TECHNICAL SUPPORT PROVIDED TO COUNTRIES

GMS provides short-term technical support to countries receiving grants from the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund). GMS conducts technical support through all phases of the Global Fund funding cycle except for one, which is the phase when funding requests are developed.  All technical support GMS provides has been requested by a country coordinating mechanism (CCM) or other body, including USAID field offices, approved by the U.S. government, and is conducted  directly in response to these requests. GMS rapidly mobilizes consultant teams with the appropriate language skills, technical expertise and availability to help CCMs, principal recipients (PRs) and subrecipients (SRs) address a range of issues that hamper their functioning.  During technical-support assignments, GMS closely monitors the progress of these teams to ensure that high-quality technical support is delivered.   Following assignments, GMS systematically collects feedback from clients and conducts follow up at 6 and 12 months after an assignment to measure the impact of GMS’s technical support.

Pictured to the right are members of a technical support team that provided assistance to the Lao People’s Democratic Republic in 2014.

A map that displays the countries GMS works in.
South Africa

3 assignments

Zambia

2 assignments

Zimbabwe

3 assignments

St. Vin. and Gren.
Senegal

3 assignments

Ukraine

1000 assignments

2 PR dashboards

South Sudan

2  assignments

Nigeria

13 assignments

Mali

1 assignment

Mozambique

4 assignments

Niger

2 assignments

Malaysia

1 assignment

Nepal

1 assignment

Namibia

1 assignment

Papua New Guinea

1 assignment

Philippines

2 assignments

Mauritania

1 assignment

Rwanda

1 assignment

Swaziland

2 assignments

Thailand

3 assignments

Tunisia

1 assignment

Uganda

4 assignments

Chad

2 assignments

El Salvador

1 assignment

Lesotho

5  assignments

Malawi

8  assignments

Morocco

2  assignments

Nicaragua

3  assignments

Solomon Is.

1  assignment

Somalia

1  assignment

Tajikistan

2  assignments

Tanzania

3  assignments

Timor-Leste

1  assignment

Saint Lucia
Kenya

1  assignment

Djibouti

1 assignment

Kazakhstan

2 assignments

Kyrgyzstan

2 assignments

Cambodia

2 assignments

Liberia

4 assignments

Botswana

3 assignments

Cameroon

3 assignments

Central African Rep.

2 assignments

Dem. Rep. Congo

2 assignments

Côte d'Ivoire

6  assignments

Dominican Rep.

5  assignments

Ethiopia

1 assignment

Georgia

1  assignment

Ghana

4  assignments

Guatemala

2  assignments

Guinea

2  assignments

Guyana

1  assignment

Haiti

1  assignment

India

5  assignments

Indonesia

1  assignment

Lao PDR

2  assignments

St. Kitts and Nevis
Grenada
Dominica
Afghanistan

1 assignment

Burundi

6 assignments

Bangladesh

6 assignments

Angola

1 assignment

Benin

2 assignments

Bosnia and Herz.

1 assignment

Burkina Faso

6 assignments

Antigua and Barb.

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Technical support to CCMs

Picture of poster showing the composition of a CCM

The GMS approach to supporting country coordinating mechanisms (CCMs) is grounded in principles of country ownership and effective strategic governance by multisectoral coordination bodies.  GMS technical support to CCMs centers mainly on two areas:  helping  CCMs to attain and sustain eligibility to obtain Global Fund financing, and; strengthening governance and oversight to ensure adequate CCM functioning.

Eligibility for financing is  measured through the Global Fund’s eligibility and performance assessment (EPA) process. At the heart of the EPA is an assessment of performance against various requirements that CCMs must meet. With its extensive experience in conducting EPA exercises, GMS has become the technical support provider of choice for many CCMs seeking help to navigate the EPA process.  At times, GMS provides assistance in response to CCM requests for follow-up support to implement performance-improvement plans CCMs produce to address weakness an EPA may uncover.

Most performance-improvement plans require CCMs to strengthen constituency engagement and oversight. GMS has helped several CCMs develop mechanisms for increasing engagement with often-neglected constituencies (such as people living with HIV/AIDS).  GMS also supports the development of systems and procedures to help CCMs implement strategic monitoring of grants using tools such as the CCM Summary.

Last, GMS occasionally assists CCMs to improve their operational functioning by strengthening management structures, systems and capacity of CCM secretariats.

Grant implementation

GMS provides support for implementation of grants including startup and bottlenecks, in areas including monitoring and evaluation; grant and financial management; reporting (including training on completion of progress update and disbursement requests or PUDRs); health products management.

The Global Fund  to Fight AIDS, Tuberculosis and Malaria (Global Fund) often requires the establishment of a grant management unit (GMU) within a governmental principal recipient (PR) to manage Global Fund programs. GMS provides technical support to GMUs in developing policies and procedures that align Global Fund and national requirements, usually in comprehensive grant operational manuals that include sections on management of subrecipients (SRs).  GMS follow-on support to GMUs is always in the form of training for staff in application of procedures for day-to-day management of grants.

Grant making

Grant making is the phase of the grant cycle of the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) after funding has been approved for a country and before a grant agreement is signed.  During this phase, many grant recipients require assistance with preparation of a variety of documents relating to the agreement that is ultimately signed between the  Global Fund and the grantee.   GMS teams help grant recipients with completion of grant-making documents (performance framework, quantification of pharmaceuticals and medical products, budgets, implementation arrangements, training plans and risk management, among others). GMS teams are sometimes invited to support a principal recipient (PR) during grant negotiations after documentation is submitted to the Global Fund and to follow up with making any changes to core grant documents the Global Fund may require.

PR Dashboards

GMS provides technical support to principal recipients (PRs) in the introduction of management dashboards for individual country grants as well as for regional grants.  These dashboards provide a one-page visual display of key indicators that allows drilling down to the subrecipient level. The technical support includes orientation to the management-change framework associated with adopting these dashboards; assistance with selection of indicators and their thresholds; help with installing and configuring dashboards; coaching in analysis of dashboard data; and guidance on navigating management and technological issues arising that may hamper effective use of dashboards.