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PANCAP: STRENGTHENING COUNTRY FOCUS

PANCAP: STRENGTHENING COUNTRY FOCUS. Dr. Brian Armour Trinidad and Tobago. PANCAP Successes. 14 February 2001: close to 10 yrs PANCAP 62 members: Caribbean (English, Dutch, French)  Achievements Regional Coordination; Policies; Goods and Services ;

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PANCAP: STRENGTHENING COUNTRY FOCUS

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  1. PANCAP: STRENGTHENING COUNTRY FOCUS Dr. Brian Armour Trinidad and Tobago

  2. PANCAP Successes • 14 February 2001: close to 10 yrs PANCAP • 62 members: Caribbean (English, Dutch, French) •  Achievements • Regional Coordination; Policies; Goods and Services; • Prevention, Care and Treatment Initiatives • Resource Mobilization • Advocacy Initiatives 2004: International Best Practice Governance Structure (UNAIDS)

  3. Regional Coordination: Eg: Trinidad and Tobago Country • MoH: RCM (seat roster); • MoH & NACC: AGM Civil Society Organizations: • CRN+, CCC Regional Institutions • HEU, CHRC, PHCO, TTHTC (CHART), UN agencies CRSF: 2008-2012

  4. Regional Policies • Model Codes of Practice • Psycho-social practitioners in HIV and AIDS care • HIV and AIDS for Caribbean Medical Practitioners • Model Policies • Condom • Workplace PANCAP Regional vs Country Impact

  5. Regional Policies • Has policy and codes of practice been enough? • Access: Prevention/Treatment • Emancipated Minors • Vulnerable populations • Information: • Sex/condom education in schools • PLHIV • Person: Anti Stigma & Discrimination • Patient (Public Health) : Rights vsResponsibilities PANCAP/National : Policy awareness National: Legislative agenda

  6. Regional Goods and Services Actual • Anti-Stigma and Discrimination Toolkits • Caribbean HIV and AIDS-related Studies* • PANCAP Regional Stigma Unit (2009) • Pan Caribbean Business Coalition (2005) Future expansion • Potential for country impact • Potential to conduct in new territories • Stigma epidemic: Leadership (CARICOM, National) • Regional Business Franchises with national chains Partnership & Coalition

  7. Prevention, Care and Treatment • ART coverage (guidelines) • Healthcare worker sensitization • Pipeline (clinical care) • Laboratory HIV diagnostics (CD4, viral load, DNA-PCR, HIV DR) • PMTCT • Mini Grants & Life Skills Direct Interventions: PANCAP; RSA (PAHO, CHART)

  8. Prevention, Care and Treatment • Preserve country gains • Embrace new opportunities for regional coordination • Elimination initiative (PMTCT) • PEPFAR (laboratory accreditation; quality management; equipment and resources) • Decentralization and integration of services (larger territories) PANCAP governance

  9. Resource Mobilization • Oct 2009:US$46.74M • Global Fund US $34.7M • Support (inc. governance) • Prevention and Control • Response Scale Up • Prevention and Rep. Health • Coordination and Harmonization

  10. Resource Mobilization • Ensure resources reaches epidemic (HIV prevalence rates of larger territories) • Consider resource mobilization for territories in specific national programs OR

  11. Resource Mobilization • Requiring recipient RSA to indicate for national recipient territories • Inclusion and exclusion criteria to select/not select • funding streams • resource allocations • disaggregate by territory in RSA performance progress reports Validated by National Authorities (Health/NACC/CCM) and discussed at RCM, AGM of PANCAP

  12. Advocacy Initiatives • Many and Varied including • Cheaper ARV • Human Resource Development • Technical Assistance • Universal Access • Future Advocacy • Cheaper HIV reagent kits (heat stable) • Infectious Disease; Public Health; M&E; IT • Caribbean Technical Support Facility • Millennium Development Goal (#6)

  13. Summary • Regional Coordination: best practice for territories’ involvement • Regional Policies good but increased national awareness policy drives and advocacy for national legislative agendas • Regional Goods and Services: • redirect to new territories with respect to research, leadership stigma sensitization • business franchises with national chains having great promise

  14. Summary • In direct intervention programs, endorsement of new regional initiatives (eg elimination initiative, lab strengthening through PEPFAR) • Resource mobilization can be considered for direct toward specific national programs. • RSA to PANCAP to account forcountry resource allocation that must be validated by recipient territories

  15. Summary THANK YOU

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