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CCMIIAdvocacyProject(Indonesia)

Finalreport

Team:

IrwantoLauraMilete

AdityaWardhanaHoshaelErlan

December4,2009

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INFORMANTSNM ‐Government,PrincipalRecipientNF ‐DevelopmentPartnerTT ‐CCMExecutiveSecretary,CSO–FaithBasedOrganizaionDM ‐CSO,HIV&AIDSDH ‐CSO,PLWD–TBFL ‐CSO,HIV&AIDSAW ‐CSO,AffectedCommunities(non‐CCMmember)JM ‐CSO,PrincipalRecipientVK ‐CSO,HIV&AIDS(non‐CCMmember)Totheseinformantswewouldliketoexpressourheartfeltgratitude.

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A.COUNTRY’SINFORMATIONTable01:Grant,startdate,andamount

Component ApprovedAmount(USD)

GrantAgreementSigned(USD)

Absorption(USD)

AIDSRound1(2002)Round4(2004)Round8(2008)

12.500.000,0064.997.530,00130.659.680,00

7.829.764,0049.770.466,0045.384.545,00Ph1

5.714.668,0029.949.528,00

TB

Round1(2002)Round5(2005)Round8(2008)

70.600.000,0069.100.000,0093,001,058.00

68.663.564,0049.978.433,0018.314.685,00Ph131.663.748,00Ph228.106.251,00Ph1

51.125.056,0017.136.030,00

Malaria

Round1(2002)Round6(2006)Round8(2008)

43.960.800,0057.970.100,00120.092.536,00

23.704.947,0057.970.100,0027.683.015,00Ph130.282.085,00Ph2108.255.452,00Ph1

21.231.148,0017.100.276,00

Table02:GlobalFund’s‘rating’ofthemostrecent3disbursementstothecountry:

AIDS(Round4):

2008:1January‐31March:B1 1April‐30June:A2

1July‐30September:A2

2009:1October‐31March:A1TB(Round5):

2007:1January‐30June:B2

1July‐31December:C2008: 1January‐30June:B2

1July‐31December:B1Malaria(Round6):

2008:1March‐31May:A1

1June‐31August:A22009: 1September‐28February:B1

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Table03:GlobalFundGrantsandPRPhase Grants/PR Starting

ProgramApproved

Funding(USD)

Round1 HIV/DirectorateofDirectlyTransmittedDiseaseControloftheMinistryofHealthoftheGovernmentofTheRepublicofIndonesia

01July2003 5,400,174.00

Malaria/DirectorateofVectorBorneDiseaseControloftheMinistryofHealthoftheRepublicofIndonesia

01July2003 8,254,947

TB/DirectorateofDirectlyTransmittedDiseaseControloftheMinistryofHealthoftheGovernmentofTheRepublicofIndonesia

01August2003 Phase1:21,612,265.00Phase2:30,153,758.00

Round4 HIV/DirectorateofDirectlyTransmittedDiseaseControloftheMinistryofHealthoftheGovernmentofTheRepublicofIndonesia

01April2005 41,534,594.00

Round5 TB/DirectorateofDirectlyTransmittedDiseaseControl,MinistryofHealth

01January2007 Phase1:18,314,685.00Phase2:31,663,748.00

Round6 Malaria/DirectorateGeneralofDiseaseControlandEnvironmentalHealthofTheMinistryofHealthofTheRepublicofIndonesia

01March2008 27,683,015

Round8 HIV‐DirectorateGeneralofDiseaseControlandEnvironmentalHealthofTheMinistryofHealthofTheRepublicofIndonesia

01July2009 26,719,418.00

HIV‐NationalAIDSCommissionofIndonesia

01July2009 8,131,421.00

HIV–IndonesiaPlannedParenthoodAssociation(IPPA)

01‐July‐2009 4,970,867.00

TB/FacultyofPublicHealth,UniversityofIndonesia

01‐September2009

6,200,769.00

TB/DirectorateGeneralofDiseaseControlandEnvironmentalHealthofTheMinistryofHealthofTheRepublicofIndonesia

01September2009

12,113,706.00

TB/CentralBoardofAisyiyah 01July2009 5,816,935.00

Malaria/PERDHAKI 01January2010 9,259,404.00

Malaria/DirectorateofVectorBorneDiseaseControloftheMinistryofHealthoftheRepublicofIndonesia

01January2010 54,226,746.00

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A.1.Proposalrejected.Werethesedecision(s)everappealed?Wereanyproposalsre‐submittedandwhatwastheoutcome?Round5,6and7Indonesianproposalswererejected.Nore‐appeal.TheywroteproposalforRound8and9andtheywereverysuccessful.B.CURRENTCCMLEADERSHIPANDCIVILSOCIETYCCMMEMBERSWhentheCCMmembershipwasrecruitedandappointedwithadecreefromMoHin20051,coalitionornetworksofkeyaffectedpopulationwasnotyetestablished.HIVcoalitioninthecountrywererepresentedbyanNGOForumandtheIndonesianAIDSSocietyatnationalandprovinciallevels.Thesewereactivecoalitionsbutdidnotnecessarilyrepresentkeyaffectedpopulaion.OnememberoftheNGOCoalition,SpiritiaFoundation,wasappointedasamemberofCCMtorepresentpeoplelivingwithHIV&AIDS(seeTable05).AmongtheleadershipofCCM,wemayfindaCSOmemberappointedastheexecutivesecretary(seeTable04belowalso)2.

Table04:CCMLeadership

No Name Position Institution

1. Dr.ArumAtmawikarta

ChairofCCM Bappenas(NationalDevelopmentPlanningAgency)

2. Dr.BrotoWasisto ChairofCCMOversightCommittee

CommitteeforPrevention&ControlofNarcotics&Drugs

3. Dr.TineTombokan CCMExecutiveSecretary

PGI(CommunionofChurches)

4. Dr.SudiyantoKamso ViceChairforCCMCivilSociety

IAKMI(IndonesianPublicHealthAssociation)

AsindicatedinTable05below,mostCSmemberswererecruitedfrompracticingmedicalcommunitiesbasedinreligiousinstitutions,(semi)governmentcommunitybasedprogram,andfromtheacademicinstitutions.Thelistdoesshowmembershipofthoserepresentingpeoplelivingwiththedisease(especiallyHIV&AIDS)andarepresentativeofthebusinesscoalition.

