The U.S. President’s Emergency Plan

for AIDS Relief (PEPFAR)

“The Role of PEPFAR in the Caribbean Region”

William Conn, PEPFAR CoordinatorHealthy Caribbean CoalitionThursday, October 28, 2010

The U.S. President’s Emergency Plan for AIDS Relief (PEPFAR)

OVERVIEW

PEPFAR is the global HIV/AIDS program launched in 2003 to combat and limit the spread of HIV/AIDS. It was reauthorized by the U.S. Congress in July 2008.

PEPFAR represents the largest commitment in history made by one nation to a single disease and has:

Treated over 2 million HIV-infected persons Provided care for over 10 million Prevented over 7 million new infections.

PEPFAR II

Country Ownership Capacity Building Sustainability Technical Assistance to support the National

Response Linked to National and Regional Strategic Plans Emphasis on strategic information Evidence-based programs Government to government Partnerships Supports the Global Health Initiative (GHI) by

strengthening health systems

Caribbean Regional Partners (6,048,268)

Jamaica (2,825,928) 1.8%

Trinidad and Tobago (1,229,953) 1.5%

Suriname (524,143) 2.4%

Belize (322,100) 2.1%

Bahamas (307,552) 3%

Barbados (284,589) 1.2%

Six Eastern Caribbean states:– Antigua and Barbuda (85,632)

– Dominica (72,660)

– Grenada (90,739)

– St. Kitts and Nevis (40,131)

– St. Lucia (160,267)

– St. Vincent and the Grenadines (104,574)

Two Regional Programs

Pan Caribbean Partnership against HIV/AIDS (PANCAP)

Organization of Eastern Caribbean States (OECS)

HIV/AIDS CARIBBEAN Region

The Caribbean has the second highest rate of HIV/AIDS prevalence in the world after Sub-Saharan Africa. The epidemic is the leading cause of death among adults ages 25-44 years of age and has left nearly quarter of a million Caribbean children orphaned. In 2007, approximately 14,000 Caribbean nationals died of AIDS, and an estimated 20,000 people were newly infected with HIV.

Bi-lateral PEPFAR programs in Haiti, Guyana and the Dominican Republic under PEPFAR l

PEPFAR – USG Agencies

Based at U.S. Embassy Eastern Caribbean, Barbados

Centers for Disease Control & Prevention (CDC) Department of Defense (DOD) Peace Corps (OECS, Belize, Jamaica, Suriname) Health Resources & Service Administration

(HRSA) United States Agency for International

Development (USAID) Eastern Caribbean and Jamaica Missions

State Department (With U.S. Embassies in Bahamas, Belize, Jamaica, Suriname, Trinidad)

Caribbean Regional Partnership Framework

Planning Documents: Strategy, Implementation Plan, Operational Plan, and Annual Work Plans

Caribbean Regional Partnership Framework Completed and approved 5-year strategy

Partnership Framework Implementation Plan Completed 5-year implementation plan

Annual Regional Operational Plan Linked to fiscal year budget submitted every

October Country and Partner work plans

USG Caribbean Partnership Framework

Partnership Framework Implementation Plan Goal Areas:

Prevention

Strategic Information

Laboratory Strengthening

Health Systems Strengthening

Prevention for Most-at-risk-populations

Develop a Comprehensive Approach

Expand Services

Reduce Stigma and Discrimination

Establish Referral Systems

Strategic Information

Collect information to characterize the epidemic

Implement M&E strategies (NSPs)

Build SI capacity

Harmonize data collection (HMIS)

Laboratory Strengthening

Support Caribbean-led reorganization to create a sustainable regional laboratory network

Assist governments and regional public health agencies to improve the scope and quality of HIV diagnostic and laboratory services and systems

Health Systems Strengthening

Improve HRH systems as part of GHI

Improve Financial management capacity of national HIV programs

Improve integration and efficiency of national HIV partners (Harmonization)

Strengthen national leadership and governance in HIV programming

What is the Role of PEPFAR in the Caribbean Region?

CoordinationU.S. Government agenciesOther donors and partners, PAHO, Clinton

Foundation, Global Fund, UNAIDS, DfID, GTZ, etc.

Regional partners, PANCAP, OECSCountry partners, National AIDS ProgramsNGO, civil societyPrivate sector

Program Efficiency Use of scare resources for sustainable programs

Partnership Framework Official Signings(Barbados and the OECS, PANCAP, Bahamas, Belize, Jamaica, Suriname, Trinidad and Tobago)

For further information, please visit:www.PEPFAR.gov

Thank You!