Country Coordinating Mechanisms are core to the Global Fund’s contribution to health governance to help end HIV, tuberculosis and malaria while investing in resilient and sustainable systems for health. The CCM Evolution Strategic Initiative is a catalytic opportunity to enhance the way our partnership works in countries and regions. The approach and methodology build from a pilot phase in 2018-2019.


The objective of CCM Evolution is to equip CCMs to facilitate inclusive oversight and meaningful engagement in alignment with national structures for sustained health governance. As tested in the pilot, this involves increased focus on four core responsibilities:

  • Oversight: Active oversight of existing and emerging investments
  • Engagement: Meaningful, inclusive and active participation of key stakeholders
  • Positioning: Working within national structures and existing emerging platforms to increase efficiency of health investments
  • Operations: CCM Secretariats’ core functions (including the code of conduct), enabling and sustaining health governance

Anticipated Results

The anticipated results are to change business as usual, leveraging the opportunity of the strategic initiative to enhance CCMs, streamline processes and invest in results – strengthening governance for existing and emerging health challenges.


Implementation is being rolled out in waves through 2021. Steps, timelines and more information are in our overview materials:


The CCM Evolution started in 2018 with a pilot phase in 18 countries. The pilot focused on sustainably strengthening CCM performance in four areas: overseeing grants, ensuring linkages with national structures, engaging key stakeholders and strengthening how CCMs function. The results and lessons learned from the pilot were presented to the Global Fund Board and committees and serve as the foundation for the global implementation of CCM Evolution. In 2019 the Board approved a US$15 million strategic initiative to support the implementation.

More details are in our overview:

  • Country Coordinating Mechanism Evolution: Summary of the Pilot
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