1Extendedevery2years2Currentcomposition:16CSO,16Government,7DevelopmentPartners

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Table05:CCMCivilSocietyMembers

No Name Sex Institution

1. Dr.AchmadHudoyo(Member)Dr.HenryDiatmo(Alternate)

MM

IndonesianTuberculosisControlAssociation

2. Dr.AtikahM.Zaki(Member)MuhsinAlwi,MPH(Alternate)

FM

Muhammadiyah–Aisyiyah

3. Dr.BrotoWasisto(Member) M CommitteeforPrevention&ControlofNarcotics&Drugs

4. DanielMarguari(Member)Meirinda(Alternate)

MF

SpiritiaFoundation

5. DhayanDirgantara(Member)PutuUtamaDewi(Alternate)

MF

CommunityrepresentativefromPeoplelivingwithHIV

6. Dr.DoddyPartomihardjo(Member)Dr.SumengenSutomo(Alternate)

MM

YayasanBangunIndonesia

7. EdyHaryanto(Member)DenMasAgung(Alternate)

MM

CommunityrepresentativefromPeoplelivingwithHIV

8. Dr.FirmanLubis(Member)Dr.KartonoMuhammad(Alternate)

MM

CoalitionforHealthyIndonesia(KUIS)

9. Dr.RatnaFarida(Member)EndangHariyanto(Alternate)

FF

CentralPKK

10. NinaTursinah(Member)Dr.Haryono(Alternate)

FF

IndonesianBusinessmenAssociation(APINDO)

11. Dr.SyahrizalSyarief(Member)Dr.WenNedra(Alternate)

MF

NadlatulUlama

12. Dr.SudartoRonoatmodjo(Member)Dr.PanduRiono(Alternate)

MM

IndonesianMedicalDoctorAssociation

13. Dr.SudiyantoKamso(Member)Dr.RatnaDjuwita(Alternate)

MF

IndonesianPublicHealthAssociation(IAKMI)

14. Dr.TineA.A.Tombokan(Member)GomarGultom(Alternate)

FM

CommunityofChurchesinIndonesia(PGI)

15. Dr.ThomasSuroso(Member)Dr.SupratmanSukowati(Alternate)

MM

IndonesianParasiteControlAssociation(PPPI)

16. Dr.RetnowatiWDTuti F CuredTBDiseaseRepresentative

B.1.Whoorganizesandfinancestheselection/electionprocessforcivilsocietymembersoftheCCM?

ThecurrentselectionprocessofcivilsocietymembersoftheCCMisbeingorganizedbytheViceChairforcivilsocietyontheCCM,alongwiththeCCMSecretariat.

UNAIDSIndonesiahasofferedtosupportthemeetingcostsfortheselectionprocessofcivilsocietymembers.AnLOAwillbesignedbetweenUNAIDSand

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YKB(YayasanKusumaBuana),whowillassistwiththeorganizationoftheselectionprocess.

B.2.MostEffectiveworkofcurrentCCMFromaverylimitedobservation,itseemsagreeablethatcurrentCCMhasimprovedconsiderablyinadministrativeandtechnicalcapacity,althoughmaynotsatisfyallmembers.Oneinformantindicatedthat2007incident,whenthedisbursementofGFATMround4grantswaspartiallystoppedduetomis‐management,was“ablessingindisguise…..­wherecurrentCCMlearnedtobeprudent,moretransparentand,accountable….”(NM).ThefactthatcurrentCCMwassuccessfulforRound8and9shouldbeattruibutedtomoreparticipationofkeystakeholders,especiallycivilsocietymembersinthetechnicalworkinggroup(TWG),inwritingwinningproposals(seeE.1.).InformantsalsosuggestthattheCCMGovernanceManualwasimproved,relationshipbetweenPRsanddevelopmentpartners,especiallywithandamongtheoversightteamwasmuchbetter,andaccessforparticipantsoutsideofJakartatocontributeideaswassignificantlybetter.Infact,currentlyCCMhasasmallfundtorunanofficethatemploystwoadministrativesecretaries.ThisfundisutilizedtoserveCCMsecretariatonly.ThisispartlyduetothecontributionofNACandUNAIDSandpartlytohavingtheexperienceofresolvingchallenges.C.INVOLVEMENTOFCIVILSOCIETYINCCMC.1.CCMMeetingInthegovernancemanual,CCMshouldmeetatleastonceevery3monthsorfourtimesannually.Meetingisorganizedregularly,sometimesmonthlywhennecessary(especiallytheTWG3).MeetingsarenecessaryespeciallyintheearlystageofCCMwhennoteverymemberunderstoodwhatCCMwasandtheirresponsibilities.Meetingagendawaspreparedandcirculatedinadvance.Especiallynowthatithasanofficespaceandadministrativeassistance.Membersareallowedtoadditemontheagendawhentheagendawasreadattheopeningofthemeetingandbeforeclosing(on“otherbusinessmatters”).Itwasnoted,however,thatinearlierdayswhenthePRswereonlygovernmentandtherewasnofundforasecretariat,meetingswerenotasefficientasatpresent(2008onward)whenCSOsareallowedtobePRsandasecreteriatofficeisrunning.Still,somemembersfeltthatnotificationformeetingsweremanytimestooshort,agendasometimestoothick.

