1. 1
Introduction to the new funding
model
Key features and implementation
December 10, 2013

2. 2
5 things to know
• What is the new funding model?
• CCM Eligibility Standards
• Community System Strengthening, gender equality, human rights
• Engaging in the Country Dialogue
• Next steps

3. 3
• Bigger impact
• Predictable funding
• Ambitious vision
• Flexible timing
• More streamlined
Principles
of the new
funding model
Principles of the new funding model

4. 4
National strategic plans (NSPs):
The basis for Global Fund funding
National strategic plan* Robust NSP*
NSP
Assessment
Concept
Note
with prioritized
programmatic
gaps
Before assessment
Epi analysis &
program review
Grant funds may be reprogrammed
to support NSP development,
especially data strengthening.
* or investment case

5. 5
• Gives predictability to countries on funding they
can expect
• Provides for the prioritized expression of needs
Indicative & incentive funding
Indicative
funding
• A special reserve of funding accessibe on a
competitive basis.
‾ Will be awarded to applications that demonstrate
the greatest potential for high impact with
additional funds
‾ Encourages ambitious requests based on
national strategic plans
Incentive
funding

6. Partnership Call
27 November 2013
Structure of the concept note
6
Section 2: CCM Eligibility Requirements 1 & 2
Section 3: Country context and response
Overall funding landscape, additionality of
resources requested & financial sustainability
Section 1: Summary information about the request
Section 6: implementation arrangements and risk assessment
The funding request, including a programmatic gap
analysis & the modular template
Section 4:
Section 5:
Essentialinfo
&processContent

7. 7
New funding model cycle and timing
2nd
GAC
Concept Note
2-3 months
Grant Making
1.5-3 months
Board
TRP
GAC
Ongoing Country Dialogue
National
Strategic Plan/
Investment Case
Grant
Implementation
3 years
Countries can apply anytime in 2014-2016 – identify now when funds are needed for each disease
Grant funds can be for 3 years beyond grant signature (sign by end of 2016)

8. 8
5 things to know
• What is the new funding model?
• CCM Eligibility Standards
• Community System Strengthening, gender equality, human
rights
• Engaging in the Country Dialogue
• Next steps

9. 9
All CCMs will be expected to meet minimum
standards by January 2015
Minimum Standards will be compulsory at grant signing as of January 1, 2015
Minimum Standards express the Global Fund’s expectations of CCM performance
Review CCM
performance
against the
Minimum
Standards
(to determine TA
needs)
Complete an
annual self-
assessment
Choose a TA
provider to
support the
assessment
and develop
an action plan
Implement
the action
plan
Minimum
Standards
enforced
2014 Benchmarking January 1, 20152013

10. 10
Minimum standards for CCM eligibility
1
2
3
4
5
6
Develop, publish and follow a policy to manage conflict of interest that
applies to all CCM members, across all CCM functions
Ensure representation of non-governmental members through transparent
and documented processes
Document the representation of affected communities
Overseeing program implementation and having an oversight plan
Open and transparent PR selection process
Transparent and inclusive concept note development process
3 to 6
monitored
on going
basis
1 and 2
assessed at
CN
submission

11. 11
5 things to know
• What is the new funding model?
• CCM Eligibility Standards
• Community System Strengthening, gender equality, human rights
• Engaging in the Country Dialogue
• Next steps

12. 12
Human rights, gender, CSS interventions are part of the
health response, and included in grants
Health is
improved
Critical enablers
Strengthen health systems (HSS)
Strengthen community systems (CSS)
Protect and promote human rights
Fund programs that strengthen response
for women and girls
Address needs of MSM, transgender
people, sex workers
Strengthen linkages between RMNCH and
HIV, TB, and malaria services
2
1
3
4
5
6
Health
services are
•Available
•Sustainable
•High quality
•Accessible to
all
•Respect
rights/
enabling
environment
Output Impact

13. 13
Countries must identify human rights barriers to access
Discrimination
Fear of arrest for
criminalized key
populations
Forced sterilization
Gender inequality
Migrants lack ID cards
Lack of legal aid
Police abuse
No right to register an NGO
Prison overcrowding
Denial that key pops exist

14. 14
Human rights interventions for Global Fund grants
Interventions
Use a rights-based approach to health services
• Consult with key populations for HIV, TB and
malaria
• Put the person at the center, tailor services to
their needs, integrate services with local
community platforms
Package to remove legal barriers to access
• Legal environment assessment
• Law and policy reform
• Legal literacy
• Legal aid services
• Rights training for officials, health workers, and
police
• Community-level monitoring
• Policy advocacy and social accountability
Examples
• In South Africa, prisoner support groups monitor
and advocate on treatment access
• Myanmar networks of PLHIV and key populations
monitor local cases of medical discrimination
against PLHIV and TB patients, and work with a
national law reform working group to change the
laws
• In Kenya, KELIN provides legal aid to women living
with HIV who lose their inheritance rights
• In Indonesia, LBH Masyarakat trains people who
inject drugs as community paralegals for peers
These programs give new entry points for testing and
treatment, boost adherence, and empower
communities to advocate for prevention, treatment
and high-quality care.

