CivilSocietyEngagementintheGlobal FinancingFacility:Analysisand Recommendations February9,2016 ThispaperwasdevelopedwithsupportandguidancefromRESULTSEducationalFund.SusannahHurd(Global HealthVisions),RachelWilson(CatalystsforChange),andAubreyCody(GlobalHealthVisions)weretheprimary authors.
TableofContents Executive)Summary)...)4) ) 1.)Introduction)...)6) 2.)Background)...)6) GFFHistory...6 BusinessPlan:GFFGovernance...7 BusinessPlan:MultiRstakeholderEngagement...7 GFFCountriesandKeyProgresstoDate...8 AnalysisofCivilSocietyEngagementintheGFF...8 3.)Key)Findings)...)9) CivilSocietyEngagementintheDevelopmentofFrontRunnerCountryInvestmentCases...9 EffortstoImproveCivilSocietyEngagementintheGFF...15 OtherMultiRstakeholderand/orCivilSocietyPlatforms...18 4.)Lessons)Learned)...)22) 5.)Recommendations)...)25) 6.)Conclusion)...)30) ) Annex)A:)Study)Methodology)...)31) Annex)B:)Minimum)Standards)...)33) Annex)C:)Proposed/Draft)AHBN)Regional)Scorecard)for)Minimum)Standards)...)36) Annex)D:)Relevant)Partner)Documents)...)40) CivilSocietyEngagementintheGFF 2
Acronyms/Abbreviations A&AWG AdvocacyandAccountabilityWorkingGroup(RHSC) AFP AdvanceFamilyPlanning AHBN AfricanHealthBudgetNetwork CSA CivilSocietyAlliance(SUNMovement) CSN CivilSocietyNetwork(SUNMovement) CSO Civilsocietyorganization CCM CountryCoordinatingMechanism(fortheGlobalFund) CCRDA ConsortiumofChristianRelief&DevelopmentAssociations(Ethiopia) CORHA ConsortiumofReproductiveHealthAssociations(Ethiopia) CTMP ComitésTechniquesMultisectorielsPermanents(DRC) EWEC EveryWomanEveryChild FCI FamilyCareInternational Gavi Gavi,theVaccineAlliance GFAN GlobalFundAdvocatesNetwork GHC GlobalHealthCouncil GlobalFund TheGlobalFundtoFightAIDS,Tuberculosis,andMalaria GFF GlobalFinancingFacilityinsupportofEvery&Woman&Every&Child& HPN& & Health,Population,andNutrition HSTP HealthSectorDevelopmentProgram(Ethiopia)& IBRD InternationalBankforReconstructionandDevelopment ICC InteragencyCoordinationCommittee IDA InternationalDevelopmentAssociation IHP+ InternationalHealthPartnership IPPF InternationalPlannedParenthoodFederation INGO InternationalnonRgovernmentalorganization JCF JointConsultativeForum(Ethiopia) JCCC JointCountryCoordinationCommittee(Ethiopia) MACS MobilizingAdvocatesfromCivilSociety(Coalition,Kenya) MoH MinistryofHealth MPTF MultiRPartnerTrustFund(SUN) PMNCH ThePartnershipforMaternal,Newborn,andChildHealth RHSC ReproductiveHealthSuppliesCoalition RMNCAH Reproductive,maternal,newborn,child,andadolescenthealth SRH Sexualandreproductivehealth SUN ScalingupNutrition SUNCSN ScalingupNutritionCivilSocietyNetwork(global) SUNCSA ScalingupNutritionCivilSocietyAlliances(national) WHO WorldHealthOrganization CivilSocietyEngagementintheGFF 3
ExecutiveSummary TheGlobalFinancingFacility(GFF)representsacriticalcontributiontoglobaleffortstoendpreventable deathsofwomen,adolescents,children,andnewbornsby2030andimprovetheirhealthandqualityof life.thegffaimstohelpclosethefundinggapforreproductive,maternal,newborn,child,andadolescent health(rmncah)byservingas afacilitythatharnessesthestrengthsandfinancialresourcesofawide arrayofpartners. Civilsocietybringsawealthofuniqueknowledge,expertise,andaccesstoarangeofcommunities,which canandshouldbeleveragedtomakethegffprocessandoutcomesstronger.thegffrecognizesthe valueofengagingcivilsocietyinglobalandcountrylevelgffprocessesandplatforms,asisdocumented inthegffbusinessplan.however,civilsocietyengagementandinvolvementingffcountriestodatehas beenvaried,andoftenquitelimited.thereareimportantlessonstobelearnedfromtheexperiencesthus farinthefrontrunnercountries thedemocraticrepublicofthecongo(drc),ethiopia,kenya,and Tanzania andfromotherglobalandnationalplatforms,tostrengthenengagementmovingforward. FindingsandLessonsLearned Eachofthefourinitialcountriesisatadifferentstageintheprocessofdevelopingandimplementingtheir GFFInvestmentCasesandeachhashadvariedsuccessintheirengagementofcivilsociety.Whilethere weresignificantchallengesinidentifyingcivilsocietyrepresentativesatthecountrylevelwithknowledge of the GFF process, the authors were able to glean important and illustrative findings to inform recommendationsforenhancingengagementgoingforward.inaddition,lessonscanbelearnedfromthe engagementofcivilsocietyinotherinitiativessuchastheglobalfundtofightsaids,tuberculosis,and Malaria(theGlobalFund),Gavi,theVaccineAlliance,andtheScalingUpNutritionMovement(SUN). Consistentandtimelycommunicationwithcivilsocietywasweakacrossthefourcountries,butisan essentialingredientforensuringmeaningfulengagement.countrylevelcivilsocietyorganizations(csos) were largely uninformed about the GFF process in their respective countries. When civil society did receiveinformation,itoftencamefrominternationalpartners,orfrompersonalrelationshipswiththe governmentand/orsignificanteffortsonthepartofcivilsocietytoseekoutinformation.interviewees alsonotedthatthegffprocessseemedrushedandoftenlittleadvancenoticewasprovidedtocsos aboutupcomingmeetings;itisclearthatmoretimewasneededtogettheprocessright.csosalsonoted that adequate resources to support civil society engagement are critical, and the lack of resources availabletosupporttheirparticipationinconsultationsandtheirabilitytoorganizeandalignpriorities wasamajorbarrier. Diverseandbalancedrepresentationofcivilsocietyisimportantforinclusivityandleveragingthefull rangeofcsoexperiencesandknowledge;but,itwasclearfromintervieweesthattheselectionprocess fortheinclusionofgffconsultationshasnotbeensystematicortransparent.engagementinthegffto date has been dominated by civil society representatives from international nonrgovernmental organizations(ingos)andthosewithpriorrelationshipswithgovernment,withlimitedrepresentation fromlocalcsos.therolesandvaluegaddofcivilsocietymustbemoreclearlydefinedandrecognized.it isclearfromothersuccessfulmultigstakeholderandcivilsocietyplatforms(e.g.theglobalfundcountry CoordinatingMechanisms)thatensuringspace,funding,andtechnicalassistanceformultiRstakeholder engagement within and across countries is a critical ingredient for building trust and establishing an effective,mutuallybeneficialrelationshipbetweenthegovernmentandcivilsociety. CivilSocietyEngagementintheGFF 4
Recommendations Across all four countries, despite significant challenges, civil society has demonstrated interest and determinationtomeaningfullycontributetothegff.thereareclearopportunitiestostrengthencivil societyengagementandmoreeffectivelyleveragethevaluecivilsocietyispreparedtocontribute. ThisreporthighlightsfourkeyrecommendationsforstrengtheningcivilsocietyengagementintheGFF: 1. ImplementandtrackminimumstandardsforRMNCAHcountryplatformsinGFFcountries Greater clarity on the necessary components of meaningful engagement of diverse stakeholders is necessaryinordertoensurevaluableandtimelycontributionsbycivilsocietyandotherpartnersinthe GFF process and outcomes. The proposed minimum standards outline detailed guidelines for inclusiveness and participation, transparency, and independence and accountability. The minimum standardsshouldbeadoptedbythegffinvestor sgroupandotherrelevantgffgovernancebodies. Expectationsforimplementationoftheminimumstandards, andaccountabilityforthem,shouldbe clearly communicated to country governments by the GFF Secretariat, with resources and technical assistanceavailabletosupportcountriesinoperationalizingthem. 2. EnsuretimelyandtransparentcommunicationsabouttheGFFanditsprocesses Acrosscountries,thelackofclarityaboutGFFprocesses,andpotentialrolesandentrypointsforcivil society engagement, was a pervasive barrier. Providing widely and easily accessible, up to date informationonthegffpriorities,processes,policies,andoutcomes atglobal,regional,national,and subrnational levels is essential to foster meaningful engagement by civil society and other stakeholders.recommendationsincludethedevelopmentofadedicatedcivilsocietywebplatformand communicationsstrategy,andcivilsocietyparticipationonthegffeditorialgroup. 3. EstablishandsupportplatformsforcivilsocietytoengageintheGFFinacoordinated,representative, andstreamlinedmanner TheabsenceofappropriatelyrepresentativecivilsocietyfocalpointsforGFFengagementhasbeena criticalchallengetocivilsocietyengagementinthegffprocesstodate.thedevelopmentofandsupport for multirstakeholder and civil society platforms with meaningful civil society representation and participationwillbenecessarytoensurestrategiccivilsocietyengagementinthegffprocess providing opportunities for informationrsharing and participation, aligning around common priorities, and determiningrolesandpotentialcontributionsofvariousstakeholders. 4. Resourceandsupportcivilsocietyengagement Withoutresourcestosupportcivilsocietyparticipation(i.e.communications,travel,andmeetings)in thegffprocess,thereislittlehopethattheywillbeabletoparticipateinameaningfulway.particularly forindigenouscsosthatarelocatedoutsideofcapitalcitieswhereconsultationstypicallytakeplace, their representation is unlikely without support. A centralized GFF fund to support a global CSO CoordinationGroupshouldbeestablishedtoensureCSOswithlimitedbudgetsandstaffbandwidthare abletoparticipateandcontributetheirimportantanddiverseperspectives;additionalresourcesshould bemobilizedforcivilsocietyrledaccountabilityeffortsinsupportofthegff. Civil society has a critical role to play in bringing knowledge, expertise, and access to a range of communities,whichcanandshouldbeleveragedtostrengthenthegffprocessandoutcomes.thisreport highlightslessonslearnedfromcivilsocietyengagementinthefrontrunnercountriesandpresentskey recommendations to strengthen the GFF process to ensure increasingly strategic and substantive engagementofcivilsocietyinthefuture. CivilSocietyEngagementintheGFF 5
1.Introduction ThegoaloftheGlobalFinancingFacility(GFF)istocontributetocollectiveeffortstoendpreventable deathsofwomen,adolescents,children,andnewbornsby2030andimprovetheirhealthandqualityof life.thegffaimstohelpclosethefundinggapforreproductive,maternal,newborn,child,andadolescent health(rmncah)byservingas afacilitythatharnessesthestrengthsandfinancialresourcesofawide array of partners. This includes improving efficiencies and mobilizing resources through three key sources: (1) a multirdonor GFF Trust Fund linked to the World Bank s International Development Association(IDA)andInternationalBankforReconstructionandDevelopment(IBRD)lowRinterestloans, (2)domesticresources(publicandprivate),and(3)additionaldonorresources(e.g.Gavi,theVaccine Alliance;theGlobalFundtoFightAIDS,TB,andMalaria;bilateralassistance). 1 CivilsocietyhasanimportantroletoplayintheGFF,bringingknowledge,expertise,andaccesstoarange ofcommunities,whichcanandshouldbeleveragedtomakethegffprocessandoutcomesstronger.the GFFrecognizesthevalueofengagingcivilsocietyinglobalandcountrylevelGFFprocessesandplatforms, asisdocumentedinthegffbusinessplan.however,civilsocietyengagementandinvolvementingff countriestodatehasbeenvaried,andoftenquitelimited. ToensurerobustcivilsocietyengagementintheGFF,andleveragethefullcontributionofcivilsocietyfor thevaluableresourcethatitbrings,thereareimportantlessonstobelearnedfromtheexperiencesthus farinthefrontrunnercountries,andfromotherglobalandnationalplatforms. 2.Background GFFHistory TheGFFwasfirstannouncedattheUnitedNationsGeneralAssemblyinSeptember2014bytheWorld BankandthegovernmentsofCanada,Norway,andtheUnitedStates.Atthattime,abusinessplanning processwaslaunchedtooutlineadetailedplanforgffoperations,ledbyamultirstakeholderbusiness planningteamandanoversightgroup.thebusinessplanningteamandoversightgroupwerecomprised ofarangeofstakeholders,includingseveralrepresentativesfromcivilsociety(thefulllistofparticipating organizationscanbefoundinannex1ofthegffbusinessplan).alongsidethebusinessplanningprocess, aseriesofstakeholderconsultationswereledbythepartnershipformaternal,newbornandchildhealth (PMNCH),inconjunctionwithconsultationstoinformtherevisedEveryWomanEveryChild(EWEC)Global Strategy2.0,andtheGlobalHealthCouncil(GHC). TheGFFBusinessPlanwascompletedinMay2015andtheGFFwasofficiallylaunchedinJuly2015atthe FinancingforDevelopmentConferenceinAddisAbaba,Ethiopia,withtheannouncementofadditional donorsincludingthebill&melindagatesfoundationandthegovernmentofjapan.thebusinessplan setsoutavisionandstructureforthegff,includinghowitwillbeimplementedandgovernedatthe globalandcountrylevels. 1"GFF"Business"Plan,"June"2015"" ""GFF"Overview"Presentation,"June"2015" CivilSocietyEngagementintheGFF 6