3TWG–seeattachment(2)–currentChairisDr.NafsiahMboi,MD(Pediatrician),MPH–SecretaryofNAC.Sheresignedtoavoidconflictofinterst.Nosubstitutehasbeenelected.Mr.DanielMarguarioftheSpiritiaFoundationandProfFirmanLubisofKusumaBuanaFoundationrepresentCSmembershipinTWG.CurrentChairofOversightCommitteeisDr.BrotoWasisto

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Therewerediffeterenttypesofmeetings.Regularmeetingsmaybeconductedbydifferentsegment(disease)ofCCM,butithasoversightandplenarymeetingswhereeverymembermustattend.CCMevenhasanextraordinarymeetingwhenurgentmattersneedspeedyoverightanddecision.Forplenarymeeting,anumberofmembersnotedthattherewereoftenseriouslacksofattendance,especiallyfromgovernmentmembers.Manytimesitwasdifficulttomakedecisionsduetofailureofachievingquorum(2/3oftotalmembers).Intheplenarymeeting,observerswereallowedtoattendwithpriornotice.Thoseallowedarerelevantwiththethemesandneedforthemeeting.Priornoticeissentthroughavailablemailistandanyoneinterestedtocomecouldsendane‐mailtogetpermissiontojointhemeeting.ThereisnospecificinvitationforCSO.Thiscomplieswiththenewgovernancemanual.Duringmeeting,however,theyarenotallowedtobedirectlyinvolvedinthedecisionmakingprocess,allconcernsandideasshouldbechannelledthroughtheirrepresentativememberswhohastherighttospeak.Theproblemis,accordingtoobersvers,meetingscheduleswerenotwellcirculatedandtoooften,meetingswereclosedforobservers.Arenotesanddecisionsmadeavailabletothepublic?Websiteisstillunderconstruction.Therefore,theywerenotpubliclycirculated.Notesanddecisionswerecirculatedamongmembersthroughe‐mails.Thepublicmayinquireandgetnotesanddecisionsfromtheirrepresentatives.Allinformantsagreethatthewebsiteiscriticaltoinformthepublicalthoughnorulesandregulationshavebeendiscussed.Oneinformantsaid,forexample,thatifthewebsiteisonlypublishedinEnglish,theimpactswillbeverylimited.CurrentlyJOTHI–anAPN+networkmember,publishedCCMinformationinBahasaIndonesia4.Unfortunately,theconstuctionoftheinformationisnotyetfinished(asper21January2010).Since2008,CCMIndonesiareceivedverysmallGFfinancialassistance(US$43thousands)torunCCMSecretariat,constructawebsite,andpayforlimitednumberofvisitationtotheprovinces.VisitationintheprovincesisacoordinatedactivitybyCCMtoachieveanagreedgeneralobjectiveandnottoserveindividualmemberofCCM.Therealneed,accordingtoamember,isUS$244thousands5.CCMmembersshouldcontributetofillthegap.CSmembersarenotallowedtousethefundtostrengthentheirparticipationatCCM.Externalfundingisusedforthispurpose.DocivilsocietymembersoftheCCMprepareforCCMmeetingsinadvance?Inprinciple,theydo.Theyareallowedtoraiseissuesanddemandclarification.Theymaysubmittheirrequesttotheoversightcommitteeifmattersareofurgentnatureratherthanwaitforthethreemonthlyplenarymeeting.Theproblem,notedbyagovernmentrepresentativeandPR,isthatCSmemberswerenotrecruitedbytheirownconstitutentsbutselectedorinvitedby4GFATMinformationisalsoavailableonNACwebsite–currentlyunderconstruction.5Basedoncoststooperationalizeanactiveandeffectivesecretariat(hireprofessionals,officerent,activitiycosts)sothattheoversightcommitteemayperformtheirresponsibilities.

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governmentanddevelopmentpartners.Therfore,theiraffiliationwiththeirconstituentsisquestionableandhowtheyprepareforameetingisnotveryclear.AnobservationtoalimitedsampleofattendancesheetsrevealedthatonlyveryfewCSmembersregularlyattendplenarymeeting.Therefore,preparatorymeetingsamongthemselvesprobablyarerarelyhappened.SomemembersindicatedthatinformalmeetingswereheldamongCSmemberstoaddresscertainissuesandconcerns,especiallylately.C.2.CSConsultationConsultationbetweenandamongCSmembersandtheirconstituentsisverylimited.ObserversandandsomeCCMmembersdeniedthatthiseverhappened.Infact,forTBandMalaria,thisisproblematicastheydonothavestructuredconstituents(veryfewforTB6).AfewCSmembershasitsownmailinglistsanduseitforcommunication,notnecessarilyconsultation.ThereisastrongfeelingamongobserversthatCSmemberdonot“feelorthink”thattheyareobligedtoreportbacktotheirconstituents.Ifanythingcouldbecalledconsultation,somediditinformallythroughe‐mailsorwhentheymettheirconstituents(ingroupmembers)incertainoccasions.Inadditiontothat,amemberinformantclearlyindicatesthatconstituencyisaproblematicconceptsincetheyhaveneverhaveanydiscussionsandconclusionsandagreeuponasetofnormsorrulestodealwiththismatter.Intheabsenceofanyagreementsaboutconstituency,thisassessmentcapturedasenseof“playsafely”or“donotriskyourself”amongdozensofcommunityorganizations(inHIV&AIDS)whichmaytargetonselfformisunderstandingoranythingthatgoeswrong.Thisisaveryseriousissuethatneedtobeadrressedverysoon.Asnotedearlier,thishastodowiththewayCSmemberswereselectedandelected.Inadditiontothat,CSissupposedtooutreachdifficulttoreachpopulation(suchasprisoninmates,sexworkers,migrantworkers,etc.).Ifthewebsiteforlargercommunicationplatformisconstructed,themechanismisavailable,atleasttonetworksandanyorganizedcommunitygroups.But,asindicatedbyonemember,themechanism,rulesandregulationsaboutthishavenotbeendiscussed.AconcernisreflectedonthefactthatsincetheChairandCo‐chairofTWGresigned(becausetheyarerepresentingPRs),noreplacementhavebeenappointedwhileitisrealizedthatthesepersonsandtheirpositionplayverycrucialroleinprovidingtechnicaloversighttoCSmembers.

D.CCMPERFORMANCE

D.1.Mitigationofconflictofinterest

OnememberindicatedthatcurrentCCMdoesnothavetheproperleadershiptomitigateconflictofinterest.TheCCMhaveadministrativemechanism7,butoversightfunctionandcontrolisgenerallyweak.Othermembersaremoreoptimisticaboutthis,especiallyafterpainfullessonof2007whenfundswerefreezedduetomismanagement.Therearenumberofexampleswhenthisissue6TherewasasuggestionthatTBisintegratedwithHIV&AIDSforobviousreasons7AllCCMmembershavetodeclarewhenconflictofinterestispresent.

