Hi. Thanks for your reply. You know I am the CCM Secretary. It means I am the person who organizes the CCM meetings and first of all its Agenda. We call CCM meetings four time in a year (i.e. quarterly). During the perios between meetings (3 months) I keep contact with CCM members and also Grant PIU (Project Implementation Unit) and define the main issues for the CCM. And before the meeting I share the Agenda among all the members for comments. Then the Chair of the CCM appoint meeting date.

After the meeting I prepare draft of the minutes and share it among the members for the comments. If there are no comments I send the Minutes to the Chair for his approval and signature. Then again I send to all the members approved Minutes. If there is an urgent issue between the meetings which needs a long discussion in this case I call an Advisory Board. I think that is a brief information about my CCM's activity. If you have any further questions do not hesitate to ask.

Regards, Vusalya

Hi dear.How are .Nice to read your share.and nice to know you.

Firstly, can you know me about you and your works?

Secondly, In My country (Yemen) The number of CCM is 26 ones.unlike your ccm we are Psative in all thing although our ccm has been established 2years ago (Like yours).

The Mst negative point in our CCM that we are still do not completly know how can correctly sharing becuse we do not have know our duties.

Thank you so much to your Idea.

with mu respict.

Dr Yusef Alhadri

Health Care Manager

Alsaleh Society Foundation for Development

Email:- yusef_alhadree@hotmail.com

Mobile:- (967)733892873

I would like to clarify what do you mean by saying huge one? How many members does your CCM have? In my country - in Azerbaijan two years our CCM consisted of 45 members - most of them were passive members. They did not even know the meaning and role of the CCM. But now we have 35 members - number is increasing. And also we have established Advisory Board within the CCM for making CCM's work more managerable and workable. Because CCM is too big and discuss some issues - large discussions are impossible at the CCM meetings. So it is easier to have Advisory Board consisting of more active members for larger discussions.

I belive it should not be related to population. We need more a manageable CCM with Pro-active and knowledgeable people. The size as our other frineds says should be enough to have diveristy of ideas and fair representation but at the same time workable. Here in Afghanistan, we also have a huge one. sometime even calling them for a meeting and dissemination bulks of paper work are diffult. We are going to hire a consultant to review our CCM and down size it.

 

 

Hi sir. I see your idea about ccm member very good espically if that leed to increase the member from NGO which know the comunity needed more than other, but we should help ccm member to develope thier skills and give them Expiriances espically how to be (PR) and how to make a perfect decesion.

generally let us in connect .

Thank you so much to your idea

Thank Charante for sharing your views regarding suitable size of CCMs. I joined the forum earlier this year and find the CCM topic very relevant at this stage of the Global Fund developpement.

Because of their critical and central role in the Global Fund funding mecanisme, more attention and efforts are needed at this level. I support the idea of downsizing CCMs in order to make them more effective and functional in many countries.

Representation of all sectors is something that we need to advocate for and promote continuously but we have to acknowlege that in some cases it is difficult to achieve a comprehensive oversight of Global Fund supported programmes at country level trough overcrowded meetings of CCMs. I see a performant CCM being advised by a team of local experts in different areas of programming, implementing, finances and reporting.

The second aspect to emphasize is the need for CCMs to developp contextually adapted and tailored policies and procedures.
The Suriname initiative in this respect is a good direction to follow. The guidance notes developped by the Global Fund constitute a starting point for CCMs. However there's still an open question for the type of CCM required for large/populated and small countries.

Discussions on CCM mecanisms' cost implications have also to start among the stakeholders as there's now an opportunity for these national bodies to receive financial support from the Global Fund and other local donors.

Hi Dolores, Fully agrre with your observations. Our country is quite big 164.000 km2 (4-5 times the Netherlands), but not even 500.000 inhabitants a) we downsized the CCM from 19 to 12 b) there is no money either to run operations especially to rural areas and the interior where care is needed most c) everyone knows everyone. Kind Regards, Jan.

Coming from a tiny Pacific Island country we are constantly being faced with one main challenge:  having a CCM representative of all sectors to meet GF eligibility for funding.  If you go through the check list by the time you reach the bottom, you should have at least 20 people in the CCM. 

From experience, we all know that such numbers do not make any committee efficient.  In a small place where CCM members are also members of various other committees, commitment to participate in the CCM remains a huge challenge. 

To add to the burden, there is no country budget allocation to run CCM meetings...CCM meetings are supposed to run on its own with no operational costs to be incurred.  It shouldn't cost much to conduct a meeting when you have to do thorough follow ups, it does. 

Another recent experience is that to be eligible for funding there should be a rep each from the three dieseases (TB, Malaria and HIV). 

Again coming from a tiny country where everyone knows everyone and a place where not one of the PLHIV have come out in public or do not want to be involved because of fear of their identity becoming public, does this mean we are not entitled to apply for GF funds.  I would be interested to hear from other small countries who have had the same experience and how they dealt with these issues.

From our experience in Southern Sudan, the bigger the size of the CCM, the harder it becomes doing CCM business, specially in relation to communication. If the infrastructure of the country is week, as it is in our case, it becomes difficult to diseminate the minutes of meetings, or to get timely feedback, or even call for meetings or to communicate cancellation or postpondment thereof.

We experienced two problems according to size a) proper representation b) quorum when it comes to decision taking. The CCM should be effective and manageable which means lean and mean. To assure good representation the structure of working groups chaired by a CCM member may be an option. We are now downsizing our CCM-old from 19 to CCM-new 11. A new Governance Manual will be adopted and hopefully this may work more effective as before.

Q: is there any experience regarding a relation of the size of the CCM to the population of the country or the size especially if there are large rural areas ?

The Global Fund's approach to development means that CCMs are responsible for developing their own organizational structure considering the local context. But in order to work and discharge responsibilities effectively, CCMs are encouraged to remain of a manageable size.

Q. Based on experiences from your own country, what should be the right size of any CCM to effectively discharge its responsibilities? Who determines how big or small a CCM should be and what is the basis of such decisions?

Suggestions: your answers could include (but not be limited to), how you think the local context bears on the size of the CCM; whether decision-making and communication within the CCM is influenced by its size; the relationship between participation and CCM size; and others.

 

N.B. The topics and questions posted in the forums have been compiled from contributions received from CCM members and other Global Fund stakeholders. If you wish to contribute new topics for discussion, please visit the Topic Suggestions Forum.