BusinessPlan:GFFGovernance 2 Global& Level. The main governing body for the GFF is the Investors Group, consisting of representatives from governments of participating countries (ministries of health and finance), bilateraldonors,unicef,unfpa,theworldhealthorganization(who),theworldbank,gavi,the GlobalFund,PMNCH,nonRgovernmentalorganizations(NGOs),andtheprivatesector.TheInvestors Groupmembersare seniorrepresentativesofgovernmentsandpartnerswhobringtheexpertise required to ensure effective steering of a financing facility For constituencies in which multiple institutions could participate (e.g. NGOs, the private sector), a transparent selection process will occur. CivilsocietyisrepresentedontheInvestorsGroupbyDr.JoanneCarter,ExecutiveDirectorofRESULTS and RESULTS Educational Fund, and Dr. Mesfin Teklu Tessema, Partnership Leader of Health and Nutrition,atWorldVisionInternational.TheInvestorsGroupischargedwith ensuringthatthegff succeeds in mobilizing complementary financing for Investment Cases and health financing strategies; this includes facilitating institutional agreements among partners, building highrlevel supportforthegff,monitoringperformanceandensuringaccountability,andensuringthatthegff iswellunderstoodbyallrelevantstakeholders.thegfftrustfundcommitteeisasubsetofthe InvestorsGroupmadeupofdonorswhocontributetotheTrustFund;theTrustFundcommitteeis responsiblefor ensuringthatthegfftrustfundusesitsresourcestoprovidefinancinginwaysthat achieveresultswhilebeingcatalyticanddrivingsustainability. TheInvestorsGroupandTrustFund committeealsocoordinatewithandaresupportedbythepmnchboard,theworldbankboard,and thegffsecretariat,aswellasthecountryplatformineachgffcountry. Country& Level. The GFF Business Plan does not dictate the composition or functioning of country platforms,butitencouragescountriestobuildonexistingplatformsandensurethatthey embody twokeyprincipals:inclusivenessandtransparency. Asetofminimumstandardswasincludedinthe BusinessPlantoprovideadditionalguidanceforcountriesonhowtoimplementthoseprincipals;a revisedsetofminimumstandardshasbeendevelopedbyagroupofcivilsocietyleadersandproposed totheinvestorsgroupforadoptionandimplementation. BusinessPlan:MultiRstakeholderEngagement 3 TheBusinessPlanexplainsthattheGFFismeanttobedriven by a multirstakeholder process in country, that builds on IHP+approaches,withnationalgovernmentsintheleadand theinvolvementofthefullsetofrmncahstakeholders. Each country develops an Investment Case and a health financing strategy to outline a clear roadmap for fully financed and scaled national RMNCAH plans. Country platformsareexpectedtogiveallrmncahconstituencies the opportunity to contribute to the development and implementation of GFFRsupported programming, including meaningfulinvolvementindevelopinginvestmentcasesand 2 GFF"Business"Plan,"June"2015 3 GFF"Business"Plan,"June"2015 This includes ensuring that the full set of stakeholders is invited to consultations on the preparation of the Investment Case and health financing strategy, supplied with all of the relevant documentation needed to be able to contribute technically, and involved in finalizing the documents. GFF Business Plan CivilSocietyEngagementintheGFF 7
health financing strategies, mobilizing resources, providing and coordinating technical assistance, and monitoringandevaluation. Withrespecttomonitoringandaccountability,countryplatformpartnersareresponsibleforensuring quality assurance of the investment case and health financing strategy (for example through a Joint AssessmentofNationalHealthStrategiesProcess)andtheyaretaskedwithmonitoringprogressonthe targets outlined in the results framework of the Investment Case and targets on domestic resource mobilization. GFFCountriesandKeyProgresstoDate SixtyRtwocountriesareeligibletoreceivefundingfromtheGFFTrustFund.Ofthese,four frontrunner countrieswereidentifiedaspilotcountriesforthegff thedemocraticrepublicofthecongo(drc), Ethiopia,Kenya,andTanzania andtheycontributedtothedevelopmentofthebusinessplaninlate2014 andthefirsthalfof2015.eightcountrieswereannouncedas secondwave countriesatthegfflaunch injuly2015:bangladesh,cameroon,india,liberia,mozambique,nigeria,senegal,anduganda. ThedevelopmentofInvestmentCaseswasslatedtotakeplaceinthefourfrontrunnercountriesalongside thedevelopmentofthebusinessplanorshortlyafter(i.e.throughout2015).however,thisprocesshas takendifferentformsandhasoperatedatdifferentpacesineachcountry.someoftheinitialexperiences andprocessesinthedevelopmentofinvestmentcasesinfrontrunnercountrieswereusedtoinformthe developmentofthebusinessplan(e.g.tanzaniaandkenya,profiledonp.15ofthebusinessplan).inthe GFFBusinessPlan,therecommendedstepsforthedevelopmentofInvestmentCasesinclude: (1)acountryconsultativeprocess,informedbycoreanalytics; (2)analysisandagreementon2030results,keyobstacles,andpriorityinterventions;and (3)costing. Thoughthe consultativeprocess isnotclearlydefinedinthegffbusinessplan,thebusinessplandoes indicate that each of the constituencies in the RMNCAH response [should have] the opportunity to contributefullyto theprocessofpreparinginvestmentcasesandhealthfinancingstrategies. A multirstakeholder GFF Learning Workshop held in Kenya from November 16 to 18, 2015 was attendedby representativesfromnine ofthetwelvegffcountries.theworkshopaimedto increase understanding of the GFF approach, discuss and reach consensus on how to best operationalize GFF processesatthecountrylevel,andreviewlessonslearnedtodatefromthefrontrunnercountries.acivil societyprermeetingwasheldinnairobithedaybeforethelearningworkshop(seepage16formore information). AnalysisofCivilSocietyEngagementintheGFF TobetterunderstandtheengagementofcivilsocietyintheGFFprocessestodate,RESULTS acivilsociety representativetotheinvestorsgroup commissionedglobalhealthvisionsandcatalystsforchangeto undertakeananalysisofcivilsocietyengagementandconsultationinthedevelopmentofinvestment CasesinthefourGFFfrontrunnercountries.Thisanalysisprovidesinsightsonsuccessesandchallengesin civil society engagement reported by key stakeholders to date, as well as lessons learned and recommendationsforenhancingcivilsocietyengagementmovingforward. CivilSocietyEngagementintheGFF 8
Theresearchandanalysiswasconductedthroughadeskreviewandkeyinformantinterviewswith33 global,regional,andnationallevelstakeholders,primarilyfromcivilsociety.(foracompletedescription ofthestudymethodology,seeannexa.) 3.KeyFindings CivilSocietyEngagementintheDevelopmentofFrontRunnerCountry InvestmentCases EachofthefourfrontrunnercountrieswereatdifferentstagesintheprocessofdevelopingtheirGFF Investment Cases and in their engagement of civil society at the time interviews were conducted. However, the challenges the authors faced in identifying civil society representatives engaged in the processwereindicativeofthegapsintheirengagementandrepresentationoverall.theauthorswere unabletofindanycentralizeddocumentationofcountrycivilsocietyrepresentativesorengagement,and itwasequallychallengingtofindcivilsocietyrepresentativesatthecountrylevelwithanyknowledgeof thegffprocess.thosewhohadbeendesignatedasrepresentativesbygffgovernmentpointpeople oftenhadlittletonoknowledgeofthegffprocessandfewhadmadeeffortstoseekothers perspectives to contribute to the process. The processes and key barriers and gaps reported by interviewees are summarizedforeachofthefourcountriesbelow:drc,ethiopia,kenya,andtanzania. DEMOCRATICREPUBLICOFTHECONGO ProcessforCivilSocietyEngagementintheGFF FormalmechanismsforCSOengagement:AsofDecember2015,onlyoneGFFconsultationhadtaken placeinthedrc,inthesummerof2015.themeetingwascomprisedprimarilyofrepresentatives fromtheministriesofhealthandfinance,theworldbank,several UN agencies, and key donors. One civil society representative attended the meeting, as the president of the multirsector family planningworkinggroup,ctmp(seeboxbelow). Informal mechanisms for CSO engagement: Prior to the consultation,ctmpheldaprermeeting,supportedbyafp,toalign aroundkeyprioritiesforfamilyplanningwithinthegffinvestment Case.Asaresult,theMinistryofHealthhasrecognizedprioritiesfrom thenationalfamilyplanningstrategicplanforthedevelopmentof theinvestmentcase. KeyBarriersandGaps GFF is viewed as a government thing; we are trying to open it up, but we are sometimes fighting to have a place. DRC Civil Society Representative Representation: The only formal representative of civil society in the GFF meeting represented reproductive health and family planning, leaving the perspectives of other health areas underr represented. CivilSocietyEngagementintheGFF 9
Communications:IntervieweesnotedthatCSOsaregenerallynotinformedabouttheGFFbroadly, northeprocessinthedrc. Weakhistoryofcivilsocietyengagementatthepolicylevel:Oneintervieweenotedthatthereisno explicitresistancetoinvolvingcsosinthegffprocess,butthereisnoprecedentfornegotiations betweencivilsocietyandthegovernmentandthecapacityofcsostodosoisquitelimited. Summary Sincethesummerconsultation,theGFFInvestmentCasehasbeenputonholdwhilethecountryfocuses its attention on National Health Development Plan, PNDS (Plan National de Development Sanitaire), scheduledforcompletioninthefirstquarterof2016.however,followingthenovembergfflearning WorkshopinKenya,oneintervieweenoted thegovernmentisstartingtoseethebenefitofengaging NGOs. MultiGstakeholderEngagement:DRC sfamilyplanningworkinggroup ThesecondNationalConferenceonRepositioningFamilyPlanningin thedrcwasheldin2009.followingtheconference,theministryof HealthformedtheMultiRsectoralPermanentTechnicalCommittee (ComitésTechniquesMultisectorielsPermanentsorCTMP).TheCTMP comprisedofministryleaders,togetherwithlocalandnationalngos, andinternationalpartners isatechnicalworkinggrouptaskedwith trackingprogressontherecommendationsthatemergedfromthe conference. 4 The explicit commitment of the Prime Minister and buyrin of key ministries,donors,andcivilsocietyhaspavedthewayforthectmpto beaneffectiveplatformtoincreaseactionandprioritizationoffamily planning.accordingtointerviewees,thectmpvaluesthecontributions ofallofitsmembers,includingcivilsociety;civilsocietyinparticularplays Decision-making is done in plenary after exchange(s) by the members. The [CTMP] allows us to get many different, diverse opinions for a problem being discussed. DRC Civil Society Representative auniqueandcriticalrolebecauseofitsindependenceinadvocacyandaccountability,especiallybudget tracking.further,thectmphasplayedaninstrumentalroleinunifyingfinancialandtechnicalsupport fromthedonorsandimplementingagenciesthathavebeenconsistentlyengagedinfamilyplanningin thedrc. 5 Amongitsachievementstodate,theCTMPplayedakeyroleinthedevelopmentoftheNational StrategicPlanforFamilyPlanning. 4"Family'Planning,'Pillar'of'socio1economic'development'in'DR'Congo."Final"Report"on"the"3rd"National"Conference"on"the" Repositioning"of"Family"Planning"in"DR"Congo."December"3I5,"2014."Kinshasa." 5"Mukaba,"Thibaut"et"al."Family'Planning'Policy'Environment'in'the'Democratic'Republic'of'the'Congo:'Levers'of'Positive' Change'and'Prospects'for'Sustainability."Global"Health:"Science"and"Practice"2015" "Volume"3" "Number"2." CivilSocietyEngagementintheGFF 10
ETHIOPIA ProcessforCivilSocietyEngagementintheGFF FormalmechanismsforCSOengagement:Ethiopiaisinthemidstofdevelopingthefifthphaseofits HealthSectorDevelopmentPlan,whichincludesRMNCAH.Thisphase knownasthehealthsector TransformationPlan(HSTP) willcovertheperiod2015/16 2019/20,andwillultimatelyserveas thebasisforthegffinvestmentcaseinethiopia.asthefinalizationofthehstphasbeentheprimary focusofthegovernmentanditskeypartners,engagementonthegffprocessisstillinearlyphases. Atthetimeofwritingofthisreport,oneintervieweereportedthataGFFconsultationhadrecently beenheldbytheworldbank(injanuary2016)withmembersofthehealth,population,andnutrition (HPN)developmentpartners group,whichprovidedaforumforinformationsharinganddiscussion aboutthegff.thehpnismadeupofrepresentativesofethiopia smajorbilateralandmultilateral donors,andincludestwocivilsocietyrepresentatives.anadditionaldiscussionaboutthegffwas slatedtotakeplaceattheupcomingmeetingofthemultirstakeholderjointconsultativeforum(jcf) inearlyfebruary2016. Ultimately, the GFF will utilize the JCF and its technical arm, the Joint Country Coordination Committee (JCCC),to support its implementation. The JCF consists of representatives from the government,multilateralandbilateraldevelopmentpartners,healthprofessionalassociations,the Global Fund CCM, and the two leading civil society consortia CCRDA and CORHA (which have approximately360and100ngomembers,respectively). InformalmechanismsforCSOengagement:Nonetodate KeyBarriersandGaps Space for policy dialogue in the JCF: One interviewee indicatedthatcivilsocietyperspectivescansometimestake a back seat to those of the donors and government representatives in the forum and that there are limited opportunitiesforpolicydialogue. Limitations on advocacy and accountability: Ethiopia has policiesthatlimitadvocacybycivilsociety.additionally,the latestdraftofthehstphighlightsalackofaccountabilityand governanceofthehealthsectordevelopmentprogramat Most of the [JCF] agendas are focused on information sharing, not necessarily soliciting input and feeding these inputs into a policy dialogue with the government. Ethiopia Civil Society Representative large,aswellaschallengeswithqualityassuranceandfollowuponpolicyimplementation.however, itisnotablethatthiskindofassessmentanddocumentationexistsandispublicallyavailable. Summary Ethiopiahassolidstructuresandplansinplaceuponwhichthe GFF can build without duplicating efforts. The JCF has a long history of bringing together different stakeholder groups to supportimplementationandmonitoringofhealthsectorplans, and serving as a joint forum for dialogue on policy issues between the government, development partners, and other stakeholders. I [have] heard other countries talking about problems they are having with the government, but we don t have those kind of problems. Ethiopia Civil Society Representative CivilSocietyEngagementintheGFF 11