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isobservedandresolvedwell.Forexample,Dr.NafsiahMboi,theSecretaryofNAC,whowerepreviouslymemberofTWG&CCMsteppedoutofTWGandmemberofCCMwhenNACbecameoneofHIV&AIDSPRforround8and9.AcodeofconductforCCMmembershasbeendraftedandimplemented.Thiscodeofconduct,amongothers,regulateswhenamemberconnectedoraffiliatedwithaPRisallowedtoattendameetingornotifthemeetingistodiscussmattersrelatedtothatPR.D.2.OversightofGFsupportedgrantsMostinformantsagreethatthisisimproving,especiallywiththesupportofamorefunctioningsecretariat.Theoversightisconductedbyprofessionalstaff.Somemembers,however,indicatethatoversightinformationislimitedtocertaininformationonperformanceofPRs,exchangerates,LFAvisits,etc.Moreinformationonhowtheavailablesecretariatfundcouldbemoreeffectivelyutlized,otherexternalsourcesthatareaccessibleforCSOmembers,availableexpertisetoassistCSOoncertainissues–willbeappreciatedbyCSOmembers.LimitedresourcesatthesecretariatconsequentlylimitthecontrolmechanismofCCM.Observerscouldnotcommentonthissinceitisnotdisclosedtothepublic.D.3.IdentifyingpriorityissuestoincludeingrantproposalsThisissueistackledbyTWG.OnHIV,TWGismakingreferencetotheStrategicPlan.TheperfomaceofTWGonHIV&AIDShasimprovedsignificantly.Partly,theyareabletohavemoreextensiveandsignificantconsultationswithstakeholders,includingcivilsocietyintheprovinces.OnePR,however,complainedthattherewerecertaintechnicalissuesthattheyfeltwerenotwellconsultedwhichresultedinseriouslackoffundtoperformcertainactivities,suchasoutreachintheirprograms.withinthePRprograms(especiallyinRound8forHIV&AIDS).Inaddition,aCSCCMmembercomplainedthattherewaslackofrepresentationofCS,especiallyaffectedcommunities,inTWG.Thismaybeduetohistoricalbiaswhenmemberswereappointed,nonetworkofkeypopulationwasavailable.Thisisdisturbing,accordingtothismember,asCSCCMmembersdonotattendCCMmeetingveryregularly.Thismeansthattheyarenotwell‐informedandmaynothavemuchtosayintheidentificationofimportantissues.Thismemberalsosaidthat“CCMroleisonlytoendorsewhateverTWGdecisions.JustlikeinmeetingatourPeople’sAssembly…”(DG).D.4.Generatingambitious,highqualityfundingrequeststotheGlobalFundOnthissubject,mostmembersagreethatcurrentCCMisperfomingmuchbetter.Infact,IndonesiawasconsideredasoneofthebiggestrecepientsofRound8and9.Themechanismtogetinputfromstakeholdersintheprovincesisbetternow.D.5.RespondingtoandfixingproblemswithGlobalFundgrantsAlthoughprogressisacknowledged,mechanismtoresolveproblemsremainsaseriousconcern.Equippedwithabettergovernanceandprojectimplementation

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manualandpainfullyexperiencefrom2007hasmadecurrentCCMmoreproactiveandaccountable.However,onemembercomplainedaboutthefactthatmanytimes,memberscouldnotcometothemeetingandrepresentedbyjuniorlevelstaffswhodidnotknowmuchabouttheissuesandhasnoauthoritytomakeanydecision,ortoresolveproblemsorissuesbeingdiscussed.AmongCS,only30%ofthemwereactivememberswhoregularlyattendmeetingandactivelyengagedinshapingandimplementingCCMagendas.AnothermembersuggeststhatsometimesmiscommunicationwithLFAcomplicatesproblemsolving,especiallywhenitcomestoissuesoffinance.Anobserverindicatesthatconcertedefforttoimproveearlydetectionisneeded.D.5.OthersOnemembersuggeststhatlackoforganizationalexperienceofmanyCCMmembers(especiallyCSO),lackofqualitydatabase,andlackofcapacitytocomposearguments(especiallyafewmemberofCSOfromaffectedcommunities)andlackofopenness(generally)contributetothecurrentperformanceofCCM.Manymembersdemonstratedlackofcommitmentandawarenessthattheyareresponsibletothepeoplethattheyrepresent.Manyissueswerenotaccommodatedbecauselackofopennessandtransparency.E.ROLEOFCIVILSOCIETYANDTHEIRPERFORMANCEE.1.TranslatingcommunityneedsImprovedasconsultationmechanismbetweenTWGandstakeholdersisimproving.ActivemembersofCSinCCMareseasonedexpertandactivists.Theiraspirationsandideasarerespectedbytheircolleaugesandthecommunity.Theyarealsotrustedbytheircommunities.Somenewmembers,however,requiremoretimetolearnandgaintrustamongtheircommunities.TooptimizeCSinput,moreCSmembershouldbeelectedintoTWG.Onememberisconcernedwiththefactthattheirmembershipisexpiring.ItmaynotbeeasytosubstituteseniorandactiveCSmembersintheCCM.LearningfromfailureinRound78,NACinitiatedtoaccessmorestakeholders,especiallycivilsocietymembers,intheprovincesandfacilitatetheirparticipationinRound8proposal.Theresultwasawell‐doneproposal.SimilarprocessinRound9withsimilarresult.CCMobserver,however,notedlackoftransparencyonthis.OnememberalsonotesthatCivilsocietyneedsanumberofcapacitybuildingintechnicalknowledgeandinadvocacy.Sometimesthereisanimpressionthattheirideasandconcernsarenotbeingappreciatedandaccommodated.OneinformantsuggestthatideastostrengthenCSmemberofCCMtobecomeequalpartnerswereoncenotwidelyreceived.“It’s(theargument)inonlygoodonpaper!Inreality,ourCSOsarenotready”(FL).Equally,topromoteCSOasPRwasnotesasilyacceptedbygovernmentanddevelopmentpartners–althoughafteralengthydebateandadvocacy,itwasaccommodatedthroughvotingmechanism.

