CCM Global Fund

The purpose of the Global Fund to Fight AIDS, Tuberculosis and Malaria is to attract, manage and disburse additional resources through a new public private partnership that will make a sustainable and significant contribution to the reduction of infection, illness and death, thereby mitigating the impact caused by AIDS, tuberculosis, and malaria in countries in need, and contributing to poverty reduction as part of the Millennium Development Goals.

Country Coordination Mechanism or Country Coordinating Committee

The CCM, known in Cambodia as the Country Coordinating Committee (CCC), was established in February 2002. In line with GFATM guidelines, the first 22 CCC members were selected to represent different constituencies—government, UN agencies, multi/bilateral agencies, international organizations, the private sector, and civil society organizations/NGOs. The current list of members has now expanded to 29 members—11 from government, 9 from UN agencies and multi/bilateral agencies (WHO, UNICEF, DFID, French Cooperation, UNAIDS, EC, World Bank, JICA, and USAID) and 9 from civil society organizations (Cambodian People Living with HIV/AIDS Network, MEDiCAM, Cambodian Red Cross, HIV/AIDS Coordination Committee, University of Health Science, International Federation of the Red Cross, Faculty o Science, Cambodia Chamber of Commerce). The CCC Chair is from the government (the National AIDS Authority), and the deputy chair from WHO, elected by the CCC members.

In ensuring the implementation of the GFATM, the CCC operates in accordance with its TOR and regularly holds quarterly meetings to decide important issues such as priority needs for the three diseases in the country, endorsing proposals, resolving conflicts of interest, and more. Since the CCC makes decisions on significant issues, the quorum of the meeting is very crucial. It has been decided that the meeting cannot be held without the presence of minimum of “50% + 1” of its members. The decision will be made based on the majority of votes. Voting can be open or secret depending on how sensitive the issue is.

Country Coordinating Committee Sub-Committee (CCCSC)

The CCCSC was formed in September 2002 to act as secretariat to the CCC. At first the CCC Chair appointed six CCCSC members (all of whom are also members of the CCC) to represent 6 constituencies (government, UN, donors, international NGOs, local NGOs, and PLHA). Its membership has now expanded to 9 members—1 from government, 2 from UN agencies (WHO and UNAIDS), 2 from donors (French Cooperation and USAID), and 4 from NGOs/civil society organization (MEDiCAM, MSF, HACC, and CPN+). The CCCSC is currently co-chaired by WHO and MEDiCAM. The CCCSC was established to undertake the secretariat duties of the CCC. For example, the CCCSC does the first screening of proposals with the Technical Review Panel before bringing them to the CCC meeting to make a final decision and endorsement. Another example would be approval of budget allocations submitted and presented by the PR to the CCCSC. The CCCSC has now been given some authority to make decisions on behalf of the CCC. Another important thing that the CCCSC does is to review reports submitted and presented by the PR before sending them to the GFATM. The CCCSC works very closely with the PR in monitoring the implementation of the Global Fund. The CCCSC regularly holds a meeting on the second Friday of each month.

Election/Selection Process for the CCC (CCM)

Each constituency is responsible for deciding who will represent them at the CCC. Therefore the process has varied for each. The government discussed amongst itself and then appointed its representatives. UN agencies held a meeting and formed a consensus on who should represent them. Likewise, multilateral/ bilateral agencies met and discussed who to choose for their representatives. For NGOs, MEDiCAM sent information about CCC representative selection to all its NGO members and asked who would like to be involved. There were only two seats assigned to MEDiCAM, plus two alternates. When more candidates than this applied, the MEDiCAM’s Steering Committee took a vote. Similarly, the Steering Committee of CPN+, the network for people living with HIV/AIDS, and the HIV/AIDS Coordination Committee (HACC) Steering Committee also appointed their respective representatives. In general, Cambodia’s CCC membership has a good balance from government, multi/bilateral donors, and civil society (including private sector).

Principal Recipient (PR)

The Principal Recipient is the legally accountable party in Cambodia that signs the PGA with the GFATM. The PR acts on behalf of, and under the general guidance of, the CCC. The overall responsibilities of the PR include all matters pertaining to the substantial progress of the implementation of the program grant, such as receiving, managing and disbursing funds to the sub-recipients, overseeing procurement, monitoring and evaluation, and preparing regular financial and programmatic progress reports. The PR in Cambodia for Round 1, 2, and 4 is the Communicable Disease Control (CDC) Department of the Ministry of Health (MoH). Since the government departments have no legal form in their own right, CDC is the operating entity of the PR and the MoH is the legal entity. Only 7 members are officially nominated to the PR from the MoH. 5 members are from the CDC and two are from the Finance Department of the Ministry of Health. Due to its ever increasing scope of work accumulated from Round 1, 2, and 4, the PR has recruited additional TAs and staff to effectively undertake their responsibilities as stipulated in the TOR. There are currently 17 members in total.

The PR Selection

The PR was unanimously selected by the CCC on August 19, 2002, the date of its third meeting at MoH. The consensus was for the MoH to be the PR and the CCC Secretariat to work more closely with the PR to oversee both financial and technical management on behalf of the CCC. The MoH would use its existing structures to manage and monitor financial and technical implementation. It was later decided that since the CDC department deals with these three infectious diseases, it is appropriate that the CDC be the operating unit of the MoH that acts as the legal entity for the PR in Cambodia.

Principal Recipient Technical Review Team (PRTRT) and New Proposal Technical Review Panel (NPTRP)

It would be ideal to have two different pools of qualified human resources. At some point, it was suggested to merge the PRTRT and the NPTRP together due to Cambodia’s limited number of qualified people. To strengthen good governance, during the proposal development stage for each round the CCCSC has identified experts or consultants from different partners who have extensive experiences and specific knowledge of each of the diseases to technically review the proposals. To avoid any conflicts of interest and bias, the CCCSC has tried as much as possible to select only those who have not been involved in developing proposals themselves. The PRTRT are experts from the National Program, NGOs and donors, and they are working closely with the PR to ensure that partners are implementing the programs in line with national policies.

Local Fund Agency (LFA)

KMPG is a company in Cambodia that has been selected by GFATM to act as a LFA. KPMG’s contract originally expired in October 2003, but its satisfactory performance was confirmed by the PR and the CCC has since approved an extension.

Management Structure

Contact Information

CCC Secretariat
Mr. Kith Vanthy
Address:#4, Street 522, Boeun Kak1, Toul Kok, Phnom Penh, Camobdia
Tel: 855-23-880-291
Fax: 855-23-880-292
Email: cccadm@ccccambodia.org