CCRDA and CORHA serve as powerful linkages between civil society, the government, and other stakeholders sharinginformationfromjcfmeetings(andothermultirstakeholdergroupsinwhichthey participate)andsolicitinginputfromtheirmemberorganizationstofeedbacktothejcf;thisbodeswell forongoingcivilsocietyengagementinthegffinethiopia. However,therearestillopportunitiesto enhance that engagement and to explore additional approaches for soliciting input and improving communicationwithcivilsociety. KENYA ProcessforCivilSocietyEngagementintheGFF FormalmechanismsforCSOengagement:Anonlinesurveyabouttheinvestmentcasewassentout toasmallnumberofcsosearlyinthegffprocessinkenya.thekenyangovernmentthenheldthree officialcivilsocietyconsultationsonthegff.thefirstwasheldinlatejanuary2015 withroughly 10R12 civil society representatives in attendance most of which were international nonr governmental organizations (INGOs). A follow up meeting to the initial country consultation was attended by about 50 civil society representatives. A final consultation was held in August 2015, whereadraftoftheinvestmentcasewaspresentedandcivilsociety was invited to submit feedback. Some CSOs also obtained draft copiesoftheinvestmentcasebyemailfromtheministryofhealth (MoH)toreviewandprovideinputon. Informal mechanisms for CSO engagement: Civil society representativeswithinsightintothegffprocessreportedthatthey obtainedinformationprimarilythroughinternationalpartners(e.g. Reproductive Health Supplies Coalition s Advocacy and AccountabilityWorkingGroup(RHSCA&AWG),InternationalPlannedParenthoodFederation(IPPF)) and through personal relationships with the Ministry of Health and/or World Bank country representatives.asidefromtheseindividualconnections,therewaslittleinformationaboutthegff madeavailabletocivilsocietymorebroadly,untiltheyadvocatedextensivelyfortheirinvolvement in consultations. Earlyin2015,veryfewcivilsocietymemberswereengagedintheGFFprocess. However,withsupportfrominternationalpartners(e.g.IPPF,FamilyCareInternational(FCI),Advance FamilyPlanning(AFP)),CSOswereabletoorganizethemselvesandsuccessfullyadvocateformore civilsocietyengagementinthegffprocess,withfci,afp/jhpiego,andhennettakingthelead;this advocacy was instrumental in ultimately getting a range of CSOs invited to participate in the consultations.inseptember2015,hennetconvened16csos(withfundingfromfci)andconveyed recommendationsbacktotheworldbank.withsupportfromothercivilsocietyleadersandingos, HENNEThascontinuedtoleadonCSOcollaborationandalignmentaroundtheGFF,includingearly thinkinganddevelopmentofaproposedaccountabilityframeworkforthegffinkenya. KeyBarriersandGaps There was a lot of silence no one knew what was going on. Kenya Civil Society Representative DefiningtheGFFandrelatedroles:IntervieweesreportedalackofclarityonwhattheGFFis,what isexpectedofthegovernmentandotherpartners,andhowcivilsocietywillbeinvolved. CivilSocietyEngagementintheGFF 12
Civil society outreach and representation: Interviewees explained that outreach to engage civil society in the GFF process was primarily based on prior relationships (for example between the Ministry of Health and a handful of NGOs), rather than a systematic,inclusive,andtransparentapproach.ingoswere overrrepresented in consultations, with insufficient representationofcountyrlevelcsos;thisisacriticalgapgiven Kenya sdevolvedgovernmentsystem. Communicationsmechanisms:Intervieweesobtainedmostof their information about the GFF through international partnersandbypersistentlyreachingouttopersonalcontacts attheministryofhealthand/orworldbank.itisunclearhow CSOs were selected to provide input via the online survey and/orthesharingofthedraftinvestmentcasebyemail. Feedback loops: Civil society stakeholders reported a lack of follow up on their feedback and engagement,sotheyareunawarewhatwasdecidedandhowtheirinputhasbeenused. Timeandresources:IntervieweesnotedthatmanyCSOs(particularlylocalones)donothavethe resourcestosupportstafftimeandtravelcostsforconsultations.inaddition,therewasinsufficient clarityandtimegivenforcivilsocietyrepresentativestosolicitandsynthesizefeedbackfromcso s andthenprovideinputatappropriateentrypointsintheprocess. Summary Althoughsomestepsweretakentoengageandinvolvecivilsocietyin the GFF process, there is much to be learned about how to improve engagementmovingforward.civilsocietyinkenyaiswellrorganizedand has a history of successful advocacy and strong relationships with government. However, while civil society was able to organize themselvesandsecuresomeinvolvementinthedevelopmentofthegff InvestmentCase,theyhadtorelyheavilyoninternationalpartnersand personalconnectionstodosoandtheprocesswasnotasinclusiveor supportive of indigenous organizations as it could have been. One interviewee recently noted that key asks from civil society were There has been no communication to the citizens and very little communication to CSOs, so the government can operate at its own pace without being accountable. Kenya Civil Society Representative We have a strong relationship with the government in Kenya, so I m not sure what happened with the GFF where the breakdowns happened. Kenya Civil Society Representative ultimatelyincorporatedintotheinvestmentcase,includingarecognitionofthediverserolesthatcivil societyshouldplayinthegff,fromservicedeliverytoaccountability,andanarticulationoftheneedfor bettertransparency,governance,andaccountability. AfinaldraftoftheKenyaInvestmentCaseiscomplete,andthecorrespondinghealthfinancingstrategy isinprocess. CivilSocietyEngagementintheGFF 13
TANZANIA ProcessforCivilSocietyEngagementintheGFF FormalmechanismsforCSOengagement:TanzaniacompleteditsfirstconsultationinApril2015, using the Sector Wide Approach (SWAp) coordination mechanism, with 30 participants from the MinistryofHealthandSocialWelfare,BureauofStatistics,bilateraldonors,andUNAgencies.The processforinvitingcivilsocietytoparticipateintheinitialmeetingremainsunclearandnocivilsociety representativeswerepresent.injuly2015,asecondconsultationwasconvenedbytheministryof HealthandSocialWelfarewithanumberofcivilsocietyrepresentativespresent,primarilyINGOs,as wellasrepresentativesfromunicef,unfpa,andarepresentativeofprivatesectorserviceproviders; intervieweesreportedthatitwasabriefmeetingfocusedprimarilyoninformationsharing. Informal mechanisms for CSO engagement: One of the key CSO When asked where representativesengagedinthegffintanzaniareliedprimarilyon the CSOs were at the her ownintelligence andpersonalconnectionsattheworldbank table, there were a to get information and share it with other CSOs. Others were lot of blank faces. completelyunclear aboutwhatthenextstepsandprocessesare Tanzania Civil Society going forward. The most relevant and timely information Representative stakeholders relied on was through RHSC s A&AWG and UN CommissiononLifesavingCommoditiesworkinggroups(throughUNFPA). KeyBarriersandGaps Informationsharing:Intervieweesnotedthatitwasverychallengingtoobtaininformationonthe GFF process without personal relationships with those organizations with connections to the government. Interviewees reported needing to hunt down information and chase after policymakers togetupdatedinformationonthegff. Civilsocietyrepresentation:SeveralintervieweesexpressedthatcontributionsbyadvocacyCSOsare undervalued and that preferential treatment was given for engagement with service delivery organizations. Additionally, a number of interviewees indicated that the technical language in meetingsmadeitchallengingforlocalcsostoengage,andthatthegovernmentprimarilyrelieson input from INGOs. Finally, given the relative advancement of reproductivehealthandfamilyplanningorganizationsthroughthe RHSCA&AWG,otherhealthsectorsremainedunderRrepresented. Timeandresources:StakeholdersreportedthatmostlocalCSOsdo nothavethebandwidthandresourcestoparticipateinconsultations andnetworkwithrelevantorganizations,particularlythosefarfrom the main cities. CSO s received last minute invitations to consultations, with insufficient notice to have a representative present. To some, it was unclear if the absence of civil society representativesintheapril2015meetingwas adeliberateomission orbydefault. The process was pressured and rushed, and there weren t sufficient consultations because of that time frame. Tanzania Civil Society Representative CivilSocietyEngagementintheGFF 14
Summary TheprocessandtimelineforthedevelopmentoftheInvestmentCaseandtheengagementofcivilsociety inthatprocessremainssomewhatunclear.intervieweesindicatedthattheprocesswasrushedandthere was insufficient time for meaningful consultations, perhaps due to pressure for Tanzania to have its InvestmentCasedraftedintimefortheFinancingforDevelopmentConferenceinJuly2015.Thereisclear roomforimprovement,particularlyinhowlocalcsosareinformed,invited,andsupportedtoparticipate intheprocess. WhathasworkedparticularlywellinthecaseofTanzaniaisbuildingonexistingplatformsandplans, ratherthanstartingfromscratch,thoughitisunclearhowmuchcivilsocietyhashistoricallybeenengaged inthose.tanzaniautilizeditsoneplanii(thecostedrmncahstrategyfor2016r2020)asthebasisforthe GFFInvestmentCaseandpulledrelevantinformationfromthedraftedHealthSectorStrategicPlanIVand thebigresultsnowforhealthinitiative.tanzaniahascompletedafinaldraftofitsinvestmentcaseand healthfinancingstrategyandisnowfocusingitseffortsonimplementation. ThoughtheexperienceofcivilsocietyengagementintheGFFhasbeendifferentineachofthefront runnercountrycontexts,somecommonthemesemergedaroundwhathasandhasnotworkedwell,to date. In Tanzania and Kenya, in particular, time constraints appeared to significantly inhibit the engagementofabroadrangeofstakeholders;theprocessseemedrushed,withlittletimefordeveloping and implementing a strategic engagement plan that would add value to the development of GFF Investment Cases and country platforms. In each of the front runner countries, communication and informationsharingwithcivilsocietywasadhocatbest(e.g.kenya),andinsomeplacesvirtuallynonr existent(e.g.drc). Severalcountrieshaveclearlyaimedtobuildonexistingprocesses(e.g.Tanzania,Ethiopia),whichhas beenrecommendedbythegfftoavoidduplicatingorrecreatingsystems;however,morecaremustbe dedicatedtoassessingandimprovingtheinclusivityandtransparencyofthoseprocesses.finally,insome contexts,civilsocietysuccessfullyorganizeditselfandadvocatedforrepresentationandengagementin consultations (e.g. Kenya); however, representation focused primarily on the wellrorganized groups workingonfamilyplanningandreproductivehealthinsomecountries,andoftenrequiredsupportfrom internationalpartnersandpersistenteffortstoleveragepersonalconnections. EffortstoImproveCivilSocietyEngagementintheGFF SincetheannouncementoftheGFF,anumberofcivilsocietypartnershavemadeaconcertedeffortto utilizetheirexistingcivilsocietyplatformsandnetworkstosupportcivilsocietyengagementattheglobal and national levels, and to support enhanced informationrsharing, alignment, crossrlearning, and coordination among civil society at large. Additionally, several individual organizations (e.g. RESULTS) havevolunteeredtheirownresourcestosupportcivilsocietyeffortsandengagementinthegff,suchas the development of this report and the engagementof external consultants to support the CSO prer meetinginnairobi. CivilSocietyEngagementintheGFF 15
ExistingCivilSocietyCommunicationsandEngagementPlatforms AsnotedintheKenyaandTanzaniacountrysummariesabove,theRHSCAdvocacyandAccountability WorkingGroup(togetherwithkeyINGOmembersincludingIPPF,PAI,andAFP)wasanearlyleader inorganizingandsupportinginrcountrypartnerswithgffinformation,briefs,andalignedmessaging andasks.ingopartnersalsoconducteddirectadvocacywiththeworldbanktoencouragemorecivil society involvement and they provided modest funds to support the convening of advocates inr country. The Global Health Council has taken the lead on bringing advocates together with GFF colleaguesfromtheworldbankandusaidtoshareinformation,askquestions,andprovideinputvia a series of webinars and the organization of a civil society consultation on the sidelines of the FinancingforDevelopmentConferenceandGFFlaunchinAddis.TheAfricanHealthBudgetNetwork hasleverageditsreachandconnectionstomanynationalandlocalcsosacrosstheafricaregionto facilitateinformationsharingandhasdevelopedseveralpositionpapersinsupportofenhancedcivil societyengagementinthegff.pmnchledaseriesofmultirstakeholderconsultationsonthegffin early2015togetherwithconsultationssetuptoinformthedevelopmentoftheglobalstrategy2.0. (SeeAnnexDforalistofkeydocumentsdevelopedbypartnersnotedabove.) These partners and others have dedicated significant time and resources to improve information sharingandenhancecivilsocietyengagementwiththegff,amidstafastrpacedprocessthatoften lackedclearcommunicationaboutnextstepsandentrypointsforstakeholderinvolvement.without theirefforts,civilsocietyengagementmayhavebeenevenmorelimited.nevertheless,thesepartners andcountrylevelcivilsocietystakeholderslargelybelievethattheseeffortshavenotbeensufficient toensuremeaningfulcivilsocietyengagementinthegfffrontrunnercountries,andtheyhaveoften beendisjointedandreactionary,ratherthanstrategic. GFFLearningWorkshop CivilSocietyPreGMeetinginNairobi,Kenya PriortotheGFFLearningWorkshoponNovember16R18,2015,theGFFInvestorsGroupcivilsociety representatives,withsupportfromthegffsecretariatandpmnch,convenedaonerdayprermeeting onnovember14with45civilsocietyrepresentativesfrom13countries,including10ofthe12gff countries.thismeetingprovidedanopportunityforcsostoshareexperiencesandlessonslearned and to develop key recommendations on bestrpractices for civil society engagement in country platforms,includingminimumstandards;asmallnumberofcivilsocietyrepresentativesthenbrought theserecommendationstothebroadergfflearningworkshop. MinimumStandardsforCountryPlatforms TheGFFBusinessPlanincludedasummaryofminimumstandardsforcountryplatforms,focusedon inclusiveness and transparency. However, a number of CSOs, led by the two civil society representativestotheinvestorsgroupandinformedbythenovembergffcivilsocietyprermeeting inkenya,havedevelopedarevisedsetofminimumstandardsthatincludemoredetailedandrobust recommendations for inclusiveness and participation, transparency, and independence and accountability. 6 Many of the challenges outlined by civil society stakeholders in GFF front runner countries (e.g. informationsharingandrepresentation)couldbemitigatedbyadherencetoamorerobustsetof 6"Recommended"Minimum"Standards"for"RMNCAH"Country"Platforms"to"Enhance"Participation,"Transparency,"and" Accountability"(Annex"B),"building"on:"PAI"and"AHBN."2015."Raising"the"Bar:"Recommendations"to"Strengthen"Global" Financing"Facility"Minimum"Standards"to"Country"Platforms." CivilSocietyEngagementintheGFF 16
