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    List of abbreviations

    EECA Eastern Europe and Central Asia

    TAG Technical assessment group

    GF The Global Fund to Fight AIDS, Tuberculosis, and Malaria

    EHRN Eurasian Harm Reduction Network

    LFA Local Fund Agents

    NGP Non-governmental organizations

    PR Principal Recipient

    CCM Country Coordinating Mechanism

    SR Sub-recipient

    SSR Sub-sub-recipient

    CSAT Civil Society Action Team Initiative

    EATG European AIDS Treatment Group

    GIZ German Agency for International CooperationICASO The International Council of AIDS Service Organizations

    OSF Open Society Foundations

    1.Tasks and objectivesAfter successful meetings aimed at providing assistance to non-governmental

    organizations (NGOs) in development and promotion of the strategy of communities

    systems strengthening in 2009-2011, for the first time in the Eastern Europe and

    Central Asia (EECA) a training-seminar was arranged with the purpose to facilitate

    settlement of problems of national and global levels that are topical for NGOs

    involved in implementation of the Global Fund grants in EECA as sub-recepients

    (SRs) and sub-sub-recepients (SSRs) by building up their capacity in advocacy of

    their interests at all levels of the Global Fund structure. In particular, the event had

    been setting the following tasks:

    1. To carry out mapping of major problems in the sphere of funding andmanagement that SRs, SSRs and their countries come across as well as needs

    in technical assistance that can be provided by structures proposing such

    assistance including Regional Hub of the Civil Society Action Team (CSAT)

    Initiative cordinated by Euroasian Harm Reduction Network (EHRN);

    2. To increase participants understanding of how the Global Fund processes,mechanisms and structures can be used for settlement of current problemsrelated to management and implementation of the GF projects in their

    countries;

    3. To analyze recent reforms of the Global Fund (of 20112012) and their impacton the situation in the countries; to develop the advocacy strategy of the

    EECA region interests at the near GF Board Meeting in the sphere of

    community systems strengthening and harm reduction in the context of new

    funding model introduced by the Global Fund;

    4. To strengthen NGOs systems including in the sphere of communication,building up coalitions and advocacy aimed at sustainable development of

    communities systems and harm reduction.

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    2.Organizers and financial support organizationsThe seminar was planned and organized by EHRN within Civil Society Action Team

    Initiative with financial support provided by GIZ, OSF and ICASO.

    3.Participants and experts17 representatives of NGOs - sub-recepients and sub-sub-recepients of programs

    supported by the GF in Armenia, Belarus, Georgia, Kyrgyzstan, Moldova, Tajikistan,

    Uzbekistan and Ukraine attended the seminar. A number of the participants

    themselves or representatives of organizations-participants of the seminar were the

    members of Country Coordinating Mechanisms (CCM). Generally, the

    representatives work in the programs on HIV; it was for the first time that two

    organizations implementing programs on tuberculosis that are supported by the

    Global Fund, participated in EHRN GF related events.

    Two main experts were involved in the event: Yelena Zaitseva, the GF Secretariate

    Portfolio Manager, Olga Gvozdetskaya, Director of Program Department of All-

    Ukrainian Network of People Living with HIV (PLWH), one of the GF principal

    recepients in Ukraine. Moreover, a member of the Communities Delegation to the GF

    Board Aleksander Kurashov participated in the seminar.

    Raminta Stuikyte (EATG) and Vitaliy Dzhuma acted as facilitators of the event.

    4.MethodologyPrior to the beginning of the event all participants filled in questionnaries where they

    shared examples of challenges and ways of their settlement from the point of theirroles as SR or members of CCM, (EHRN handed the description of SR problematic

    experience over to the GF Secretariat). This information was used to highlight the key

    points in the program, as well as to define examples (prepared in advance on the

    facilitators request) to be shared in details by some participants at the plenary

    sessions.

    The seminar was held in the form of the presentations, sessions on experience

    exchange and discussions of issues on how to improve certain situations. The third

    day consisted of work in groups where the participants discussed situations in a

    practical way, drafted letters with requests in the address of principal recipient etc.

    The meeting was assessed by means of the participants questioning and during the

    final session devoted to providing feedback to participants. On the closure of the

    event the organizers and facilitators gave their assessment and proposals on the

    program, as well as recommendations for further similar events.

    5.Main topicsWithin the program the participants of the seminar had the possibility to obtain the

    information on the structure, requirements and work processes of programs supported

    by the Global Fund, to discuss the problems faced by their organizations being SRsand SSRs in their work with CCMs and principal recipients, and possible approaches

    towards their settlement with experts-practitioners, as well as to exchange personal

    experience in solving emerging problems, the more so because for many countries the

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    majority of problems appeared to be similar.

    Another part of discussions was devoted to the issues of the global level: the GF

    structure, recent decisions of the GF Board and opportunities to participate in its work

    based on the personal experience of the member of one of the Delegations to the GF

    Board, as well as reforms and reorganization in the GF Secretariat. The participantsdiscussed expectations from the new funding model that will substitute the current

    funding system (funding rounds).

    Program (seeagenda) of the event consisted of the following topical parts:

    Day 1 Day 2 Day 3

    Major problems of

    SRs/SSRs, countries and

    members of CCM from

    NGOs.

    CCM supervisory

    function; reprogramming

    principles: opportunities to

    influence

    PRs, SRs and SSRs in

    grants implementation:

    interaction

    Management aspects of

    programs implementation:

    purchasing, financial flows

    and contractual

    relationship, monitoring,technical assistance

    Global structures,

    processes, the GF recent

    decisions. The new

    funding model

    Practical seminars:

    1. Increase of civil society

    impact in CCM

    2. Management aspects in

    SR/SSR work

    Required and available

    technical assistance.

