Caribbean Regional

Caribbean Regional - FY 2009 Approved Funding by Program Area, Agency and Funding Source

Caribbean Regional - FY 2009 Approved Funding by Program Area, Agency and Funding Source

*Only appropriations from the GHCS (State) fund account are notified by the Global AIDS Coordinator.

The following narrative describes activities supported by the GHCS-State fund account, notified by the Office of the Global AIDS Coordinator.

The Caribbean PEPFAR program is committed to supporting an effective sustainable response to the HIV/AIDS epidemic in the Caribbean region. The USG PEPFAR team is in the process of developing a Caribbean Regional Partnership Framework to provide increased USG assistance to Caribbean governments and regional entities as they work to reduce HIV/AIDS incidence and prevalence in the region. The Caribbean PEPFAR program will continue to partner with key regional entities mandated by the Caribbean Community (CARICOM) member nations to work on HIV/AIDS issues. The Partnership Framework strategy will also include direct engagement of the government in each Caribbean nation where the USG is working, as success at the Caribbean regional level is contingent upon success of national level HIV/AIDS programs. Given the diversity of the HIV epidemic in the region, national strategies vary from island to island, and necessitate tailored, targeted approaches to ensure the best use of limited resources for a successful comprehensive response, both nationally and at the regional level.

Epidemiology and surveillance activities will be specifically targeted to gather accurate and reliable information on the number of individuals infected with HIV. In partnership with other regional organizations, the USG team will develop a regional database of strategic information collected at the community and country level which can be accessed by all countries in the region. This will have long-term sustainable impact to strengthen and improve the quality of data and data collection systems, as well as strengthen the overall capacity for surveillance in the Caribbean. The USG team will also seek to strengthen healthcare services by supporting scale up of provider initiated CT and same day HIV testing results through training and assistance with country plans for widespread HIV rapid testing, ability to monitor viral load, and resistance testing. Also, in support of Global Fund activities providing care and treatment in the six Caribbean countries, the USG team provides TA to the HIV/AIDS Project Unit which is responsible for implementation, monitoring and evaluation activities.

The USG PEPFAR team will seek to strengthen a multi-sectoral response involving government, NGOs, civil society, and the private sector, which will impact policy development, promote gender equality and human rights. The USG is committed to strengthening human capacity and health systems in the Caribbean by providing financial resources and technical assistance for the establishment of five training centers to serve health care professionals and peer educators.

In the Caribbean, PEPFAR will also support the U.S. Ambassador's HIV Prevention Small Grants Program, through which U.S. Ambassadors are encouraged to use their leadership positions in their country of assignment to increase community awareness of HIV/AIDS and advocate for action at the local level and within country leadership. With FY 2009 funds, there will be at least 19 Ambassadors HIV Prevention Small Grants Projects funded in six countries including the Bahamas, Barbados, Belize, Suriname, Jamaica and Trinidad and Tobago.

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