minimumstandards.thesetofstandardsproposedbycivilsocietyleaveflexibilityforcountriesto drivethedevelopmentoftheirowncountryplatform(oruseanexistingplatform).however,they outlinemoredetailedrecommendationsandexpectationsforthestructureofcountryplatformsto supporttheoperationalizationofkeygffpriorities. InorderforcountriestooperationalizethekeyGFFprincipalsof inclusivenessandtransparency,whileensuringaccountabilityfor GFF implementation, civil society strongly recommends the adoptionofthissetofminimumstandardsbythegffinvestors Group and other relevant governing bodies. The standards, if adopted, will not only serve to facilitate enhanced civil society engagementgffcountryplatforms,butalsoengagementwitha rangeofotherkeystakeholders(seerecommendations,section 5). If it is written in the framework for how to do this GFF process then [the government] will be obliged to follow those guidelines. National Civil Society Representative GFFCSOCoordinationGroup 7 At the November civil society prermeeting, civil society participants called for enhanced communication,coordination,networkingopportunities,andsupportforcivilsocietyengagementin thegff.tofacilitatetheseimprovements,civilsocietyleadersareexploringthedevelopmentofa CSOCoordinationGroupto: 1. Advocateforcivilsocietyprioritiesandinterests 2. CoordinateGFFrelatedcivilsocietyeffortstoensureefficientuseoflimitedcivilsocietyresources 3. PromoteaccesstoinformationbycivilsocietyforoptimalengagementintheGFFprocessesatall levels 4. ActasaresourcegroupfortheGFFcivilsocietyInvestorsGrouprepresentatives 5. ActasapoolofexpertstoworkonvariousGFFrelatedworkinggroups 6. DisseminateandconsulttobroadernetworksonquestionsrelatedtotheGFF Thegroupwillaimtodevelopandimplementjointstrategiesforadvocacy,support,andcapacity strengtheningfornationalcivilsocietyengagementefforts,networking,andinformationsharing.it willalsoadvisethecivilsocietyrepresentativestotheinvestorsgroup.thecoordinationplatform willincludekeyglobalandregionalorganizationsthathavebeensubstantivelyengagedaroundthe GFFtodate;civilsocietyrepresentationfromGaviandtheGlobalFund(whicharealsopartofthe GFF)toensurealignment;andrepresentativesfromRMNCAHcivilsocietyplatforms(orwherenot available,healthorrelatedcoalitions)withnationwiderepresentationfromgffcountries. 7"Taken"and"adapted"from:"Draft"Concept"Note:"Strengthening"civil"society"Engagement"in"the"GFF" "GFF"CSO"Coordinating" Group"(PMNCH,"with"support"from"other"partners,"December"2015);"and"notes"from"the"CSO"Coordination"Group"Meeting," January"15,"2016."" CivilSocietyEngagementintheGFF 17
OtherMultiRstakeholderand/orCivilSocietyPlatforms Other multirstakeholder and/or civil society platforms offer powerful examples of civil society engagement models that can help to inform future GFF engagement. There may also be existing engagementmechanismsthatcouldbealignedwithorleveragedtoserveasplatformsforaddressing RMNCAH.Whilethisreportdidnotseektoconductacomprehensivereviewofcivilsocietyengagement inotherglobalmechanisms,belowwehighlightsomekeyfindingsandlessonsfromtheglobalfundto FightAIDS,TB,andMalaria,theScalingupNutrition(SUN)Movement,andGavi,theVaccineAlliance. GlobalFundCountryCoordinatingMechanisms Civil& Society& Engagement& in& the& Global& Fund.& Since its inception, the Global Fund has sought to establishstrongmechanismsforcivilsociety participation.of20votingseatsontheglobalfund Board,10aredesignatedfor implementerconstituencies withthreeoftheseseatsheldbycivil society members. Each board member is supported by a Communications Focal Point, who is responsibleforcoordinatinginformationsharingwithintheconstituency. 8 Recognizingthecritical roleofallconstituencies,andtheparticularchallengesfor implementingconstituencies toengage attheboardlevel(e.g.size,languagediversity,distancesbetweenmembers),theboarddesignates funds annually to each of the implementing constituencies to support communications and meetings,aswellasstafftimeandtravelcosts. 9 However,thecapacityofcivilsocietyBoardmember delegationstoreachandliaisewiththeirfullconstituenciesofcsosisstilloftenlimitedbytimeand funding.accordingtointerviewees,thereremainsastrongcommitmentatthehighestleveltoensure strongcivilsocietyengagementinglobalfund,butthereisalsorecognitionbythesecretariatand Boardthatithasroomtoimprove. Atthecountrylevel,asetofguidelinesdrivesthestructureandoperationsofCountryCoordinating Mechanisms(CCMs). 10 Theseguidelinesinclude:specificrequirementsthatmustbeinplacefora countrytobeeligibleforfunding(includingtransparentandinclusiveelectionsofnonrgovernmental CCMmembersandotherprocesses);minimumstandardsforeffectiveperformanceofCCMs;and additional standards and recommendations to help optimize CCM operations. Within these guidelines,theinvolvementofcivilsocietyandaffectedcommunities,andtransparentandinclusive processes,areofparamountimportance. Insomecountries,theengagementofcivilsocietyintheCCMisquite strong, with a respectful relationship between civil society, government, and other stakeholders, as well as transparent communicationsandstronglinkagestotherestofcivilsociety(see box below on Ghana). However, in other countries, civil society engagement is weaker, with reports of CCM civil society representativesbeinghandrpickedbythegovernmentandnotreadily accessibletothebroadernetworkofcsoswithaninterestinglobal Fund issues. One interviewee noted that there is an absence of a formalized system for supporting the CSO representatives to the CCMs, and a lack of knowledge about funding that is available to support CSO engagement and consultations. As a result, CSO 8"The"Global"Fund."How"We"Work:"Board"Constituencies." 9"The"Global"Fund,"November"2009."Constituency"Funding"Policy."" 10"The"Global"Fund,"November"2013."Guidelines"and"Requirements"for"Country"Coordinating"Mechanisms." CCM civil society representatives can apply for grants from the Global Fund to help them consult with a broader [network of] CSOs, but many CSOs don t even know about this. Regional Civil Society Representative CivilSocietyEngagementintheGFF 18
representativestotheccmssometimes findthemselvesincapableorineffectiveintheirroles. & ArecentreportontheinclusionofcivilsocietyprioritiesinGlobalFundconceptnotesassessesthe impactofcountryrlevelcivilsocietyconsultationsontheconceptnotessubmittedbyeightafrican countriestotheglobalfund. 11 Thereportfindingsindicatethatthosecountrieswiththegreatest inclusionofcivilsocietyprioritiesinglobalfundconceptnoteswerethosethatwerealsostrongon broader indicators related to: democracy, participation, and civic engagement; the ability of civil society to hold government and funding partners accountable; and the frequency of multir stakeholderconsultationsanddialogue. EngagementofCivilSocietyintheGlobalFund:LessonsfromGhana In Ghana, strong engagement of civil society with the Global Fund has been possible, according to interviewees,becauseofarobustandwellrstructurednetworkofcivilsocietycoalitions.civilsociety has always been well represented on the country s CCM; the CCM currently has 10 civil society representatives(outofapproximately25ontheccm)representing arangeofconstituencygroupsandaffectedpopulations.theccm fundingeligibilityrequirementsareclearlydocumentedonlineand include processesforelectingnonrgovernmentalmembersbytheir ownconstituencies,basedonadocumented,transparentprocess. 12 In addition to strong mechanisms in place at the CCMRlevel, civil society representatives to the CCM are backed and supported by wellrorganizedandcoordinatedcivilsocietycoalitions,suchasthe Ghana Coalition of NGOs in Health, Ghana HIV & AIDS Network (GAHNET),andStopTBGhana.Asoneintervieweeexplained,these CSOcoalitionsmakeiteasierforthegovernmentandcivilsociety If we are not an organized group, it s very difficult for the government, for the Global Fund, to engage with us In Ghana we are well-organized. Ghana Civil Society Representative representativestotheccmtocommunicatewithcivilsociety.but,thegovernmentmustalsomakeit a priority to include civil society activities in the budget, and donors must insist on collaborative planning, sothatcivilsocietyispartoftheplanning,notjustinvitedtobepartoftheimplementation. SUNMovementandtheSUNCivilSocietyNetwork Overview&of&Civil&Society&Engagement&in&the&SUN&Movement.&MultiRstakeholderengagementisakey principaloftheoriginalsunstrategy,andinallsuncountriesnationalmultirstakeholderplatforms havebeenestablishedorareunderdevelopment. 13 ThoughsomeconversationssuggestedthatSUN worksprimarilywithgovernmentsandthereisaneedtoimproveengagementwithcivilsocietyand otherstakeholders,otherssuggestthatcivilsocietyengagementhasbeencoretothesunmodel sincethebeginning.likemanyinitiatives,itislikelythattheengagementofcivilsocietyvariesfrom countrytocountry.thesunmovementalsoprovidesaninterestingmodelforfundingcivilsociety participationthroughthemultirpartnertrustfund(mptf).thefundofover$10millionusdwas established through contributions by three donors: the Swiss Agency for Development and Cooperation,IrishAid,andtheUKDepartmentforInternationalDevelopment.FundsfromtheMPTF 11"EANNASO"(East"Africa"National"Networks"of"AIDS"Service"Organizations),"August"2015."Assessing'the'Inclusion'of'Civil' Society'Priorities'in'Global'Fund'Concept'Notes:"A"desk"review"of"concept"notes"submitted"by"Kenya,"Malawi,"Swaziland," Tanzania,"Uganda,"Zambia,"Zanzibar,"and"Zimbabwe."" 12"CCM"Ghana,"Eligibility"Requirements.""" 13"SUN,"February"2014."SUN"in"Practice:"Effectively"Engaging"Multiple"Stakeholders."" CivilSocietyEngagementintheGFF 19
are available to governments, civil society, UN agencies, and other partners who are working to strengthennational,multirstakeholderparticipationinthesunmovement. 14 & OneofthethreeworkstreamsoftheMPTFis& supportformobilizingofcivilsocietytocontributeto thegoalsofthesunmovement. Withinthisstream,therehavebeen23fundedprojectstosupport civil society engagement to date. 15 An independent evaluation of the MPTF, conducted in 2014, concludedthat thesunmovementmptfhasplayedacatalyticroleintheestablishmentand/or strengtheningofcivilsocietyalliances(csas)in23countriesandtheparticipationofcivilsocietyin SUNprocessesatthecountrylevel. 16 & The&SUN&Civil&Society&Network.&TheSUNCSNiscomprisedof2,100CSOsengagedthroughnational civil society alliances in 34 SUN Countries. The national CSAs are intended to support effective implementationofnationalnutritionplansthroughtargetedadvocacy,championingtheinclusionof nutritionasapriorityinnationalplansandfinancing,andholdingleadersaccountablefornutrition commitments. National CSAs are funded through the MPTF as well as other donors. The CSN is governedbyanelectedsteeringgroupandanoperationaloversightcommittee,appointedbythe steeringgroup.thesecretariatishostedbysavethechildren(uk)andfundedbythemptf(through 2016),theChildren sinvestmentfundfoundation,andthegermangovernment.& TheprimarypurposeoftheCSNistosupportthenationalCSAswithcapacitybuildingsupportand connectionstoregionalandglobalsunmovementefforts;however,italsoaimstoalignadvocacy andmessagingfornutritionatglobalandnationallevels. 17 Currently,regionalnetworksfortheSUN CSN are also being established. In 2014, a Latin American Network was launched, with others to follow. EngagementofCivilSocietyintheSUNMovement:Zambia scivilsociety SUNAlliance Zambia s CSA has emerged as a leader in civil society advocacy and engagement in the SUN Movement at the national level, due to strong leadership, consistent funding, and the development of a productive relationshipwiththegovernmentandotherstakeholders.asamemberof themultirstakeholderfoodandnutritioncommission,zambia ssuncsa Coordinatorensuresthatthevoicesofcivilsocietyareheardamongsta governmentrselected panel of experts. The gradual development of a strongrelationshipwiththeirgovernmentnutritioncounterparts,means that the SUN CSA is viewed as a valuable and trusted partner by the government, for providing expertise, acting as nutrition champions, and holding the government accountable. Our role is reminding the governmentaboutthecommitmentsthattheyhavemade;butwehavea relationshipwherewerelyoneachother,forimprovementofnutritionin Zambia. Westandtocollapse inouractivitiesifwe don thavethe funding.thecreation ofthesuncsawas essentialtofulfilling thevisionthatsun setoutfromthe beginningtoinvolve civilsociety. & ZambiaCivilSociety Representative 14"SUN."How"is"the"Movement"Supported:"SUN"Movement"MPTF." 15"Kate"Eardley,"World"Vision"International,"November"2015."Discussion"note:"Strengthening"CSO"and"citizen"engagement" in"national"accountability"(unpublished).' 16"SUN"MultiIPartner"Trust"Fund,"2014."Annual"Report." 17"SUN"Civil"Society"Network,"2013:"Purpose"and"Priority"Objectives." CivilSocietyEngagementintheGFF 20