    Further steps

    The program corresponded to major problematic spheres identified by means of

    questionnaire on problems that CCM members and SRs represented by the

    participants face. The problems are partly depicted in the relevant sections below.

    5.1. Structures involved in country programs supported by the GF

    Presentations and additional information:

    - Presentation The Global Fund: Country Level(RUS) (Ivan Varentsov, EHRN)- Data on the GF supported programs and contacts on the specific country:

    http://portfolio.theglobalfund.org/ru/Region/Index/EECA

    The Global Fund is the funding mechanism. Development, implementation andsupervision over programs realization are performed at country level (or regional/

    intercountry level, if programs are regional/intercountry ones). The main structure in

    the country that forms programs financed by the Global Fund is the Country

    Coordinating Mechanism (CCM). As a rule, theres Secretariat that operates under

    CCM, it provides administrative assistance to its functioning. To support CCM

    functioning (including its Secretariat) its possible to obtain financing from the Global

    Fund. This financing is received separately from financing of a country program on a

    desease or health care systems reinforcement.

    On behalf of CCM the country program is implemented by the Principal Recipient

    (PR) or several principal recipients that are de jure responsible for fulfilment ofobligations undertaken by the country. PRs involve sub-recipients (SR) to programs

    implementation and SRs in their turn involve sub-recipients (SSR).

    http://www.harm-reduction.org/images/stories/library/csat_istanbul_seminar_agenda_en.pdfhttp://www.harm-reduction.org/images/stories/library/csat_istanbul_seminar_agenda_en.pdfhttp://www.harm-reduction.org/images/stories/library/csat_istanbul_seminar_agenda_en.pdfhttp://www.harm-reduction.org/ru/images/stories/library/global_fund_national_level.ppthttp://www.harm-reduction.org/ru/images/stories/library/global_fund_national_level.ppthttp://www.harm-reduction.org/ru/images/stories/library/global_fund_national_level.ppthttp://www.harm-reduction.org/ru/images/stories/library/global_fund_national_level.ppthttp://portfolio.theglobalfund.org/ru/Region/Index/EECAhttp://portfolio.theglobalfund.org/ru/Region/Index/EECAhttp://portfolio.theglobalfund.org/ru/Region/Index/EECAhttp://www.harm-reduction.org/ru/images/stories/library/global_fund_national_level.ppthttp://www.harm-reduction.org/images/stories/library/csat_istanbul_seminar_agenda_en.pdf
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    In the GF Secretariat (in Geneva) the main contact person on all issues in the country

    starting programs implementation, including reprograming, up to the CCM work is

    the Fund Portfolio Manager. Sub-recipients should request Portfolio Managers for a

    meeting during their visits to the country both together with PRs and separately.

    The GF has no its employees in countries, though it hires organizations as Local

    Fund Agents (LFAs) which act as the Global Funds eyes and ears in every

    separate country. In many cases LFA's obligations are carried out by competent

    international audit companies, e.g., PriceWaterhouseCoopers, KPMG. LFAs conduct

    the assessment of organizations nominated by CCM for the role of PR, check program

    reports and requests for transfer of assets forwarded by PR to the GF and provide

    recommendations to the GF Secretariat on the course of programs implementation.

    LFAs should be invited to CCM meetings as a supervisor. LFA doesn t solve

    problems of grants realization, though it can transfer the relevant information to the

    GF Secretariat.

    If SR faces problems while projects implementation, they should be discussed first

    of all with PR. If necessary the communication with PR is worth copying to the Fund

    Portfolio Manager and LFA representative in the country. In case PR doesnt provide

    the reply, the relevant question can be raised at CCM through non-governmental

    sector representatives.

    In extreme cases when the situation is very problematic and/or if there are suspicions

    in corruption, its necessary to apply to the Office of the Inspector General of the

    Global Fund that acts under the GF Board and is independent from the GF Secretariat.

    In Ukraine and Kyrgyzstan there were cases of involvement of this global structure to

    settlement of country problems.

    UNDP plays the role of PR in the number of countries of the world. On agreement

    with the Global Fund special rules are in force in relation to it. Thus, for example,

    neither the GF Secretariat, nor CCM can get acquainted with the source UNDP

    documents on the GF grants, however, UNDP uses the ATLAS program to produce

    reporting where all data are depicted in details and that can be available. UNDP takes

    the PR role only in extreme cases and is obliged to enhance capacity of national

    structures for them to adopt management of the GF programs implementation. Funds

    for building up capacity of other partners can be foreseen in the GF grant, but UNDP

    may also use other assets. If UNDP doesnt carry out work on building up partnerscapacity, it should be requested via CCM. At present regular meetings are held at the

    global level between the GF and UNDP, including for monitoring of UNDP progress

    in fulfilment of its obligations.UNDP guidance on projects management supported by

    the GFis available, (at present only in English), but according to the participants this

    document bears an advisory character and country offices of UNDP management on

    the GF projects implementation not always follow the prescribed procedures.

