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Global Fund Round 9 Grant

HIV and HSS

UNDP-Belize

14 June, 2011

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“Accelerating the Pace: Reaching Marginalized

and Vulnerable Populations with Critical Services”

Factsheet:

Project approved in Round 9 of GFATM approvals

Total value: 6,035,735 USD

Total duration 5 years, divided into two phases

Phase 1: 1 Jan. 2011 – 31 Dec. 2012 (Y1-Y2)

Phase 2: 1 Jan. 2012 – 31 Dec. 2015 (Y3-Y5)

Phase 1 budget: 3,178,720 USD

Phase 2 budget: 2,857,015 USD

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HIV/AIDS Globally

o COMBAT HIV/AIDS, MALARIA AND OTHER DISEASES – MDG 6

o The global AIDS epidemic

o Since the beginning of the epidemic, aprox. 60 million people infected with HIV and

25 million people died of HIV-related causes.

o In 2008, some 33.4 million [31.1 million-35.8 million] people living with HIV, 2.7 million

[2.4 million-3.0 million] new infections and 2 million [1.7 million-2.4 million] AIDS-

related deaths.

o In 2008, around 430 000 [240 000-610 000] children born with HIV, bringing to 2.1

million [1.2 million-2.9 million] the total number of children under 15 living with HIV.

o Young people account for around 40% of all new adult (15+) HIV infections

worldwide.

o Sub-Saharan Africa is the region most affected and is home to 67% of all people

living with HIV worldwide and 91% of all new infections among children.

o In sub-Saharan Africa the epidemic has orphaned more than 14 million children.

The Belize scenario:

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Total Expenditure: BZ$ 4,925

US$ 2,463

Per capita: BZ$ 15.30

US$ 7.65

Total exp. in Prevention: BZ$ 1,280

US$ 640

Per capita in prevention: BZ$ 3.98

US$ 1.99

Source: NASA Report, 2008/2009

The Belize scenario:

The Belize Scenario:

MDG 6 -COMBAT HIV/AIDS, MALARIA AND OTHER DISEASES

The Belize scenario: (MoH- 2010 National TB, HIV &

other STIs Annual Report):

•2010: 244 new infections, 81 confirmed AIDS cases,

106 associated deaths.

•1,053 persons on ARV therapy

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The Belize Scenario: 2010

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The Belize Scenario: 2010

National response and UNDP’s partnership

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The Goal: Halt the Spread of HIV with a specific

emphasis on young people in Belize

Objective 1: To reduce the sexual transmission of HIV among

Most at Risk Populations (MARPs: young people, MSM, FSW)

Objective 2: To improve the quality of life of PWH and children

infected and affected by HIV and AIDS in Belize and Stann Creek

Districts

Objective 3: To improve the coverage and quality of the

continuum of care for HIV infected and affected populations

Objective 4: Management, Capacity building, Data Collection and

Management

Objective 5: Health System Strengthening: to support the Belize

Health Information System (BHIS) , Central Medical Laboratory

(CML) and Central Medical Store (CMS) from the MOH.

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Partners in Round 9 implementation

Government: MOH, (NAP, CML, CMS, BHIS), MHD, MOEY (QADS, YFF)

NGOs: BFLA, BRC, PASMO/PSI, Hand in Hand Ministries, POWA

Others:

Country Coordinating Mechanism

NAC

UN Agencies: UNFPA, UNICEF, PAHO/WHO, UNAIDS

Peace Corps

PriceWaterHouse Coopers – Local Fund Agent

Regional cooperation (CDB, CARICOM, PANCAP, COMISCA, CDC, PEPFAR, PASCA)

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Objective 1: Young people and MARPs

Objective 1: To reduce the sexual transmission of HIV among Most at Risk

Populations (MARPs: young people, MSM, FSW)

BCC through Mass Media: Focused on young people in school 12-17 years, and Safer

sexual practices and partner reduction among out of school youth 15-24 years.

