Caribbean Regional – FY 2010 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 Caribbean continues to be more heavily affected by HIV than any region outside sub-Saharan Africa, with the second highest regional level of adult HIV prevalence. Given the economic and environmental vulnerabilities of the small island nations of the eastern Caribbean, the high degree of inter-island mobility, and social factors, activities to control the HIV/AIDS epidemic must be specifically tailored to meet unique country needs, while at the same time addressing HIV/AIDS as a regional problem.
PEPFAR will contribute to an effective sustainable response to the HIV/AIDS epidemic in the Caribbean region by continuing to engage regional partners to foster increased capacity-building and strengthening of regional institutions and to build the commitment, capacity and leadership of national authorities. The PEPFAR team has negotiated and finalized a Partnership Framework with twelve partner governments. The focus of the PF is to expand partner countries’ capacity to plan, oversee, finance, and manage their national response to HIV/AIDS and to deliver quality services with the participation of local civil society, groups of PLWHA, and the private sector.
There are four main areas of focus in the FY 2010 Regional Operational Plan (ROP) and the Partnership Framework, including prevention, SI, laboratory strengthening, and HSS. In prevention, PEPFAR will provide TA, capacity-building, and financial support to develop the capacity of regional and national entities to plan, implement, and evaluate evidence-based, comprehensive HIV prevention programs targeting MARPs that integrate biomedical, behavioral, and structural elements. The goal of SI activities is to improve the capacity of Caribbean national governments and regional organizations to increase the availability and use of quality, timely HIV/AIDS data to better characterize the epidemic and support evidence-based decision-making for improved programs, policies, and health services. PEPFAR will work to increase the laboratory capacity of the Caribbean national governments and regional organizations to improve the quality and availability of diagnostic and monitoring services and systems for HIV/AIDS and related STIs and OIs, including TB, under a regional network of tiered laboratory services. Finally, in relation to HSS, PEPFAR plans to leverage the expertise and resources of the country and regional partners to improve or supplement existing HIV/AIDS initiatives and assist governments in integrating services, financing their HIV/AIDS programs, and providing TA for mobilizing resources to sustain the response.
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