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Cablegate: Burma Hosts Second Ccm Meeting for Global Fund

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

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