BCC through Community Outreach and Schools: Focused on Adolescents in secondary

school 13-17years; Out of school Youth 15-24 years and MSM and FSW in Belize and Stann

Creek Districts.

Condom Distribution: for MARPS in Belize and Stann Creek. (1,169,000 male condoms

between Y1-Y3).

Testing and Counseling: Training in PITC for 2,400 staff in primary care facilities, equipment,

mobile testing van and development and dissemination of awareness messages on testing.

Facility based diagnosis and treatment of STIs for MSM and FSW : An MOU with a local

NGO providing STI services, Outreach and referral to 1875 FSW and MSM and 3763 STI

screening and treatment for 1881 FSW and MSM.

Supportive Environment: Reduce Stigma in all settings: “Know your rights/laws campaign”

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Objective 2: Care and support to PWH and OVCs

Objective 2: To improve the quality of life of PWH and children infected

and affected by HIV and AIDS in Belize and Stann Creek Districts

Care and Support for the chronically ill: One psychosocial coordinator,

Training & Psychosocial support to 3,600 PWHIV with links to other support

services, 180 social workers trained.

Care and Support: Support for orphans and vulnerable children (OVCs):

Services and cash transfers to 500 OVC; Community care point for OVC in

Dangriga Town.

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Objective 3: Improved Treatment to PWHIV

Objective 3. To improve the coverage and quality of the

continuum of care for HIV infected and affected populations

Treatment: ARV treatment and monitoring; ARV for 200

additional PWH in years 1 and 2; 600 and 750 viral load

tests for PWHIV in years 1 and 2; and 2 adherence counselors

in Belize and Stann Creek Districts.

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Objective 4: Capacity Building and Research

Objective 4: Management, Capacity building, Data Collection and

Management

Capacity Development: Technical, Operational Skills and Capacities: PR

and SR’s;

Data collection and Management Capacity: Epidemiological research and

surveillance (MICS4-UNICEF, CDC-UV Guatemala, 2011)

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Objective 5: Health System Strengthening

Belize Health Information System (BHIS): A National virtual

health system data network operational, national data

depository and database systems developed and functional.

CML: Procure & install equipment for CML and two Regional

Labs (Belmopan and Stan Creek); recruitment of lab

technicians to improve the quality of health services.

CMS: Procurement and Supplies Management (PSM)

strengthening, improvement of the CMS conditions, Recruit

Pharmacist for CMS and regional health facilities, training on

drug quantification and use of SOPs.

Figure 1: GF-Round 9 Grant: Budget Breakdown by Program activity (US$)

Obj. 1 Prevention: US$ 684,448

Obj. 2: Care & Support: US$ 276,303

Obj. 3: Treatment US$293,866

Obj. 4: Cap. Building US$211,432

Obj. 5: HSS US$1,015,521

Obj. 6: Prog Mngt. & Admin US$697,151

Obj. 1: Prevention (US$ 684,448) 22%

Obj. 2: Care & Support (US$276,303) 9%

Obj. 3: Treatment (US$ 293,866) 9%

Obj. 4: Cap. Building (US$ 211,432) 7%

Obj. 5: HSS (US$1,015,521) 32%

Obj. 6: Prog. Mngt. & Admin. (US$ 697,151) 22%

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Figure 2: GF-Round 9 Grant: Budget Breakdown by Implementing Entity

MOEY-US$246,085

BRC-US$63,000

PASMO/PSI-US$101,289

BFLA-US$43,410

MOH-US$ 1,449,120

MHD-US$276,253

UNDP-US$999,564

MOEY (8%-US$246,085)

BRC (2%-US$63,000)

PASMO/PSI (3%-US$ 101,289)

BFLA (1%-US$43,410)

MOH (46%-US$1,449,120)

MHD (9%-US$276,253)

UNDP (31%-US$999,564)

Sub-recipients:

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