Civil Society Engagement in Managing GF Grants: A Case Study from Cambodia

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Civil Society Engagement in Managing GF
GrantsA Case Study from Cambodia

• XVII International AIDS Conference
• 3-8 August 2008, Mexico City
• Presented by Oum Sopheap, MD, MPH
• Executive Director, KHANA

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Outline

• Structure and Organization of CCM
• NGOs Engagement
• Success Stories and Lessons Learnt
• Issues and Steps Forward
• Acknowledgements

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Structure and Organization of CCM, Cambodia

• CCC established in February 2002 with 27
  Representatives now 29 Reps 4 Reps from NGOs
  and 1 Rep from PLHIV Group
• Subcommittee of CCC with 9 Reps Set up in Sept
  2002, Co-Chaired by WHO and CSO (MEDiCAM) now
  12 Reps 2 Reps from NGOs and 1 Rep from PLHIV
  Group
• 1 PR in MoH from Round 1 to 6 3 PRs within MoH
  for Round 7 and 1 PR from NGO for Round 8 if
  successful

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NGOs Engagement

• Priority Setting
• Call for Proposal
• Component and Sub Component Proposal Coordination
  
• Proposal Review and Recommendation
• Consolidated Country Proposal Finalization and
  Endorsement

• Grants Implementation
• Monitoring and Reporting
• Performance Review and Program Adjustment or
  Re-Programming

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Success Stories and Lessons Learnt

• Strong Leadership and Commitment Made Cambodia
  one of the Successful Countries in Receiving GF
  Grants from R1 to R7 (Except for R3)
• Good Communication, Coordination, Collaboration
  and Wide Consultation Helped Ensure Programme
  Relevance, Inclusiveness and Participation

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Success Stories and Lessons Learnt

• GF Grants Made Scaled up Interventions Possible
  in the Three Diseases
• Over 80 of PLHIV on ART (2007)
• 100 coverage of brothel based sex workers
• 100 DOTS coverage at health center level (2006)
• GF Grants Contributed Significantly to Health and
  Community System Strengthening

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Prevention
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Treatment and Care
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Impact Mitigation
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Success Stories and Lessons Learnt

• Effective NGOs Engagement Enable GF Grants to be
  Used for Comprehensive Response Using Comparative
  Strengths of NGOs and Public Sector, e.g. CoC
  Program
• Joint Process Widens Ownership of GF Funded
  Interventions

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Success Stories and Lessons Learnt

• It is Important that Those Representing NGOs are
  Effective Advocates
• Need for Balanced Representation in the Structure
  based on the Consensus about the Definition of
  Civil Society

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Challenges and Steps Forward

• Challenges
• Membership is not yet well balanced Govt.
  agencies (11 but 15 in the real term), 9
  bilateral/multilateral agencies, and 5 NGOs/PLHIV

• Steps Forward
• CS constituency will review and strengthen its
  membership and increase the number of its reps
• SC will strengthen its existing coordinating
  platforms so that diverse NGOs can work
  effectively together

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Challenges and Steps Forward

• Challenges
• NGOs are perceived by Government as not having
  the authority to take up the role of PR

• Steps Forward
• NGOs experience of GF opens up the possibility
  that NGOs can be in Position to share the role of
  PR in future rounds
• Ensure that the NGO coordination mechanism is
  dynamic and able to prove its efficiency in
  responding to changing needs

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• Acknowledgments
• Dr. Sin Somuny, Co-chair of CCCSC, and Executive
  Director of MEDiCAM,
• Dr. Michael OLeary, WHO Rep and Co-Chair of
  CCCSC
• Mr. Tony Lisle, UNAIDS Country Rep, CCC Member
• Dr. Michael Burnhart, URC Country Director, CCC
  member
• Dr. Kem Ley, HACC Executive Director, CCC member
• Mr. Heng Sok Rithy, CPN Coordinator,
• Sarah Knibbs, Technical Support Officer, KHANA
• Dr Tith Khimuy, Director for Program Management,
  KHANA, and
• Other Reps from SCOs