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In order to strengthen the Global Fund’s business model, the Global Fund Secretariat has been asked by the Global Fund Board to examine how to evolve the current CCM model to better deliver on the Global Fund strategy 2017-2022. This has also been part of the recent “CCM Audit” released by the Office of the Inspector General (OIG).

The project will lead to a revision of the ‘CCM Guidelines and Requirements’, which the Global Fund Board will approve in May 2018.

What are the different CCM Models?

Contexts Models Explanation
Standard 1. High Burden High Relevance These are the CCMs where at least one disease burden is “severe” or “extreme” and where Global Fund relevance is high*. These are the CCMs in countries where those diseases are highly problematic and where the Global Fund play a very significant role (about 25 countries).
* The GF relevance is calculated based on “GF investments” compared to what the national government is funding
Challenging 2. Standard CCMs in countries that are under “Additional Safeguard Policy” or categorized as “Challenging Operating Environment” which are neither “Chronic Instability” nor “Acute Emergency”.
3. Chronic Instability Precarious security situation relating to periodic political strife, governance change or weak leadership or localized conflicts   as defined in the “Challenging Operating Environment” OPN (about 25 countries)
4. Acute Emergency Humanitarian crises due to armed conflict, emerging disease threats or outbreaks or natural disasters as defined in the   “Challenging Operating Environment” OPN (currently no country but allows for cases like Ebola crisis, civil war outbreak or natural disaster)
Transition 5. Transition Countries with a relatively “low” disease burden, where the Global Fund investments are low compared to what the national government is funding (Global Fund relevance). Those countries are all eligible for “transition funding” in less than 6 years. This group is composed of two sub-groups:

a) Now Transitioning : countries with at least 2 components receiving transition funding or are not eligible (about 33 countries).
b) Near Transitioning: countries that will, with a high likelihood, access transition funding in less than 6 years (about 30 countries).

Regional 6. RCM Regional coordinating mechanisms


Each model has been reviewed and contain functions, categories, sub-categories and requirements.

How engage on CCM evolution plan feedback?

  1. Download the document For CCM Consultation EN, which present all the process.
  2. Download and review the document CCM Consultation EN, which present the functions, categories, sub-categories and requirements of each CCM model. You can use this excel document to do your feedback and send it to CCM Hub ( with copy to before 5 Feb.

Or too

3. Send a word document with your answers to the next questions:

a) What do you think about the different categories for CCM differentiation and the methodology for country assignment by the model:  Evolving CCMs to align with the Global Fund Strategy?

b) What do your think about  the functions to be fulfilled by the CCMs, with the relevant requirements, for each CCM model?

c) What do you think about the activities to be carried out by the Global Fund Secretariat is implementing to align the evolving CCMs  model  with the Global Fund Strategy?

d) What ideas do you have for a new, user-friendly name for the “High Disease Burden/High GF relevance” CCM category?

e) Other inputs or suggestions.

Send the word document to before February 3th, 23:59 hrs. Lima, Peru time (Pacific Coast of South America).