I. Program Area Background:

In 2007 and 2008, PEPFAR/OGAC worked closely with the Global Fund to strengthen management

structure and governance of the Cote d'Ivoire Country Coordinating Mechanism (CCM) through support of

transparent membership renewal and reconstitution of the CCM. A baseline qualitative assessment of the

CCM revealed a poor understanding of the five functions of a CCM; little harmonization of the Global Fund

grants with other support or with a formal gap analysis; much confusion over the proposal development

process; few oversight activities, resulting in confusion between the CCM and the principal recipient (PR);

and minimal transparency and little circulation of information between the Executive Committee and other

members. With PEPFAR support through the Leadership, Management and Sustainability (LMS) program

conducted by Management Sciences for Health (MSH), considerable progress has been made over the

past year, including re-establishing clear by-laws, establishing four oversight committees within the CCM,

and taking steps to secure public not-for-profit status of the CCM — all of which culminated in the

transparent election of a new CCM president in February 2008. The Cote d'Ivoire CCM is now recognized

by the Global Fund as compliant with by-laws and guidelines for Global Fund Country Coordinating

Mechanisms.

II. Program Description

With FY09 funding, LMS will provide additional support for the structural reform of the CCM and the

Secretariat as well as capacity building in governance, leadership and management, general oversight,

monitoring and evaluation, constituency communications, and harmonization of Global Fund activities with

other efforts. Additionally, LMS will provide capacity building to the PR and selected sub-recipients in order

to increase the transparency and communication among all Global Fund entities. Proposal development of

a Round 10 HIV/AIDS grant and guiding initial gap analysis will also be main priorities of the LMS technical

assistance.

III- General Program Objectives

The goal of the LMS program's technical assistance is to clarify the five functions of a CCM for each

member and to transform the CCM into a cohesive body that is a critical and effective player in rallying all

sectors within the country to combat HIV/AIDS, malaria, and TB.

There are three general program objectives for the LMS intervention:

• The CCM, Executive Committee, and Proposal Development Committee have strengthened capacity to

develop high-quality, multi-sectoral proposals in HIV/AIDS for submission to the Global Fund.

• The CCM and CCM secretariat have strengthened capacity for governance, oversight, and monitoring of

the implementation of Global Fund grants.

• The PR and sub-recipients have strengthened capacity in monitoring and evaluation, reporting to the

CCM, and program implementation.

Activities:

Capacity building of the CCM Permanent Secretariat:

Recruitment of a permanent secretary and organization of the newly ratified structure of the CCM

secretariat has been ongoing in FY08. With FY09 funding, LMS will continue to work with the new

secretariat on administrative procedures, roles and responsibilities, Global Fund procedures, simple

monitoring dashboards, operational systems, and general capacity building.

Global Fund HIV/AIDS proposal:

With FY09 funding, the LMS team will help facilitate the Round 10 HIV/AIDS proposal process and ensure

that the CCM researches and submits a strong, comprehensive, and feasible proposal in answer to the

March 2009 call for submissions from the Global Fund. (Technical assistance for a Round 9 proposal will be

provided with FY08 funding.) Led by an international consultant and supported by a team of local proposal

development consultants (including a representative of PEPFAR, a specialist in HIV/AIDS, and a

budget/accounting specialist), the team will guide the CCM through a transparent proposal development

process while simultaneously building its capacity and a deeper understanding of the process so as to lay

the foundation for increased involvement by CCM members in future proposal processes. A local LMS

consultant will assist the CCM in the assessment of the organizational and financial capacities of potential

PRs/SRs. Using the Program Management Capacity (PMC) Assessment Tool and the Financial

Management and Systems (FMS) Assessment Tool from the Global Fund as guides, the local consultant

will make site visits to potential candidates to make assessments and offer recommendations to the CCM

on qualifications. The international consultant, an expert in health systems strengthening, will harmonize the

PEFPAR-led HIV/AIDS Round 10 proposal with other sector proposals for malaria and TB (should the CCM

decide to apply in these areas).

Resource Mobilization and Communications:

LMS will continue to provide technical assistance through a consultant to assist the CCM to implement its

annual workplan. LMS will offer a workshop for CCM members on resource mobilization for sustainability of

the CCM, to be led by an international consultant. The consultant will work with the CCM to mobilize diverse

resources to fund CCM functions. This consultant will assist the CCM to submit its annual funding request to

Global Fund Geneva, and the team of LMS local consultants will continue to assist in the mobilization of

resources throughout the year by periodically checking in with the resource mobilization CCM sub-

committee regarding the status and amount of funds mobilized.

