Community involvement in the CCMs of the Global Fund in ten countries have proven to be not meaningful as some barriers impede their effective engagement in policy development at the country level
A. Ngoksin, IRFD (Cameroon), India HIV/AIDS Alliance (India), Caribbean Vulnerable Communities Coalition (Jamaica), Romanian Harm Reduction Network (Romania), HEPS (Uganda), and Individual Activists in Countries
The International Treatment Preparedness Coalition, HIV/AIDS Treatment, Bangkok, Thailand
Background: This study focuses on civil society(CS) engagement on CCMs of the Global Fund to determine in 10 countries successes and challenges in terms of effective CS engagement. CS engagement is integral to CCM model and has made important contributions on CCMs, but its engagement is seriously limited by several factors
Methods: Community researchers used a standardized research template to interview 15 -25 key informants in country,including current and former CCM members: representatives of government and international and bilateral agencies: grant recipients: CS reps and members of academia, business and medical organizations. Later they implement advocacy plans to pursue recommendations provided by the study.
Results: Research findings were distinct in each country but major themes are recurrent: a) limited influence of CS in proposal preparation, shaping programme implementation and oversight as CS is not considered equals by other members of CCM, not having appropriate knowledge and expertise, being reluctant to challenge leadership; b) all CCM members in these countries representing their own organizational priorities instead of broader CS sectors; c) lack of report back mechanism for CS to communicate with broader CS constituents; d) lack of knowledge and expertise undermines the confidence and authority of CS reps on many CCMs; e) conflicts of interest for CS reps in which CS rep's agency receives funds from the GF-supported programme; f) lack of reps from vulnerable communities.
Conclusions: Specific demands have been made to the GF at all level to invest in capacity, ensure performance monitoring, issue guidance on roles of CCM members, promote accountability, support independent CCM secretariats and voice strong support for participation of all stakeholders-not just those government representatives. This presentation will discuss the experimental challenges and how they overcome-including specifics on how the teams pursue their follow up advocacy in different settings to improve their CCM performance.
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