8ComposedmostlybydevelopmentpartnersandconductedmostlyinEnglish

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E.2.GrantmonitoringWiththeappointmentofIndonesianPlannedParenthoodandNahdatulUlama,itisdemonstratedthatCSisis considered as an important stakeholder in implementation and grant monitoring.Amonitoringmechanismisbuiltininprogramimplementation.CCMissupposedtohavemonitoringvisitevery6month.Itisnotedbyobserver,however,thattobeabletomonitorGFsupportedgrantsmechanismfortransparencyshouldbeimproved.Thismeansthatminutesofmeetings,newagendasorplans,andanyrecommendationsbytheoversightcommitteeormonitoringandevaluationresultsshouldbepublishedandsharedwidelyamongmembersandtheirconstituents.DialoguesoutsideoftheCCMmeetingshouldbeheldregularly.E.3.SelectionofCSmembertoCCM(alsoonFairness)TheselectionprocessforcivilsocietyforthenextCCMperiod2010‐2012hasbeengoingonoverthelastfewweeks.DuetolimitedtimeandanumberofotherissuessuchastheapprovalofRound9,theprocessofselectionwasdelayedandthemembershipofthe2007‐2009CCMextendeduptoDecember2009.Thepresentselectionprocessforcivilsocietyhasnotbeenasopentoothercivilsocietycolleagues.Nonoticeoranyinformationontheongoingprocessispublishedinmembermailsistorwebsite,oranyformofpublicmedia.AccordingtotheGlobalFundguidelinesandIndonesiaGovernanceManual,theselectionprocessofcivilsocietymembersoftheCCMmustbefair,openandtransparent.Itwouldhavebeenbetterifmoretimewasavailablefortheselectionprocess,sothatthewidercivilsocietygroupsandcolleaguescouldbeinvolved.Accordingtoourinformants,criteriaandprocessofselectionarenowbeingdiscussed.Itwasusedtobedictatedbythegovernment.InthecurrentelectionofnewCCMmembership,thereisanopportunitytoimplementrulesinthemanualwhereCSmembersmayopenlynominatetheirconstituents.ThisisnowpossibleassomedegreeofrepresentationistherewithinCCM.However,fairnessisaverydifficultissueasCSinCCMisrepresenting5broadcommunitygroups.WhiletherearehundredsoforganizedcommunitygroupsforHIV&AIDS,forexample,thereisonlyafeworganizedgroupsforTBandnoneforMalaria.AmongHIV&AIDScommunities,thereareanumberofunresolvedturfissuesthataffectharmonyandunityofdifferentnetworksandgroupsofpeopleaffectedbyHIV&AIDS.Inthelackofpublicmechanismissue(suchasawebsite9)itisdifficulttodeterminewhomshouldtheyinformedandhow.Mostofthemsupporttransparency,butdonotknowwhattodowithit.Onrepresentationofvulnerablegroups,thepresentCCMmembersdohaverepresentationofpoplelivingwiththedisease(TBandHIV).Membersareveryopentohaverepresentativesofvulnerablegroupssuchassexworkers,IDUcoalition,MSM,andthelike.Theproblem,againisthatpreviouslymembership9WebsiteiscurrentlytheonlydoableandagrreablemechanismintheshortrungivenavailablefundintheCCMsecretariat.

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toCCMwasbygovernmentappoinment.Currentlyisispossibleandverymuchencouragedtonominatemembersandalternatemembersfromvulnerablegroups.ItisrealizedthatsomegrpupswillbeleftoutduetolackofcommunicationwithcurrentCCM(suchasSexWorkers–male‐Female‐andTransgender),lackofrepresentationinotherforum,Notyetidentifiedandkeyaffectedpopulation(suchasmigrantworkers),andlackofcapacityinengagingmeaningfullyinanydecisionmakingprocesseswithgovernmentanddevelopingpatners.Amongobservers10,however,thereisaverystrongimpressionthatthewholeprocessofselectionistightlyclosed.Thereisnoinformationonmechanism,criteria,andselectionprocessavailabletotheconstituents.ThisfactisworryingandraisesomeseriousconcernsamongobserversandPRmembers.Favouritismandnepotismissuchacommonpracticeinourculture.Inadditiontothat,thereareconcernoverindicationthatthegovernmentmaywantmorerepresentationinCCMthatcouldreduceparticipationofcivilsociety.E.4.Selection/electionofcivilsocietyPrincipalRecipientsandSub‐RecipientsInformantssuggeststhattheywereinvolvedbutthisprocessislackingoftransparencyandconsultationwithnonCCMmembers(constituents).WithlackofregularattencanceofCSmembers,thisbecomesaseriousissue.Ourinformant(FL)forexample,indicatesthatnotonlyCSOmembersareoftenabsenceinregularmeetings,theysometimesendveryyoungandinexperiencerepresentativestothemeeting.E.5.RespondingtoandfixinggrantimplementationchallengesThereislimitedevidencethatCSmembersdorespondtothisissue.Previouslymentionedlackoftechnicalcapacityandattendanceinmeetingpreventsthemfromfunctioningwellforthispurpose.E.6.Communicationandconsultationwiththeirconstituencies&otherCSOsCSmembersofCCMsuggeststhattheyaredoingbetteratthis.MeetingsareconductedmoreregularlyandCSOmembersarealwaysinvolved.Thoseparticipateinthemeetingalwaysinformtheirownmemberorganizationsthroughtheirmail‐listorothermeans.ThereislimitedfundandmissionactivitiestoinformthepublicthatCCMmembermayuse,includingtoinformCSconstituentsintheprovinces.Oneobserverandadevelopmentpartnerinformants,however,suggestthatmeetingscheduleshaveneverbeenpublishedpubliclyandthattheyneverwitnessanyCSOmemberscommunicateandgetinputorfeedbackopenlyfromcommunityforums.Unfinishedconcstructionofwebsiteandunavailabilityofothermechanism(suchasaNewsletter)ispartofthecurrentlackofcommunication.

