1 Global Fund Round 9 Grant HIV and HSS UNDP-Belize 14 June, 2011
Accelerating the Pace: Reaching Marginalized and Vulnerable Populations with Critical Services 2 Factsheet: Project approved in Round 9 of GFATM approvals Total value: 6,035,735 USD Total duration 5 years, divided into two phases Phase 1: 1 Jan. 2011 31 Dec. 2012 (Y1-Y2) Phase 2: 1 Jan. 2012 31 Dec. 2015 (Y3-Y5) Phase 1 budget: 3,178,720 USD Phase 2 budget: 2,857,015 USD
HIV/AIDS Globally 3 o COMBAT HIV/AIDS, MALARIA AND OTHER DISEASES MDG 6 o o o The global AIDS epidemic Since the beginning of the epidemic, aprox. 60 million people infected with HIV and 25 million people died of HIV-related causes. In 2008, some 33.4 million [31.1 million-35.8 million] people living with HIV, 2.7 million [2.4 million-3.0 million] new infections and 2 million [1.7 million-2.4 million] AIDSrelated deaths. o In 2008, around 430 000 [240 000-610 000] children born with HIV, bringing to 2.1 million [1.2 million-2.9 million] the total number of children under 15 living with HIV. o o o Young people account for around 40% of all new adult (15+) HIV infections worldwide. Sub-Saharan Africa is the region most affected and is home to 67% of all people living with HIV worldwide and 91% of all new infections among children. In sub-saharan Africa the epidemic has orphaned more than 14 million children.
4 The Belize scenario:
The Belize scenario: 5 Total Expenditure: BZ$ 4,925 US$ 2,463 Per capita: BZ$ 15.30 US$ 7.65 Total exp. in Prevention: BZ$ 1,280 US$ 640 Per capita in prevention: BZ$ 3.98 US$ 1.99 Source: NASA Report, 2008/2009
The Belize Scenario: 6 MDG 6 -COMBAT HIV/AIDS, MALARIA AND OTHER DISEASES The Belize scenario: (MoH- 2010 National TB, HIV & other STIs Annual Report): 2010: 244 new infections, 81 confirmed AIDS cases, 106 associated deaths. 1,053 persons on ARV therapy
7 The Belize Scenario: 2010
8 The Belize Scenario: 2010
9 National response and UNDP s partnership
10 The Goal: Halt the Spread of HIV with a specific emphasis on young people in Belize Objective 1: To reduce the sexual transmission of HIV among Most at Risk Populations (MARPs: young people, MSM, FSW) Objective 2: To improve the quality of life of PWH and children infected and affected by HIV and AIDS in Belize and Stann Creek Districts Objective 3: To improve the coverage and quality of the continuum of care for HIV infected and affected populations Objective 4: Management, Capacity building, Data Collection and Management Objective 5: Health System Strengthening: to support the Belize Health Information System (BHIS), Central Medical Laboratory (CML) and Central Medical Store (CMS) from the MOH.
Partners in Round 9 implementation 11 Government: MOH, (NAP, CML, CMS, BHIS), MHD, MOEY (QADS, YFF) NGOs: BFLA, BRC, PASMO/PSI, Hand in Hand Ministries, POWA Others: Country Coordinating Mechanism NAC UN Agencies: UNFPA, UNICEF, PAHO/WHO, UNAIDS Peace Corps PriceWaterHouse Coopers Local Fund Agent Regional cooperation (CDB, CARICOM, PANCAP, COMISCA, CDC, PEPFAR, PASCA)
Objective 1: Young people and MARPs 12 Objective 1: To reduce the sexual transmission of HIV among Most at Risk Populations (MARPs: young people, MSM, FSW) BCC through Mass Media: Focused on young people in school 12-17 years, and Safer sexual practices and partner reduction among out of school youth 15-24 years. BCC through Community Outreach and Schools: Focused on Adolescents in secondary school 13-17years; Out of school Youth 15-24 years and MSM and FSW in Belize and Stann Creek Districts. Condom Distribution: for MARPS in Belize and Stann Creek. (1,169,000 male condoms between Y1-Y3). Testing and Counseling: Training in PITC for 2,400 staff in primary care facilities, equipment, mobile testing van and development and dissemination of awareness messages on testing. Facility based diagnosis and treatment of STIs for MSM and FSW : An MOU with a local NGO providing STI services, Outreach and referral to 1875 FSW and MSM and 3763 STI screening and treatment for 1881 FSW and MSM. Supportive Environment: Reduce Stigma in all settings: Know your rights/laws campaign
Objective 2: Care and support to PWH and OVCs 13 Objective 2: To improve the quality of life of PWH and children infected and affected by HIV and AIDS in Belize and Stann Creek Districts Care and Support for the chronically ill: One psychosocial coordinator, Training & Psychosocial support to 3,600 PWHIV with links to other support services, 180 social workers trained. Care and Support: Support for orphans and vulnerable children (OVCs): Services and cash transfers to 500 OVC; Community care point for OVC in Dangriga Town.
Objective 3: Improved Treatment to PWHIV 14 Objective 3. To improve the coverage and quality of the continuum of care for HIV infected and affected populations Treatment: ARV treatment and monitoring; ARV for 200 additional PWH in years 1 and 2; 600 and 750 viral load tests for PWHIV in years 1 and 2; and 2 adherence counselors in Belize and Stann Creek Districts.
Objective 4: Capacity Building and Research 15 Objective 4: Management, Capacity building, Data Collection and Management Capacity Development: Technical, Operational Skills and Capacities: PR and SR s; Data collection and Management Capacity: Epidemiological research and surveillance (MICS4-UNICEF, CDC-UV Guatemala, 2011)
Objective 5: Health System Strengthening 16 Belize Health Information System (BHIS): A National virtual health system data network operational, national data depository and database systems developed and functional. CML: Procure & install equipment for CML and two Regional Labs (Belmopan and Stan Creek); recruitment of lab technicians to improve the quality of health services. CMS: Procurement and Supplies Management (PSM) strengthening, improvement of the CMS conditions, Recruit Pharmacist for CMS and regional health facilities, training on drug quantification and use of SOPs.
17 Figure 1: GF-Round 9 Grant: Budget Breakdown by Program activity (US$) Obj. 6: Prog Mngt. & Admin US$697,151 Obj. 1 Prevention: US$ 684,448 Obj. 2: Care & Support: US$ 276,303 Obj. 5: HSS US$1,015,521 Obj. 3: Treatment US$293,866 Obj. 4: Cap. Building US$211,432 Obj. 1: Prevention (US$ 684,448) 22% Obj. 2: Care & Support (US$276,303) 9% Obj. 3: Treatment (US$ 293,866) 9% Obj. 4: Cap. Building (US$ 211,432) 7% Obj. 5: HSS (US$1,015,521) 32% Obj. 6: Prog. Mngt. & Admin. (US$ 697,151) 22%
18 Figure 2: GF-Round 9 Grant: Budget Breakdown by Implementing Entity MOEY-US$246,085 BRC-US$63,000 PASMO/PSI-US$101,289 BFLA-US$43,410 UNDP-US$999,564 MHD-US$276,253 MOH-US$ 1,449,120 Sub-recipients: MOEY (8%-US$246,085) BRC (2%-US$63,000) PASMO/PSI (3%-US$ 101,289) BFLA (1%-US$43,410) MOH (46%-US$1,449,120) MHD (9%-US$276,253) UNDP (31%-US$999,564)
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