Relationship between PRs and SRs

1
Relationship between PRs and SRs

• Very rich and detailed discussion
• Wide range of experiences among the four
  participant countries
• Identified several common themes, but fundamental
  differences exist (size, geographic coverage,
  capacities, etc.)

2
Issue Capacities of SRs vary widely, and low
capacities among some can result in delays for
all

• Where low capacities exist, capacity building
  activities must be incorporated
• Where necessary, reprogramming may be required
  immediately, i.e., TA provided.
• Global Fund must recognize that inclusiveness
  clashes at times with accountability and quick
  results.

3
Issue Selection of SRs.

• The Global Fund needs to conduct a study of good
  practices of SR selection and disseminate widely
  to countries.
• The Selection is critical!
• The Global Fund should consider providing
  guidelines to CCMs on selection.

4
Issue Can be PRs unilaterally determine
reprogramming and budget reallocations that
affect SRs?

• The principles guiding a PRs ability to
  re-program and re-allocate budgets should be
  mirrored in the relationship between PRs and SRs
• The principle of flexibility between the Global
  Fund and PRs must be maintained at the PR/SR
  relationship level.

5
Issue 45 days to report is difficult with a
large number of SRs

• The Global Fund needs to recognize that while
  its desirable to have a large number of SRs,
  meeting the 45 day requirement is difficult, and
  therefore the Fund needs to be flexible and
  creative in revising its reporting requirements
  where necessary.

6
Issue NGOs reporting to government PRs may
compromise their independence.

• The Global Fund must reinforce to CCMs that a
  Country may have more than one PR for one disease
  component, and still support a national strategy.
• The CCM is responsible to ensure that programs
  are coordinated.
• The role of the CCM in this coordination
  oversight must be explicit.

7
Issue PRs must have the minimum capacities to
manage grants

• While this may seem obvious, many PRs are
  reluctant to utilize the necessary resources to
  ensure it has the capacity to fully support SRs.
• The Global Fund should assess these capacities,
  particularly during the Phase 2 decision making
  process.

8
Issue SRs located in isolated areas make
communications difficult.

• Better use of technology where appropriate, e.g.,
  the Pacific Community.

9
Issue ME with large number of SRs is difficult.

• Standardize ME Plan, with common indicators, is
  a good practice (e.g., Cambodia)
• Standardize program reporting requirements can
  facilitate disbursements.