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

Haiti - 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.

Despite food crises, political instability, several major hurricanes, and evacuations of USG direct hire staff in FY 2008, PEPFAR Haiti is on track to exceed nearly all major PEPFAR programmatic indicators. Haiti continues to be a model for wrap-around programming by integrating HIV/AIDS with maternal and child health, nutrition and TB as well as with interventions in areas such as food security, education and economic growth. PEPFAR works closely with the national government and indigenous partners to provide national coverage through a network model which encourages sustainability. Haiti has strived to deliver integrated, family-centered programming and a continuum of care particularly for children, by linking PMTCT, pediatric care and OVC programming. PEPFAR will continue to focus on integrated programming in FY 2009.

In FY 2008, PEPFAR reached more than 1.4 million people with community outreach prevention activities and shifted the behavioral prevention portfolio to focus more on most-at-risk groups to better reflect the epidemic in Haiti. In FY 2009, PEPFAR will continue to focus on strengthening PMTCT services, strengthening behavior change communication programs and condom social marketing particularly focusing on more on high-risk populations, and strengthening blood and injection safety programs through providing essential supplies and equipment. PEPFAR will further expand the number of clinics providing HIV testing and PMTCT services and support community mobilization and health education activities to increase awareness and demand for PMTCT services. PEPFAR will train community health agents to inform, educate and mobilize communities around HIV/AIDS prevention. Efforts to reduce new infections among high-risk groups will be expanded and targeted to localities where high-risk activities take place. A special emphasis will be placed on key border towns with a high volume of movement between Haiti and the Dominican Republic.

Haiti continued to make significant progress in providing care and support to PLWHA in FY 2008, with PEPFAR serving 95,100 individuals and almost 59,000 OVC. In FY 2009, PEPFAR will focus on training of counselors in counseling and testing and increasing routine screening, basic care and support, integrating TB and HIV programs, and OVC support. A package of care services and community support will be provided to HIV-positive individuals and their families, as well as specifically for OVC. HIV/AIDS care and treatment centers will be the focus of enrollment and care for all HIV-positive individuals and services for children will be incorporated into selected sites. At the community level, PEPFAR will link care and support activities to HIV/AIDS prevention, care, and treatment centers and continue to work with support groups that have been organized country-wide for PLWHA. Care and treatment sites located in towns along the Haiti/DR border will work closely with sister hospitals, homes and community based sites in the Dominican Republic to ensure effective referral systems and cooperation in care and support services.

In FY 2008, PEPFAR continued to ensure a safe and secure supply of ARV drugs with the establishment of a drug procurement and distribution system through the SCMS. In FY 2009, Haiti will continue with a national scale-up of the provision of free ART services by expanding the number of adult treatment sites as well as those providing pediatric diagnostic and treatment services. PEPFAR will continue to improve AIDS treatment for children and adults by working with local and international technical assistance partners to develop guidelines, policies and curricula; conduct trainings of clinicians; and supervise service delivery sites for quality assurance, control and improvement. Haiti will continue to strengthen the national laboratory infrastructure and training of laboratory staff.

In FY 2009, PEPFAR will collaborate with the Ministry of Health, the Pan American Health Organization, and other donors to develop a national human capacity assessment focused on HIV/AIDS health care providers. Haiti will expand training for nurses, psychologists, social workers, and medical technicians. PEPFAR will continue to support the revitalization of the National AIDS Council to improve its technical, programmatic, and administrative management to serve as the national coordinating body of Haiti's national HIV/AIDS response.

In FY 2009, PEPFAR-funded SI activities will continue to focus on developing and implementing routine information management systems, surveillance via population-based surveys, public health evaluations, and policy-related data analyses.

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