    At the Global Fund web-site the information on the GF grants on every country can

    be found: contacts of PR, CCM, Fund Portfolio Manager; grant agreements on

    financing of a country program and CCM financing; information on the course of

    program realization and transfer of assets. For that its necessary to visit a web-pageof the EECA regionhttp://portfolio.theglobalfund.org/ru/Region/Index/EECA,And then the page of the relevant country should be chosen.

    http://www.harm-reduction.org/ru/images/stories/library/undp_global_fund_operations_manual_for_projects_financed_by_the_global_fund_2011.pdfhttp://www.harm-reduction.org/ru/images/stories/library/undp_global_fund_operations_manual_for_projects_financed_by_the_global_fund_2011.pdfhttp://www.harm-reduction.org/ru/images/stories/library/undp_global_fund_operations_manual_for_projects_financed_by_the_global_fund_2011.pdfhttp://www.harm-reduction.org/ru/images/stories/library/undp_global_fund_operations_manual_for_projects_financed_by_the_global_fund_2011.pdfhttp://portfolio.theglobalfund.org/ru/Region/Index/EECAhttp://portfolio.theglobalfund.org/ru/Region/Index/EECAhttp://portfolio.theglobalfund.org/ru/Region/Index/EECAhttp://portfolio.theglobalfund.org/ru/Region/Index/EECAhttp://www.harm-reduction.org/ru/images/stories/library/undp_global_fund_operations_manual_for_projects_financed_by_the_global_fund_2011.pdfhttp://www.harm-reduction.org/ru/images/stories/library/undp_global_fund_operations_manual_for_projects_financed_by_the_global_fund_2011.pdf
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    Example. How to bring the problematics from focus groups to CCM level

    Though there are successful CCMs that initiate problems discussion themselves, in many

    countries, according to participants, discussions on essence of real problems of fighting

    epidemics stuck at the level of topical working groups and are not brought to CCM level,

    though a number of CCM members participate in focus groups.This problematic situation was discussed in details by the participants of the meeting. They

    stated that to begin with there should be a relevant document with recommendations from

    working groups (minutes or record/ audiorecord, in those countries where it can be

    problematic to draw minutes).

    Working groups minutes with recommendations should be presented at CCM committees orat CCM itself, its also possible to involve CCM interested members.The agenda of CCM sessions can be influenced via CCM members representing non-

    governmental sector: they can propose new issues to be discussed at the beginning of the

    session or propose to introduce these issues into agenda in advance, having addressed to CCM

    Secretariat or CCM Chairman.

    To get ready to CCM sessions non-governmental organizations can carry out consultative

    meetings. Assets for such meetings can be foreseen in CCM financing it should be done inadvance while drawing the application for CCM financing.

    5.2. CCM supervisory function

    Presentations and additional information:

    - Presentation Country Coordinating Mechanisms: Supervision(Yelena Zaitseva,the GF)

    - Guidelines and Requirements for Country Coordinating Mechanisms, the GF- Guidelines on CCM Supervisory Activity, the GFHigh activity of CCM is the key

    component for success of

    programs supported by the GF

    and it depends on the level of

    activity to what extent it fulfils

    one of the main functions

    supervision that helps PR to

    identify challenges, risks and

    weak points, to find solutions and

    ways to improve, including those

    growing out of PR powers.

    CCM supervisory function lies in

    strategic management of PRs

    work aiming at implementation

    of their activity by them in total

    compliance with plans, effective

    and efficient use of resources to

    the benefit of people who need

    help.

    Supervision is a kind ofmonitoring at macro and strategic

    levels. Supervision is not an

    element of current programs

    CCM Legal authorityArticle 7a: CCM supervises programs

    implementation financed by the Global Fund.

    Article 7b: PRs juridically are obliged to cooperate

    with CCMs and conduct regular meetings with CCM

    for discussion of plans, information exchange and

    constant interaction on issues related to programs.

    PRs are also juridically obliged to provide on CCM

    request reports and other information on programs.

    Article 15: PRs are juridically obliged to provide

    CCMs with copies of periodic reports submitted tothe Global Fund.

    Article 23: All decisions on change of PR should be

    agreed with CCM.

    Article 25: PRs are juridically obliged to provide

    CCMs with copies of all messages, requests,

    documents, reports and other communication with

    the Global Fund Secretariat.

    Article 28b: PRs implement programs on behalf of

    CCMs

    From the standard Agreement on providing a grant

    between the GF and PR.

    http://www.harm-reduction.org/ru/images/stories/library/ccm_zaytseva_gf_rus.ppthttp://www.harm-reduction.org/ru/images/stories/library/ccm_zaytseva_gf_rus.ppthttp://www.harm-reduction.org/ru/images/stories/library/ccm_zaytseva_gf_rus.ppthttp://theglobalfund.org/documents/ccm/CCM_Requirements_Guidelines_en/http://theglobalfund.org/documents/ccm/CCM_Requirements_Guidelines_en/http://theglobalfund.org/documents/ccm/CCM_Requirements_Guidelines_en/http://www.ntpiraq.zaghost.com/ccm/GuidancePaperOnCCMOversight.pdfhttp://www.ntpiraq.zaghost.com/ccm/GuidancePaperOnCCMOversight.pdfhttp://www.ntpiraq.zaghost.com/ccm/GuidancePaperOnCCMOversight.pdfhttp://www.ntpiraq.zaghost.com/ccm/GuidancePaperOnCCMOversight.pdfhttp://www.ntpiraq.zaghost.com/ccm/GuidancePaperOnCCMOversight.pdfhttp://theglobalfund.org/documents/ccm/CCM_Requirements_Guidelines_en/http://www.harm-reduction.org/ru/images/stories/library/ccm_zaytseva_gf_rus.ppt
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    management that is PRs responsibility.

    Supervision includes such kinds of activity as information gathering and analysis

    related to challenges and obstacles, regular meetings arrangement, inspection trips to

    sites and the most important is elimination of narrow places identified.

