene Otimanam)

Dependable and good sources of data for statistical analysis of performance (Dr. Hilary Ene Otimanam)

At the community level by CCM components including capacity building & fulfill gaps in services (Ashish Srivastava)

Considering how the CCM performs in relation to wider initiatives at country-level (Health Sector Coordination Mechanisms involving Cooperating/Development Partners, Sector Wide Approach / Budget Support forums, The International Health Partnership+, PEPFAR Partnership Frameworks)(jim.campbell) 

Measure CCM's against a 'tracer' such as compatibility with the six building blocks of Health Systems Strengthening, or one of them in particular - i.e. Human Resources for Health ("HRH-friendly" framework assessment) (jim.campbell) 

Identify overall performance against coordination criteria in line with the Paris/Accra H&A principles (jim.campbell) 

The extent to which issues raised in earlier meetings are followed-up (Javed S. Ahmad) 

See if objectives and goals are attained, if the CCM’s annual workplanwork plan has been implemented (Jane) (Hugo Rolando Valladares Morales) (Alexander Kahn) 

Availability and provision of technical assistance to CCM by independent experts and consultants (. Valery) 

Number of questions from NGO representatives discussed at the CCM’s meetings (. Alexander Kahn) ,( Gerasim-K)

Despite many CCM being in place and operational for more than 8 years, this mechanism is not yet adapted by other funding agencies, therefore this mechanism is still under scrutiny of many. CCM has a very specific purpose and role vis a vis Global Fund programme. It should be however recognized and also appreciated that CCM has overwhelmingly dominated HIV/AIDS implementation mechanism at the country level and the discourse around it. Whether such domination is resource laden or guided and shaped by nature of epidemic could be a subject for further debate.

CCM neither can substitute any existing ministry or department nor replace the functions of such established institutions. Therefore the performance of CCM should be viewed or measured within the limits of this boundary.

With this background, the performance of CCM is best when

o        its members are democratically selected by their constituency

o        government representative do not impose decision

o        members do not use CCM as a forum to advocate their individual interest or bargaining platform rather looks into the issue from national perspective

o        the member do not influence PR/SR selection favoring one or other organization, rather agree a criteria and ensure that it is adhered to

o        the member go back to their constituency (or respective ministry) and share the outcome of CCM rather than criticizing the CCM decision

o        the members own the CCM decision and are accountable to it

o        professionalism prevails over politicking

o        GF secretariat do not micro manage and challenge/disprove the CCM decision

o        it or its member do not wish to manage the implementation rather oversee the implementation using agreed standards and criteria.

Mahesh Sharma
Nepal

• Result will be attained.
• All Parties/Stakeholders will be interested to contribute towards Goal attainment.- Accessibility of information,communication and reporting as at when due.

1. One that is participatory in which all the key players,including PLWHIV are involved.This will ensure that all the details will be bone in mind throughout  all the project cycle.This will also ensure ownership and long term sustainability of all projects;
   
   
2. They should be impact oriented,both qualitative and quantitative...this will ensure that projects that are implemented achieve both the overall and specific objectives as pre-stated.Follow up monitoring and site visits would add value;
    
3. There should be plenty of oppeness and accountability to all key players,the beneficaiaries and communities included.This will ensure that all the stakeholders are aware and participate in all projects activities.Everything about PLWHIV must include and involve PLWHIV;
    
4. There is need for a spruce up in the coordination at national levels and awareness creation of CCM activities and calls for participation of organizations and individuals  through tools and media that reaches even those who have no access to the internet.This I say because I work in country where CCM is working and yet some organizations in the HIV&AIDS sector have no idea of what  CCM is and does.

1. Coordinating with National Planning bodies to assist the policy level changes and awareness needed for the long term solution of the problems addressed by the GF support grants, this could be on policies related to access to treatment of marginalized groups, or long term budgetary support;
   
   
2. Assuring transparency in the specific roles tasked to the CCM, such as the announcement of proposal applications, the selection of PR, SR and the proposal formulation process coordinated by the Technical Committees under the CCM. Transparency refers not only to access to information, but also the processes used that need to be consistent and written out clearly;
   
   
3. Transparency measures should apply not only to the CCM but also the technical committees that the CCM sets up. It should be clear when a PR or SR is sitting on the CCM or on the technical committees, that there is no conflict of interest;
   
   
4. Commitment of CCM members to make available time to understand the programs that are funded by GF, and not merely to attend CCM meetings.

Forum Member Rele and practically everyone else has emphasized accountability and transparency as the essential features of a well performing CCM. No disagreement here. Hopefully CCMs know how to demonstrate these characteristics. I also assume, as Member Sawran El-Sheikh has pointed out, that CCM’s main task should be to review progress of the implementation of the approved plans.

believe a well performing CCM would facilitate review of progress on key indicators for three disease areas by having data charted graphically and discuss it in each meeting. If not, may be this is a small gesture that could be added to the ritual. In fact, as Member Jim Campbell has pointed out, additional charts can be included in the display on other diseases or compatible public health measures to show comparisons. This will be helpful to CCM to know if they are lagging behind where others are progressing well. Often other reproductive health programs are well funded and progress on their indicators could be viewed too.

To what extent CCMs doggedly follow-up issues raised in earlier meetings is another indicator of good performance, worth looking into. This will ensure that recommendations made in previous meetings are not lost out of sight.

I think members have correctly pointed out the importance of involving beneficiaries of the programs in planning and evaluation exercises. It is as much important as is to involve people responsible to implement the programs. CCMs can ensure procedures that facilitate these approaches.