Country Coordinating Mechanism

The Global Fund / John Rae

Country Coordinating Mechanism Evolution

Country Coordinating Mechanisms (CCMs) have had a central role in the Global Fund partnership since our founding. Today, to better deliver on the Global Fund Strategy 2017-2022, the CCM model and structures are being strengthened through the CCM Evolution project.


The implementation of the CCM Evolution pilot, running from September 2018 through the end of 2019, aimed to increase CCM maturity across core responsibilities of health governance. The results and lessons learned from the pilot will inform an investment case, to be presented to the Global Fund Board, with the aim of evolving the CCM model for 2020 and beyond.

Eighteen CCMs are participating in the pilot. They were selected to represent different types of CCMs and at different maturity levels. Each CCM:

Contextual groupings

The 18 participating CCMs each fall into one contextual grouping, and each grouping has its own performance expectations:

Grouping CCMs
Standard CCMs
CCMs that do not fall into the two other categories
Burkina Faso*
Papua New Guinea
Transition preparedness CCMs
Countries preparing to transition from Global Fund financing
CCMs in challenging contexts
Countries under the Additional Safeguards Policy and/or categorized as challenging operating environments
Congo (Democratic Republic)

*Countries where GIZ provides funding during the pilot phase

Maturity levels

Each participating CCM also falls into one of four maturity levels:

  • Strategic: CCM that strategically engages at the national level and tackles issues regarding long-term sustainability and influence on national coordination bodies/efforts
  • Engaged: CCM carries out most of its governance functions independently but still needs some specific technical assistance, fosters enhanced participation of constituencies and conducts effective oversight
  • Functional: CCM carries out basic governance and has most basic elements/structures in place
  • Working towards functional: CCM has limited or lack of documentation or structures in place to fulfill the required core functions of CCMs

The project seeks to advance CCMs along the maturity levels.

Core responsibilities

The participating CCMs receive varying levels of support – depending on their contextual groupings and maturity levels – to implement activities across four core responsibilities:

  • Oversight: Maximize the impact of Global Fund investment towards achievement of national response objectives
  • Engagement: Proactive representation and enhanced quality of engagement of CCM civil society constituencies in key CCM processes
  • Linkages: Contribute to strengthened national governance bodies for a harmonized and coherent response to the three diseases
  • CCM functioning: Work towards strong and accountable CCM governance structures

For more information on the CCM Evolution project, see:

The Global Fund encourages CCMs not participating in the pilot phase to continue their efforts in looking for ways to strengthen their performance.