BARBADOS COUNTRY PRESENTATION

1. BARBADOS COUNTRY PRESENTATION By Ms. Wendy Sealy 3rd CHART Principals and Partners Meeting February 1-3,2007 Trinidad & Tobago

2. STAFF • Dr. Nicholas Adomakoh, Medical Director/ Clinical Consultant, Ladymeade Reference Unit • Ms. Wendy Sealy, Training Coordinator

3. HIV/AIDS SITUATION IN BARBADOSCumulative total no. of HIV, AIDS cases and deaths 1984- Dec, 2005 • Total no. of HIV positive cases 3110 • Total no. of AIDS cases 1931 • Total no. of deaths 1283 • M:F – 1.13: 1 • Estimated prevalence 1.9

4. Statistical Update

5. Scaling Up HIV/AIDS Treatment Care and Support Programme • Prevention • Care and Support • Treatment • Surveillance/Research/Monitoring & Evaluation • Programme Management

6. “I need help to move on with my life” Psychosocial support Personal development Centre, NGOs, Churches, Welfare & Legal support HIV/AIDS Continuum of Care and Support “I need care and help at home” Domicilary/ Community based Care, Elroy Philips Centre. “I need treatment and care” HIV/AIDS Specialist Medical Care @ LRU People seeking or in need of services “I need help coping and changing to a healthier lifestyle” Counseling/ Education. “I need other medical services” Surgical, Dental and Medical Subspecialties “I need to know my HIV status” Community Voluntary Counseling & Testing “I need information and support” HIV/AIDS Hotline 436-2444 or 436-AIDS Care seeking/Providing Active referral

8. Ladymeade Reference Unit 2006 Coverage • >1000 clients followed up (Sept 06)/~2000 reported cases • ~580 Clients on HAART (Sept 06)/ ~650 reported AIDS cases • 80% undetectable viral load Outcomes • Number of admissions decreased by 42% from 316 overall admissions to 183. • Total hospital days fell by 59.4% • Rise in outpatient visits by 128%, from 4727 visits per year to 10,782. • Overall reduction in deaths of clinic registered patients by approximately 56%

9. CHART Barbados Strategy & Project Objectives • To sustain the activities of the CHART Training Centre • To support the CHART vision and mission to expand the number of healthcare professionals educated and trained to deliver quality care, treatment and support services to clients • To develop an organizational infrastructure with the NTC network to assure effectiveness and long term sustainability of CHART

10. Training Priorities & Accomplishments 2006 • TB Prevention & control guidelines Manual Development May –Dec. 2006 • TB/HIV Training programme for health personnel including nurses, physicians & environmental health officers, May 2006 • Clinical management of HIV training programmes for Pharmacists & Nurses in June & September 2006 respectively • Clinical Mentorship/Preceptorship programme for Nurses, Physicians & Pharmacists ( members of the Clinical Care Team) for Antigua, November 2006 • Caribbean Partnership for Nurses in HIV & AIDS Care, Jan. 2006- Present

11. IMPACT OF TRAININGS: Immediate Impact • Anecdotal records: Oral & summary evaluations indicate that approximately 95% of participants benefit by gaining new knowledge • Follow up interviews with participants indicate application of knowledge & skills in about 75% of participants • Follow up interviews with trainers regarding observation of participants after trainings where possible, indicate marked improvement of confidence in applying knowledge acquired • Curricula content and delivery methods utilized interactive case based methods which allow participants to apply knowledge to real situations • Pre and post tests give immediate feedback of participants’ prior knowledge and acquired knowledge, showing improvement of 25% (from 70 % to 95%)

12. 2007 Programmes & Initiatives • Initiated & Facilitated dev. Of CHART Barbados Strategic Framework & M& Plan, Jan. 8-12 2007 • Consultation on Development of Draft Oral Health Policy for Barbados, Feb.5 2007 • PMTCT Policy & Guidelines Stakeholder meeting, Feb. 28 2007 • Launch of TB/HIV Manual & Training Update, March,25 2007 • Introduction of Draft HIV Pre-service Nurse Curriculum to the Dept. Of Nursing, BCC, April 2007 • Cont. Clinical Mentorship/Precptorship Programmes for Antigua & the OECS countries • Facilitate Scale up Clinical Management Trainings for the OECS countries

13. 2007 Programmes & Initiatives cont’d • Coordinate Clinical management of HIV Training for Pharmacists, May, 2007 • Coordinate Clinical Management of HIV training for Nurses, Sept.,2007 • Cont. collaboration with the Caribbean partnership for HIV and AIDS Care • Coordinate Clinical Management of HIV training for Physicians, June 2007

14. 2007 Programmes & Initiatives cont’d • Continue infrastructural development of the Training Centre • Collaborate with agencies to facilitate training activities for the implementation of the Integrated Approach Model of Care • Review of the CHART Barbados Strategic Framework for implementation.

15. OUTPUTS • Since Sept. 2003 : approximately 450 health care professionals trained • Institutional strengthening of the project: • Development of infrastructure • Sourcing of equipment & resources • Contracts review • Planning & budgeting • Development of the CHART Barbados Strategic Plan Framework. • With major support from the MOH, Barbados CHART RCU & I-TECH

16. The Way Forward • CHART Barbados will seek to fulfill the vision and mission of the Regional Network within the context of country priorities identified • Provide training opportunities for health care professionals to enable access to standardized, current and relevant information to assist in building skills and knowledge base in the area of HIV and AIDS treatment, care and support. • Establishment of a dedicated CHART Barbados Office, Training room & Resource Centre.

17. THE END TO BE CONTINUED………..