enhancing country ownership an analytical review of country hiv programmes
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ENHANCING COUNTRY OWNERSHIP: AN ANALYTICAL REVIEW OF COUNTRY HIV PROGRAMMES. Dr. Morris Edwards: Head, Strategy and Resourcing Division, PCU Dr. Ingrid Cox Pierre: Strategy and Resourcing Officer, Care, Treatment and Support. Focus of Presentation Role of the PANCAP Coordinating unit in

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enhancing country ownership an analytical review of country hiv programmes

ENHANCING COUNTRY OWNERSHIP: AN ANALYTICAL REVIEW OF COUNTRY HIV PROGRAMMES

Dr. Morris Edwards: Head, Strategy and Resourcing Division, PCU

Dr. Ingrid Cox Pierre: Strategy and Resourcing Officer, Care, Treatment and Support

slide2
Focus of Presentation

Role of the PANCAP Coordinating unit in

achievement of the goals of Caribbean Regional Strategic Framework (CRSF) 2008 – 2012

Analysis of country needs for achieving

these goals.

Challenges encountered in the process

slide3
Background

Vision of the Caribbean Regional Strategic Framework (CRSF) 2008 - 2012

“Substantially reduce the spread and impact of HIV in the Caribbean through sustainable systems of universal access to HIV prevention, treatment, care, and support”.

slide4
Assigned roles PANCAP Coordinating Unit (PCU)

Coordination of regional response

Resource mobilization

Advocacy

slide5
PANCAP 10th AGM identified critical areas for emphasis to achieve the goals of the CRSF.

Reduction of new HIV infections by 50%.

Elimination of mother to child transmission of HIV.

Increased access to treatment by 80%.

Accelerate the agenda to achieve human rights for PLHIV including the elimination of travel restrictions for PLHIV.

Elimination of travel restrictions for PLHIV.

slide6
For the PCU to effectively perform its role, it must be able to collect information at country level and from partners on:

Ongoing initiatives

Available resources

Gaps in implementation of national strategies

slide7
Activities conducted by PCU to support its functions

Development of the PANCAP Biennial

Operational Plan (PBOP)

Country assessments to ascertain implementation

gaps in their NSP

Convening a Partners meeting and development

of an implementation matrix of ongoing activities

in countries by partners

slide8
Activities conducted by PCU to support its functions……..

Establishment of a lab partners working group

Review of financial resources available at country level for implementation of NSP and their contribution to the achievement of the Tenth AGM targets.

slide9
Resource mobilization by PCU

Estimated (under estimate) US$58 M required

for implementation of the CRSF.

The PCU has mobilized approximately US$47 M

of this estimate

However priority areas of prevention and

treatment and care have secured resources in

excess of that budgeted for by the CRSF

slide10

COMPARATIVE ANALYSIS OF FINANCIAL SUPPORT TO THE CRSF 2008-2012

Source: Progress Report and Financial Analysis of Implementation of the CRSF for 17th Executive Board Meeting

slide11
Inadequacy of resource mobilization efforts

Although secured funds are in excess of that budgeted for in these two areas, regional reports have identified that:

Some areas in prevention, especially interventions

with MARPS (other than MSM and CSWs) and

PMTCT are critical areas or gaps in the

response.

The area of treatment and care is inadequately supplied as

many countries are below the required coverage for

persons who require ARVs

slide12
Inadequacy of resource mobilization…….

This emphasizes the importance of

information to guide the resource

mobilization process and focus efforts where needed

slide13
Country Analysis Methodology

Available country NSPs were evaluated for alignment with the CRSF

Country assessments were conducted from 2010 to 2011 looking at gaps in implementation of country NSPs or implementation plans

The reports were presented at prior meetings and to the PACC

slide14
Country Analysis Methodology…..

A financial review of allocated resources at country level in relation to the tenth AGM targets

Template designed to collect information on areas of focus under the individual 10th AGM targets noting:

Area of strategic focus

Source of funding (whether govt. or donor)

Specific area funded e.g prevention programmes for MARPS

Budget allocated

Timeframe of support

Identified gaps in the response and associated funding

slide15
Results

9 countries responded:

Antigua and Barbuda

Dominica

Jamaica

Suriname

Belize

St. Kitts and Nevis

Montserrat

Tortola

Trinidad and Tobago

slide16
Results…..

Countries are at different stages in reaching the 2015 targets.

Main issue is sustainable funding, especially of commodities such as ARVs.

Funding in most of the reporting countries is still largely supported by donor agencies.

slide17
Results…..

The areas highlighted as deficient in the funding of the CRSF correspond closely to those that are being reported in countries.

There is the need to include stigma and discrimination in the area of human rights

There is a need for targeted prevention interventions especially for groups such as youth, with critical focus on minors because of early sexual debut.

slide24
Elimination target

Many countries did not outline deficiency in funding in this area however regional data available shows that the coverage is not optimal

slide34
Challenges

Main challenges encountered in gathering the data were:

Regional level:

Difficulty in getting the required data from regional partners and donor agencies.

National level

Poor response from member countries possibly due to:

Competing interests: Harmonization of donor efforts at country level is needed

Unavailability of data or information needed at country level

slide35

THE MEETING is invited to:

  • (i) Advise on mechanisms to overcome the challenges with information sharing; and
  • (ii) Agree on the strategic objectives, regional public goods and services and activities to be included in the Biennial Operational Plan, 2012-2013
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