15. 15
Community System Strengthening (CSS) is defined as an approach that promotes the
development of informed, capable and coordinated communities, community-based
organizations, groups, networks and structures.
Four kinds of interventions the Global Fund will support:
 Community-level monitoring for accountability
 Policy advocacy for social accountability
 Social mobilization, building community linkages, collaboration and
coordination
 Institutional capacity building, planning and leadership development in the
community sector
Community-led service provision now fully integrated into health service modules
Community System Strengthening interventions

16. 16
All programs should be gender-responsive
 Take into account the different needs and vulnerabilities of women and
men, girls and boys because of existing gender norms
 Reduce women’s and girls’ barriers to access to prevention, treatment
and care, especially by addressing specific needs of women and girls living
with diseases
 Address disproportionate burdens of care and support on women and the
elderly
 Address gender-based violence, early or forced marriage, lack of
access to education, etc.
 Collect and report with sex-disaggregated data for monitoring and
evaluation
 Include programs that are linked with RMNCH services, for easier access
and integrated health services for women and girls

17. 17
5 things to know
• What is the new funding model?
• CCM Eligibility Standards
• Community System Strengthening, gender equality, human rights
• Engaging in the Country Dialogue
• Next steps

18. 18
Countries consult key groups to analyze epidemic
and draft concept note
Inclusive country
dialogue
Plan key events
Involve the right groups
Include them in national
processes and country
dialogue
Find ways for them to
provide input that is
listened to
A
B
What you can do now
Grants with
activities helping
key affected
populations access
services
Result
C
D

19. 19
Questions to answer in the Concept Note
About the epidemic:
• Who are the key affected populations with low access to prevention and treatment?
What are the contributing factors to this inequity?
• What is the health and community systems context, and any constraints?
• Are there human rights and gender equality barriers that affect access to services?
• What are the 3-6 priority interventions for which funding is requested?
• Program Split: How much funding is requested for each intervention?
About implementation:
• What are the proposed implementation arrangements?
• Who are the nominated principal recipients and sub-recipients? How will they
coordinate?
• How will reps of women’s organizations, people living with the three diseases and
other key populations actively participate in the implementation of this funding
request?
• What are the anticipated risks to the program?
Countries cannot complete the concept note without the knowledge that comes
from key populations and civil society.

20. 20
Countries should consider these groups for country
dialogue
In-country organizations
 CCM members
 Ministry of Health
 Ministry of Finance
 Ministry of Gender/Women
 Ministry of Justice, Ministry of Interior,
Parliamentary committee on health
 National disease bodies, e.g., national AIDS council
 National human rights institutions
 Civil society, e.g., Aids Alliance, faith-based
organizations, legal and human rights groups
Other funders and
implementers
 PEPFAR, PMI, USAID, CDC
 EU members (e.g., DfiD, GIZ, French)
 AusAid
 HIVOS
 European Commission, staff at embassy human
rights/development programs
 Private foundations, such as Levi Strauss
Foundation, Global Fund for Women, depending
on context
 Non-public sector implementers (e.g., FBOs)
 World Bank
Global technical partners
 UNAIDS
 Stop TB partnership
 Roll Back Malaria partnership
 WHO
 UNDP, OHCHR, UNFPA, ILO, UNHCR, UNICEF,
depending on country context
 Open Society Foundations
 Regional and international networks of KAPs
 Regional and international human rights groups
HIV
 People living with HIV
 Men who have sex with men
 Transgender persons
 People who inject drugs
 Sex workers (male, female, and transgender)
 Women and girls
 Youth
 Other, such as people with disabilities, ethnic
minorities, depending on country context
TB
 People who work in settings that facilitate TB
transmission
 Prisoners
 Migrants
 Refugees
 Indigenous peoples
 People living with HIV
 People who use drugs
 Other, such as labor unions, depending on country
context
Malaria
 Refugees
 Migrants
 Community health workers/ volunteers working on
MNCH
 Other, such as indigenous peoples, depending on
country context

21. 21
Develop an engagement plan
Some example ideas are below
Who should be
involved
In what should
they be involved
How to engage
them
When key events
will occur
Government
Civil society
Technical partners
Other funders
Key affected
populations
People living with
the disease
National strategic
plan development
Epi analysis &
program reviews
Concept note writing
Country dialogue
Grant making
Through caucuses
In safe spaces
Through lead
representative
Draft concept note
sent for TRP review
Date when new
funds are needed
Concept note
submission (target
date)
At national
conferences
In writing group
Major meetings and
consultations
TRP / GAC input
received

