Global Fund - Proposed Implementation Structure
Background  |  Proposed Implementation Structure
 
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Lesotho Country Coordination Mechanism (CCM)

The Lesotho CCM will be the body overseeing the implementation of all Global Fund grants to Lesotho. The CCM has representatives from all of the different sectors engaged in the HIV and AIDS and TB response in Lesotho. In order to fulfill its oversight responsibilities, the CCM will request regular reports from the Principal Recipients on the implementation of the various grants, including Round 8. The CCM is responsible to ensure that funds are used according to the objectives of the Global Fund grant. The CCM is also responsible for ensuring the Global Fund policies and procedures are followed the the Principal Recipients. The CCM has the mandate to initiate changes in the implementation arrangements, including changing Principal Recipients, if serious problems occur.

Principal Recipient

LCN was nominated as one of two Principal Recipients (PR) for the Round 8 grant. LCN’s role as a PR is still subject to confirmation by the Global Fund following the results of a comprehensive capacity assessment. If LCN is confirmed as a PR, it will sign a grant agreement with Global Fund for approximately $14 million US. LCN, through it Board of Directors, will be accountable to Global Fund for using these funds to achieve all of the results they were intended for in the original funding proposal. LCN will need to create effective partnerships with a number of different organizations in order to carry out its responsibilities as a PR. These include Sub-Recipients and Implementing Partners which are described below.

For guidance and accountability in the implementation of the PR role, the LCN Board has created the Global Fund Advisory Committee. The committee will be comprised of stakeholder representatives from the civil society sector. The role of the committee will be to assist LCN to administer its portion of the Global Fund grant in a timely and effective way. The committee will also have a role in developing funding priorities, reviewing proposal submissions, and recommending funding awards.

LCN will also continue to function as a national umbrella body. It has 150 member organizations located in every district in Lesotho. LCN will still be providing technical and programmatic support to its member organizations who become implementing partners within the Round 8 structure.

Sub-Recipients

Sub-Recipients (SRs) partner with the PR to carry out a program of work that is part of the Round 8 grant. Sub-Recipients sign detailed funding agreements with the PR and become accountable for achieving the results that are attached to the specific component(s) of the Round 8 grant that they agree to undertake.

In the Round 8 funding proposal, SRs were selected prior to the proposal being completed and approved. Although, at the time, SRs submitted concept notes indicated their areas of expertise, it was impossible then to specify exactly what SRs would do once the Round 8 proposal was approved. Now that there has been final approval of the Round 8 proposal, the SR roles need to be sorted out between the two PRs, and the SRs themselves need to proceed through an assessment and confirmation process. It is up to the PR to designated and contract with relevant SRs. The CCM plays an oversight role in this respect ensuring that SRs are selected and qualified according to Global Fund policies and procedures.

LCN has designated four SRs from the original list of six. They are Catholic Relief Services, Population Services International, LENEPWHA and ALAFA. LCN has asked the SRs to undertake three specific functions that are part of the Round 8 grant:
  • Implementation of Specific Programmatic Elements

    The non-governmental component of the Round 8 grant contains specific programs for target populations. These include prevention interventions for out-of-school youth, men-who-have-sex-with-men (MSM), people with disabilities, commercial sex workers and herd boys. There are also interventions to involve people living with HIV in community level prevention activities. In the proposed SR arrangements, LCN has assigned these and other programmatic elements to different SRs based on their technical expertise and their current relationships to the target groups.
     
  • Technical Support to Umbrella Bodies

    The Round 8 grant provides support for the development of program management units within three national umbrella bodies who are main stakeholders in HIV & AIDS. It also provides for the creation of a new umbrella body focusing on HIV & AIDS within the business and labour sectors. The support includes human resources, furniture and equipment, a vehicle, and program running costs. The purpose of this support is to significantly strengthen the capacity of umbrella bodies to support the needs of their member organizations for capacity development and for effective program implementation at the community level. SRs will provide technical support to an umbrella body that is linked to them for the scale-up of program management capacity.
     
  • Technical Support to Implementing Partners

    The term implementing partner refers to individual organizations that receive support for specific projects they wish to carry out at national, district or local level. The Round 8 grant provides a number of different opportunities for project funding for non-governmental responses to HIV & AIDS. It is proposed that project funding be managed similar to the approach used by NAC. In this approach, umbrella bodies solicit proposals from their membership and then submit one consolidated request. The consolidated proposal is reviewed and funding awards made based on the funding program criteria. Grants are then awarded to umbrella bodies for the implementation of the approved projects. The umbrella body is then required to provide technical support to these partners and to supervise the implementation of funded projects.

    In the Round 8 implementation framework, SRs will work with umbrella bodies to ensure that capacity is developed to support and monitor the funded projects carried out by implementing partners at the local level.

In the case of LENEPHWA, the arrangement will be different. LENEPWHA will engage a technical support partner to work with it during the implementation of its Global Fund activities. LCN and LENEPHWA are currently in discussion on the identification of an appropriate partner.

Implementing Partners

Implementing partners are local or international organizations that apply for and receiving funding from the Round 8 grant. The funds will support projects aligned with the different priorities for HIV & AIDS that are set out in the Round 8 grant. Implementing partners should, for the most part, be affiliated with a relevant umbrella body where they can receive programmatic and technical support if required during the implementation of their projects. In some cases, implementing partners will not be affiliated with an umbrella body and will be funded and monitored directly by the SR.

As noted above, LCN is itself an umbrella body and will be providing support to its member organizations who successfully become implementing partners.

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