image missingTrue Value Metrics (TVM)
Meaningful Metrics for a Smart Society
image missing Navigation ... HOME
HOME BRIEF PROBLEMS
POSSIBILITIES
SYSTEM
OVERVIEW
PROGRESS
PERFORMANCE
STATE
CAPITALS
FLOW
ACTIVITIES
FLOW
ACTORS
EFFECTIVE
MANAGEMENT
PETER
BURGESS
SiteNav SitNav (1) SitNav (2) SitNav (3) SitNav (4) SitNav (5) SitNav (6) SitNav (7) SitNav (8)
Date: 2019-09-19 Page is: DBtxt001.php txt00016139

Global Health
GFATM

[KCA-AidsGroup] WEST AFRICA: Global Fund financing gets greater oversight

Burgess COMMENTARY

Peter Burgess

Subj: [KCA-AidsGroup] WEST AFRICA: Global Fund financing gets greater oversight
Date: 9/19/2005 1:36:04 PM Eastern Daylight Time
From: IRIN@irinnews.org
To: kca-aids@yahoogroups.com

WEST AFRICA: Global Fund financing gets greater oversight>


ABUJA, 19 September (PLUSNEWS) - Two challenges confront the Global Fund to Fight AIDS, Tuberculosis and Malaria: to raise enough donor financing to cover needs on the ground, and to ensure that the available money is properly spent.

More than 60 percent of grants approved by the Fund are for Africa, based on proposals produced by Country Coordinating Mechanisms (CCMs), who oversee project implementation. By the end of September, grants worth more than US $1.4 billion will have been awarded to projects in the West and Central African region, although only around $220 million has been disbursed.

It is a delicate balance between the priorities of speed - how rapidly funds aimed at saving lives are released - and accountability for how the programmes are run.

'Maintaining a reasonable balance can be quite a challenge,' said Mabingue Ngom, the Fund's programme manager for West and Central Africa.

At a meeting last week in Abuja, Nigeria, to help improve CCM capacity and accelerate implementation of grant programmes, Ngom was forthright, warning that CCM performance 'results were mixed'.

The Fund, which is strictly a financing mechanism, uses a performance evaluation system to manage its scarce resources and reward effective CCMs. Proposals cover a five-year implementation period, but projects are reviewed after two years of operation: those that have not performed well do not qualify for Phase 2 funding.

Ngom told the Abuja meeting that Phase 2 funding extensions 'will be impossible in some cases', but did not name which countries would be refused further funding.

To help CCMs struggling to meet Fund performance requirements, an Early Alert and Response System (EARS) has been introduced to flag looming problems that need quick intervention to fix them. The first batch of countries to be placed on the EARS list is being compiled.

'We set getting the house in order as a priority for all CCM meetings, from Africa to Asia,' said Fund consultant Doris D'Cruz Grote. 'Once CCMs put in place institutional structures and capacities, they start to work.'

CCMs were hurriedly set up when the Global Fund, then just a few months old, made its first call for proposals in 2002. They were inevitably urban-based, with government agencies over- represented, and roles and responsibilities not always clearly understood.

In a series of guidelines the Fund has tried to improve governance and transparency to avoid conflicts of interest, such as a separation between the CCM chair - often the ministry of health - and the primary recipient of grants.

NGO participation is also seen as vital to strengthening project implementation, and the Fund insists that their representatives should be chosen by civil society rather than appointed; it also urges the inclusion of 'people living with the diseases' on the CCM.

However, some of the Fund's conditions and operating procedures have proved daunting to under-resourced CCM members with limited administrative capacity or procurement and supply experience.

'We'd like to see things being a little smoother - less bureaucracy, less paperwork,' said Liberian health minister Peter Coleman. 'Flexibility doesn't mean compromising transparency and accountability.'

He acknowledged that 'things have changed [over the past three years] from when the Fund was very, very dogmatic to now, where they are a little bit more flexible', but stressed that the real goal was to tackle the three diseases accounting for the vast majority of deaths in the region.

Given the responsibilities faced by the CCMs, a concern stressed by some delegates at the Abuja meeting was that they did not have the resources to meet their oversight functions.

The Fund has recognised that in-country donor support was not always forthcoming to fill the financing gaps faced by CCMs; to help, the secretariat will now consider monetary support.

But, D'Cruz Grote insisted, this would not entail paying for 4x4 vehicles or office extensions.

IRIN-SA
Tel: +27 11 895-1900
Fax: +27 11 784-6759
Email: IRIN-SA@irin.org.za

[This Item is Delivered to the 'PlusNews' HIV/AIDS Service of the UN's IRIN humanitarian information unit, but may not necessarily reflect the views of the United Nations. For further information, free subscriptions, or to change your keywords, contact e-mail: Plusnews@irinnews.org or Web: http://www.irinnews.org/aidsfp.asp . If you re-print, copy, archive or re-post this item, please retain this credit and disclaimer. Reposting by commercial sites requires written IRIN permission.]

Copyright (c) UN Office for the Coordination of Humanitarian Affairs 2005


From: IRIN@irinnews.org To: kca-aids@yahoogroups.com
9/19/2005 1:36:04 PM Eastern Daylight Time (Reviewed January 2019)
The text being discussed is available at

and

SITE COUNT
Amazing and shiny stats
Blog Counters Reset to zero January 20, 2015
TrueValueMetrics (TVM) is an Open Source / Open Knowledge initiative. It has been funded by family and friends plus donations from well wishers who understand the importance of accountability and getting the management metrics right. TVM is a 'big idea' that has the potential to be a game changer leveling the playing field so the wealth and power is shared on a more reasonable basis between people who work for a living and those that own the economy and the levers of power. In order to be effective, it cannot be funded in the conventional way with a for profit business plan, but absolutely must remain an open access initiative.
WE WANT TO MAINTAIN AN OPEN KNOWLEDGE MODEL
A MODEST DONATION WILL HELP MAKE THAT HAPPEN


The information on this website may only be used for socio-enviro-economic performance analysis, personal information, education and limited low profit purposes
Copyright © 2005-2019 Peter Burgess. All rights reserved.