In-country management structures of the Global Fund to fight AIDS, Tuberculosis and Malaria and Good Governance: The Country Coordinating Mechanism of Zambia

Abstract: Present day aid strategies and their effectiveness are subjected to fundamental reassessment. Major donors and international financial institutions are increasingly basing their aid and loans to the countries on the condition that recipient governments undertake reforms that ensure "good governance" of the allocated funds. Present study conducted in November and December 2007 in Zambia was aimed at analyzing the efforts of the Global Fund to fight AIDS, Tuberculosis and Malaria, the predominant international financier of tuberculosis and malaria and one of the largest funding organizations for HIV/AIDS programs, at strengthening good governance of the Global Fund’s grant in Zambia, the largest per capita recipient of the Global Fund and the “star performer” as referred by the Global Fund itself. The study analyzed the Country Coordinating Mechanism of Zambia (CCM/Z), the in-country management structure, which bears responsibility for the grant proposals preparation and the implementation process oversight, from the good governance concept perspective based on the model by the World Bank in order to assess the CCM/Z compliance with the concept. With qualitative interviews with the key informants and review of the relevant literature and documentation as main data collection instruments, the study concluded that CCM/Z experiences significant problems complying with the good governance principles.