Governance Structure

1. Governance Structure Afghan Country
Coordinating Mechanism
Najibullah Safi, MD, MSc. HPM
DG Preventive Medicines and PHC
Chair of CCM Executive Committee

2. Presentation outline
• ACCM functions
• ACCM composition & structure
• CCM executive committee
• CCM oversight committee

3. CCM core functions
Coordinate the development and submission of national
proposals
Nominate the principal recipient
Oversee implementation
Review requests for any reprogramming
Ensure linkages and consistency between Global Fund grants and
other national health and development programs

4. ACCM composition
 The ACCM shall be composed of up to 30 members
• Government representing the various sectors
• Civil society, including but not limited to; NGOs, private/business
sector, academia, key affected populations/organizations and
organizations of people living with the diseases
• International organizations, including UN, Multi-lateral and Bi-
lateral agencies

5. ACCM current composition
Constituencies No of Seats Sub-Constituencies
1- Governmental Sector 12 (MoPH 6, MoWA 1, MoRRD 1, MoHAR
1, MoCN 1, and Ministry of
Parliamentarians Affairs 1)
MoF 1, we don't have member
2- International Organizations
ML/BL +Sector
5 M/L (WHO 1-UNICEF1 –UNODC 1 )
B/L (USAID 1, European Union 1 )
3- Civil Society Sector 13 ( NGOs 4, KAP 2, PLWDs 3, Woman
focused organization 2)
Private sector 1, Academia 1
Total Current CCM members 29
Male CCM members 21 72.5%
Female CCM members 8 27.5%

6. ACCM structure

7. CCM eexecutive committee
• Executive committee manage day to day affairs
• Monitor implementation of policies, standards and procedures
• Conduct review of ACCM membership composition
• Regular review of oversight reports and other reports related
to CCM

8. ACCM executive committee
composition
 Composed of current ACCM members
 Each constituency nominate a member
Representing Number
Government 2
Bilateral /Multilateral 2
CSO 2
KAP 1
TOTAL 7

9. ACCM executive committee
• The appointment of members and alternates to EC must be
approved by ACCM
• Changes in EC membership also has to be approved by ACCM
• Membership of EC will be reviewed annually and ACCM should
approve members for coming year
• Only approved members or their alternates and any special
invitees approved by EC chairman may attend CCM-EC
meetings
• EC shall elect a Chair and a Vice Chair, one of which must be a
woman
• Chair of the ACCM shall not chair EC

10. ACCM functions
• Emergency decision-making when it is not possible to organize a
full ACCM meeting
• Completion of tasks assigned by ACCM
• Recruitment of secretariat staff to ACCM
• Oversight of secretariat and of ACCM budget
• Oversight of all permanent and Ad Hoc committees
• Formation and oversight of task teams or technical experts to
address specific issues on ad hoc basis
• Review of reports from ACCM committees and task teams, and
communication with ACCM on key issues
• Membership renewal and members’ compliance with GF
requirements

11. ACCM oversight committee
• OC consists of a chair, a vice-chair and 7-10 members appointed
by the CCM
• Up to 40% of OC can consist of non-CCM members
• OC members cant be representatives of PRs or SRs
• OC may co-opt or engage resource persons on ad hoc basis,
according to necessary skills and experience
• Nomination for election of OC members are proposed by ACCM
including self-nomination in CCM Meeting

12. ACCM oversight committee composition
Representing Number
Government 2
Bilateral /Multilateral 1
CSO 1
KAP/ PLWD 2
TOTAL 6

13. Oversight roles and responsibilities
• Collect and analyzes relevant information
• Organizes and carries of oversight visits to PRs, SRs
• Submits recommendations from results of reviews, meetings,
and visits to ACCM and EC
• Monitors follow-up actions and regular feedback to PRs and SRs
• Monitors timely procurement, issues of supply chain
management, timely delivery and managing stock
• Tracks performance of grants (achievement of targets)
• Provides inputs to concept note development

14. OS Members expert knowledge and
skills
• Management, monitoring and evaluation of HIV/AIDS, TB and
malaria programs
• Familiarity with strategies for ensuring access to services &
advocacy for the interests of target groups
• Understanding current epidemiology of HIV/AIDS, malaria and
tuberculosis
• knowledge of communication strategies
• Financial planning and management
• Procurement and supply management