10Our(observer)informantscamefromcivilsocietyorganizations.Thesameimpressionwasactuallyexpressedbyonerepresentativeofthedevelopmentpartner.

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E.7.DevelopingasharedstrategicagendawithCSOrepresentativesonCCMOneinformantsdescribethesituationasfollows(NF):“ThereisnocommunicationbetweenCCMmembertocivilsociety.TherearerepresentativefromCSO,butnotmechanismtoconsultoraskingtheirconstituent(civilsociety)tomakethemtobeabletoimprovetheirroleonCCM.

AsanAIDSactivistIheardaboutwhat’shappenedinsideCCMthroughsomeofmypersonalcontacts.IcannotsaytheperformanceofcurrentcivilsocietyrepresentativesofCCMiswellenoughtooptimizecivilsocietyroleandinvolvementonCCM”

AnactiveobserveralsoaccountsthattheremaybenosharedstrategicagendaamongCSOmembersonCCMastheyareactingasindividual/organizationalrepresentativesandunclearabouttheirwiderconstituentsousideoftheirorgnizationandaffiliatedgroups.

E.8.Possiblewaystostrengthentheprocessofselection/electionofcivilsocietymembersoftheCCMCurrentmembersacknowledgethatitisdifficulttokeepormakeeveryonehappyandsatisfied.Availabilityofdatabaseshouldhelptoidentifyprospectivemembers.Theprocessshouldstartearlytoallowforaneffectiveandopenselection.Widercivilsocietygroups,fromthefivedifferentsectorsshouldbeconsultedandinvolvedintheprocess,includingorganizationsrepresentingthethreediseases,HIV,TB,andMalaria.EducateCSmemberonGlobalFundanditsrelevancetoourcurrentresponsetotheepidemics.Usethemedia,likedailynewspapersandexistinginternetnetworktoinformthem,inviteparticipation,andprovidefeedbackoftheresults.Again,aCCMwebsiteshouldbeveryuseful.ThepreviousCoalitionforHealthyIndonesiamaybeinvitedandaskedtohelpfacilitateselectionprocess.ThereshouldalsobesomecontinuitybetweentheincumbentCCMmembersandnewlyselectedmembers.Therefore,currentactiveandcommittedmembersoftheCCMshouldbeencouragedtocontinuewiththenewmembership.ThiswillincreasethequalityofthenewCCM.OneinformantinsiststhatitismembershipofCS,andespeciallyrepresentativeofvulnerablegroups,inTWGismoreimportantthaninCCM.F.MAINCHALLENGESPREVENTINGGOODPERFORMANCEOFGLOBALFUNDGRANTSOneofthethingsthatneedimprovementandstrengtheningistheoversightofGlobalFundgrants.TheCCMandCCMOversightCommitteeshouldbestrengthenedforthispurpose.AgroupofactiveandcommittedindividualsisrequiredtomakethisworktoensuregoodperformanceofGlobalFundgrantsinIndonesianowandinthefuture.Forthat,ourinformantsidicatethatCCMgenerallyneedmoreintakeofqualifiedmemberswhoarerecruitedthrougha

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transparentmechanismtoensuretrustandsupport.ConsideringthatIndonesiaisalargecountryandgovernmentpoliciesaredecentralized,CCMshouldmaintainflexibilityandawarenessthatvariationsacrossprovincesanddistrictsmayrequiredifferentstrategiesandapproachesforprogramimplementation.CurrentlymostoftheHIV&AIDSplanningandstrategizingareconductedinJakarta,wheremostoftheexpertiseandotherresourcesareavailable.WhileinmostcitiesinJavatheepidemicismainlytransmittedtroughheterosexualandinjectingdruguse,inRiau,WestKalimantan,andPapuaitismostlyheterosexualtransmission.Lackofexpertise,resources,andcivilsociety’smovementintheseprovinces,however,preventsignificantinvestmentandcommitmentbydonorandgovernment.AdministrativeandmanagerialchallengesthatpreventeffectivecommunicationbetweenCCManditswiderconstituentsshouldberesolvedverysoon.CapacitybuildingforCSPRsinprojectmanagementiscrucialsothattheycouldperformeffectivelyandinaccountablemanner.CCMneedtonotethateveryPRwillhavetodealwithacertainnumberofprogramimplementors,oversightcommitteewillhavemuchhavierburdenthaninthepast.TheOversightCommitteeandtheTWGshouldbeabletoprovidelessonslearnedandbeabletoadvocatethesolutionstoCCMorGFATMGeneva.Currently,manyCCMmembersarenon‐activeandnothinghasbeendonetoactivatealternatemembersofreplacethemwhenbothwerenon‐active.ItisveryclearthatthecurrentCCMsecretariathasnotbeenabletodealwiththisproblemeffectively.SomeofthealternatemembersarelivingindifferentcitiesandprovincesandCCMislackingofresourcestosupporttheirparticipation.SinceelectiontothecurrentCCMhadbeenbygovernmentappointment,someelectedmembers(fixedandalternate)maynothavetheexpctedmotivationandcommitment.OurobservationalsosuggeststhatthecapacityofCCMleadershiptoresolvedifferencesbetweenmembers,valueurgencyofmatters,andtocreateteamworkatmosphereaffecttheparticipationofalternatemembers.F.1.ActiveroleoflocalCSOintheprocessofdevelopingGlobalFundproposalsandmonitoringperformance­Bycivilsocietyitself:

CSmembersareverymuchinvolvedintheTechnicalWorkingGroupsforAIDS,TB,andMalaria,andinthedevelopmentofGlobalFundproposals.TheCCMOversightCommitteealsoincludesanumberofcivilsocietymembers.Itshouldbenoted,however,thatsinceactivitiesaremostlyorganizedinJakarta–onlyCSmemberswhoresideinJakartaaremostlyinvolved.TobringCSmembersfromtheprovincesanddistrictsregularlytoJakartawillneedmoresignificantfunding.NAC,however,facilitatedconsultationwithCSHIV&AIDSintheprovincesasdelineatedearlier.Inaddition,manyCSmembersdonothavetechnicalknowledgeandskillstocontributetohighlytechnicaldiscussionamongTWGmembersandCCM.CCMandTWGshouldbemoreproactiveintalentscoutingamongCSOs.Otherwise,theirparticipationandinputisquitelimited.

