Bhutan CCM Structures Refection and challenges Bhutan CCM

Bhutan CCM Structures: (Refection and challenges)

Bhutan CCM Structure • Country Coordinating Mechanism (CCM), a country-level partnership of stakeholders, responsible for developing and submitting grant proposals, nominating Principal Recipients, and providing oversight to grant implementation. • Principal Recipient, Ministry of Health is the designated/ chosen by the CCM to receive funding from the Global Fund, implement programs, and distribute funds to sub-recipients. • CCM Secretariat, responsible for day-to-day operations, coordinating meetings and assist the CCM in overseeing grant implementation.

Bhutan CCM Membership Composition CONSTITUENCY TOTAL MEMBER SUB-CONSTITUENCY Academic/Education 1 Representative of National Academic institutions in the country Govt. Sector 5 2 : Ministry of Health 1: Ministry of Education 1: Ministry of Finance 1: GNHC NGO /CSO 7 Representatives from CSO registered under CSOA Persons living with the diseases (HIV/AID) 1 1: Persons living with the diseases (HIV/AID) Key affected populations 1 Religious /Faith Based Organizations 1 Representative of the RO registered under CRO in Bhutan Private Sector 1 1: Representative of network/umbrella organization (Chamber of Commerce) Multilateral and Bilateral 3 2: Representatives of Multilateral agencies 1: Representatives of Bilateral agencies (Partners in-country) 1: Representative of key affected populations. CCM Member : LGBTIQ Alternate : ex TB patient

CCMs: Experiences and challenges • Conflicts of interest • Poor representation of sectors (members believe they represent only their organization; motivation is to ensure my organization gets GF funds) • Confusion between the CCM and other national bodies • Poor or non-existent oversight, little support of PRs to resolve cross-cutting problems & bottlenecks

CCM Organogramn CCM EC (Executive Committee) Oversight Committee (OSC) Proposal Development Committee (PDC) FULL CCM Technical Working Group (TWG) PR- HIV CCM Secretariat PR- TB SRs SSRs PR- Malaria IP

HIV : GRANT OVERVIEW GF Round Grant No. Title of the project Duration Round 6 BTN-607 -G 03 -H Scaling-up HIV prevention services among 1 Feb 2008 – 31 youth and other vulnerable population groups Jan 2013 through multi sectoral approach Committed (US$) US$3, 182, 320 BTN-607 -G 03 -H Transitional Funding Mechanism (TFM) Scaling-up HIV prevention services among 1 Feb 2013 - 31 US$ 601, 332 youth and other vulnerable population groups Jan 2015 through multi sectoral approach (R 6 Continuation) New Funding BTN-H-MOH Model (NFM) Multi Country MSA-910 -G 02 -H South Asia Global Fund Program on HIV (MSA) Preventing HIV/AIDS and Strengthening 01 Jul 2015 -30 US$1, 191, 655 treatment of PLHIV Jun 2018 Reducing the impact of HIV on men who have July 2013 - US$16, 762, 166 (Total sex with men and transgender population in December 2015 grant) South Asia NACP- USD $ 93, 222. Lhaksam - USD 48, 905

TB : GRANT OVERVIEW GF Round Grant No. Title of the project Duration Committed Fund in US$ Round 4 BTN-405 -G 02 -T 2005 -2008 913, 633 Round 6 BTN-607 -G 04 -T A Renewed strategy to reduce TB burden in Bhutan Strengthening Quality TB control in Bhutan 2008 -2012 1, 871, 171 Transitional Funding BTN-607 -G 04 -T Mechanism (TFM) 2013 -30 th June 572, 404 2015 (Continuity of Round 6) New Funding Model BTN-607 -G 04 -T (NFM) To reduce TB and MDR-TB 01 Jul 2015 - 30 1, 395, 895 burden in Bhutan Jun 2018

MALARIA- GRANT OVERVIEW GF Round Grant No. Round 4 BTN-405 -G 01 -M Enhance Malaria Control Round 7 Transitional Funding Mechanism (TFM) Title of the project Programme in Bhutan Duration Committed Fund in US$ 1 Apr 2005 -1 Mar USD 1, 343, 198 2009 BTN-708 -G 05 -M Strengthening Malaria 1 Jul 2008 -30 Jul 2013 US$ 3, 691, 285 Prevention and Control in Bhutan BTN-708 -G 05 -M Sustaining Malaria control 1 Jul 2013 -30 June $820, 766 and prevention in Bhutan 2015 (Continuity of Round 7) New Funding Model BTN-M-MOH (NFM) Acceleration towards 1 Jul 2015 - 30 June $ 1, 942, 261 achieving zero Indigenous 2018 Malaria in Bhutan

References and Address • http: //www. theglobalfund. org • http: //www. bhutanccm. org • http: //www. aidspan. org Country Coordinating Mechanism (CCM) Secretariat The Global Fund to fight HIV/AIDs, Tuberculosis and Malaria P. O. Box# 726, Ministry of Health Building Thimphu: Bhutan Tel/Fax: +975 - 2 331751