    Direct supervisory functions can be carried out both by the whole CCM and its special

    committee (such committees exist, for example, in Georgia, Moldova, Kyrgyzstan,

    Ukraine). According to the participants' opinion, by no means all CCMs carry out

    supervisory function. Many factors were listed as possible reasons of it: low efforts of

    CCMs members, no time available due to occupancy, untimely information entry for

    supervision, too big PRs reports for strategic analysis, as well as cases when CCM

    Secretariat is too tightly bound with PR and doesnt contribute to CCM functions

    realization.

    For CCM members, including while realization of this function, the policy of

    avoidance of conflicts of interests should be in force. For example, in Kyrgyzstanmembers of actively operating CCM Supervisory Committee are not able to perform

    supervision over organizations - SRs and SSRs with which they are connected as

    employees, experts, Board members, etc. In Ukraine CCM supervisory committee

    involves to work experts from organizations which are not involved into the

    implementation of the GF grants.

    5.3. Reprograming

    Reports and additional information:

    - Changes to Scope and/or Scale of Performance Frameworks in Board ApprovedProposals or Signed Grant Agreements (available only in English; p. 207 inGF

    Operations Policy Manual, version: 26 June 2012; section Changes to Scope

    and/or Scale of Performance Frameworks in Board Approved Proposals or Signed

    Grant Agreements)

    - Additionally on changes to SRs activities and budget see 5.4.3. While projectsimplementation by sub-recipients: communication with PR, reporting, monitoring,

    technical assistance and projects changes.

    Reprograming is the significant change of program activity and budget of the GF

    grant that should be coordinated with the GF Secretariat. The ground for request for

    reprograming can be changes in epidemiological situation, receiving assistance from

    other donors for similar measures and necessity to avoid the GF efforts duplication,change of policy and practice that directly influences national measures in reply to

    epidemics. Reprograming is also often offered by countries if theres an economy of

    funds accumulated in their grants. One of the possibilites for reprograming is the

    transfer of the grant from one phase to another.

    The participants of the meeting shared limited experience of SR influence on

    reprogramming. The main lesson learnt is not to postpone discussion on reprograming

    to CCM meeting, but to get involved as early as possible in the process and define

    own priorities. In the number of approaches it was recommended to request PR for a

    separate meeting for discussion. Ideally to improve an application for the second

    phase a special commission/group (for example, such working group was created inCCM of Belarus) should be established in the country, SR may also be included in

    this group. PRs may point out that discussion with sub-recipients is not obligatory as

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    SRs can be changed in the next grant phase or that SRs may have the conflict of

    interests in the process of discussion, but these arguments dont cancel requirements

    of transperancy of decisions and necessity to involve those projects performers who

    thoroughly know the situation on the spots. Its very often that PRs justify reduction

    of some budgets by the Global Fund demands, though such statements should be

    checked (possibly through CCM) with Portfolio Manager.

    5.4. Programs implementation and interaction between PRs and SRs

    Reports and additional information:

    - Presnatation Interaction between Principal Recipients and Sub-Recipients(RUS)(Olga Zvozdetskaya, All-Ukrainian Network of PLWH)

    5.4.1. Shortlisting of sub-recipients

    Schemes of SRs shortlisting are various

    depending on the country and PR. In somecases the process of SRs shortlisting is

    approved by CCM, in other cases by PR.

    Sometimes SRs are chosen for work in

    NGO sector (for example in Kyrgyzstan),

    in other countries they are selected by

    program directions. Some PRs can work

    with several big umbrella-type SRs that in

    their turn support SSRs direct suppliers

    of services. Other PRs directly support

    SRs performing direct service, e.g. All-

    Ukraian Network of PLWH counts 119

    SRs. Third PRs work simultaneously both

    with big umbrella-type SRs that have their

    SSR and SRs that are direct suppliers of

    services.

    SRs can be defined while program planning and outlined in applications (as in the

    case of Moldova), but also can be identified in the course of the tender after

    conclusion of grant agreement. Even if SRs are outlined in an application they can bechanged on a reasonable basis.

    In Ukraine technical tasks of tenders on SRs shortlisting are formed on the basis of

    working plan approved by the Global Fund. Drafted by an internal PR group technical

    task should be reviewed by external experts, after their comments the new version of

    technical task, announcement about the tender and the body of expert commission

    should be approved by Board of Directors or PR Director. An announcement about

    the tender should be placed at PR web-site, sent by e-mailing lists and/or placed in

    national media. Electronic and hard-copies of applications are handed over in PR

    address where they are registered. After applications receipt is completed all project

    proposals should be forwarded for assessment by experts. In Ukraine regions are

    selected by experts based on the quality of proposals received, indicators proposed in

    them, epidemiological situation. In Belarus the indicators outlined in countryapplication are transferred to SRs.

    Stages of SRs shortlisting by tender

    Based on All-Ukrainian network of PLWH

    experience

    1. Development and approval of technicaltask of a tender

    2. Announcement of the tender3. Receiving project proposals4. Reviewing proposals by expert

    commission

    5. Approval of tender results by PR orCCM

    6. Assessment of organizations potentialthat succeeded in the tender

    7.

    Negotiations on conclusion ofagreements with SRs, including

    specification of their activity and budget

    types.