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­ByotherstakeholdersonCCM(governments,UNagencies,donors)

GovernmentcolleaguesandUNagencies/donorsarealsoinvolvedintheTechnicalWorkinggroupsandprovidesubstantialinputtothedevelopmentofGlobalFundproposals.TheCCMOversightCommitteealsoincludesanumberofotherstakeholders(government,UN,donors).OnememberinformantacknowledgedthatsometimestherewaslackofappreciationofgovernmentstakeholderstotakeseriousaccountoftheaspirationsofCSmembers,especiallydue“tolackofinitiativeandtechnicalcapacity”althoughgovernmentperceptionisnotentirelytrue(FL).ThegovernmentshouldreliazethatCSOalsohavetheresponsibilitythatGFsupportedprogramaresustainable.Itisalsoimportant,therefore,forthegovernmenttohelppromoteGFamongCSOsandtohelppreparethemtobeaccountableinstitutionswhichcangetfundingfromPRs.F.2.CivilsocietyrepresentativesasequalpartnersontheCCMandinrelevantworkOurinformantssuggestthatsinceelectiontocurrentCCMmembershipisbygovernmentappointment,thereisanimbalanceofstructuralpowerwheregovernmenttendtodominate.Seniorandwell‐knownactivistswhorepresentCSOhaveearnedtherespectofgovernmentrepresentativelongbeforeCCMexists.TheseactivistsarethemostvocalmembersofCCM.Butothermembersarenotasprivileged,especiallymembersofaffectedcommunitiesduetotheirlowerformaleducationorsimplynotbeingknown.F.3.ThreemostimportantcapacitydevelopmentneedsofcivilsocietymembersoftheCCM.Differentareaofneedshavebeenexpressedbyourinformants.KnowledgeofCCMandthedisease,masteryoftheEnglishlanguageforcommunication,andcommunicationskillsintechnicalmeetingareconsideredimportant.Otherstressedtheimportanceoftheabilitytocreateenablingenviromentfortransparency,dialogue,andconsultationwithconstituents.AwebsiteandanewsletterinBahasa,translationofCCMMaterialsintoBahasaIndonesia,andbilingualminutesofmeetinghavebeenexpressedbyourinformants.Inadditiontothat,improvedtechnicalcapacitytounderstanddataformonitoringandevaluation(includingfinancialdata),tocomposeaproposal,todoadvocacy,areimportantareasforcapacitybuilding.OnememberremindsusthatbeingamemberofCCMhastoassumeverydemandingtasksandresilience.Everyoneneedstimetoadjusttoallthedemandsandadversitiesintheorganizations.Onecanstandallofthosewhenoneisfullycommittedtotheissuethats/heisadvocating.F.4.OtherfactorsneedtobechangedtoensurethatcivilsocietymembersontheCCMrepresenttheirconstituencyeffectively

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Newsletter,website,database,andeffectivesecretariatshouldbetheretosupportdialogueandconsultationofCSandtheirconstituents.Electedmembersshouldassumeresponsibilitiestoprovidefeedbacks,informationandseekadvisetoandwiththeirconstituents.Thereshouldbeamechanismtocheckwhetherthoseresponsibilitiesaremet.Governmentpartnersshouldbemoreopenandlessdominantindecisionmakingprocesses.GovernmentsectorsshouldalsofaclitateandhelpCSOtogrowasfullyequalpartnerforsustainabilityofprograms.ItispossibleforgovernmentanddevelopmentpartnerstomobilizetheirresourcestoassistorhelpnewlyemergingCSOstodeveloptheircapacities.Currently,theUNanddevelopmentpartnershavebeenengagedinsuchactivities(providingtraining/workshoponHarmReduction,advocacystrategies,manyaspectofprojectmanagement,etc.).Governmentinstitutionshavenotbeenasmuchengagedandcommitted.RECOMMEDATIONSFORADVOCACYTEAM

(1) CreateenablingenvironmentforCSO,especiallytoimproveitssystemofcommunicationwithinCCMandwithconstituentsoutsideofCCMandtonurturecommittmentandequalpartnership.

a. ImproveGFATMandCCMliteracy(structure,functions,rolesofrelevantstakeholders)throughpublicationofrelevantinformationintheformsofbooklets,brochures,newsletter,andwebsiteinBahasaIndonesia.TutoringonCCMtoCSOmembersmaybeconductedutilizingthosematerials.LinkallCCMwebsitetoCCMwebsite(whenconstructed)orprovideCCMinformationineachmemberswebsite.UseavailablefundtodoGFATMandCCMworkadvocacyintheprovinceswhereGFfundisutilize.

b. ConductmeetingsinBahasaIndonesia,provideEnglishtralslatorsforEnglishspeakingmembers.Developmentpartnersshouldsendtheirrepresentativeswhospeaklocallanguangeortobringtheirowntranslators.

c. WriteminutesofmeetinginbothBahasaandEnglish.d. Createteamwork/equalpartnershipatmosphereinCCM.The

leadershipofCCMshouldworkhardtomakeeachmemberofCCMfeelsequallyimportantandabletocontributetotheachievementofgoalsandobjectivessetoutinGFATMproposals.Thesecretariatshouldbeabletocreateasystemwhereresponsibilitiesaredistributedequallyandmonitoredregularly,whereconflictofinterestsareresolvedconstructively,whereachievementorimprovementandcomittmentareappreciated,andwhereinactivemembersareoutreachand‐ifnecessary–replacedjustintimebyalternatemembers.

e. ProvideassistanceforparticipationtomostmarginalizedCMMmembersfromCSO.ToavoiddebatesofWho’sWho,thesecretariatmaywanttodomappingofresourceswithinthenewCCMmembership.Createadatabaseanddirectoryofmembersandrelevantstakeholders.Mobilizeavailableresourcesinregional

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orglobalalliancesornetworksofCSOorganizations(suchasICASO,ITPC,etc.)fortechnicalinputsorfundingofimportantactivities.UseavailableitemintheGlobalFund–suchasCivilSocietyStreghtening(CSS)component–toassistCSO.Theremayalreadybeanumberofplanswithinthatcomponentthatshouldbeimplemented.