22. 22
The new funding model: Entry points for civil society, key
populations
National
Strategic Plan
Concept Note
Country
dialogue
Determine / approve
adjusted funding
amount
Grant-making
Technical
Review
Panel
Board
approval
2. Using evidence, help government
identify barriers to services, and
good programs that should be
scaled up
Ensure your representatives are
included in country dialogue
Grant
Approval
Committee
CCM, domestic civil
society and KPs
review evidence,
identify gaps and
priorities
3. Advocate for
representation in writing
group to create concept note
Review the concept note!,
ensure interventions to
achieve impact
5. Identify the detailed
activities necessary to achieve
impact
6. Identify implementers most
appropriate to deliver the
activities and ensure imapct
1. Key populations, women’s
networks, human rights ,
CBOs:
Caucus and strategize
Have data to show need not
being met
4. Review guidance from TRP
on impact, targets and
indicators the grant should
focus upon

23. 23
Experience-sharing
• International HIV/AIDS Alliance linking organizations are a
Principal Recipient in 10 grants and sub-recipient in 17 grants
• Some thoughts on early pilot of the new funding model

24. 24
Small group discussion
• Best example of involvement in Global Fund processes
• Worst case example of involvement in Global Fund processes
• What do you see as barriers to getting critical interventions
into grants?
• What should the Global Fund and partners do?

25. 25
When there are challenges…
Challenges What to do
Denial “There are no MSM, transgender
people, sex workers, people who inject
drugs, refugees, migrants, people with
disabilities… here”
• Gather evidence – anecdotes, reports, testimony
• Ask technical partners (UN agencies, WHO) and regional networks to
help push back
• Escalate to Fund Portfolio Manager
Exclusion of key populations, women’s
advocates, human rights experts from
country dialogue
• Document what happened – who, what, where, when, how
• Escalate it to Fund Portfolio Manager, Regional Director or Community,
Rights and Gender Department
• Get support from regional or global key populations networks
Interventions approved in concept note
are not funded in the budget
• Monitor the budget before, during and after grant-signing
Only token representatives are in
country dialogue
• Organize CS, build solidarity, and unite behind legitimate representatives
• Hold them accountable for consulting in advance and reporting back
after meetings
Frank discussion of human rights or
other difficult topics is shut down
• Know what human rights treaties your country has signed and ratified –
these are binding legal obligations
• UNAIDS says addressing human rights is essential for strategic
investments – use this in your arguments
• GFTechnical Review Panel and Grants Approval Committee frequently
ask tough questions about human rights and key populations in grant
review process – make sure they know the discussions were shut down

26. 26
5 things to know
• What is the new funding model?
• CCM Eligibility Standards
• Community System Strengthening, gender equality, human rights
• Engaging in the Country Dialogue
• Next steps

27. 27
Africa Applicants needing new funds in 2014 or early 2015 (#82)
By region: urgency of need, noting lack of capability to meet deadlines unaided
Region
TB & HIV
to reschedule
(Dec’13 update)
Funds by mid 2014
(likely will be extended
to end of 2014)
Funds to use in
last quarter 2014
Funds to use
Q1 of 2015
Southern
Africa
Mozambique(M),
Namibia(M),
Botswana(HT),
Madagascar(H),
Mozambique(H),
Angola(H), Mauritania(HMT),
Mauritius(H), Swaziland(T),
HI Africa
Ethiopia(T), Nigeria(M),
Zambia(T), Zimbabwe(MT)
Ethiopia(HM), Gambia(H),
Ghana(HT), Kenya(M),
S.Sudan(HT), Zambia(HM),
Eritrea(HMT), Cote d’Ivoire(M), DR
Congo(HMT), Ghana(M), Kenya(H),
Nigeria(HT), Sudan(HMT),
Tanzania(HM),
MENA Djibouti(H), Syria(H),
Morocco(HT), Somalia(HMT),
Tunisia(H), West Bank/
Gaza(H), Yemen(HM),
Regional(H)
Central Africa Malawi(HM),
Burundi(HMT), Burkina Faso(HM),
Congo (T), Gabon(HMT), Rwanda(M),
Sierra Leone(MT), Togo(T)
West Africa Cape Verde(MT),
Cameroon(HT), Guinea(M),
Sao Tome(T), Senegal(M)
Chad(HMT), Guinea(H), Guinea-
Bissau(M)
Component count (time constrained): 13 (9) 29 (8) 40 (17)

28. 28
How long will it take to access funds?
The new funding model launches in March, and many
countries are beginning country dialogue processes now
The average timing will be around 10 months from country
dialogue to grant disbursements.
Depending on how prepared a country is, it could take as
little as 6 months or as long as 16 months to access funds.
Working ahead on a strong National Strategic Plan or
investment case is the best way to speed up the process.

