At the Regional CCM Meeting of the Global Fund, work groups were created to prepare a series of recommendations for the purpose of successfully meeting challenges that the CCMs are confronting. We present a few of them.
Conflict of interest
Conflict of Interest is defined as a conflict a CCM/RCM member must face when he has a personal or institutional interest resulting in a discussion or decision on this mechanism. For example, when the CCMs select the Principal Recipients and Sub-Recipients who implement the programmes or the supervision or the development of the programmes, amongst others.
The specific recommendations of the work group are to create an external ethics committee (selected and assigned by the CCM) or a mixed committee (with members also from this same mechanism).
In any coordinating mechanism or governing board, it is inevitable that at one time or another a conflict of interest will arise, however, this decision-making area must have active policies and concrete measures to resolve these conflicts.
It would be difficult in many of our countries to have a CCM without the membership of key organisations that are also potential Sub-Recipients. For this reason, it is fundamental to strive for practical solutions to these central ethical issues.
The specific recommendations of the work group are to create an external ethics committee (selected and assigned by the CCM) or a mixed committee (with members also from this same mechanism).
In any coordinating mechanism or governing board, it is inevitable that at one time or another a conflict of interest will arise, however, this decision-making area must have active policies and concrete measures to resolve these conflicts.
It would be difficult in many of our countries to have a CCM without the membership of key organisations that are also potential Sub-Recipients. For this reason, it is fundamental to strive for practical solutions to these central ethical issues.
Harmonisation and Alignment
Since its creation, the Global Fund is an organisation that provides additional resources for national responses to the three diseases. However, in practice many Global Fund programmes become projects that are not aligned with the already existing programmes.
The group determined the need to leave rhetoric behind and move forward with implementation, thus the national response must be only one response and it must be multisectoral.
The Global Fund is now involved in the implementation of a new structure which includes, as a policy, that the countries may only request resources to fund National Strategies. This measure is, in some way, a reflection of the attempts at harmonisation that were not successful enough, not only in the countries but amongst the community of the donor countries.
The concerns of civil society are the validity and relevance of the National Strategic Programmes (those that require an in-depth review) and the participation of the NGOs, the most vulnerable populations and the communities in this new structure.
The Global Fund has existed for many years now and some countries in the region have been funded since the first round. However, there is still confusion and incertitude about the role of the CCMs accompanied by few practical responses to the challenges of communication and conflict of interest which, in many cases, cast a doubt on the legitimacy of these mechanisms.
Hopefully, this regional meeting whose focus is to strengthen the mechanisms, will be an opportunity to overcome some of these challenges and improve the effectiveness and efficacy of the resources that Global Fund invests.
By Alejandra Ruffo and Javier Hourcade Bellocq
Key Correspondents Team – Asuncion, 8/12/09
Since its creation, the Global Fund is an organisation that provides additional resources for national responses to the three diseases. However, in practice many Global Fund programmes become projects that are not aligned with the already existing programmes.
The group determined the need to leave rhetoric behind and move forward with implementation, thus the national response must be only one response and it must be multisectoral.
The Global Fund is now involved in the implementation of a new structure which includes, as a policy, that the countries may only request resources to fund National Strategies. This measure is, in some way, a reflection of the attempts at harmonisation that were not successful enough, not only in the countries but amongst the community of the donor countries.
The concerns of civil society are the validity and relevance of the National Strategic Programmes (those that require an in-depth review) and the participation of the NGOs, the most vulnerable populations and the communities in this new structure.
The Global Fund has existed for many years now and some countries in the region have been funded since the first round. However, there is still confusion and incertitude about the role of the CCMs accompanied by few practical responses to the challenges of communication and conflict of interest which, in many cases, cast a doubt on the legitimacy of these mechanisms.
Hopefully, this regional meeting whose focus is to strengthen the mechanisms, will be an opportunity to overcome some of these challenges and improve the effectiveness and efficacy of the resources that Global Fund invests.
By Alejandra Ruffo and Javier Hourcade Bellocq
Key Correspondents Team – Asuncion, 8/12/09
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