EHG awarded GIZ study on CCMs integration into national health systems

Improved health sector coordination, a process to which the Global Fund contributes, lends to the opportunity to embed the Country Coordinating Mechanism (CCM) further within the institutional landscape for the long term, adheres to international principles on harmonization and alignment, and improves Global Fund access, communication and collaboration with key partners.  

In the 2002 Framework Document, the Global Fund stated the need for a multi-sectoral coordinating structure to oversee the development and implementation of HIV, TB and Malaria programmes financed  by the Global Fund. However, few countries had adequate structures in place for coordinating the response to the three diseases effectively and many created CCMs as a separate, multi-sectoral coordinating body. Since 2002, given the unique context of each country, a variety of models and degrees of independence or integration of CCMs with broader national health sector structures have emerged.

In 2015, EHG was contracted by the German BACKUP Initiative to conduct a study on the possibilities of integrating and harmonizing CCMs with national health sector structures in four countries (Ethiopia, Ghana, Guinea and Moldova). The BACKUP Initiative is implemented by the GIZ (Deutsche Gesellschaft für Internationale Zusammenarbeit GmbH) with funds from the German Federal Ministry for Economic Development and Cooperation (BMZ) and the Swiss Development Cooperation.

The methodology being employed draws upon EHG’s previous experiences conducting large-scale and complex studies, evaluations and scoping missions and is based on GIZ’s Capacity WORKS approach and tools.  Since November, the team of EHG experts has been  analysing the models, characteristics and functionalities of four CCMs within different settings and country contexts and  assessing opportunities and challenges regarding improved health sector coordination. In a second stage, strategic options, including the necessary steps to be undertaken for strengthening collaboration and further CCM integration into national health bodies will be  elaborated. Synthesis of all information will be aimed at development of an approach for longer-term German BAKCUP Initiative support to selected CCMs focusing on integration.