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
Dr. Morris Edwards: Head, Strategy and Resourcing Division, PCU
Dr. Ingrid Cox Pierre: Strategy and Resourcing Officer, Care, Treatment and Support
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
Challenges encountered in the process
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”.
Coordination of regional response
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.
For the PCU to effectively perform its role, it must be able to collect information at country level and from partners on:
Gaps in implementation of national strategies
Activities conducted by PCU to support its functions to collect information at country level and from partners on:
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
Activities conducted by PCU to support its functions…….. to collect information at country level and from partners on:
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.
Resource mobilization by PCU to collect information at country level and from partners on:
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
Source: Progress Report and Financial Analysis of Implementation of the CRSF for 17th Executive Board Meeting
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
The area of treatment and care is inadequately supplied as
many countries are below the required coverage for
persons who require ARVs
Inadequacy of resource mobilization……. 2008-2012
This emphasizes the importance of
information to guide the resource
mobilization process and focus efforts where needed
Country Analysis Methodology 2008-2012
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
Country Analysis Methodology….. 2008-2012
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
Timeframe of support
Identified gaps in the response and associated funding
9 countries responded:
Antigua and Barbuda
St. Kitts and Nevis
Trinidad and Tobago
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.
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.
Prevention Targets 2008-2012
Elimination Target 2008-2012
Elimination target 2008-2012
Many countries did not outline deficiency in funding in this area however regional data available shows that the coverage is not optimal
Treatment and Care Target 2008-2012
Human Rights Target 2008-2012
Main challenges encountered in gathering the data were:
Difficulty in getting the required data from regional partners and donor agencies.
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