An oversight visit to Sudurpashchim Pradesh was conducted from 23-26th November 2019. The oversight team comprised of an oversight officer and two oversight committee members namely Mr. Sagar Prasad Ghimire (Senior Public Health Administrator, Ministry of Social Development, Province 3) and Mr. Heem Sundar Shakya, (Procurement and Supply Chain Expert). In the visit, meetings with PR (Save the Children, The Global Fund Team, Dhangadi), representatives from Provincial Health Directorate; Ministry of Social Development; Health Office, Dhangadi; and Health Office, Kanchanpur were conducted. Sites visits to different government entities, SR and Sub-SR/CBO namely as National Association of People Living with HIV/AIDS in Nepal (NAP+N); Dhangadi Health Office; Seti Provincial Hospital; Malakheti Hospital; Sahayatra Nepal, Kanchanpur; Nepal National Social Welfare Association (NNSWA), Kanchanpur; Health Office, Kanchanpur; Mahakali Hospital, Kanchanpur; Nava Kiran Plus, Tikapur; and Tikapur Hospital, Kailali were conducted.
Furthermore, service care providers and beneficiaries/clients were also interviewed and documents were reviewed.
Photo 1: Interaction between oversight team and staffs from Save the Children Global Fund, Dhangadi OfficePhoto 2: Oversight team with staffs from NAP+N, Dhangadi after site visitPhoto 3: Oversight team member during site visit to Seti Provincial Hospital, Dhangadi, KailaliPhoto 4: Meeting between oversight team members and representatives from Ministry of Social Development and Health Directorate Sudurpashchim Province, Health Officer, DhangadiPhoto 5: Oversight team member during site visit to Seti Provincial Hospital, Dhangadi, KailaliPhoto 6: Meeting between oversight team and staffs of Sahayatra Nepal, KanchanpurPhoto 7: Oversight team during site visit to NNSWAPhoto 8: Oversight team observing and discussing on Malaria Microscopic Training Centre during site visit to health office, KanchanpurPhoto 9: Oversight team with staff from ART center, Mahakali Hospital, Kanchanpur Photo 10: Oversight team with staff NKP, Tikapur Photo 11: Oversight team with staff from ART center, Tikapur Hospital
CSO and KP representing CCM Pakistan, CCM Srilanka, CCM Papua
New Guinea and CCM Nepal gathered together to learn and share their working
experience for CS engagement. The learning visit was held in Kathmandu, Nepal
from 19th to 21st November 2019.
The event was facilitated by Ms. Mangala Namasivayam from APCASO. There was delightful
presence of Ms. Jennifer Ho, Deputy Director and Ms. RD Marte, Executive Director
of APCASO.
Day 1:
All the country representatives shared about their CCM working at their respective countries. There was discussion among participants about the BACKUP Health Project undergoing through support of APCASO, working modalities of CCM, spaces provided to the KP/CS representatives.
Representatives from FHI 360 and Principal Recipient (Save the Children)
shared the information on LINKAGES project in Nepal and Global Fund grants
implementation respectively. Mr. Sandesh Neupane, CCM Coordinator presented
about CCM Nepal.
In the evening, all the CCMs representing participants including some
government stakeholders and bilateral and multilateral representatives of Nepal
gathered together for a dinner. Mr. Mahendra Prasad Shrestha (Executive
Committee Member and Chair of Oversight Committee, CCM Nepal and Chief of Health
Coordination Division, MoHP) chaired the dinner meeting. He welcomed all the participants and shared
his experience of working for health system strengthening in Nepal.
Day 2: The participants visited two NGOs namely Society for Women Awareness Nepal
(SWAN) and SPARSHA Nepal with an objective to acquire the holistic
understanding of the working modalities of such organizations explore about the
current response from Nepal NGOs for Key Population and people living and
affected with diseases.
During the visit to Nari Chetana Samaj, the project officer gave the
glimpse about the LINKAGES project undergoing with support of FHI 360. The
participants also got to know about the strategies and model which has been
rolling on for reaching KPs for index testing and counseling.
Likewise, during the visit to
SPARSHA, the senior project manager presented about overall program undergoing
in SPARSHA in HIV, TB, comorbidity and harm reduction.
Day 3: The participants reflected upon the day 1 and day 2 and made a comparison
about the current responses in Nepal and explained about the gaps present in
their respective countries.
Furthermore, representatives
from five national networks presenting KP (Recovering Nepal, Nepalese Migrant
Network, Jagriti Mahila Maha Sangh, National Federation of Women living with
HIV/AIDS and Federation of Sexuality and Gender Minorities of Nepal) shared the
updates about the consultation meeting conducted with financial support of
APCASO to engage each constituency.
The representatives from government entities namely: Epidemiology and Disease Control Division, National Tuberculosis Center and National Center for AIDS and STD Control shared about the current responses to three diseases (HIV, TB, Malaria).
Closing remarks: Each participant from respective countries expressed that they were able to acquire informative knowledge on Nepal responses to three diseases. They internalized the importance of knowledge sharing and mentioned about collaborative learning. They expressed that- as a component of the Backup Health Project implementation strategy, Nepal has been identified as the destination for a learning visit. Nepal has an active and dynamic engagement of the KP and CBO in Nepal’s Global Fund Grants and positive partnerships with Nepal’s CCM, relevant government offices, and technical assistance agencies. The program was formally closed with closing remarks from Ms. RD Marte and Mr. Achut Sitoula, Vice-Chair of CCM Nepal.
Group photo by the end of the meetingSite visit to SPARSHA NepalRefreshment visit to Chandragiri Hills
Country Coordinating Mechanisms (CCMs) have a central role in the Global Fund partnership. To better deliver on the Global Fund Strategy 2017-2022, the CCM model and structures were strengthened through the CCM Evolution project. The 39th GF Board Meeting approved a phased rollout of CCM Evolution. The pilot implementation phase of the project, running from September 2018 through the end of 2019, aims to improve the performance of CCMs. Among 18 CCMs participating in the pilot phase, Nepal is one of them.
Ms. Viviane Leu, Consultant from the Global Fund CCM Hub conducted the endline assessment of the CCM evolution project in Nepal from 19-23rd August 2019 based on the baseline assessment, which was conducted in November 2018. Different methods such as document review and series of interview with CCM members and alternates, Executive Committee members, Oversight Committee members, CCM secretariat, non-CCM members representing CBOs, key populations, government entities and multilateral organization were conducted. After the endline assessment, the preliminary findings were shared to Executive Committee on 24th August 2019.
Find preliminary findings of CCM evolution project endline assessment:
