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Viewing cable 08RANGOON867, BURMA HOSTS SECOND CCM MEETING FOR GLOBAL FUND

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Reference ID Created Released Classification Origin
08RANGOON867 2008-11-07 08:58 2011-08-25 00:00 UNCLASSIFIED//FOR OFFICIAL USE ONLY Embassy Rangoon
VZCZCXRO5534
RR RUEHCHI RUEHDT RUEHHM RUEHNH
DE RUEHGO #0867/01 3120858
ZNR UUUUU ZZH
R 070858Z NOV 08
FM AMEMBASSY RANGOON
TO RUEHC/SECSTATE WASHDC 8368
RUCNASE/ASEAN MEMBER COLLECTIVE
RUEHLO/AMEMBASSY LONDON 2049
RUEHKO/AMEMBASSY TOKYO 6268
RUEHRO/AMEMBASSY ROME 0183
RUEHFR/AMEMBASSY PARIS 0602
RUEHCHI/AMCONSUL CHIANG MAI 1917
RUEAUSA/DEPT OF HHS WASHDC
RHHMUNA/CDR USPACOM HONOLULU HI
RUEHPH/CDC ATLANTA GA
RUCLRFA/USDA WASHDC
RUEHRC/USDA FAS WASHDC
RHEHNSC/NSC WASHDC
RUCNDT/USMISSION USUN NEW YORK 2093
RUEKJCS/SECDEF WASHDC
RUEHBS/USEU BRUSSELS
RUEKJCS/JOINT STAFF WASHDC
UNCLAS SECTION 01 OF 02 RANGOON 000867 
 
SENSITIVE 
SIPDIS 
 
DEPT FOR EAP/MLS, OES, S/GAC 
DEPT PASS TO USAID/ANE/CLEMENTS AND GH/CARROLL 
BANGKOK FOR REO OFFICE, USAID/RDMA HEALTH OFFICE 
PACOM FOR FPA 
 
E.O. 12958:N/A 
TAGS: ECON TBIO EAID SOCI PGOV BM
SUBJECT: BURMA HOSTS SECOND CCM MEETING FOR GLOBAL FUND 
APPLICATION 
 
REF: A) RANGOON 797   B)  STATE 115494  C) RANGOON 842 
 
RANGOON 00000867  001.2 OF 002 
 
 
Summary 
------- 
 
1.  (SBU)  The Ministry of Health (MOH) chaired the 
second Country Coordinating Mechanism (CCM) meeting in 
Nay Pyi Taw  October 31 in preparation for its planned 
Round Nine Global Fund Application.  During the meeting, 
participants reiterated the humanitarian need for a 
Global Fund application, and with an eye toward 
determining a funding request, agreed to "think big but 
start small."  The CCM determined that funding requests 
should be limited to USD 110 million for HIV/AIDS, USD 60 
million for tuberculosis (TB), and USD 50 million for 
malaria.  MOH has yet to set a date for the next CCM; 
agenda items should include how to incorporate key 
issues, including access and NGO experiences, into a 
Round Nine application; a discussion on the principal 
recipient process; and a Three Disease Fund operational 
update.  End Summary. 
 
Acknowledging the 3DF 
--------------------- 
 
2.  (SBU)  The October 31 CCM was attended by 
representatives of the GOB, UN agencies, donors, and 
NGOs, with the UKQs DFID speaking for international 
donors.  According to DFID Director Paul Whittingham (who 
attended the meeting as the donor representative), the 
Minister of Health, as the CCM chair, opened the meeting 
by thanking the participants for their work on the 
pending Global Fund application.  He specifically 
acknowledged the importance of the Three Diseases Fund 
(3DF) in providing medical care and treatment to Burmese 
and thanked donors for their support of such programs. 
The Minister reiterated that despite assistance, there 
continue to be gaps in the health sector; a Global Fund 
grant would help fill these gaps. 
 
