BELIZE
Abigail McKay
Lydia Thurton
Ruby Magana
Robert Tucker
MESA 2
Available Resources in the Country
Health Personnel Trained
•VCT
•PITC
Resources
Gaps
•Nurses, Doctors, NGOs (Red
Cross, BFLA, UNIBAM), Social
Workers
•Nurses, Pharmacists, Lab
Techs
MOH Community Health
Workers, Custodial/Support
Health Staff
Promotion and Prevention
Strategies
Support Groups, Testing
Activities not sustained
days, VCT Centers,
Public Campaigns, (16 Days
of Activism), Mobile Clinics,
Peer Education, Curriculum for
University Health Science
Programs
Counseling and Testing
VCT (Voluntary Counseling
and Testing
PITC (Provider Initiated
Testing and Counseling
•Vertical Program that
facilitates stigmatization
•Needs to be rolled out to
entire country
Available Resources
Resources
Gaps
Prevention of Mother to Child
Transmission
National MTCT Program fully
integrated in Public Maternal
Child Health Program
Mechanism for referrals and
communication
BHIS
Referrals for services outside
of the medical system
Discrimination
Patient Management
(Adherence and Attrition)
BHIS
Specialist Clinics
Community Volunteers
Community Health Workers
1st Line Treatment Protocol
Adherence: resistance,
stigma, side effect profiles,
lack of genotype testing,
viral load monitoring.
Limited 2nd line protocol
Management of TB-HIV
BHIS
Specialist & Public Health
Clinics (DOTS)
Community Volunteers
Community Health Workers
Adherence: resistance, stigma
st
BELIZE
Abigail McKay
Lydia Thurton
Ruby Magana
Robert Tucker
MESA 3
Incorporation of The Gorgas
Experience

In-depth review to incorporate relevant elements
into the “Health Education: HIV and other STIs”
course to be piloted in January 2012
Proposed Strategies for Training

Implement course “Health Education: HIV and other
STIs”
Training at pre-service level
 Develop Online training for Health Workers



Expand PITC
Establish a National Training Center and Resource
Library
Sub-regional Actions to Strengthen
Belize’s Capacity

Establishing stronger links for realized integration
IntraHealth Capacity IV project
 CDC’s regional: Universidad del Valle Project
 Meso America Initiative
 Johns Hopkins Gorgas Project

Specific Action to Implement


Implement “Health Education: HIV and other STIs”
course through the University of Belize
Ministry of Health Human Resource Action Plan
disseminated for implementation
PAHO’s Support in the Process



Technical support
Monitoring and Evaluation
Resource Mobilization
Next Steps in Development of Human
Resources: Pre-Service





Training of Professors to pilot “Health Education:
HIV and other STIs” course
Implement pilot (3 credit course)
Monitoring of the pilot process and content
Review and align relevant areas of the Gorgas
Project
Develop online version including relevant aspects of
the Gorgas Project
Next Steps in Development of Human
Resources: In-Service




Develop online version including relevant aspects of
the Gorgas Project
Plan monitoring and evaluation mechanism
Offer online credited course to health workers in
private, public and social settings
Evaluate and modify – sustained program
established