GaviandtheCSOConstituencyProject Civil&Society&Engagement&in&Gavi.OntheBoardofGavi,civilsocietyis represented by an elected board member and alternate, who are supportedbyabroadercsoconstituencythatisledbyacsosteering Committee. The CSO Constituency was formally organized in 2010 when,asoneintervieweenoted,gavirecognizedthevalueaddofcivil society, particularly in accessing hardrtorreach populations, creating demand, and representing the voices of people on the ground. Globally, the Gavi CSO Constituency is comprised of more than 250 CSOs advocating for expanded access to health services and immunizations.thesteeringcommittee,comprisedof19csosacross 15 countries, guides the CSO Constituency in its organization and activities.thecsoconstituencyhasidentifiedfivekeygoalstoincrease accesstovaccinesatthecountryrlevel,alongwithadvocacyrecommendationstohelptailorthefive goalstodifferentcontexts.atthenationallevel,gavireligiblecountriesmustestablishaninteragency Coordination Committee (ICC), which brings together stakeholders from the Ministry of Health, UNICEF,WHO,andcivilsociety. The& Gavi& CSO& Constituency& Platforms& Project.& The project was launched in 2011 to support national CSO platforms to work with governments and development partners, and mobilize communities aroundimmunizationissues.managedbycatholicreliefserviceswith guidance from the CSO Steering Committee, the CSO Constituency PlatformsProjectoperatesin24countries. 18 Insomecountries,the projectwasabletobuilduponexistingcivilsocietyplatformsfocused on health, MNCH, or immunization, and in other countries, where noneexisted,theyhavesupportedtheformationofcsoplatforms.as one interviewee explained, the project has raised civil society awareness of the existence and importance of the ICC; and, with supportbehindthemfromacsoplatformandtheconstituencyproject,theycanserveasaneffective watchdog: themostaccountablecountries[are]thosewherecivilsociety[is]ontheicc. TheCSO platformssupportinformationflowfromthenationaltothegrassrootslevelandviceversa,andthe alignmentofcsosaroundcommonpositionsonpolicymatters. EngagementofCivilSocietywithGavi:MalawiHealthEquityNetwork(MHEN) MHENisaCSOhealthcoalition,supportedbytheGaviCSOConstituencyPlatformsProject,whichhas shown tremendous success in advocacy and accountability, and as a trusted partner in helping to expand the reach of the government s immunization program, for example reaching hardrtorreach communities with immunization training and demandrgeneration activities. MHEN brings together localcsosandingostoorganize,alignpriorities,andserveasafocalpointforthegovernmentto engage with civil society. MHEN has a seat on Malawi s multirstakeholder Health Sector Working Group,andtheEPI(expandedprogramonimmunization)subRtechnicalworkinggroup.Throughits national steering committee, regional committees, and district focal persons, MHEN facilitates informationsharingfromthecommunitytothenationallevelandvicerversa;italsohasservedasthe 18"Gavi"CSO"Constituency"Platforms"Project"" Before the CSO Constituency Project there was hardly any involvement of civil society on ICCs... but this is where policy discussions are held, where decisions are made. Regional Civil Society Representative The government says there are so many CSOs, we don t know who to engage with. When we have a platform there is a representative of civil society. Regional Civil Society Representative CivilSocietyEngagementintheGFF 21
recipientofgavihealthsystemsstrengthening(hss)funds,which ititthendistributestocsomembersintheformofsubrgrants,and provides oversight. The Gavi CSO Constituency Project has been critical for strengthening the capacity of MHEN to serve as an effective network of CSOs with the skills to engage in key government and multirstakeholder platforms, representing the voiceofcivilsociety. Among MHEN s advocacy successes was a significant budget increaseforhealthin2014,including$2.1minearmarkedfundsfor immunization;mhenhadworkedwithparliamenttoprovidedata aboutbudgetshortfalls,andfirstrhandstoriesaboutthenegativeimpactonchildren saccesstocritical healthservicesatthecommunitylevel. 19 Thoughthisreportonlybegantoscratchthesurfaceintermsofdescribingthefullpictureandnuances ofcivilsocietyengagementinothermajorglobalinitiatives(e.g.globalfund,sun,andgavi),some commonthemesemergedacrossplatformsandfromtheglobaltothenationallevel.itisclearthatcivil societyengagementisfacilitatedbystrongcommitmentatthehighestlevel(e.g.boardlevel),explicit guidanceorrequirementsforcivilsocietyengagement,andsystematicandconsistentfinancial supportandcapacitystrengtheningforcivilsocietyplatformsattheglobal,regional,andnational levels.wellrorganizedandsupportedcivilsocietyplatformsappeartobecrucialforfacilitating alignmentofcivilsocietypriorities,improvinginformationsharing,andsupportingmoreeffective engagementwithgovernmentandmultirstakeholdernationalplatforms. 4.LessonsLearned TheGFFprocessinthefourfrontrunnercountriesandatthegloballevel,aswellaskeyexamplesofother civilsocietyandmultirstakeholderplatforms,offerimportantlessonsaboutwhathasworkedwelland whatcouldbeimprovedtoensuremoremeaningfulengagementofcivilsocietyinthefuture.keythemes thatemergedfrominterviewsandresearchechothefindingsofnumerouspartnerreportsassessingthe ingredientsofmeaningfulcivilsocietyengagementinthegffandotherglobalandcountryprocesses(see AnnexDforalistofseveralofthesereports). Consistent,timelycommunicationwithcivilsocietyisrequired formeaningfulengagement SomecivilsocietyleadersandmembersofGFFgovernancebodies havemadeconcertedeffortstoreacharangeofstakeholderswith communicationsaboutgffprocesses,operations,consultations, and policies; these efforts have been critical to enhancing civil society engagement since the GFF was launched. However, according to interviewees, the reach and results have been inconsistent.countryrlevelcivilsocietystakeholderswerelargely unawareanduninformedofthegoals,plans,andtimelinesforthe What I have appreciated the most is the capacity building element; the [government] is able to respect us as an entity that knows what we are doing. Malawi Civil Society Representative Information often trickled out in the early stages. We were trying to act as quickly and efficiently as possible but things evolved extremely rapidly and it was often not clear what the next steps would be. Global Stakeholder 19"Gavi"CSO"Constituency,"Catholic"Relief"Services,"June"2015."A'National'Challenge:'Advocacy'Pays'Off'Big'in'Malawi."" CivilSocietyEngagementintheGFF 22
GFFprocessintheirrespectivecountries.ForthoseintervieweeswhowereengagedintheGFFin somecapacity,therewasalackofclarityaboutwheretheprocessstoodandhowtheirinputwas being integrated. In addition, communication with civil society by country focal points within the governmentorworldbankcountryofficeswashighlylimited;wheninformationaboutgffprocesses and meetings was shared with civil society, it was mostly due to personal relationships and/or significanteffortsonthepartofcivilsocietytoseekoutinformation. Adequateresourcesarenecessarytosupportcivilsocietyengagement Theabsenceofdedicatedfinancialresources tosupportlocal,indigenouscsostoparticipateinthe GFF consultations was repeatedly highlighted as a barrier to their engagement in the GFF consultationprocess,andissupportedbypreviousresearchindicatingthatitisacommonchallenge that must be addressed to ensure meaningful civil society engagement. 20 As participation in GFF consultationstodatehasbeenentirelyvoluntary,mostlocalcsoshavenothadtheresourcestocover thetimeandexpenseofsendingarepresentativetoparticipateinmeetings,tostayupdatedonthe evolving process, and to provide ongoing input. Larger, wellrresourced INGOs frequently headquarteredinthecapitalcities havebeenbetterrepresentedinconsultations,atleastinpart becausetheycanincurthehumanandfinancialcostsofparticipation.inaddition,civilsocietypointed totheneedforresourcestoorganizethemselves,facilitateinformationsharing,andaligntheirkey prioritiesandrecommendations. Civilsocietyrepresentativesengagedinotherglobalinitiativesatthenationallevelalsonotedthat financial resources and technical assistance to support them to organize and engage have been essential to ensure they do so effectively, and that they can ensure inclusiveness of a diverse representationofcsos. Moretimeisneededtogettheprocessright Interviewees also noted that the GFF process seemed rushed and often little advance notice was provided to CSOs about upcoming meetings sometimes just a day or two in advance making it impossible for them to attend. The lack of adequate notice was particularlychallengingforcsosbasedoutsideofthemajorcities.this hasresultedinunderrepresentationofthevoicesofindigenousngos and subrnational CSOs. Interviewees also noted that they were generally given insufficient time to provide feedback on GFF documents, and/or to solicit and synthesize input from other civil societypartners. With the rapid process, things were happening so quickly. They should have set principles that must have been implemented immediately, from the start. National Civil Society Representative DiverserepresentationofCSOsandtransparencyinselectionofCSOparticipantsisiscritical Both global and country interviewees noted that the selection process for inclusion in the GFF consultationshasnotbeensystematicandtherehasbeenalackoftransparencyaroundhowandby whomcivilsocietyrepresentativesareselected. A number of interviewees noted that the selection of civil society representatives by country government officials has led to representation that has not been as balanced as desired. CSO representatives engaged in the GFF to date seem to be those with prior relationships with the 20"CHESTRAD,"June"2015."Institutionalize,'Resource,'Measure:'Meaningful'Civil'Society'Engagement'in'Global'and'Country' Health'Policy,'Financing,'Measurement'and'Accountability.''" CivilSocietyEngagementintheGFF 23
governmentorwhohavepersistentlysoughtoutinformationorinvitationstomeetings,followingtips fromglobalpartners.bothglobalandcountryintervieweesemphasizedtheimportanceofhaving local civil society representatives who can serve as credible brokers representing their communities atthetableforgffinrcountryconsultations.inadditiontooverrepresentationby INGOs,severalintervieweesnotedthatcivilsocietyrepresentativesengagedintheGFFthusfarhave predominantly been service providers and implementing organizations, with insufficient representationofadvocacyandaccountabilityorganizations. MultiGstakeholderandcivilsocietyplatformsandlearningopportunitiesarehighlybeneficial SomecountrycivilsocietyrepresentativesindicatedthattheGFFLearningWorkshopinKenyawasa turning point, helping facilitate greater dialogue between civil society and government representatives, helping government representatives understand the value of civil society engagement,and plantingtheseed forfutureconsultationswithcivilsocietyintheircountries. Inaddition,itisclearfromothersuccessfulmultiRstakeholderandcivilsocietyplatformsthatensuring space, funding, and technical assistance for multirstakeholder engagement within countries is a criticalingredientforbuildingtrustandestablishingamutuallybeneficialrelationshipbetweenthe governmentandcivilsociety.civilsocietycoalitionsandplatformsatthenationallevelhavebeen instrumentalinensuringstrongcivilsocietyengagementinotherinitiativesandfundingmechanisms such as Gavi and SUN. These civil society platforms are essential for coordinating capacity strengthening,andsupportingmessagealignmentandinformationsharing. ValueGaddedofcivilsocietymustbeclearlydefinedandrecognized Inorderfortheinclusionofcivilsocietyingovernmentprocessestobemeaningful,thevalueofwhat civilsocietycancontributeneedstobewellarticulatedandunderstood.todate,civilsocietyhas perceivedtheirinclusioninthegffas checkingabox toshowthattheywerethere,insteadofa meaningfulcontributionthatwouldmaketheprocessstronger. Lessons from other multirstakeholder and civil society platforms indicatethatthereisrealpotentialforcivilsocietytobetreatedasa trustedpartnertothegovernment,bringinguniqueperspectivesand skillsthatcontributetomeetingsharedagendas.mutualtrustand respectbetweencivilsocietyandgovernmentisdevelopedthrough frequent dialogue and takes time to establish; it is often found in those countries with a strong track record of democracy, accountability,andcivicparticipation.however,itispossibleinmost settings withresources,technicalassistance,andguidelines to It was a huge task to understand what the opportunities were for CSO engagement. National Civil Society Representative establish and support multirstakeholder dialogue and country platforms. Recognizing the contributionsofcivilsocietytokeynational,regional,andglobalprocesses aswellasdefiningand ensuringclearentrypointsfortheirengagement hasalsobeenhighlightedascriticalinprevious research. 21 Inparticular,countryRlevelcivilsocietyintervieweesexpressedfrustrationandconfusionoverwhat opportunitiesanddistinctroletheyhavetoplayinthegffprocess.theroleofcivilsocietyinthegff processhasnotbeenclearlydefinedorstructuredandmultiplepartnershavecalledforaclearerand 21"CHESTRAD,"June"2015."Institutionalize,'Resource,'Measure:'Meaningful'Civil'Society'Engagement'in'Global'and'Country' Health'Policy,'Financing,'Measurement'and'Accountability.""" CivilSocietyEngagementintheGFF 24
