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The U.S. President’s Emergency Plan for AIDS Relief. U.S. – Caribbean Regional Partnership Framework for HIV and AIDS (2009-2013) Dr. Shirley Lecher, CDC Director Caribbean Regional Office On Behalf of the U.S. Government Slides prepared by William A. Abrams Interim PEPFAR Coordinator
U.S. – Caribbean Regional
Partnership Framework for HIV and AIDS
Dr. Shirley Lecher, CDC Director
Caribbean Regional Office
On Behalf of the U.S. Government
Slides prepared by William A. Abrams
Interim PEPFAR Coordinator
US Embassy, Bridgetown Barbados
Six Eastern Caribbean states:
The Reauthorization Act included an increase in funding from the U.S. Government to fight HIV/AIDS in the Caribbean region.
The Caribbean region as defined under PEFPAR includes the following 12 countries:
The Dominican Republic, Guyana and Haiti are not included because all three countries receive direct bilateral USG assistance.
Future USG funding and technical assistance is contingent upon developing a non-binding U.S. - Caribbean Regional Partnership Framework for HIV and AIDS
The vision for the Partnership Framework is to provide a 5-year joint strategic framework for cooperation between the USG, Caribbean governments, and key national, regional and international non-governmental and civil society organizations to combat HIV/AIDS in the region
PEPFAR funding for these 12 countries has increased from $8 million in 2004 to over $23+ million in the 1st year of the Partnership Framework
This $15 million increase in funds will be programmed during the 1st year of the Partnership Framework (2009 – 2010)
Though future funding is contingent upon completion of the Partnership Framework and annual appropriations by the U.S. Congress, the Caribbean region will hopefully receive level HIV/AIDS funding & technical assistance over the next five years
Partnership Framework documents consist of two parts:
Partnership Framework Implementation Plan
Partnership Framework broadly lays out:
Partners, roles and commitments
5-year strategic overview
Plans for developing the Implementation Plan
Management and communications plan
The purpose of the U.S. – Caribbean Regional HIV and AIDS Partnership Framework is to reduce HIV and AIDS incidence and prevalence in the Caribbean region, build the capacity of national governments to develop and maintain sustainable, comprehensive and effective national HIV and AIDS programs and strengthen the effectiveness of regional coordinating agencies to provide quality, cost-effective goods and services to bolster national HIV and AIDS programs.
HIV Prevention: To contribute to achievement of the CRSF goal of reducing the estimated number of new HIV infections in the Caribbean by 25% by 2013;
Strategic Information: To increase availability and use of quality, timely HIV and AIDS data to better characterize the epidemic and support evidence-based decision-making for improved programs, policies, and health services;
Laboratory Strengthening: To improve the quality and availability of diagnostic and monitoring services and systems for HIV and AIDS and related sexually transmitted and opportunistic infections, including tuberculosis, under a regional network of tiered laboratory services;
Human Capacity Development: To increase the availability and retention of trained health care providers and managers – including public sector and civil society personnel, as well as PLHIV and other HIV-vulnerable populations – to deliver comprehensive, quality HIV-related services according to national, regional, and international standards; and
Sustainability: To improve the capacity of Caribbean regional and national partners to lead, finance, manage and sustain the delivery of effective, quality HIV prevention, care, treatment and support services at regional, national, and community levels over the long-term.
PFIP will build upon the strategy document, including:
Regional profile with baseline data by country
Specific activities to achieve Framework 5-year goals and objectives
Clarification of financial, programmatic and other resource commitments by Framework partners
Projected funding by all relevant funding sources
Clarification of indicators and 5-year targets
Monitoring and evaluation plan
April 2009: USG and PANCAP co-hosted a Partnership Framework conference in St. Lucia to solicit input from Caribbean stakeholders
June/July 2009: Framework 1st draft circulated to Caribbean stakeholders for review and input.
August 2009: Final revisions to Framework and Washington, DC preliminary review
September 2009: Final draft of the Framework completed
September/October 2009: Circulation of final Framework document to signatory partners for concurrence
Anticipated signatory partners are the 12 governments plus CARICOM/PANCAP and OECS/HAPU
U.S. Ambassadors will contact PM, MOH and/or NAC in each country
Signatories indicate willingness to sign Framework by October 2, 2009
USG representatives will visit each country to reach agreement on proposed partner commitments in the Framework
October – November 2009: Official signing of Partnership Framework and consultations with national, regional and international partners to develop PFIP
USG will arrange official signing events with all signatory partners
USG will conduct in-country consultations with MOH, NAC & other stakeholders to develop PFIP
Refine and finalize partner commitments
Define the activities to achieve each Framework goal and objective
Determine the allocation of USG funding and technical assistance for the 1st year of the Framework
November ’09 – January 29, 2010: Finalize PFIP and develop first annual work plan for Framework implementation
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