Amzad Ali,

I had to read your submission a few times and thought these to be some excellent suggestions...can you draw the flow chart let us look at this from a few angles. The GF will have to provide you with the tools/software modification to accommodate you. I'm all ears for you ...

Dear all,

I'm, in fact, not replying you any although enjoyed your deliberations and learned a lot, rather posting an idea for discussion since I got many ideas, some implementation modalities, sincerities, involvement of stakeholders, involvement key affected people in implementation planning, stronger monitoring to capacity building and what not.

I agree with all, however, the ‘trillion’ dolor question is how to materialize all these effectively? That is why, I will be discussing on a new management concept for the GF to address all these issues raised so far and to get the desired benefits, I mean the better utilization GF funds in local country context. I’m also coming up soon with some new management concepts that GF may apply for the improvement of the affected people from 3-discease at each country level what will have cumulative global impact.

LQCA (Local Quality Control Agent or LQAA - Local Quality Audit Agent or some thing like that) – It is like the LFA -- Local Fund Agent – who provides services to the GF, appointed locally, in monitoring the performance and expenditure in the local country context where the focus of their activities are mostly counting events and expenditure (which is important as well).

LQCA/LQAA doesn’t non-exist any where! It’s a new management concept for the GF. There is a growing concern by many including the GF about the quality of program implementation, interventions, materials, etc. up to outcome/impact level. GF is yet to come up with appropriate mechanism but thinking importantly, indeed, I believe. Appointing another independent agent (LQCA/LQAA) by the GF similar to the LFA but to look into the quality (better outcome as well) issue, what we also may call ‘quality auditing’. I’m not in favor of providing the quality auditing responsibility to the LFA. If it is a separate agent, this will have excellent “check and balance” effects for the country perspective of monitoring (between LFA and LQCA/LQAA) as well as there will be substantial improvements of GF projects’ implementation in different countries; since there is also concern of the quality of work by the LFA.

Countries are stamped as A+ category implementation status in terms of what? Is it not only based on, essentially and mostly, on expenditure status and number of events? How about if there is ‘low quality’ implementation and receiving the A+ category implementation status fulfilling mathematical targets and financial expenditures? Are there not several instances of such issues; and the local and external professionals (not involvement with PR/SR) are in the best position to tell about the real (and/or quality) status of implementation and nevertheless, the foremost important is the ‘quality’ assured design of each and every interventions, quality of materials developed and produced in line with interventions, effectiveness of these materials (print or electronic) at the beneficiary level, capacity and quality of implementing personnel, quality assured implementation and monitoring including the quality of financial mechanism and management etc.

I strongly advocate that it is the best time to think and assure the quality of implementation of over Billions of dollars worldwide. Otherwise, the “performance based” funding mechanism of GFATM will be questionable (?) without quality auditing which is not possible with the ongoing system of LFA.

If LQCA or LQAA (or anything like this) is instituted, the GF will be getting separate ‘quality audit’ reports to make more informed decisions and to guide the PR/SR effectively. There is lot of other advantages for the Global Fund especially in the country context including the better utilization of such a valuable and huge fund.

Who can be the LQCA or LQAA? Non-UN intergovernmental agencies having expertise on HIV-TB-Malaria will the best to fulfill the quality-auditing responsibilities. Why intergovernmental? They are more flexible and supportive to the government. What about INGO? Yes, they also can be LQCA or LQAA. What about local audit firm? Yes, they also can be the LQCA or LQAA. However, non-UN intergovernmental agencies are stronger, have global networks and can render better services to the GFATM and to the PR/SR simultaneously. They, also, have the immunity to stand stronger in adverse local conditions and situation, if any. Adverse local situation is not only the civil conflict or natural disaster but also the undesirable quality and financial miss-management, including other issues.

May I, therefore subsequently, request you all to consider the concept and have constructive debate, examine, scrutinize, set pros and corns, advance and disadvantage. How about applying little fund and having greater outcome and impact of the massive investment of GF. Can work on it, and approach the GFATM accordingly? If so, what next? The concept needs to be translated into initiative very soon and to be started either globally or piloted in some places or regions and then expand accordingly. Mode of operandi can easily be developed once there is concurrence to the process of quality assurance/auditing independently apart from the function of LFA.