moreformalizedroleforcivilsocietyinthegff. 22 Thereisanopportunitytostrengthencivilsociety s participationinthegffbyclearlyidentifyingentrypointsforengagementandclarifyingtherolescivil societycanplay. 5.Recommendations Thefourkeyrecommendationsoutlinedbelowaredrawnfromtheexperiencesofcivilsocietyinengaging withthegffinthefrontrunnercountries,aswellasinputsandprioritiesidentifiedbyglobal,regional, andnationallevelstakeholdersinterviewedforthisproject,civilsocietyrepresentativespresentatthe Nairobi GFF CSO prermeeting, and the civil society representatives to the Investors Group. The recommendationshavebeendevelopedinordertostrengthentheengagementofcivilsocietyinthegff, withthegoalofmakingthegffasrobustandsuccessfulaspossible. CivilsocietyhasagenuineinterestinsupportingtheGFFtofulfillitsgoalto contribute to collective efforts to end preventable deaths of women, adolescents,children,andnewbornsby2030andtoimprovetheirhealthand quality of life. Civil society brings unique experience, skills, knowledge, and connections to communities, which are valuable assets that the GFF should leverage.contributionsthatcivilsocietycanmaketothegffinclude: " Technicalassistanceforimplementation,especiallyservinghardR torreachpopulations " Enhancing communication and transparency with a broader networkofstakeholders " PresenceatsubRnationallevelforimplementationandmonitoring " Representingcitizenvoices " Advocacyandresourcemobilization " Independentaccountability Civil society is critical to success The GFF has an opportunity to get it right from the beginning. Regional Civil Society Representative CivilsocietyhasalreadymadeconcertedeffortstoorganizeitselfandfacilitateengagementintheGFF todate,despitesignificantbarriers.however,therecommendationsbelowwillallowthegfftomore meaningfullyandsystematicallyengageandleveragecivilsociety,aswellasothernonrgovernmental stakeholders.arobustmultirstakeholderprocesswillensurethatthegffcanreachitsfullpotential. 22"RHSC,"November"2014."GFF:'All'Hands'on'Deck.'Advocacy'and'Accountability'Working'Group'Position'on'the'Global' Financing'Facility." ""AHBN,"2015."AHBN'Position'Paper'on'the'GFF.""" ""IPPF,"August"2015."Briefing'on'the'GFF. CivilSocietyEngagementintheGFF 25
Recommendations for Strengthening Civil Society Engagement in the GFF 1) Implement and track minimum standards for RMNCAH country platforms in GFF countries 2) Ensure timely and transparent communications about the GFF and its processes 3) Establish and support platforms for civil society to engage in the GFF in a coordinated, representative, and streamlined manner 4) Resource and support meaningful civil society engagement 1) ImplementandtrackminimumstandardsforRMNCAHcountryplatformsinGFFcountries Currently, responsibility for the selection and engagement of stakeholders in each country lies primarilywithgovernmentrepresentatives.theirunderstandingofhowtomaximizethevalueand contributionsofnonrgovernmentalstakeholdersvaries,andevenforthosewithexperienceengaging a range of stakeholders (e.g. Kenya), other pressures such as time constraints may inhibit the realizationofbestpractices.greaterclarityonthenecessarycomponentsofmeaningfulengagement and accountability for those practices are necessary in order to ensure valuable and timely contributionsbycivilsocietyandotherstakeholdersinthegffprocessandoutcomes.thesetof enhancedminimumstandardsdevelopedbycivilsocietyoutlinedetailedguidelinesforinclusiveness andparticipation,transparency,andindependenceandaccountability.theyaredesignedtodelineate concretestepsthatcanbetakento: EnsurethatcountryplatformshavestrongrepresentationfromarangeofnonRgovernmental stakeholders(includingcivilsociety,theprivatesector,healthcareprofessionalassociations,un agencies, and more); that those representatives are selected through a transparent, participatoryprocess;andthattheyfulfilltheirresponsibilitiestospeakforandcommunicate withthebroaderconstituencythattheyrepresent. Mitigate challenges faced to date related to transparent, timely, and consistent information sharing. Ensure that an accountability strategy and working group are established to monitor implementation of the Investment Case, in alignment with other national accountability processes; that an independent review of adherence to country platforms operational proceduresisconductedatleasteverytwoyears;andthatagrievancemechanismbeestablished toreceiveandfacilitateconcernsrelatedtotheminimumstandards. TheminimumstandardsdocumentshouldbeendorsedandadoptedbytheGFFInvestorsGroup, TrustFundCommittee,andSecretariat.Expectationsforimplementationoftheminimumstandards shouldbeclearlycommunicatedtocountrygovernmentsbythegffsecretariat,withresourcesand technicalassistanceavailabletosupportcountriesinoperationalizingthem.theminimumstandards shouldbeincorporatedintothegff sannualqualityassurance(qa)review.finally,civilsocietyhas acritical,independentroletoplayintrackingadherencetominimumstandardsbycountries(i.e. throughcountry orregional scorecards seeahbnproposedscorecard,annexc) andpublishing progresstowardsmeetingthosestandardsinanannualreport. Actions PersonsResponsible Committoadoptproposedminimumstandards forgffcountryplatforms GFF Investors Group, Trust Fund Committee, and Secretariat; country CivilSocietyEngagementintheGFF 26
Clearly communicate expectations for implementation of minimum standards to country governments and provide support for theiroperationalization IncorporateminimumstandardsintoannualQA reviewprocess Implement minimum standards at the country level Track and report at least annually on progress implementingtheminimumstandards governmentfocalpoints GFFSecretariat GFFSecretariat Countrygovernmentincollaboration withnonrgovernmental partners and supportfromgffsecretariat CSO Coordination Group with other nonrgovernmentalpartners 2) EnsuretimelyandtransparentcommunicationsabouttheGFFanditsprocesses ThelackofunderstandingbynonRgovernmentalstakeholdersaboutwhattheGFFis,howitisbeing implemented,andwhatmechanismsexistforthemtoengageintheprocesswasamajorbarrierin thefrontrunnercountries.broadlydisseminated,publicallyavailable,consistentlyupdated,locally relevantinformationonthegffpriorities,processes,policies,andoutcomes atglobal,regional, national,andsubrnationallevels arecriticaltofacilitatemeaningfulengagementbycivilsocietyand otherstakeholders.mechanismsandopportunitiesforengagementwithcivilsociety(andothernonr governmentalstakeholders)shouldbeclearlycommunicated.bothingosandnational/localcsos shouldhaveanopportunitytoshapeandinfluencegffstrategiesandplatformsforcommunications to ensure that they will meet the needs of the full civil society constituency. This kind of open, transparentcommunicationwillfacilitategreater buyrin andparticipationinthegffbyawiderrange ofstakeholders,whichwillultimatelyservetomakethegffstronger. AcivilsocietyrepresentativetotheGFFeditorialgroupshouldbeselectedbycivilsociety,toprovide guidance and input to the development of the GFF website and communications strategy; this person srolewouldbepartofalargerefforttocomprehensivelysolicitinputfromthebroadercso constituency,andfeedbackdecisionsandotherkeyinformation.inadditiontoacentralizedgffrrun resource, civil society has highlighted the need for an independent, interactive, dedicated web platformforthemtoshareinformation,tools,experiences,andlessonslearnedaboutthegff. Actions PersonsResponsible Developandimplementacivilsociety communicationsstrategythatis complementarytothegffcommunications strategyandensuresclearinput,feedback, informationsharing,participation,and consultationwithandbycivilsociety,at global,regional,andnationallevels. Engageanappropriatecivilsociety representativetoparticipateonthegff editorialgroup,toprovideinputintothegff communicationsstrategyandonthecentral GFFwebsite. CSOCoordinationGroupwithsupport fromthegffsecretariat,andregionaland nationalpartners GFFSecretariat;CSOCoordinationGroup, andgffcivilsocietyrepresentativestothe InvestorsGroup CivilSocietyEngagementintheGFF 27
Developandmanageanindependent, interactive,dedicatedcivilsocietyweb platform. CSOCoordinationGroup 3) Establish and support platforms for civil society to engage in the GFF in a coordinated, representative,andstreamlinedmanner OneofthegreatestbarriersreferencedbyGFFrepresentativestotheirengagementwithcivilsociety wasthelackofclearlyidentifiedcivilsocietyfocalpointsforthemtoengagewithduringthegff process;similarexperienceswerereflectedbystakeholdersengagedinotherglobalinitiatives.civil societystakeholderswhowereinterestedinengagingwithgffprocessesfacedchallengesofarushed process,withlittleadvancenoticegivenbeforeconsultations,andtheavailabilityofmechanismsfor themtoadequatelyengageinthegffdevelopmentprocessincountry.thedevelopmentofand support for multirstakeholder and civil society platforms are critical to ensure meaningful and strategiccivilsocietyengagementinthegffprocess,providingopportunitiesforinformationsharing and participation, alignment around common priorities, and the determination of roles and potential contributions of different players. ModelsandlessonslearnedfromplatformsutilizedbytheGlobalFund, GAVI,theSUNmovementwillbeimportanttoconsiderinthisprocess. A CSO Coordination Group at the global level will help to streamline communicationsfromtheglobaltotheregionalandnationallevels,and viceversa.itwillserveasacentralizedbodyforcoordinatingthebroader civil society constituencies, aligning civil society priorities and feeding them into the civil society representatives to the Investors Group. Additionally,aCSOCoordinationGroupcanservetosupportcivilsociety coalitionsandalliancesatthenationallevelbyprovidingtools,facilitating technical assistance, helping ensure that their engagement is a GFF priority,andsupportingthesharingoflessonslearnedacrosscountries andregions. Additional opportunities for crossrcountry multirstakeholder dialogue likethekenyagfflearningmeeting shouldbesupportedwithresources andtechnicalassistance,providingopportunitiesnotjustforinformation sharingbutalsoforstakeholdersbeyondgovernmentanddevelopment partners to provide input and lend their expertise to improve the GFF When a multistakeholder platform is being put in place, you need to manage expectations about what the roles of different partners [are], why the platform is here and what benefit it brings to the country; same for civil society platforms - what are the roles and expectations of each of the partners. National Civil Society Representative process.civilsocietyshouldhavetheopportunitytoselectitsownrepresentativestoparticipatein global and national multirstakeholder platforms and crossrcountry learning meetings through a democraticandtransparentprocess.atthesametime,governmentcapacityshouldbestrengthened toimplementandleadeffective,multirstakeholderplatformswithmeaningfulparticipationfroma rangeofstakeholders,inlinewiththeminimumstandards(recommendation2).thiswillleadto stronger Investment Cases and stronger multirstakeholder implementation strategies and accountabilitymechanisms.wheneverpossible,existingcountryplatformsshouldbeleveraged,and coordinationamongissuerspecificgroupsshouldbemadeatoppriority. CivilSocietyEngagementintheGFF 28
Actions PersonsResponsible SupportthecreationandoperationsofaCSO GFFSecretariat;CSOCoordination CoordinationGroupthatincludes Group representativesfromgffcountriesandother healthrrelatedcivilsocietyplatforms(e.g.gavi, GlobalFund,SUN,FP2020) CreateandsupportopportunitiesforcrossR GFFSecretariat country,multirstakeholderlearning(likekenya GFFLearningMeeting) Learnfrom,buildupon,andalignwithexisting GFFSecretariat;countrygovernments; nationalmultirstakeholderandcivilsociety CSOCoordinationGroup;donorsand platforms(e.g.thoseutilizedforgavi,global agencies Fund,SUN,FP2020,andRMNCAH) Usetheminimumstandardstohelpensure Countrygovernments;nationalcivil meaningful,representative,transparent societyplatformleads engagementofcivilsocietywithincountry platforms 4) Resourceandsupportcivilsocietyengagement Civil society representatives particularly local CSOs in the GFF countries often operate with minimalbudgetsandthereforelacktheresourcestoengageinmeetingsandeffortsbeyondthose thattheyaredirectlyfundedtocarryout.properengagementinandrepresentationofcivilsociety takes time and resources for communications, travel, convenings, and staff time particularly to ensure representation of stakeholders beyond the capital cities in GFF countries. An Investment Case for civil society engagement in the GFF countries should be developed, outlining benefits and costs of such engagement.thosewiththeresourcestosupportsucheffortsneedto recognizeandfillthiscurrentgap,whichisaprerequisiteformeaningful civilsocietyengagementinthegff. Inordertoensureacoordinatedandfocusedmechanismfordonorsto support civil society and for civil society to access such resources, a centralizedgfffundtosupportaglobalcsocoordinationgroupshould be established to support the recommendations in this report. An additional, nonrgff funded resource is also needed to support civil society s engagement in accountabilityeffortsatthenationallevelincoordinationwithothersimilarinitiatives.ifsuchfunding were to be funneled through the country government, steps must be taken to preserve its independenceandneutralitywithregardtocivilsocietybeneficiaries. Actions Developaninvestmentcaseoutliningsupport neededbycivilsocietytoengageinthegff process.thiscaseshouldclearlyoutlinethe benefitsandcontributionsthatresultfromstrong civilsocietyparticipationinnationalandglobal planningandpolicyanalysis,implementationand technicalassistance,andaccountability. Things only get done, actual advocacy only takes place, when you have a budget with concrete deliverables. National Civil Society Representative PersonsResponsible Consultant(s)hiredbytheGFF SecretariatincoordinationwithCSO CoordinationGroup CivilSocietyEngagementintheGFF 29
AllocateGFFandotherfundstosupportcivil societyengagementasoutlinedinthisreport AllocatenonRGFFresourcestosupportcivil society scriticalroleinensuringaccountabilityfor thegffandothersimilarinitiatives 6.Conclusion GFFInvestorsGroup,GFFTrustFund Committee,otherGFFpartners GFFSecretariat,country governments,csocoordination Group,donorsandagencies TheGFFisapotentiallypowerfulnewcomponentoftheglobalhealthlandscape,offeringopportunities forgreaterresourcesandimpactacrossthermncahcontinuum.inordertoachieveitsstatedgoals, effectiveandconsistentengagementbycivilsocietywillbecrucial.whilethegffhasrecognizedthevalue ofcivilsocietyengagementingffprocesses,thoseeffortsarestillnascentandmanystepscanbetaken tomakethoseprocessesmorerepresentative,meaningful,andresultinmoreeffectiveoutcomesinthe future. Theminimumstandardsproposedbycivilsocietystakeholdersshouldbeadoptedandimplemented,with adherenceandoutcomessupportedandreportedpublicly.civilsocietyrequiressufficientresourcesand supporttocreateorbuilduponexistingrepresentativebodiesandprocessesinordertoengagewith governmentsinastreamlinedandeffectivemanner. MeaningfulengagementofcivilsocietyandothernonRstateactorsintheGFFwillresultinamorerobust, informed,andaccountableoutcomesforall.theconsiderationofandactionontherecommendationsin thisreportbythegffwillbeacriticalstepinthisprocess. CivilSocietyEngagementintheGFF 30
