LMG/Côte d’Ivoire: Program Year 3, Quarter 3 PEPFAR Progress Report

The project has been providing technical assistance to the Global Fund Country Coordinating Mechanism (CCM) and Principal Recipients (PRs) since December 2011. The goal of the project is to build the capacity of the CCM and PRs in leadership, management, and governance; monitoring and evaluation; supervision; and resource mobilization. The LMG/CI workplan, developed to support the Global Fund CCM for the period October 2013 through September 2014, has five objectives. Objective 1 aims to strengthen the CCM's understanding of the updated Global Fund directives and ensure compliance with Global Fund regulations. Objective 2 seeks to strengthen oversight and monitoring and evaluation of grant performance using effective tools. Objective 3 focuses on harmonizing activities with key stakeholders and mobilizing additional resources to carry out basic CCM functions. Objective 4 aims to strengthen the leadership, management, and financial skills of the CCM and PRs. Objective 5 seeks to strengthen the leadership, management, and governance skills within selected civil society networks. During the reporting period of April-June 2014, the following results were achieved under these objectives. Objective 1 was achieved through the support provided by LMG/CI to the CCM to hold a Dashboard review meeting with each of the technical committees: HIV, malaria, and TB. Objective 2 was achieved through the support provided by LMG/CI to six technical committee meetings with CCM members. Objective 3 was achieved through the development of a detailed timeline to guide the preparation of the malaria concept note for submission to the Global Fund on August 15, 2014. In addition to these results, LMG/CI continued to provide capacity building support to the Global Fund CCM and the technical committees. The project ensured that the CCM meets the necessary Global Fund requirements and that the CCM has enhanced capacity in strategic supervision and in budgetary reviews to facilitate resource mobilization. The Leadership, Management and Governance Decentralization Pilot Project in Côte d'Ivoire (LMG/CIDMP) has been providing technical assistance focused on leadership, management, and governance capacities at the decentralized level. The project has been working in the health regions of Indénié-Djuablin and N’Zi-Iffou since October 2013. The two-year goal of the LMG Decentralization Pilot Project in Côte d’Ivoire is to improve health service delivery and health outcomes through health systems strengthening by creating motivated leaders with strong skills in governance, leadership, and management at the Regional Health Directorates (DR) and the Departmental Health Directorates (DD) to ensure ownership and sustainability of all interventions, including HIV activities at the decentralized level. During the reporting period of April-June 2014, the following results were achieved under LMG/CIDMP. Objective 1 was achieved through the support provided by LMG/CIDMP to twenty monthly District health management team (ECD) and Regional health management team (ERS) meetings. Objective 2 was achieved through the provision of technical and financial assistance to both the Indénié-Djuablin and N’Zi-Iffou Regional Health Directorates (DRs) to conduct their quarterly supervision missions. Objective 3 was achieved through the training of 100% of the DRs and DDs with computers provided by the LMG/CIDMP project. The LMG/CIDMP project also launched a Leadership Development Program Plus (LDP+) with the regional offices, training forty-two officers of the Ministry of Health and the Fight Against AIDS (MSLS) in the two regions (Indénié-Djuablin and N'Zi-Iffou). LMG/CIDMP staff also trained eleven improvement teams from the DRs and DDs on LDP+ tools and approaches.