29. 29
Get connected
Country Coordinating Mechanism
Fund Portfolio Manager (on country page of Global Fund
website), country teams, regional team directors
Community, Rights and Gender Department
Other key populations, women’s networks – to caucus,
identify priorities, gather evidence, and prepare

30. 30
Your questions...

31. 31
Minimum Standards for PRs
PR demonstrates effective
management structures and
planning
PR has the
capacity & systems for
effective management &
oversight of SRs
Data-collection capacity and
tools are in place to monitor
program performance
Functional routine reporting
system
with reasonable coverage to
report program performance
CCM actively
oversees the
implementation of the grant,
& intervenes where
appropriate
1 2
No conflict-of-interest
for the selection of the
PR(s) & SRs
Program
implementation plan
provided in the funding
request is sound
3 4
Internal control system of
PR is effective to prevent &
detect misuse or fraud
The financial management
system of the PR is effective
& accurate
5 6
Central &
regional warehousing have
capacity, & aligned with
good storage practices
Distribution
systems & transportation
arrangements are efficient
to ensure secure and
continued supply
7 8
9 10 11 12
* Please refer to Appendix 4 of the Transition Manual for full text and descriptions of the Global Fund’s Minimum Standards for Implementers
Implementers have
capacity to comply with
quality requirements & monitor
product quality throughout the in-
country supply chain
5
The Global Fund will now expect grant implementers to meet 12 minimum standards

32. 32
Approach to regional applications: two-step process
32
Submission
of EOI
Review of
EOI
Concept Note
Submission
Review of
Concept
Note
If eligible
Step 1 Step 2
• All regional applicants must submit an expression of interest (EOI) before developing a CN
• A review of EOI will take place to determine: eligibility; strategic focus and regional impact;
potential indicative amounts
• Only eligible and strategically focused applications can submit a CN
• Two submission windows: one in 2014 and one 2015

33. 33
Countries coming to access funding for HIV in 2014
Scheduled for Early 2014 Scheduled for Late 2014
African Anglophone Countries
• Botswana
• Ethiopia
• Gambia
• Ghana
• Iraq
• Malawi
• Mozambique
• Somalia
• South Sudan
• Sudan
• Swaziland
• Tanzania
• West Bank and Gaza Strip
• Yemen
• Zambia
• South Africa
• Angola
• Egypt
• Eritrea
• Kenya
• Lesotho
• Liberia
• Multicountry Mid.East - N.Africa
(MENAHRA)
• Nigeria
• Rwanda
• Syria
• Uganda
• Mauritius
African Francophone Countries
• Burkina Faso
• Djibouti
• Tunisia
• Congo (Democratic Republic)
• Benin
• Burundi
• Cameroon
• Cape Verde
• Chad
• Guinea
• Guinea-Bissau
• Mauritania
• Morocco
• Niger
• Senegal
• Gabon

34. 34
Countries coming to access funding for TB in 2014
Scheduled for Early 2014
Scheduled for Late
2014
African Anglophone Countries
• Botswana
• Ghana
• South Sudan
• Sudan
• Swaziland
• West Bank and Gaza Strip
• Zambia
• Zimbabwe
• South Africa
• Sierra Leone
• Egypt
• Eritrea
• Gambia
• Kenya
• Lesotho
• Nigeria
• Rwanda
• Somalia
• Syria
• Tanzania
• Uganda
• Yemen
African Francophone Countries
• Burundi
• Mauritania
• Sao Tome and Principe
• Togo
• Congo (Democratic Republic)
• Benin
• Burkina Faso
• Cape Verde
• Chad
• Congo
• Côte d'Ivoire
• Djibouti
• Guinea-Bissau
• Mali
• Morocco
• Gabon
• Madagascar

35. 35
Countries coming to access funding for Malaria in 2014
Scheduled for Early 2014
Scheduled for Late
2014
African Anglophone Countries
• Angola
• Ethiopia
• Iraq
• Kenya
• Malawi
• Mozambique
• Namibia
• Rwanda
• South Sudan
• Sudan
• Tanzania (United Republic)
• Uganda
• Yemen
• Zambia
• Zimbabwe
• Eritrea
• Ghana
• Nigeria
• Swaziland
African Francophone Countries
• Burkina Faso
• Cameroon
• Côte d'Ivoire
• Guinea
• Sao Tome and Principe
• Senegal
• Congo (Democratic Republic)
• Benin
• Burundi
• Cape Verde
• Chad
• Congo
• Guinea-Bissau
• Mauritania
• Niger
• Gabon
• Comoros