The resource mobilization committee will continue to work on the action plan established during the

leadership development program, adapting the plan and/or creating new ones when results or milestones

are achieved. Ongoing leadership and management coaching by local and international facilitators will

monitor progress on these plans.

The implementation of all communications strategies will be led by the CCM communications sub-

committee. Local LMS consultants will facilitate and monitor the implementation of the communications

action plan and offer support as needed. The communications sub-committee will continue to work on the

Activity Narrative: action plan established during the leadership development program, adapting the plan and/or creating new

ones when results or milestones are achieved. Ongoing leadership and management coaching by local and

international facilitators will monitor progress on these plans.

CCM Policy Documents:

The framing documents for the CCM will be revisited during FY09 to determine whether updates are

needed. Local consultants will work with the CCM to ensure that documents are updated regularly

(documents include the governance manual, by-laws, and M&E plan).

Leadership and Management Capacity Building:

The overall vision of the LMS leadership and management intervention is to assist the CCM to become an

effective, compliant, stable, and good steward of the resources and trust invested in it by the Global Fund

and the country of Cote d'Ivoire.

During FY08, LMS conducted a Leadership Development Program with the CCM. Starting with a scanning

exercise that included field visits to sub-recipient sites in Aboisso and Bonoua, CCM members observed

direct beneficiaries of the Global Fund grants in local clinics, hospitals and pharmacies. Over the course of

three workshops, each CCM sub-committee created an action plan with a single, defined, measurable result

that could be achieved within six months.

(1) During the Leadership Development Program, the CCM was introduced to the "challenge model," which

provides a systematic way for groups to experience the direct impact of applying management and

leadership practices to achieve results.

During FY09, the international team leader and local consultants will continue to coach the CCM sub-

committees on implementation of their action plans. To review the progress of the CCM, LMS local

consultants will lead the CCM through a self-assessment tool.

Strengthening Governance:

CCM governance strengthening for transparency and accountability: One of the challenges the Cote d'Ivoire

CCM faces is that of ensuring that new members, especially civil society members, understand their roles

and responsibilities and can participate as equals in CCM meetings and activities. Building the capacity of

new members in CCM governance includes helping them to understand CCM structure and functions and

the concepts of transparency and accountability. In order for capacity building to be sustainable, the CCM

needs a mechanism to bring new members on board that does not depend on outside technical assistance.

LMS will develop and package a virtual program on CCM governance for the CI CCM using a combination

of CD-ROM, Web-based tools, and a facilitator guide for face-to-face workshops on governance and

transparency. LMS will base the modules on its extensive experience using virtual means to deliver

leadership training, strategic planning, and governance strengthening for civil society organizations.

Monitoring and Evaluation-

With Fy09 funding, LMS will continue to strengthen monitoring and evaluation capabilities of the Cote

d'Ivoire Global Fund entities in the following ways: (1) capacity building of the CCM's oversight of the PRs

(and in certain cases sub-recipients) and ongoing grants; (2) long-distance coaching from international M&E

specialists to ensure that the CCM is fully supported; and (3) direct work with the PR and select sub-

recipients to continue supporting a regular reporting system between the recipients and the CCM to ensure

open communication and transparent oversight. As part of this activity, the LMS team will offer face-to-face

workshops with members of the CCM's M&E subcommittee and select members of the PR and SR to

design simple dashboard monitoring tools to establish a harmonized reporting system.

Between training sessions, the follow-up with members will be twofold: (1) long-distance coaching from the

international consultant with designated members of the CCM M&E committee, PR, and SRs; and (2) on-

site follow-up with the CCM, PR, and SRs by a local M&E consultant.

The CCM M&E subcommittee will continue to work on its action plan established during the leadership

development program, adapting the plan and/or creating new ones when results or milestones are

achieved. Ongoing leadership and management coaching by local and international facilitators will monitor

progress on these plans.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17066

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

17066 10568.08 U.S. Agency for Management 7219 7219.08 Global fund $500,000

International Sciences for technical

Development Health support Tasc

order

10568 10568.07 U.S. Agency for Management 7324 7324.07 MSH $50,000

International Sciences for

Development Health

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $280,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.18: