E.3.Challenging, Changing and Mobilizing: Effective participation of people living with HIV on country coordination mechanisms (CCMs).
Objectives and scopeWhile CCMs across the world are functioning well, in some developing countries the required processes do not seem to be clearly defined. There has been lack of accountability regarding the selection criteria for CCM Members and the genuine participation of various key stakeholders and constituents as revealed by 13 country studies by the Global Network of People Living with HIV/AIDS (GNP+). The main focus of this study was on the involvement of people living with HIV on the CCMs.
Methodology Commissioned by the Global Fund Secretariat, GNP+ embarked on a multi-country study to assess the degree of involvement and participation of people living with HIV (PLHIV) on CCMs. From the study findings, it became evident that PLHIV needed a CCM Handbook, which would be used as a toolkit to increase and improve the meaningful participation of PLHIV on CCMs. Following this multi-country study there were a series of in-country consultations, the results of which were fully discussed at a Partnership Forum at the 15th International AIDS Conference in Bangkok, July 2004.
For Malawi, a team of PLHIV convened in Salima in June 2004 to discuss the Global Fund and CCM in Malawi. The team discussed their knowledge about the Global Fund and CCM, their involvement and what they would need for effective participation on the CCM.
Results Like in other countries, the team found out that members, PLHIV, knew little or nothing about the Global Fund and CCM in terms of history, structure, how CCM members were identified, whether they represented the relevant constituencies according to the guidelines and how the situation could be improved.
Conclusion The team made various conclusions but key were recommendations for the development of a toolkit to facilitate capacity building for effective representation on the CCM.
Such a Global Fund /CCM Handbook should clearly spell out the history, structure, composition of CCMs, selection criteria of CCM members, what it means to be a member on the CCM, and the level and timeframe of representation.
The Consultation Team felt the CCM Handbook and guidelines would enhance the ability of the Global Fund to be an effective resource body in serving the communities most in need and would also contribute to facilitating PLHIV access to Global Fund resources.