AnnexA:StudyMethodology Objectives Theprojectsoughttoachievethefollowingobjectives: 1. Identifytheprimarymechanismsthathavebeenusedtoengagecivilsocietyinthedevelopmentof GFFInvestmentCasesinthefourfrontrunnercountries. 2. DocumentthesuccessesandchallengesforcivilsocietyinengagingwiththeGFFtodateinthefront runnercountries;explainhowthesesuccessesandchallengeshavebeensupported(ornot)byglobal andregionalcommunicationsandengagementplatforms. 3. BrieflyidentifyothermultiRstakeholdernationalplatformsthathavesuccessfullyengagedcivilsociety, anddocumentkeylessonsthatcanbelearnedfromthem. 4. MakerecommendationstoenhancecivilsocietyengagementintheGFF,includingdefiningthevalueR addofcivilsocietyingffprocesses,andrecommendingstandards,platforms,and/oraccountability mechanismsforensuringmeaningfulcivilsocietyengagement. Methods Theauthors reviewandanalysisincludedthefollowingcomponents: 1. Deskresearch:Theauthorscompletedareviewofkeydocumentsandrelevantreportsandresources producedbythegff,aswellasresourcesdevelopedbypartnerstosupportandinformcivilsociety engagementinthegffprocess,and/ortosupportmeaningfulcivilsocietyengagementwritlarge. 2. Keyinformantinterviews:BetweenOctober2015RJanuary2016,33inRdepth,confidentialinterviews wereconductedbyphoneorinrpersonwithkeyinformants. KeyInformants GlobalStakeholders 12 RegionalCivilSocietyRepresentatives 4 NationalCivilSocietyRepresentatives 17 TOTAL 33 Global,regional,andcountrylevelstakeholderswereaskedtosharetheirperspectivesoncivilsociety engagementinthegffprocesstodateinthefourfrontrunnercountries.intervieweeswereasked todescribetheirownengagementwiththegffandtoidentifymechanismsormodelsofengagement thathavebeenparticularlysuccessful.theywerealsoaskedaboutchallengesandpotentialmissed opportunitiesforcivilsocietyengagement,andtoidentifyentrypointsorapproachestostrengthen civil society engagement going forward. More broadly, interviewees were asked to consider the essentialingredientsofandpotentialbarrierstomeaningfulcivilsocietyengagement,andtoprovide recommendationsonhowtobestmitigatechallengesandleverageopportunitiestostrengthencivil societyparticipationingffprocesses. 3. GFFLearningMeeting CivilSocietyPreGMeetinginNairobi,Kenya:Asnotedearlier,onNovember 14,2015,theGFFInvestorsGroupcivilsocietyrepresentatives,withsupportfromtheGFFSecretariat and PMNCH, convened a onerday meeting with civil society representatives. Its purpose was to provide a forum for civil society to share experiences and lessons learned, and to develop key CivilSocietyEngagementintheGFF 31
recommendationsforthegfflearningmeetingonnovember16r18onbestrpracticesincivilsociety engagementincountryplatforms.theauthorsutilizedthismeetingasanadditionalopportunityto gather and document civil society engagement in the GFF to date, and perspectives and recommendationsforenhancingengagementmovingforward. Limitations Thelessonslearnedandrecommendationsprovidedhereweretheresultofalimitednumberof interviewsinasmallnumberofcountries.italsoshouldberecognizedthatthebusinessplanforthegff wasbeingdevelopedinparalleltothecountryengagementprocess,soclarityandexpectationswere notyetsolidifiedorcommunicated.theauthorsdidnotinterviewthegovernmentorworldbank representativeswhoranthecountryengagementprocesses,sothisreportdoesnotreflectmeetingsor activitiesthattookplaceofwhichthecivilsocietyrepresentativesinterviewedwereunaware.the recommendationsmadeherereflectperspectivesandselfrreportsthatwerenotverified. CivilSocietyEngagementintheGFF 32
AnnexB:MinimumStandards RecommendedMinimumStandardsforRMNCAHCountryPlatformstoEnhanceParticipation, Transparency,andAccountability DRAFT2/4/2016 TheGFFrequiresthatallRMNCACHcountryplatformsinGFFcountriesembodytwoprinciplesofthe BusinessPlan:inclusivenessandtransparency.Tosupportcountriestooperationalizetheseprinciples, thegffhasestablishedminimumstandardsthatcountriesareexpectedtoadhereto.thesecanbefound inthegffbusinessplanannex6. Minimumstandardsforcountryplatforms. Tostrengthentheminimumstandards,civilsocietyorganizations(CSOs)engagedintheGFFprocesses proposeexpandingontheexistingprinciplesofinclusivenessandtransparency,andaddingprinciplesof independenceandaccountability.theyprovidebelowanenhancedlistofminimumstandardsforcountry platforms. 23 Proposedminimumstandardsforcountryplatforms: Inclusivenessandparticipation 1. Key constituencies for the country platform will include: government (both national and decentralised,asrelevant);civilsociety 24 ;privatesector;affectedpopulations;technicalagencies; multilateral, bilateral agencies and foundations; parliamentarians, and health care professional associations. 2. Allplatformmembersconstituenciesshouldbeselectedinaparticipatoryandtransparentmanner. Theyshouldbeidentifiedbytheirownconstituenciesbasedonselectioncriteriadevelopedandmade publicbyexistingbroad,effective,andinclusiveplatforms,wherepossiblecoveringthecontinuumof care.giventhediversityofcivilsociety,countryplatformsshouldincludeatleasttwoseatsforcsos, representingbroadcoalitions. 3. Terms of reference (TORs) of selected country platform representatives will include systematic consultation with groups within and outside their constituency for broader input. Constituency specificconsultationsandupdatesshouldbeorganizedonanonrgoingbasisandatregularintervals. Theplatformshouldoptimallyincludefinancingforconstituencyengagementasrequired.Iffinancing fromtheplatformisnotavailable,financingshouldbesoughtfromthegfftrustfundorpartners. 4. AStakeholderEngagementPlan(SEP)forengagingwithabroaderrangeofstakeholdersthatarenot partofthecountryplatformshouldbeendorsedbythecountryplatform.thedraftofthesepshould bemadepublic,andthecountryplatformshouldseektheviewsofstakeholdersthatarenotmembers of the country platform on its content and implementation. The SEP might include details on constituencyspecificoutreach,butshouldgobeyondtoengagegroupsthatmightnotberepresented onthecountryplatform. 5. Participationinthecountryplatformimpliesfullandactiveinvolvementofallconstituencies,from thebeginningoftheprocess,including: a. Preparing and implementing the Investment Case (IC) and the health financing strategy, 23"The"below"recommendations"result"from"the"CSO"Pre"Meeting"to"the"Global"Financing"Facility"Learning"Meeting," organized"by"the"gff"investors "Group"CSO"representatives,"with"support"from"the"Partnership"for"Maternal,"Newborn"&" Child"Health"on"14"November"2015"in"Nairobi,"Kenya.""The"list"reflects"perspectives"from"45"representatives"from"13" countries,"including"ten"of"the"twelve"gff"countries."it"also"builds"upon:"pai"and"ahbn."2015."raising"the"bar:" Recommendations"to"Strengthen"Global"Financing"Facility"Minimum"Standards"to"Country"Platforms." 24"Defined"as"notIforIprofit"nonIgovernmental"organizations,"communityIbased"organizations"and"faithIbased" organizations CivilSocietyEngagementintheGFF 33
includingactiveparticipationinmeetings,receivingandcontributingtothepreparationof materials (reviewing and inputting on drafts, being part of planning processes, etc), determiningtheapproachtoqualityassurance,reviewdrafts,endorsingthefinalversionand implementingactivitiesasrelevant. b. Agreeing to major changes to the IC and/or health financing strategy in the course of implementation. c. Agreeing to the approach to technical assistance and capacity building to support implementationoftheicandhealthfinancingstrategy. d. Receivingandreviewingdataaboutperformanceinthecourseofimplementation. e. Reportingonimplementation. f. Beingfullyengagedindevelopmentandoperationalizingofaccountabilitymechanismsfor trackingimplementationandfinancingflows. Transparency ThefollowingdocumentsshouldbemadepubliclyavailableonMOHandGFFwebsitesandshouldbe disseminatedtoalistserve(withvoluntaryregistration)withinthefollowingtimeframes;fordocuments approvedbythecountryplatform,withinamonthofapproval;formeetingsummariesandactionpoints, withinamonthofthemeeting;andfordocumentsthatarebeingtabledfordiscussionorreview,atleast twoweeksbeforerelevantmeetingsordeadlines: 1. Countryplatformoperationalprocedures,including: o memberselectionprocesses,criteria,tors,lengthandreplacementofmembers; o current list of members (with names/designations, contact details, agreed roles/responsibilities); o frequencyofmeetingsandtimelinesforprovisionofdocumentsaheadofandaftermeetings; o votingrulesincludingquorumsandstakeholderengagementplan. 2. Updatesonallmeetingsandopportunitiesforinput,including: o minutesandattendeesofmeetingsatwhichinvestmentcasesandhealthfinancingstrategies were developed (including meeting attendees and documentation explaining decisions aroundtheprioritizationofparticularinterventions/approaches); o minutes and attendees of all further meetings, logging agreed actions following implementationreviewsoftheinvestmentcase,aswellasresponsiblepersons(including theirfunctionsrtoallowfollowupincaseofturnover)andtimelines;and o versionsofinvestmentcasesanddocumentsmadeavailableforinput,withmodalityforinput and timelines (for instance if placed online for a webrbased consultation) and updated versionsincludingrationaleforhowinputwasincludedorwhyitwasnot. 3. The final Investment Case and health financing strategy, including results framework and costed implementationplan. 4. Agreementsbetweenfinanciersaboutwhichelementseachwillcover. 5. Disbursementdatafromeachfinancierandbudgetanalysisofgovernmentfundscoveringallocation, disbursementandutilisation/absorption. 6. Progressreportsontheachievementoftargetsintheresultsframework,compiledusinghighRquality, referenceddataandevidencefrommultiplesources(includingindependentsources). 7. Evaluationreports,compiledusinghighRquality,referencedevidencefromdifferentsources. 8. Qualityandtimelyprogressivereportswitharticulatedevidencebasedresults. Forallcountryplatformmeetings,ensuring: CivilSocietyEngagementintheGFF 34
1. Allconsultationmeetingsarepostedatleast2weeksinadvanceontheGFFandMOHwebsitesand throughemail includingalldocuments,andalistofparticipantswithemailssothat representativescanbereachedaheadoftime 2. Wherepossiblemeetingsareavailablelivethroughwebcastforthosewhowanttolisten. IndependenceandAccountability 1. Country Platforms should align their accountability and monitoring processes with other national processesinordertostrengthennationalcapacityformonitoringandreporting.inthosecountries that choose to do so annual health sector reviews should be used as a forum to jointly review GovernmentR and independentlyrprovided reports on GFF results, and should include all constituenciesoutlinedunderinclusivenessandparticipationabove,otherwiseothermechanismsto reviewreportsongffresultsneedtobeputinplace 2. An independent review of the adherence to the country platforms own operational procedures shouldbeconductedandmadepublicatleasteverytwoyears. 3. Thecountryplatformshouldproposeandimplementagrievancemechanismtoreceiveandfacilitate resolution of concerns and grievances from project affected parties related to the minimum standards.shouldthecountryplatformnotrespondtogrievancesinatimelymanner,theseshould bedirectedtoanombudsman,accordingtoagrievancemechanismandredresspolicyendorsedby thegffinvestorsgroup. 4. The country platform will create an accountability working group to develop an accountability strategy for the implementation of the investment plan. This strategy will take into account centralized and decentralized levels. It will prioritize national and local communityrbased accountability through the use of scorecards and citizens hearings and will also include budget analysisandadvocacy.theimplementationofthisstrategywillbefundedindependentlyfromthe GFF. CivilSocietyEngagementintheGFF 35
AnnexC:Proposed/DraftAHBNRegionalScorecardforMinimumStandards SCORECARD TO TRACK IMPLEMENTATION OF RECOMMENDED MINIMUM STANDARDS FOR RMNCAH COUNTRY PLATFORMS IN GFF COUNTRIES IN AFRICA DRC CAMEROON ETHIOPIA KENYA LIBERIA MOZAMBIQUE NIGERIA SENEGAL TANZANIA COUNTRY PLATFORM INCLUDES ALL CONSTITUENCIES NON-STATE REPRESENTATION CHOSEN IN TRANSPARENT & PARTICIPATORY PROCESS STAKEHOLDER ENGAGEMENT PLAN IN PLACE & IN OPERATION ALL CONSTITUENCES INVOLVED IN RMNACH INVESTMENT CASE & HEALTH FINANCING STRATEGY GFF COUNTRY DOCUMENTS PUBLICALLY AVAILABLE FINANCIAL INFORMATION RELATING TO GFF ARE PUBLICALLY AVAILABLE ACCOUNTABILITY WORKING GROUP & ACCOUNTABILITY STRATEGY IN PLACE INDEPENDENT ACCOUNTABILITY REPORT PRODUCED ANNUALLY & PUBLICALLY AVAILABLE MECHANISM IN PLACE TO RESOLVE GRIEVANCES UGANDA PLATFORMS ImplementingtheScorecard ScoringsystemfortheproposedscorecardtotrackimplementationofrecommendedminimumstandardsforRMNCHcountryplatformsin GFFcountriesinAfrica TheproposedregionalscorecardisdesignedtotrackprogressagainsttherecommendedminimumstandardsforRMNCAHcountryplatformsin GFFcountriesinAfrica.TheindicatorsarebasedontherecommendedminimumstandardsproposedbycivilsocietyengagedintheGFFprocesses. AfricaHealthBudgetNetwork(AHBN)willleadtheprocessofdevelopingtheseregionalscorecardsbiGannually.Thescorecardswillbecompleted usinginformationgatheredfromgffwebsitesandcountrypartners.thetablebelowoutlineshowthecountrieswillbescoredagainsteach indicator. KEY MINIMUM STANDARDS MET MINIMUM PARTIALLY STANDARDS MET MINIMUM STANDARDS NOT MET THE SCORECARD TRACKS PROGRESS AGAINST THE RECOMMENDED MINIMUM STANDARDS FOR REPRODUCTIVE, MATERNAL, NEWBORN, CHILD AND ADOLESCENT HEALTH COUNTRY PLATFORMS IN GLOBAL FINANCING FACILITY COUNTRIES IN AFRICA. INDICATORS ARE BASED ON THE RECOMMENDED MINIMUM STANDARDS PROPOSED BY CIVIL SOCIETY ENGAGED IN THE GFF PROCESSES. THE AFRICA HEALTH BUDGET NETWORK WILL LEAD THE PROCESS OF DEVELOPING THESE REGIONAL SCORECARDS BI-ANNUALLY. THE SCORECARDS WILL BE COMPLETED USING INFORMATION GATHERED FROM GFF WEBSITES AND COUNTRY PARTNERS. WEB: WWW.MAMAYE.ORG/BUDGET-NETWORK EMAIL: AHBN@EVIDENCE4ACTION.NET WE CALL ON GOVERNMENTS TO ENSURE INCLUSIVE TRANSPARENT INDEPENDENT ACCOUNTABLE RMNCAH COUNTRY
