Country Coordinating Mechanism

  • CCM Eligibility Requirements, Minimum Standards & Updated Guidelines

    CCM Eligibility Requirements

    There are six Eligibility Requirements (ERs) with which CCMs must comply in order to be eligible for funding. Eligibility Requirements embody good governance practices with which all CCMs must comply.

    A brief list of what each of the six Eligibility Requirements relate to is below, with more detail available on each requirement in CCM Guidelines and Requirements (updated translations will be available soon):

    1. Eligibility Requirement 1: Transparent and inclusive funding request development process
    2. Eligibility Requirement 2: Open and transparent PR selection process
    3. Eligibility Requirement 3: Oversight planning and implementation
    4. Eligibility Requirement 4: CCM membership of affected communities, including and representing people living with diseases and of people from and representing Key Affected Populations
    5. Eligibility Requirement 5: Processes for electing non-government CCM member
    6. Eligibility Requirement 6: Management of conflict of interest on CCMs

    CCM Eligibility in the new funding model

    In the NFM, the process for reviewing the 6 CCM Eligibility Requirements has changed:

    • Requirements 1 and 2: are assessed at the time of funding request submission
    • Requirements 3 to 6: eare assessed annually through the EPA methodology - This assessment is done well in advance of CN submission to allow CCMs to fix outstanding issues and carry out the main activities proposed in the Improvement Plan, before the funding request submission.  CCMs must request TA to facilitate this assessment. A list of TA providers available to provide support is available here. The Global Fund Secretariat is engaging with CCMs on an individual basis to plan for the annual assessment. 

    CCM Eligibility Requirement (ER) No. 4 and CCM Minimum Standards

    The CCM Guidelines and Requirements have been updated to include a revision of CCM Eligibility Requirement (ER) No. 4, approved by the Strategy, Investment and Impact Committee (SIIC) in July 2013 (GF/SIIC08/DP4).

    The SIIC also approved CCM Minimum Standards (MS) that represent minimum criteria considered vital for effective CCM performance based on accumulated experience and are enforced since January 2015. 

    CCM Minimum Standards have been designed taking into consideration feedback from some early applicants, technical assistance providers, CCMs, countries and other stakeholders, in addition to past experiences with CCM Guidelines implementation.  

    Non-Material Changes to Eligibility Requirement No. 4

    Per Eligibility Requirement (ER) 4, the Global Fund requires all CCMs to show evidence of membership of people living with HIV and of people affected by TB or malaria (where funding is requested or has previously been approved for the respective disease). People affected by TB or malaria include people who have lived with these diseases in the past or who come from communities where the diseases are endemic.

    The revised ER 4 is aligned with the New Funding Model, and integrates lessons learned during the NFM transition phase, to ensure the integration of human rights considerations throughout the grant life cycle. Based on the Global Fund Strategy 2012-2016, the revision of ER4 helps ensures that all Global Fund-related structures (including the CCM) operationalize human rights principles that include non-discrimination, gender equality and participation of key affected populations.

    There are three components to the revised ER 4:

    • Specifically including Key Affected Populations (KAPs) as a CCM requirement, taking into account the socio-epidemiological context.
    • Increasing representation of persons that are both living with and representing people living with HIV on CCMs.
    • Linking the need for representatives - for TB and Malaria in contexts where those diseases are a public health issue, regardless of whether Global Fund funding has been requested or not.

    The revision of ER 4 will improve and broaden the representation of PLWDs and KAPs on CCMs, promoting robust Country Dialogues and the development of funding requests that are fully aligned with the epidemiological context and focus on high-impact interventions on target populations.

    Revised Eligibility Requirement 4

    The Global Fund requires all CCMs to show evidence of membership of people that are both living with and representing people living with HIV, and of people affected* by and representing people affected by Tuberculosis ** and Malaria*** as well as people from and representing Key Affected Populations****, based on epidemiological as well as human rights and gender considerations.

    * Either people who have lived with these diseases in the past or who come from communities where the diseases are endemic

    ** In countries where Tuberculosis is a public health problem or funding is requested or has previously been approved for Tuberculosis.

    *** In countries where there is on-going evidence of Malaria transmission or funding is requested or has previously been approved for Malaria

    **** The Secretariat may waive the requirement of representation of Key Affected Populations as it deems appropriate to protect individuals

    CCM Guidelines and Guidance Notes

    Supporting Templates

    Meeting Minutes Templates

    The following CCM minutes template is a recommended good practice tool for CCMs to use. It was designed to:

    • Promote good governance
    • Improve the effectiveness of meetings
    • Enhance the quality of decision making
    • Help bring greater transparency in dealing with issues specific to CCM work
    • Represent an important source of information for feedback to its constituencies
    • Build the CCM institutional memory
    • Build the capacity of new CCM members
    • Document good governance practices.

    The present template was designed after an in-depth analysis of around 3,000 pages of CCM minutes in preparation of Round 9 proposal submission to the Global Fund. The study showed that:

    • Less than 25% of the analysed minutes provided the expected level of information
    • The remaining 75% of minutes lacked even basic information (especially about attending members)
    • Meetings were not well structured
    • There was poor reporting on discussions held between the participating members
    • Decisions were not clearly recorded, if at all; and
    • There was an extensive use of local acronyms with no glossary for external or new users (such as the incoming CCM members)

    The study concludes that the overall quality of CCM minutes needs to be improved so as to provide useful and timely information first and foremost to the CCM, its stakeholders, as well as a wider circle of potential users including the Global Fund, technical support partners and the public at large.

    While recommended as a tool by the Global Fund, it is important to note that the CCM minutes template is not compulsory. However, we do encourage CCMs to feel free to adapt it to their needs or to incorporate parts of it into the CCM’s existing minutes template.

    The template is available in Microsoft Word and Excel and will be available in the near future in additional languages.