Community System Strengthening and Dual Track Financing

1. Community System Strengthening and Dual Track Financing Mauro Guarinieri Civil Society Officer, Asia Unit Cancun, 2-December-2009

2. Overview • The role of Civil Society • Community System Strengthening • Dual track financing • Key dates for advocacy

3. The role of Civil Society • Civil society has played a fundamental role in the design and development of the Global Fund, as well as a critical part in advocating the necessity for multi-stakeholder participation in all areas of the Global Fund architecture. • Civil Society organizations have been effective voices on the Global Fund Board, as they hold equal voting rights alongside donor and recipient governments. • At the level of CCMs, representing the needs of vulnerable and marginalized groups infected and affected by the three diseases as well as in implementation, where civil society has a proven and effective role in targeting hard-to-reach communities and in prevention and treatment literacy.

4. Recognizing Constraints • Civil society CCM members have been responsible for notable contributions but, in general, there is limited influence of civil society in proposal preparation, shaping program implementation, and program oversight. • There is a need to improve civil society representation of constituent priorities as well as communication between civil society CCM representatives and the broader civil society sector. • Civil society CCM representatives need more opportunities to build their skills and capacities on a range of issues.

5. Dual Track Financing • Dual track Financing is the practice of encouraging countries to include both government and non- government Principal Recipients in proposals to the Global Fund. • The routine use of DTF has been recommended to Round 8 applicants in recognition of the fact that both civil society and the private sector can and should play a role in the development of proposals and the implementation and oversight of grants at the country level

6. The Global Fund recognizes a number of possible benefits of Dual Track Financing • Increase absorption capacity by relying on implementation ability of all domestic sectors • Accelerate implementation and performance of grants • Stimulate the involvement of all national sectors and thus strengthen the weaker ones • Promote service availability by reaching a broader range of people • Scale-up existing service delivery to wider population groups and/or geographic regions • Move more quickly towards providing access to prevention, treatment, care and support to all persons in need, including key affected populations • Contribute to sustainability of programmatic interventions over the longer term

7. Community System Strenghtening Community systems strengthening refers to initiatives that contribute to the development and/or strengthening of community-based organizations in order to improve knowledge of, and access to improved health service delivery. Specifically in the context of applications to the Global Fund, community systems strengthening initiatives are encouraged to achieve improved outcomes for HIV, tuberculosis and malaria prevention, treatment, and care and support programs.

8. CSS refers to initiatives that contribute to the development and/or strengthening of community-based organizations. • Community Systems Strengthening areas of activity may include a focus on: • Building capacity of the core processes of community-based organizations to provide an increased range, or quality of services, through, for example: • Physical infrastructure development, including obtaining and retaining office space, • holding bank accounts, and improving communications technology • Organizational systems development, including improvements in the financial • management of community-based organizations, and the development of strategic • planning, monitoring and evaluation, and information management capacities • Building partnerships at the local level to improve coordination, enhance impact, and avoid duplication of service delivery. • Sustainable financing, including a focus on supporting initiatives to plan for and achieve predictability of resources over a longer period of time with which to work for improved impact and outcomes for the disease(s).

9. Examples of CSS Activities Capacity building of the core processes of CBOs or local health service providers through: • Physical infrastructure development (e.g. obtaining office space) • Organizational systems such as development of management and financial systems and monitoring and evaluation capacities • Technical support to improve programmatic quality, size and scale of programs (e.g. training of local authorities to support scale up) • Human resources e.g. trained community health services providers or task shifting to community base organizations

10. Strengthening Community Systems Source: Research by CADRE, for the Global Fund, 2008

11. Why are these mechanism important? • Civil Society are integral to all Global Fund processes • Civil Society are the Global Fund most effective implementers • Civil Society work with the most vulnerable and marginalised communities • But to be equal and effective partners Civil Society needs to strengthen and build its capacity • If this happens Civil Society can bring all its skills, knowledge and expertise to support Government programmes and ensure a comprehensive response to HIV and TB

12. Advocacy calendar • Strategic retreat January / February 2010 • Launch of Round 10 (May 2010) • Some donors may just want progress on the architecture changes that have been already agreed upon (single stream of funding per disease per PR). • Others may ask for strategic architecture changes which might mean a broader mandate for the Fund, restricting access to countries that already have some money, putting caps on rounds and grants, flat lining treatment investments, etc.

13. Global Fund replenishment 2010 Sept 09 – March 2010 April – September 2010 Advocacy Production of additional information and data Logistic preparations Additional preparatory meeting if required Advocacy Identification & invitation of participants Preparation of documentation Liaison with stakeholders Logistic preparations March 2010 October 2010 Prepatory Meeting Pledging Conference Vice-Chair Richard Manning UK,former OECD/DAC Chair Ban Ki-moon UN Secretary-General

14. Key messages for the Replenishment • Resources made available through the Global Fund have achieved impressive results and dramatic improvements in global health; • The Global Fund as innovation for a new century. Its efficiency, transparency, participatory decision making processes and performance-based funding can be regarded as a model for global governance and the provision of financial resources to global public goods; • In a world with growing inequalities, the Global Fund represents a bridge between the rich and the poor, contributing to building a more just, stable and secure world;