Green Yellow Red InformationSource Isthecountry platforminclusive ofall constituencies? Istheprocessof identifying constituency members participatoryand transparent? Isthestakeholder engagementplanin placeandin operation? Haveall constituencies Atleast2CSO representatives1and Atleast1representative ofprivatesector practitioners1and Atleast1representative ofhealthcare professionalassociations1 AND Atleast1female representative. Constituency representativesidentified bytheirselfaidentified constituency1and Constituency representativesidentified basedonpublically availableselectioncriteria andselectionprocess. DraftSEPdevelopedand endorsedbyall constituenciesofthe countryplatform1and TheSEPincludesplans toengageconstituencies aswellasgroupsnot representedonthe countryplatform1and Fundingisavailablefor constituency engagement. Allconstituency representatives 1constituencymissing Morethan1constituency missing Constituency representatives identifiedby constituencymembers1 OR Constituency representatives identifiedbasedon publicallyavailable selectioncriteriaand selectionprocess. DraftSEPdeveloped andendorsedbyall constituenciesofthe countryplatform1or TheSEPincludesplans toengage constituenciesaswell asgroupsnot representedonthe countryplatform. Allconstituency representatives Constituency representativesnot identifiedbyconstituency members1and Selectioncriteriaand selectionprocessnot publicallyavailable. TheSEPhasbeen developedbuthasnot beenendorsedbyall constituencies1and TheSEPhasbeen developedbutdoesnot includeplansofhowto engageconstituenciesor othergroups1or TheSEPhasnotbeen developed1 Constituency representativesdidnot Detailsofmembers ofcountry platforms1 Minutesofcountry platformmeetings. Interviewwith constituency members. Stakeholder EngagementPlan Minutesof meetings1 CivilSocietyEngagementintheGFF 37
contributedtothe preparationand implementationof thermnach investmentcase andhealth financingstrategy? AreGFFcountry documents publically available? Isthefinancial informationrelating togffpublically available? contributedtothe preparationofthe investmentcaseand healthfinancingstrategy byparticipatingin meetings,reviewingand inputtingondraftsand endorsingthefinal versions1and Oncefinalised,all constituency representativescontribute totheimplementationof theinvestmentcaseand healthfinancingstrategy, asrelevant. Allofthefollowingdocuments availableonline(e.g.mohor GFFwebsite)withinone monthofcompletion/ approvaloratleast2weeks beforerelevantmeeting: Countryplatform operationalprocedures1 Detailsofmembersof countryplatforms1 Meetingreports/minutes1 Finalinvestmentcase includingtheresults framework1 Finalhealthfinancing strategy1 Progressreportsby countryplatform. AnnualBreakdownof GFFfinancesallocated, disbursedandspentin linewiththeinvestment caseisavailableonline (MoHorGFFwebsite). contributedtothe preparationofthe investmentcaseand healthfinancing strategy1or Oncefinalised,all constituency representatives contributetothe implementationofthe investmentcaseand healthfinancing strategy,asrelevant. Oneofthedocuments notavailableonline1 OR Alldocumentsavailable onlinebutnotwithinthe specifiedtimeperiod (onemonthof completion/approvalor atleast2weeksbefore relevantmeeting). Annualbreakdownof GFFallocations availableonlinebutno informationon disbursementsor expenditure. contributetothe preparationofthe investmentcaseor healthfinancingstrategy1 AND Constituency representativesdidnot contributetothe implementationofthe investmentcaseor healthfinancingstrategy. Morethanoneofthe documentsnotavailable online. Financialinformationnot available. Finalversionsof documents1 Implementation plans. MoHwebsite GFFwebsite MoHwebsite GFFwebsite CivilSocietyEngagementintheGFF 38
Hasan accountability workinggroup beenestablished andan accountability strategyinplace? Isanindependent accountability reportproduced annuallyand publically available? Isamechanismin placetofacilitate resolutionof grievances? Accountabilityworking groupestablishedwith wideconstituency representation1 Accountabilitystrategy developedtomonitor implementationofthe investmentplan: Fundingsecuredforthe implementationofthe strategy. Independent accountabilityreport producedannually1 Reporthasadequate levelofdetail1 Summaryofreportshared inhardcopywithkey stakeholders(e.g.policy makersandmedia) Thecountryplatformhas proposedagrievance mechanism1and Thecountryplatform respondstogrievancesin atimelymanner. Accountabilityworking groupformedwithwide constituency representation1and Strategynotdeveloped1 OR Fundingfor implementationnot secured. Independent accountabilityreport produced1and Levelofdetailis inadequate1or Summaryofreporthas notbeensharedinhard copywithkey stakeholders. Thereisaproposed grievancemechanism butisnotoperational. Accountabilityworking groupnotestablished. Independent accountabilityreportnot produced. Thereisnogrievance mechanisminplace. Accountability strategy Accountability report Interviews CivilSocietyEngagementintheGFF 39
CivilSocietyEngagementintheGFF 40 AnnexD:RelevantPartnerDocuments InadditiontotheresourcesdevelopedbytheGFFSecretariat, 25 thefollowingisalistofresourcesdevelopedbypartnerstosupportandinform civilsocietyengagementinthegffprocess,and/ortosupportmeaningfulcivilsocietyengagementbroadly. 25#Available#here:#http://globalfinancingfacility.org/## Author/Date Document Summary Link CSO$Resources Reproductive HealthSupplies Coalition(RHSC) (November2015) andworldbank (December2015) LettertoWorldBank PresidentJimKimon accountabilityandcso participationinthe GlobalFinancingFacility (GFF)process InNovember2015,theAdvocacyandAccountabilityWorking GroupoftheRHSCsentalettertoWorldBankGroupPresident JimYongKimandthemembersoftheGFFInvestorsGroup, emphasizingtheimportanceofrightsgbasedinvestmentsin sexualandreproductivehealthasakeypartofthecountry InvestmentCasesandservicedeliveryundertheGFF.In December,theWorldBank togetherwiththegffinvestors Group issuedaresponsetotheletter. http://www.rhsupplies.org/f ileadmin/uploads/rhsc/glob al_financing_facility/resour ces/letter_and_response.pd f RHSC (November2014) GFF:AllHandsonDeck. Advocacyand AccountabilityWorking GroupPositiononthe GlobalFinancingFacility TheReproductiveHealthSuppliesCoalition sadvocacyand AccountabilityWorkingGroupdevelopedthispositionpaperto callforthegfftoincludesufficientattentionanddedicated financingtofamilyplanningandsrhr.thepaperalsocallsfora formalroleforcivilsocietyinthedesignandestablishmentof thegff. http://www.rhsupplies.org/f ileadmin/uploads/rhsc/wor king_groups/advocacy_and _Accountability/Documents /Advocacy_and_Accountabil ity_working_group_positio n_on_the_global_financing _Facility.pdf PAI,African HealthBudget Network(AHBN) (October2015) RaisingtheBar: Recommendationsto StrengthentheGFF MinimumStandardsfor CountryPlatformsto EnhanceParticipation, Thispositionpaperprovidesrecommendationsfor strengtheningtheminimumstandardsforcountryplatforms. ThispaperhasinformedconsultationswiththePartnershipfor Maternal,Newborn,andChildHealth(PMNCH)CSO constituency,thereproductivehealthsuppliescoalition,and onlineconsultationswithahbnmembers. http://pai.org/wpg content/uploads/2015/11/r aisinggthegbar.pdf
CivilSocietyEngagementintheGFF 41 Transparency,and Accountability International Planned Parenthood (IPPF) (October2015) IPPFBriefing:TheWorld BankGroup sfundingfor sexualandreproductive health Thisbriefingisintendedtoarmadvocatesanddecisionmakers withupgtogdateinformationonfinancingofsrhrbytheworld BankGroup.Itprovidesasetofkeyrecommendationsaimedat multilateralstoachievesustainablefinancingforsrhr.the briefexpandsontheconcernsandrecommendationsprovided intheaugust2015briefingdocumentlistedabove. http://www.ippf.org/resour ce/ippfgbriefinggworldg BankGGroupGsGfundingG sexualgandgreproductiveg health AHBN(2015) AHBNPositionPaperon theglobalfinancing Facility(GFF) ThispositionpaperoutlinestheAHBN ssetof recommendationstostrengthenthegffinthreekeyareasto: EnsurethatthosewhocommitandspendGFFfunds areaccountabletothecitizensofthecountriesinwhich thefundsarespent. Ensurefullparticipationofcivilsocietyinthedesignof countryplansatthecountryglevelandinthe coordination,governance,andoversightofthegffat globallevel. EnsurethatnationalGlevelhealthbudgetadvocacy effortsarefullysupportedtoensureasuccessful transitiontosustainabledomestichealthfinancing. http://www.who.int/pmnch /media/events/2015/cso_ah bn_gff.pdf IPPF,Advance FamilyPlanning (AFP),RHSC (dateunknown) GlobalFinancingFacility CountryConsultations FactSheet:Lessons LearnedfromGFFFront RunnerCountries KenyaandTanzania Thisbriefingpaperhighlightskeylessonslearnedduringthe GFFcountryGlevelprocessesinKenyaandTanzania.Itprovides abriefanalysisoftheprocessforcsoengagementinthesetwo countries,keychallengestotheapproach,and tipsfor successfulcsoengagement. http://www.rhsupplies.org/f ileadmin/uploads/rhsc/wor king_groups/advocacy_and _Accountability/Documents /GFFGCountryGFactsheet.pdf International Planned Parenthood Federation BriefingontheGlobal FinancingFacility(GFF) IPPFproducedasetofkeymessagesandrecommendations intendedtoguideandinformgovernmentleadersand advocatesintheirdiscussionsonfinancingofsrhrwithinthe GFFagenda.ThebriefingarticulatesIPPF sconcernsaboutthe http://www.ippf.org/sites/d efault/files/gff_briefing.pdf
CivilSocietyEngagementintheGFF 42 (IPPF) (August2015) abilityofthegfftoincreasefundingforrmnachandprovides anumberofkeyrecommendations,includingformalizingthe roleofcivilsociety. PMNCH$Resources$ PMNCH (December2014) Consultationson UpdatingtheGlobal StrategyforWomen s, Children sand Adolescents Health: Perspectivesonthe GlobalFinancingFacility PMNCHdevelopedthisreporttoprovidefeedbackontheGFF businessplandevelopmentprocess,inthecontextofthe updatedglobalstrategy.throughthepmnchghosted consultationprocesses,morethan1,400individualsand institutionsprovidedtheirperspectivesonthegff.inaddition tosummarizingthediverseperspectives,thisreportprovides strategicandoperationalrecommendationstostrengthenthe GFF. http://www.who.int/pmnch /gff_report.pdf?ua=1 Other$Helpful$Resources$ Citizen s Hearings Coalition (Sept2015) NothingAboutUs, WithoutUs:Citizens VoicesforWomen s, Children s,and Adolescents Health TheCitizen shearingsonwomen s,children s,and Adolescents Healthprovidesaplatformforcommunity memberstovoicetheirconcernsandrecommendationstolocal andnationalleaders.thegoalofthehearingsistoprovide citizenswithamechanismtoholdtheirgovernments accountableforestablishingprioritiesandcommitmentsand deliveringonthermncahhealthagenda. http://whiteribbonalliance.o rg/wpg content/uploads/2015/09/n othing_about_us_without_ Us.pdf CHESTRAD, GlobalHealth Council (September 2015) AmplifyingVoicesand EnablingAction: StrongerAccountability forglobalhealthinthe Sustainable DevelopmentGoals Thisreportsynthesizesconsultations,research,andanalysisof globalhealthaccountabilityprocesses,including:ierg,ewec, PMNCH,IHP+,andtheM4AHealthSummit.Further,country consultationsfromtheonevoicecoalitionfedintothisreport. Thepaperproposesa pathwaytomutualaccountabilityand healthdevelopmenteffectiveness andrecommends priority actions toenhanceaccountabilityforglobalhealth. http://globalhealth.org/wpg content/uploads/amplifying GVoicesGandGEnablingG ActionGKeyGmsgsGandG actiongpointsgfinag002.pdf
CivilSocietyEngagementintheGFF 43 GlobalHealth Visions (September 2015) Engendering Accountability: UpholdingCommitments tomaternaland NewbornHealth Thisreportreviewsaccountabilityprocessesformaternaland newbornhealthattheregional,national,andsubgnational levels,withafocusonthoseledbyorinvolvingcivilsociety. IncludedinthereportareguidingprinciplesofsuccessfulcivilG societygledaccountabilitycampaigns. http://globalhealthvisions.c om/engendering_accountab ility_full_report.pdf CHESTRAD (June2015) Institutionalize, Resource,andMeasure: MeaningfulCivilSociety EngagementinGlobal andcountryhealth Policy,Financing, Measurement,and Accountability BasedonconsultationswithCSOsintheGlobalSouth conductedbychestradinternationalin2014g15underthe OneVoiceCampaign thisdocumentprovidescivilsociety perspectivesonbarriersandopportunitiesforengagementin thepostg2015era(includingthegffspecifically)andaseriesof prioritiesandactionitemsformeaningfulcivilsociety engagementgoingforward. http://www.who.int/pmnch /media/events/2015/cso_in stitutionalize_resource.pdf WorldVision International (May2015) GrassrootstoGlobal: SevenStepstoCitizen] DrivenAccountabilityfor thesustainable DevelopmentGoals ThereportoutlinesessentialstepstoensurecitizenGdriven accountabilityinthepostg2015era,includingkeyingredientsto fosteranenablingenvironmentandestablisheffective platformsforcitizenparticipation,evidencegeneration,and reporting. http://www.wvi.org/unitedg nationsgandgglobalg engagement/publication/gr assrootsgglobalgsevengstepsg citizengdriven