The representatives of civil society will certainly be involved in terms of quality auditing and assurance through the LQCA or LQAA; however, their name (who will engage in audit only) will only be known to the GF to prevent ‘pre-induction’ by the implementer. Every year, there will be new representatives with the professionals people and structure of LQCA/LQAA and their selection will be made without any CCM consultation for some obvious reasons what can be discussed latter on.

The LQCA or LQAA might participate during the design of the interventions, materials development and some supportive supervision and monitoring. The oversight and coordination role can also be materialized by the LQCA or LQAA since they will be assuring the quality. In no doubt, it may be sounding as a super-dream to you or many of us, for me as well. However, if it happens? I’m sure there will be a unique check and balance in auditing the program implantation at the country level having lasting developments. I’m offering my service in advance, if needed; who else is there to volunteer? I believe there are many to support this concept and decoding it into action.

Wish you all the best.

The global fund should put into consideration the area that are affected by wars in this case the northern Uganda where people lives in camp and sometimes hardly get a meal for the day because seem global only deals with certain programs leaving feeding to the victim I there for request that special consideration be given for the region that are affected by wars such as northern Uganda has been a battle field for the last 22years now. It is my prayer that global fund should be able to fund local agency so that they are able to reach our local people who are in the camps for the last 22years. On cornidination i think each country should put in place mechanism that will makes all the implementers to work together to achieve the goal

I think GF programms important in my country, Indonesia. coordinating between GF and my government may be good, but I dont know exactly howthe real condition. But in my perseption, we meet great barriers to meet our government institution as a GF partners. We faced bad birocratic. this is reality. I think this is very bad condition. I suggest 1). GF must soon improvement it. because the vulnerable socities waiting our action. 2) GF must make a new approach, direct to NGO like me in Indonesia. We support GF. We secure and responsible your trust to us. If GF really sensitif to unlucky person, family, socities (HIV/AIDS, TB and malaria) GF must make spectacular steps soon.sometimes I dream, I hope, if GF near with us, everything may be, become easy, but GF too far with us. So, how we can make more understanding, mutual trusting in order to attack the bad birocratic, to create a new thinking in order to changes our partner and especially our vulnerable community. I very optimistic we can, if we want. God Bless us.

Fenna E. Bacchus:

Mirta,

Thank you for allowing me in your world .....

Read the complete post. 

 Dear Fenna,

Fenna E. Bacchus:

Mirta,

Thank you for allowing me in your world .....

Read the complete post. 

Asish and esteemed forum members and facilitators,

 

Thank you for your submission. It was informative and shed light on issues that are very relevant to this discussion. The technical issues are very well addressed. Im not sure whether those at the grassroots will get the gist of this submission because it is quite technical. I enjoyed reading from you.

 

You said "In WHO regions many developed & developing countries in Europe, American, Asian & CIS have strong health systems with effective governance policy & procedure"...my response to this is that we measure the strength of a health care system on the decrease in overall mortality indicators, rate of infections and increase in Life Expectancy. Furthermore, programs must deliver credible results and not mediocre pnes since this is not cost effective.

 

Your recommendations are excellent and I fully support you. That is brilliant Asish. This is what I meant all along. The human face to the GF is evolving and this is how our peers will start to connect with you also. This is how the rest of the chain in India will connect with you. I see from the way you relate to the forum and know that this is not mechanical but a real person that can will be relating to the real problems at the grassroots.

 

Now Asish, now that you have dissected and conceptualized the problem the next step is to implement the solutions and to functionalize this. This is what I want you to write about.  If you know what the poor CBO at the bottem is complaining about ...in that he perceivs his community to be marginalized and has no chance for his CBO to participate in GF activities how will you advise him and others?

 

Thank you again for your sharing your knowledge with me. I will need your advise on a wide range of things and would love to communicate with more with you if you are agreeable to this. I so much appreciate you spelling out the abbreviations. This will assist our e-forum members to understand more of the challenging issues and to participate.

 

Thanks

 

Fenna E. Bacchus CEO/President

Functional Illiteracy Research and Education Inc.

544 Walnut Street

Altamonte Springs, FL 32714-2329 - USA

Tel/Fax:+1 (407) 774-6542

Cell: +1 (407) 484-0292
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skype: soulmateprincess1 

fennabacchus@cfl.rr.com

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