TB and community systems strengthening October 1, Oct 2013Geneva

Global Fund and Community Systems Strengthening: Background CSS background - Introduced in Round 8 - CSS Framework developed in Round 10 - Variable uptake: high association with civil-society led and regional projects - High levels of misclassification between CSS and other strategies - Confusion with regard to relation between CSS and community sector implementation 1 Oct 2013Geneva

Global Fund and Community Systems Strengthening: GF Strategy Emphasizes the need to support national systems, defined as “all country systems, including both government and non-government systems” - Strategic Action 1.1 (Ensure appropriate targeting of most at risk populations) includes “make explicit provision in the funding model for greater emphasis on community systems strengthening.” - Strategic Objective 4 (Promote and Protect Human Rights) “The “Gender Equality Strategy” and “Sexual Orientation and Gender Identity Strategy”, along with support for community systems strengthening are further contributions made by the Global Fund to advancing human rights in the context of the three diseases. 1 Oct 2013Geneva

Revision process Translation of current CSS content into “NFM format” (modules, interventions, illustrative activities) Identification and removal of duplications and of elements that are covered under core programming (e.g. service delivery); refocus on strengthening Consultation on first draft – respondents commenting on both content and mode of integration into each component 23 responses (HIV>TB>malaria>HSS) Harmonization process with disease advisors and cross cutters held on September 27

Consensus The same module with a package of four interventions will go in HIV, TB, and malaria. The name of the module is “Community System Strengthening”. The CSS module will focus on strengthening of the sector, and “enabling environment” activities. Direct program implementation by community organisations is covered in the core disease modules. Guidance on disease programs will emphasize that core program interventions or modules can be implemented by any sector – public, private, or non-governmental, depending on the context and needs.

Interaction with human rights The ‘community monitoring’ and ‘policy advocacy and social mobilization’ interventions are included in CSS, but there will be a system prompt in the software so that when applicants select the ‘removing legal barriers to access’ module, they are reminded to select the two CSS interventions as well. Human rights, CSS, and disease guidance will also note this interaction.

Interventions (draft formulation) Intervention 1: Community-based monitoring for accountability of all services, activities and other interventions related to the disease as well as respect for human rights Intervention 2: Advocacy to ensure accountability and continuous improvement of responses to the disease Intervention 3: Social mobilization, building community linkages, collaboration and coordination Intervention 4: Institutional capacity building, planning and leadership development in the community sector

Original CSS SDAs grouped under intervention 4 1. Development of human resources for community systems 2. Material resources for community systems: ensuring adequacy of infrastructure, equipment and other materials that are necessary for effective, functional community systems. 3. Availability, use and quality of services and other activities delivered by community sector organizations 4. Management, accountability and leadership in community groups, organizations and networks 5. Strategic and operational planning for community action