    8. Execution of agreements/ transfer offunds

    http://www.harm-reduction.org/ru/images/stories/library/pr_management_ukrainian_network_gvozdetska.ppthttp://www.harm-reduction.org/ru/images/stories/library/pr_management_ukrainian_network_gvozdetska.ppthttp://www.harm-reduction.org/ru/images/stories/library/pr_management_ukrainian_network_gvozdetska.ppthttp://www.harm-reduction.org/ru/images/stories/library/pr_management_ukrainian_network_gvozdetska.ppthttp://www.harm-reduction.org/ru/images/stories/library/pr_management_ukrainian_network_gvozdetska.ppt
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    experts of the meeting is that any communication with PRs should be fixed in written

    form. For example, to draw and send minutes of a meeting or a telephone call in PR's

    address for approval; to send in PRs address requests in written form and if PR

    doesnt reply, to send reminders already with the copy to Portfolio Manager and LFA.

    Its important to understand how swiftly PR should reply to requests. In some cases itwas specified that PR has very long procedures for reconsidering of requests and

    approval after even slight budget changes.

    In some countries, for example, in Ukraine, communication between PR and SR is

    carried out in electronic way and such communication is considered to be the official

    one. Theres no need there to communicate by means of printed documents registered

    in chancellaries and sent by registered letters and due to that all communication by the

    program speeds up significantly.

    The Global Fund Portfolio Managers also officially communicate with countries by e-

    mail.

    Some participants believed it useful if in their countries e-mailings of programs

    performers supported by the GF will be organized, with messages on implementation

    of projects and program in general, changes of requirements etc.

    Introduction of changes of SR program activity and budget

    If necessary changes may be introduced into SR project. Its often that such changes are

    needed in case of costs cutout.

    Some changes can be made by SR himself without receiving of additional permission from

    PR if it is stipulated in the agreement; as a rule, a norm on possibility of budget lines in the

    scope up to 10% may be stipulated in agreements. Thus, first of all, it's necessary to study the

    agreement with PR and procedures of project and budget changes, in case such proceduresare not specified, they can be drafted and proposed to PR to include them in Additional

    Agreement.

    In case changes require approval, SR should address PR with a request with a detailed

    grounding with the description of the situation. For example, request for change of salaries

    should be grounded with increase of work scope, availability, change of salaries level on themarket, etc. Should some issues be topical for several SRs it is worth uniting and applying PR

    with a collective request.

    PR estimates changes proposed by SR both from program and financial points of view. All-

    Ukrainian network of PLWH in its work as PR specifies such objective reasons under which

    changes in SRs activity are permitted:

    Additional funding from other sources was received Project team was changed (personnel change) New clients requirements were determined Extreme situations which clients life/health depend on other.In some cases changes in SRs project require changes at the level of the whole grant/country.In such cases SRs are recommended to lobby necessary changes through representatives of

    their sector in CCM (not only request from PR). At grant/country level amount saved may be

    accumulated, it can be learnt from PRs report at CCM; in this connection within CCM

    frames variants on how to use the amount saved should be actively proposed. To influence

    reprograming of funds and the next phase/new projects, its important that a country

    participates in the relevant CCM group.

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    5.4.4. Purchasing of syringes and other supplies

    The topic of purchases was especially sensitive for a number of participants, as some

    project performers were out of syringes for 4 months, other participants faced such

    situation recently.

    As a rule, the main part of purchasing of supplies is carried out by the principal

    recipient. In some cases a part of assets for purchases also can be foreseen in SRs

    budgets and plans. But sometimes PR carries out centrally all purchases without

    exeption.

    Centralization of purchases, as a rule, helps to save money by reducing price of

    supplies on bulk purchase. However, participants gave examples when even under

    centralization of purchases by PR, PCs and other means were purchased at higher

    price than prices at the local market. Also cases were mentioned when PR itself

    carried out all purchases up to petty stationary, but along with that supplies were

    realized with significant irregularities. In one case Portfolio Managers visit to thesub-recipients office exactly during absence of basic supplies at that moment up to

    toilet paper due to delay of supplies from PR, helped to hand over purchases of

    everyday supplies to the SRs budget.

    Irregularities in supplies are an extremely sensitive topic. Centralized purchases

    with observing necessary and transparent processes take much time and theres not

    yet an adequate solution on how to prevent irregularities in supplies. In the system of

    purchases theres a good practice that helps to prevent irregularities and, for example,

    to promptly react to change in needs of projects clientsin SRs budgets its possible

    to forsee small assets for purchasing of not only office expendable supplies but also of

    certain limited scope of distributing prophylactic supplies (in case of harm reductionprojects - syringes).

    PR drafts plan of purchases that may and can be got acquainted with in order to

    timely identify weak sides and participate in PRs purchasing and/or influence this

    process.

    Several participants pointed out the problems with quality and promptness of

    purchases of distributing prophylactic supplies, such as syringes and condoms. In

    some countries PRs from the very beginning didnt pay attention to SRs' proposals on

    needs in expandable supplies and they were bound, for example, to replace parties of

    purchased syringes after the information that clients refused to take them due to

    extremely low quality. Theres a positive experience of Ukraine where drug usersparticipate in determining range and specifications of syringes being purchased and

    substitution therapy medications.

    Its important to make further attempts to influence defining of specifications of

    supplies purchased. Thus, in harm reuction projects its possible to hold focus-groups

    among injective drug users to identify their needs and to define specifications of

    syringes and needles, and to provide relevant reports with recommendations and

    grounding to the Principal Recipient, its possible to send a copy to Portfolio Manager

    and LFA. If there's a group/committee in the country on purchasing or a topical group

    on injective drug users, it is worth providing such proposals through the group and

    after that to involve CCM to settlement of this problem through its supervisorycommittee or at CCM session (it may be suggested in advance or at the beginning of a

    session to include this item into agenda). The participants drafted an example of such

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    countries; countries of East Europe and Central Asia; communities of people with

    deseases. These constituencies have corresponding Delegations. Each delegation has

    its own procedures, documents on structure and work, some of them have their own

    strategy and action plan, for example, the Communities Delegation has.

