This document outlines the governance structure of Afghanistan's Country Coordinating Mechanism (ACCM) for Global Fund grants. It describes the functions and composition of the ACCM, its executive committee, and oversight committee. The ACCM coordinates grant proposals and oversight, comprises up to 30 members from government, civil society, international organizations, and is currently 29 members. The executive committee of 7 members manages daily operations and oversight. The oversight committee of 6-10 members monitors grant implementation and provides recommendations to improve performance.

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