The U.S. President’s Emergency
Plan for AIDS Relief
U.S. – Caribbean Regional
Partnership Framework for HIV and AIDS
(2009-2013)
Dr. Shirley Lecher, CDC Director
Caribbean Regional Office
On Behalf of the U.S. Government
Slides prepared by William A. Abrams
Interim PEPFAR Coordinator
US Embassy, Bridgetown Barbados
The U.S. President’s Emergency Plan for
AIDS Relief (PEPFAR)
OVERVIEW
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PEPFAR was reauthorized by the U.S. Congress in July 2008 and
will represent over 70% of U.S. global health funding as part of the
Obama administration’s new six-year, $63 billion Global Health
Initiative (2009-2014).
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The bulk of PEFPAR funding over the next five years will be used to
fight HIV/AIDS ($39 billion) with funds also allocated to fight Malaria
($5 billion) and Tuberculosis ($4 billion).
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PEPFAR has set the following 3-12-12 global goals:
• Treatment for at least 3 million people living with HIV/AIDS
• Prevention of 12 million new HIV infections
• Care for 12 million people, including 5 million orphans & vulnerable children.
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To meet these goals, PEPFAR will support training of at least
140,000 new health care workers in HIV/AIDS prevention, treatment
and care.
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PEPFAR IN THE CARIBBEAN
The Reauthorization Act included an increase in funding from
the U.S. Government to fight HIV/AIDS in the Caribbean
region.
The Caribbean region as defined under PEFPAR includes the
following 12 countries:
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Bahamas
Barbados
Belize
Jamaica
Trinidad and Tobago
Suriname
Six Eastern Caribbean states:
• Antigua and Barbuda
• Dominica
• Grenada
• St. Kitts and Nevis
• St. Lucia
• St. Vincent and the Grenadines
The Dominican Republic, Guyana and Haiti are not included because all three
countries receive direct bilateral USG assistance.
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USG – Caribbean Partnership Framework
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Future USG funding and technical assistance is contingent upon
developing a non-binding U.S. - Caribbean Regional Partnership
Framework for HIV and AIDS
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The vision for the Partnership Framework is to provide a 5-year joint
strategic framework for cooperation between the USG, Caribbean
governments, and key national, regional and international nongovernmental and civil society organizations to combat HIV/AIDS in the
region
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PEPFAR funding for these 12 countries has increased from $8 million in
2004 to over $23+ million in the 1st year of the Partnership Framework
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This $15 million increase in funds will be programmed during the 1st year
of the Partnership Framework (2009 – 2010)
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Though future funding is contingent upon completion of the Partnership
Framework and annual appropriations by the U.S. Congress, the
Caribbean region will hopefully receive level HIV/AIDS funding &
technical assistance over the next five years
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The U.S. President’s Emergency
Plan for AIDS Relief
One USG Approach
The following U.S. Government agencies work in a
coordinated fashion with host governments and key partners
in the Caribbean region to implement PEPFAR:
• Department of State
• Agency for International Development (USAID)
• Department of Health and Human Services (HHS)
• Centers for Disease Control & Prevention (CDC)
• Health Resources and Services Administration (HRSA)
• Department of Defense
• Peace Corps
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Partnership Framework Structure
Partnership Framework documents consist of two parts:
– Partnership Framework
– Partnership Framework Implementation Plan
Partnership Framework broadly lays out:
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Background
Purpose
Partners, roles and commitments
Principles
5-year strategic overview
Plans for developing the Implementation Plan
Management and communications plan
Signatures
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Partnership Framework
Five-Year Strategic Overview
Purpose
The purpose of the U.S. – Caribbean Regional HIV and AIDS Partnership
Framework is to reduce HIV and AIDS incidence and prevalence in the Caribbean
region, build the capacity of national governments to develop and maintain
sustainable, comprehensive and effective national HIV and AIDS programs and
strengthen the effectiveness of regional coordinating agencies to provide quality,
cost-effective goods and services to bolster national HIV and AIDS programs.
Principles
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Alignment w/ CRSF & NSPs
Alignment w/ “three ones” principle
High-level government commitment
Concrete partner commitments
Strong partnerships w/ ongoing
collaboration
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Technical assistance model
Support evidence-based programs
Annual monitoring and evaluation
Transparency / Accountability
Focus on sustainability
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Partnership Framework
Five-Year Strategic Overview
Five-Year Goals
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HIV Prevention: To contribute to achievement of the CRSF goal of reducing the estimated
number of new HIV infections in the Caribbean by 25% by 2013;
2.
Strategic Information: To increase availability and use of quality, timely HIV and AIDS data
to better characterize the epidemic and support evidence-based decision-making for improved
programs, policies, and health services;
3.
Laboratory Strengthening: To improve the quality and availability of diagnostic and
monitoring services and systems for HIV and AIDS and related sexually transmitted and
opportunistic infections, including tuberculosis, under a regional network of tiered laboratory
services;
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Human Capacity Development: To increase the availability and retention of trained health
care providers and managers – including public sector and civil society personnel, as well as
PLHIV and other HIV-vulnerable populations – to deliver comprehensive, quality HIV-related
services according to national, regional, and international standards; and
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Sustainability: To improve the capacity of Caribbean regional and national partners to lead,
finance, manage and sustain the delivery of effective, quality HIV prevention, care, treatment
and support services at regional, national, and community levels over the long-term.
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USG – Caribbean Partnership
Framework Implementation Plan (PFIP)
PFIP will build upon the strategy document, including:
– Regional profile with baseline data by country
– Specific activities to achieve Framework 5-year goals and objectives
– Clarification of financial, programmatic and other resource
commitments by Framework partners
– Projected funding by all relevant funding sources
– Clarification of indicators and 5-year targets
– Monitoring and evaluation plan
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PROGRESS TO DATE
April 2009: USG and PANCAP co-hosted a Partnership
Framework conference in St. Lucia to solicit input from
Caribbean stakeholders
June/July 2009: Framework 1st draft circulated to Caribbean
stakeholders for review and input.
August 2009: Final revisions to Framework and Washington,
DC preliminary review
September 2009: Final draft of the Framework completed
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NEXT STEPS
September/October 2009: Circulation of final Framework
document to signatory partners for concurrence
– Anticipated signatory partners are the 12 governments plus
CARICOM/PANCAP and OECS/HAPU
– U.S. Ambassadors will contact PM, MOH and/or NAC in each country
– Signatories indicate willingness to sign Framework by October 2, 2009
– USG representatives will visit each country to reach agreement on
proposed partner commitments in the Framework
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NEXT STEPS
October – November 2009: Official signing of Partnership
Framework and consultations with national, regional and
international partners to develop PFIP
– USG will arrange official signing events with all signatory partners
– USG will conduct in-country consultations with MOH, NAC & other
stakeholders to develop PFIP
– Consultations will:
• Refine and finalize partner commitments
• Define the activities to achieve each Framework goal and
objective
• Determine the allocation of USG funding and technical assistance
for the 1st year of the Framework
November ’09 – January 29, 2010: Finalize PFIP and develop
first annual work plan for Framework implementation
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QUESTIONS?
Thank You!
For further information, please visit:
www.PEPFAR.gov
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