    Contacts of some Delegations to the Global Fund Boardby this link(RUS).

    5.5.2. Secretariat: Portfolio Manager and others

    Reports and additional information:

    - Report The Global Fund Secretariat: New Structure and Role of PortfolioManager (Elena Zaitseva, the GF)

    At present the GF Secretariat experiences significant reorganization with the purpose

    to ensure an immaculate grant management, i.e. to simplify access of country

    programs performers to the Secretariat, to enhance the work of Secretariat GrantManagement and Support Department, to use the GF partners potential more

    effectively, etc. Apart from departments that perform supportive functions, three main

    divisions were established:

    On resource mobilisation On strategy, investments, impact On grant management.

    The latter of them is the biggest one; it includes 334 employees (i.e. 61% of

    Secretariat personnel). The work in it is arranged in departments that are created both

    by georgraphical character and by the so-called character of high epidemics impact.

    Our region EECA is included into Department of Asia, Eastern Europe, Latin

    America and the Caribbean region. This division covers the biggest number of

    countries71 (compared to 3 departments which include countries of high impact,

    only 6-7 countries each). The Manager of the Department is Maria Kirova and the

    team working with Eastern Europe and Central Asia is headed by Nicolas Cantau.

    The most important figures for countries are Portfolio Managers. In the new structure

    they will play a wider role. Apart from previous functions of programs management

    they, for example, will actively communicate with CCM. Portfolio Managers should

    become the GF face in the country, build partnerships, and consult country partners in

    policy, procedures and processes in the GF. After reforms in the Secretariat there s

    no department left dealing with civil society issues; it is expected that these issues will

    also be transferred to responsibility of Portfolio Manager.

    The name and contacts of Portfolio Manager of each country are available on the GF

    web-site.

    5.5.3. Recent Boards Decisions

    Presentations and additional information:- Presentation GF: From Emergency Assistance to Sustainability. Travelling Goes

    on(Aleksander Kurashov, member of Communities Delegation to the GF Board)

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    - Quitting while not ahead: The Global Funds retrenchment and the looming crisisfor harm reduction in Eastern Europe and Central Asia, EHRN

    Aleksander Kurashov made an overview of the GF key processes and decisions for

    the latest year that coincided with his joining the Communities Delegation to the

    Global Fund Board in 2011.

    In June 2011 the frames of the new GF strategy were discussed with partners at the

    GF Partner forum, where the support of the GF strategic objective was fixed on

    ensuring implementation and human rights protection. Apart from other issues the

    EHRN proposal was discussed to accept the strategy on drug users that, however,didnt gain the sufficient support.

    Autumn 2011 became the beginning of, perhaps,

    the most high-pressure period in the Global Fund

    history.

    In September 2011 the report by high-level

    commission was produced with the recommended

    18-months plan of transformation and

    reorganization of the GF management structure

    that was subsequently approved by the Board.

    During the GF Board meeting in November 2011

    in Accra (Ghana) discussions proceeded with

    intensity of emotions, stress and work till late at

    night due to earlier created inaccurate forecast of

    the GF resources available. As a result due to

    absence of funds the 11th round was cancelledand intermediate funding mechanism was

    launched for renovation of already existing grants

    that transfer to the next phase, also the rule was

    accepted that 55% of all GF funds should be

    transferred for support of countries with low

    income level.

    Within frames of transformation plan

    implementation that was suggested by the high-

    level commission the position of General

    Manager with wide executive powers wasintroduced, who is affiliated not to Executive

    Director, but directly to the GF Board Chairman

    (eventually Executive Director Michel

    Kazatchkine quitted his position), also new Board

    committees were established and the GF Board

    Coordinating Group; these reforms were followed by significant reorganization in the

    Secretariat.

    The event of overwhelming importance for further Global Fund development became

    the approval of the newstrategy of the organization for 2012-2016.

    For the previous year the importance of resources mobilization for the GF became

    even more obvious, because it is exactly money that makes the Fund the Fund it is".

    Information sources about the GF

    policy, procedures and processes:

    Portfolio ManagerGF Observer Bulletin: available

    only in English, the detailed overview ofcurrent situation at the global level;

    subscription by the web-link:

    http://www.aidspan.org/index.ph

    p?page=gfo

    The GF web-site

    Special mailing on the GF in theregion (to subscribe please contact Ivan

    Varentsov)

    In the country:CCM mailing and sessions

    PR

    Additionally:

    Mailings of network

    organizations in the region

    Meetings and international

    conferences

    Information from "well-informed" persons in CSAT,

    the GF, Delegations to the

    Board (Vitaliy, Ivan V.,

    Gennadiy Roshchupkin,

    Aleksander Kurashov, Anna

    Shevchenko, Volodya Zhovtyak,

    etc.)