f. SocializeandenforcedCCMcodeofconducttomitigateconflictandabuseofpower,

(2) ImprovecapacityofCSOmembers,especiallythemarginalized,inthefollowingareas:

a. Knowledgeofthediseaseandepidemic.b. Knowledgeonprojectmanagement(especiallyM&E)andgeneral

organizationalmanagement.c. Advocacyskills:communicationandpresentation,lobbying,

proposalwriting,etc.d. Computerliteracy

(3) CreateaWatchdogmechanismofCCM.Sincetimeisveryprecious,

constituentsmayhavenotimetowastewhilewaitingthenewCCMtoimproveitsperformance.GFATMorCSOalliancemayconsidertheurgencyofcreatingasmallgroupofpeopleoraninstitutiontoprovideinformationandfeedbackstoconstituents.Itmayalsofunctionasafacilitatorforconstructivedialogueanddebates.

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ATTACHMENTS Attachment (1)

Source: JOTHI (Download: http://www.jothi.or.id/?q=CCM/Ind/4 -- January 21, 2010)

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Attachmnet (2)

TechnicalWorkingGroups(TWG)11PurposeandObjectivesTechnicalWorkingGroupsarepermanentbodiesthatareestablishedforeachofthethreediseases(AIDS,TuberculosisandMalaria)andgivenamandatebytheCCMtomeettodiscuss/reviewandendorsecertainproposals,reportsandotherdocuments and carry out the assignments given to them. All formalactivities/meetingsaredocumentedandreportedtotheCCM.Composition

1.Chair:aCCMmemberwhoiselectedbythemembersoftheTWGeitherthroughconsensusorbyavote.2.Members:(i)CCMmemberswhoareappointedbytheCCM.

(ii) Non‐CCM members who are selected from the professionalsectorbytheTWG.

The chair and members shall be appointed for a two‐year term and may bereplacedatanytimeduringtheirterm.RolesandResponsibilities

a.ToreviewandmakerecommendationstotheCCMonproposalsthatwillbesubmittedtotheGForotherfundingsources.b. To review and make recommendations to the CCM on requests forcontinuingfunding.c.ToreviewtheprogramimplementationperformanceofthePRthrough:

i. Quarterlywork plans: review and endorsework plans thatwillbesubmittedtotheGForotherfundingsources. ii. Quarterly progress reports: review and endorse progressreports thatwillbesubmittedto theGForother fundingsources.Therecommendationsshall includecommentsongrantperformanceusingtheoverallgrantrating/grantscorecard. iii. Annual work plans and reports: review and makerecommendationstotheCCMonannualplansandreportsthatwillbesubmittedtotheGForotherfundingsources.iv.Regularsitevisits(atleasttwiceayear).

d.Ifaquarterlyprogressreportorworkplancannotbeendorsed,toaskthePRtomakeimprovementsandreturntheamendeddocumenttotheTWGforapproval.e.InreviewingtheoverallprogramperformanceofthePRandactingastheEARS (EarlyAlertResponseSystem)of theCCM, to coordinate closelywiththeFTT.FTTmembersshouldbeinvitedtoattendthequarterlymeetingsoftheTWG.f.Ifanyoversights,mismanagement,problemsorsuspectedviolationsarefound in the implementation of GFATM programs in Indonesia, to

11IndonesiaCCMGovernanceManual(2007)–AvailableinBahasaIndonesia(PanduanTataKelolaCCMIndonesia)throughJOTHIwebsite:http://www.jothi.or.id/?q=CCM/Ind

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recommend to the CCM that the matter be followed up by the OversightCommittee.g.ToreportallresultsoftheirworktotheCCMateachplenarymeetingoftheCCM.

TheoperationalexpensesofaTWGshallbechargedtotheoperationalbudgetoftheCCM.

OversightCommitteePurposeandObjectivesTheOversightCommitteeisapermanentCCMcommitteeestablishedtoreviewreportsonanyindicationsofoversight,mismanagement,problems,orsuspectedviolations of the rules and procedures arising in the GFATM programimplementation in Indonesia to ensure that the programs yield goodprogrammaticandfinancialperformancewithreferencetotheagreedobjectivesand based on the principles of good governance, accountability andtransparency.IntheeventofanyproblemsbeingfoundbyaTWGortheFTT,theCCMshallauthorizetheOversightCommitteetofollowupandverifysuchissuesandproviderecommendationsonactins tobe taken.TheOversightCommitteeservesasabridgeandinvestigativebodybetweentheTWGorFTTandtheCCM.Its role is to receive reports from these bodies and others on possiblemismanagementorproblems,investigate,andsubmititsfindingstotheCCM.CompositionThe Oversight Committee shall comprise a Chair, seven members and a two‐membersecretariat.TheNationalAuditAgency(BPKP)shallalsoparticipate.

1.Chair:ACCMMemberwhoisappointedbytheCCM.2.Members:(i)7CCMMemberswhoareappointedbytheCCM.

(ii) Non‐CCM Members from BPKP (the National DevelopmentFinanceComptroller).

The chair and members shall be appointed for a two‐year term and may bereplacedatanytimeduringtheirterm.RolesandResponsibilities

a. To review and verify reports on indications of any oversight,mismanagement, problems, or suspected violations arising in theimplementationofGFATMprograms,basedon:

i. Evaluation reports from the LFA, consisting of periodicalprogress report, financial reports, procurement reports, humanresourcesmanagementreports,andotherspecialreports.ii.IssuessubmittedbytheTWGsandFTT.iii.Issuessubmittedbywhistleblowers.iv.Otherspecifiedissues.

b.Toconductmeetingsand/orsitevisitsinordertogatherinformationandverifyissues/findingsfromtheabovereportswhennecessary.c. To submit the recommendations from the results of such reviews,meetingsandvisitstotheCCM.d.Tomonitorthefollow‐upactionsbyallconcernedpartiestoaddressthefindings.

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Committee activities shall be funded from the CCM’s operational budget andothereligiblesources.