Determining Funding Requests 
---------------------------- 
 
3.  (SBU)  The Technical Strategic Groups (TSGs) for 
HIV/AIDS, TB, and Malaria each presented draft concept 
notes for possible funding under a Round Nine 
application.  (A concept note is a short, two to three 
page document that serves in advance for a full 
proposal.)  According to several TSG members (from both 
INGOs and UN agencies), the TSG concept note vetting 
process was Qvery transparent, with broad participation. 
A representative of UNODC who is a member of the HIV/AIDS 
TSG confirmed that none of the concept note reviewers 
evaluated proposals from their own organizations.  He 
stated that Global Fund eligibility criteria were 
stringently applied. 
 
4.  (SBU)  For HIV/AIDS, the TSG recommended that concept 
notes from 15 organizations (local and international 
NGOs, the National AIDS Program, and UN agencies) worth 
USD 160 million over five years be included; the TB TSG 
proposed nine concept notes totaling USD 77 million; and 
the TSG for malaria presented 14 concept notes worth USD 
98 million.  After the presentations, CCM members agreed 
that the preliminary amounts were too high and that there 
was a need to Qthink big, but start small.Q  The CCM set 
a target over five years of USD 110 million for HIV/AIDS, 
$60 million for TB, and USD 50 million for malaria, and 
asked the TSGs to reduce the number of concept notes that 
 
RANGOON 00000867  002.2 OF 002 
 
 
will be included in the Global Fund application. 
 
5.  (SBU)  According to DFID Health Director Julia Kemp, 
the Global Fund proposal form requires an estimation of 
the funding gap for HIV/AIDS, TB, and malaria, as well as 
a list of current commitments from other donors, so that 
any new Global Fund monies would be used to supplement 
existing programs.  Consequently, the CCM members agreed 
to ask the Three Diseases Fund (3DF) for its funding 
projections and plans through 2010.  (Note: the 3DFQs 
five year mandate expires in 2011; donors expect the 3DF 
to continue, even if a Global Fund application is 
approved.  End note.)  The CCM did not address health 
funding from other donors (such as the USG). 
 
Still No Decision on Principal Recipients 
----------------------------------------- 
 
6.  (SBU)  Although the CCM agenda originally called for 
a discussion on the Principal Recipient (PR) process (Ref 
A), the October 31 CCM did not address the issue. 
According to Whittingham , GOB officials requested 
additional time to discuss internally the PR question.  A 
NGO representative told us that while MOH officials know 
the GOB cannot be one of the two Global Fund PRs, the 
Minister of Health has yet to raise this issue with 
higher officials.  Our NGO contact was confident the GOB 
would accept the PR limitations, and intimated that an 
international NGO and/or a UN agency would likely hold 
the two PR positions. 
 
Next Steps 
---------- 
 
7. (SBU)  The Minister of Health has yet to set the date 
for the next CCM, Kemp told us.  Consequently, the agenda 
for the next meeting remains open.  CCM members agreed 
that the Round Nine proposal should address a number of 
broader issues, including access to project sites and NGO 
operational experiences (both positive and negative); how 
to incorporate these issues into the proposal will be 
discussed at the next meeting.  Additionally, DFID will 
request that members discuss the PR process, as well as a 
review of the 3DFQs operations. 
 
Comment 
------- 
 
8.  (SBU)  The CCM process is progressing in a 
transparent manner, with the UN agencies, NGOs and most 
donors strongly supportive of the GOBQs plans for a new 
Global Fund application and of the Minister of HealthQs 
personal commitment to meet Global Fund requirements.  We 
have made clear to all CCM players, including the 
Minister himself, the U.S. position on the need for 
prior, credible GOB commitments on key operational 
concerns up front.    CCM members seem to be getting the 
message, as evidenced by their decision that a Round Nine 
proposal should address broader issues, including those 
that predicated the 2005 Global Fund withdrawal.  It 
remains unclear, however, what form that will ultimately 
take, or whether it will be sufficient to meet USG 
concerns. 
 
 
 
DINGER