    http://www.harm-reduction.org/news/2287-quitting-while-not-ahead-the-global-funds-retrenchment-and-the-looming-crisis-for-harm-reduction-in-eastern-europe-and-central-asia.htmlhttp://www.harm-reduction.org/news/2287-quitting-while-not-ahead-the-global-funds-retrenchment-and-the-looming-crisis-for-harm-reduction-in-eastern-europe-and-central-asia.htmlhttp://www.harm-reduction.org/news/2287-quitting-while-not-ahead-the-global-funds-retrenchment-and-the-looming-crisis-for-harm-reduction-in-eastern-europe-and-central-asia.htmlhttp://www.harm-reduction.org/news/2287-quitting-while-not-ahead-the-global-funds-retrenchment-and-the-looming-crisis-for-harm-reduction-in-eastern-europe-and-central-asia.htmlhttp://www.harm-reduction.org/news/2287-quitting-while-not-ahead-the-global-funds-retrenchment-and-the-looming-crisis-for-harm-reduction-in-eastern-europe-and-central-asia.htmlhttp://theglobalfund.org/documents/core/strategies/Core_GlobalFund_Strategy_en/http://theglobalfund.org/documents/core/strategies/Core_GlobalFund_Strategy_en/http://theglobalfund.org/documents/core/strategies/Core_GlobalFund_Strategy_en/http://www.aidspan.org/index.php?page=gfohttp://www.aidspan.org/index.php?page=gfohttp://www.aidspan.org/index.php?page=gfohttp://theglobalfund.org/http://theglobalfund.org/http://theglobalfund.org/http://theglobalfund.org/http://theglobalfund.org/http://www.aidspan.org/index.php?page=gfohttp://www.aidspan.org/index.php?page=gfohttp://theglobalfund.org/documents/core/strategies/Core_GlobalFund_Strategy_en/http://www.harm-reduction.org/news/2287-quitting-while-not-ahead-the-global-funds-retrenchment-and-the-looming-crisis-for-harm-reduction-in-eastern-europe-and-central-asia.htmlhttp://www.harm-reduction.org/news/2287-quitting-while-not-ahead-the-global-funds-retrenchment-and-the-looming-crisis-for-harm-reduction-in-eastern-europe-and-central-asia.html
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    The near significant dates related to the GF Board:- July: Meeting of the Board Strategy, investments and impact Committee:

    - Discussion of strategic task realization on human rights (based onrecommendations of the meeting in Johannesbourgh, RSA),

    - Establishment of frames for consultations on the new funding model- August: meeting of the Finance and Operational Performance Committee:

    - Discussion of methodology of assessment of resources available with theGF

    - JulySeptember: meetings and consultations on the new funding model (alsoduring International AIDS Conference)

    - September: the Board will take the decision on the new funding model andpossibilities to start funding of new proposals

    This year a mid-term Replenishment meeting is planned. The GF Advocates Network

    (GFAN) started active work. But recipients of the GF funds and ultimate beneficiaries

    should also participate in raising funds to the GF.

    5.6. Advisory support on the new GF funding model

    Presentation and additional information:

    Presentation Funding Model Evolution of the Global Fund (RUS) (VitaliyDzhuma)

    The Second Strategic Task of the GF Strategy for 2012-2016.The GF Strategy for 2012-2016 stipulates creation and implementation of the new

    funding model. Currently the consultation process is on-going that as it was planned

    should lead to approval of the new funding model principles at the Board level inSeptember of the current year.

    It is supposed that in the new model numerous misschiefs of current models will be

    solved: non-optimal use of funds for achieving of impact on epidemics;

    unpredictability of terms and funds accessibility issues for the countries; high load on

    countries.

    The new funding model suggests replacement of system of rounds by the system of

    three complementary elements:

    Negotiation process of applications submission based on dialogue:applications will be drafted in two stagespreliminary application and along

    with that communication between applicants, Technical Review Panel (TRP),partners and the GF Secretariat will be carried out from the very beginning

    and TRP will provide constructive comments on applications with the purpose

    to enhance them and specify their goal orientation;

    Early preparation to grant implementation: discussion on implementationissues and negotiations on grant signing will be carried out simultaneously

    with drafting an application to the Board to approve applications ready for

    immediate start of grant implementation;

    More flexible, forecasted funding opportunities: terms of submittingapplications will be more flexible and the countries will have clearer

    understanding of funds request level.

    Whithin the frames of consultations on the new funding model various aspects are

    discussed: what kinds of criteria of assets distribution maybe available, taking into

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    consideration the GF strategic objective to take decisions on funding based on "high

    impact on the epidemics, should the model differ for various kinds of applicants ,

    how the rolesof CCM, the GF Secretariat, TRP, technical partners and partners in the

    countries will change, what is the best way to forecast the need and demand on each

    of three deseases in the specific country, etc.

    At the meeting in Istanbul the participants discussed some of these questions, having

    noted that first of all the significance of involvement of civil society into the process

    of drafting country application, ensuring of funding opportunities for all regions. BY

    the results of the seminar based on comments and recommendations on the new

    funding model provided by the participants the new document was drafted

    Comments on the concept of the New funding model of the Global Fund from civil

    society representatives in EECAthat was sent by EHRN to the Global Fund Strategy,

    Investment and Impact Committee (SIIC) responsible for drafting of this new funding

    model on the eve of its session on this matter that took place in early June 2012.

    6.Results, recommendations and further stepsAdditional information:- CSAT:http://www.harm-reduction.org/ru/hub/csat.html- (RUS)6.1. Results of the meeting and technical assistance

    By the results of the meeting the particapants understanding of the GlobalFund processes grew at the national level (interaction between SRs and SSRs

    with the GFs structures; CCM functioning; communications with PRs andLFAs) and at the global level (the GF structures; the GF Secretariat reform;

    recent decisions of the GF Board and their significance for the EECA region).

    The participants gained new knowledge, for example, on the opportunity toreceive buffer funds by principal recipient that may enhance SRs financial

    sustainability, about PRs obligation to tune adequate management of sub-

    recipients, including providing of technical assistance to SRs, etc. This

    knowledge the participants intend to apply for settlement of problems in their

    organizations. One participant noted that understanding of the communication

    chain between the GF, PR and SR will allow them lobbying more efficiently

    necessary changes with PR. Two participants pointed out that the seminar

    motivated them to submit their candidates to join CCM. One participant, the

    newly elected CCM member noted that before the seminarI didnt know how

    important this structure CCM is".

    The training became the next opportunity for the GF Secretariat and the Boardto receive direct information on NGOs experience in the EECA region on

    participation in programs implementation and their opinion related to reforms

    taking place in the GF.

    The meeting was appraised both by the participants and the organizersthemselves as an extremely successful in achievement of key objectives, in

    particular, in knowledge enhancement, understanding of problems reasons and

    possible ways of improvement included in the GF policy and accumulated inthe experience of other countries.

    As the tasks of the seminar were rather ambituous, especially for such group of

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    participants, which obtain various kinds of knowledge, at the latest stages of

    preparation of the seminar the objective on the work over strategy on sustainability of

    the programs on the account of involvement of national funding was excluded.

    During the meeting the participants got acquainted with the possibilities to obtain

    technical assistance (see the List of organizations providing technical assistance).EHRN program Civil Society Action Team (CSAT) provides assistance in receiving

    information on the processes of the Global Fund of all levels, for example, elections

    and effective participation of representatives of civil society in CCM, carrying out of

    such events.

    According to the results of the event the participants of the meeting were suggested to

    forward requests on providing technical assistance to CSAT in written form in the

    address f Ivan Varentsov, they will be the ground for CSAT to choose how to use its

    restricted resources to help NGOs.

    CSAT advocacy work by the results of the event (during 1 month)

    CSAT will continue its work in such directions:1. Civil Society and the GF Secretariat

    . Review of problems in SRs and SSRs work pointed out by participants, as well as CCMsas it was agreed with participants, was handed over to the GF Secretariat.

    b. At the meeting with the GF Secretariat as of 5-6 July CSAT highlighted a range of issues

    raised during the seminar, in particular, on tuning and enhancing communication and

    assistance to NGOs from the side of the GF after the Secretariat restructuring. This work will

    be continued in future.

    2. The new funding model

    Proposals of the participants and experts received during the event, EHRN generalized and

    provided for consideration of the Board Committee on strategy investments and impact on 3rd

    July.

    3. UNDP as PR

    CSAT took preparatory steps to describe problems faced by representatives of CCMs, SRs

    and SSRs in the countries where UNDP acts as PR and recommendations on improvement.

    The participants of the meeting and other NGOs representatives will be involved into this

    work.

    6.2. Recommendations as to similar events: what should be done differently Participants, experts and organizers recommended EHRN to carry out such

    events for other SRs/SSRs involved in the sphere of counteraction both to HIV

    and TB, among that to arrange these events at country level.

    More practical part in the rogram

    The majority of participants emphasized the necessity to pay more attention at theseminar to specific problems of programs implementation and search of ways out

    with specific examples.

    If the variety of participants wouldnt be changed, additionally within frames ofprogram the following should be envisaged: individual, petty sessions and

    individual meetings with experts on settlement of specific problems and/or to

    give more practical tasks for participants on work with problems based on their

    situation.

    To include more work on skills enhancement, e.g. on communication, advocacy(planning and implementation) etc.

    Study of an example at a plenary session in an active group didnt work out.Probably, more examples of SRs successful experience that managed to change a

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    range of problematic spheres should be provided.

    Other proposals on the topic

    To consider more concisely SRs and SSRs participation in reprograming anddrafting applications.

    To consider more specifically the mechanism of NGOs participation in PRpurchasing process. The participants of the seminar proposed to involve PR representatives from

    UNDP to such events (for the whole program or its part) and to familiarize more

    in details with UNDP procedures. It is worth contacting UNDP country offices in

    EECA acting as PRs, regional UNDP EECA office (Bratislava) and central

    UNDP office with the idea to organize joint seminar, probably with participation

    of SRs from several countries at once, where PR is UNDP

    Theres a need to discuss advocacy work, how to assist NGOs delegations andregional delegation in advocacy of the most important moment in policy for the

    region: promotion of advantageous for the region qualification criteria for

    countries To touch more upon the experience of programs working in counteraction to TB The participants proposed the topic Alternative Monitoring of the GF Programs

    Implementation.

    Participants

    If more in-depth and more practical meetings to be done, it is worth consideringto reduce the number of participating countries and increase the number of

    participants (and experts) from each country.

    Participants can be shortlisted by more strict criteria respectively to theirexperience and interest to participation in the seminar and further work in their

    countries by seminar results (and to narrow down the theme)

    Experts/participants apart from SRs representatives

    For educational part of such events the group of experts of the seminar inInstanbul was sufficient and even rather big.

    Its important to involve successful PR as well as Portfolio Manager, the one whois progressive and who understands civil society.

    However, if providing technical assistance to organizations on settlement ofspecific problems to be integrated into the event that was emphasized by the

    majority of participants, it is worth planning to involve Portfolio Managers and

    principal recipients directly connected with programs of SRs and SSRsparticipating in the seminar.

    From the other side there were concerns that it will restrict opportunities forparticipants to study and openly share SR experience between countries

    (including problems).

    Its possible to involve two Portfolio Managers (one with more experience inwork with civil society and another one may be without such experience) for the

    whole event or to hold the seminar in the format of two parts: the first one to be

    educational, theoretical part without PR and the second part specific

    consultations by the country/ countries with PR participation.

    Sub-recipients' representatives at equal or higher expert level (probably, mainlyPortfolio Managers) should participate in such consultations.