1. The U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) “The Role of PEPFAR in the Caribbean Region” William Conn, PEPFAR Coordinator PANCAP 15 th RCM Thursday, September 9th, 2010

2. The U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) OVERVIEW  PEPFAR is the global HIV/AIDS program launched in 2003 to combat and limit the spread of HIV/AIDS. It was reauthorized by the U.S. Congress in July 2008.  PEPFAR represents the largest commitment in history made by one nation to a single disease and has:  Treated over 2 million HIV-infected persons  Provided care for over 10 million  Prevented over 7 million new infections.

3. PEPFAR II  Country Ownership  Capacity Building  Sustainability  Technical Assistance to support the National Response  Linked to National and Regional Strategic Plans  Emphasis on strategic information  Evidence-based programs  Government to government Partnerships  Supports the Global Health Initiative (GHI) by strengthening health systems

5. Caribbean Regional Partners (6,048,268)  Jamaica (2,825,928) 1.8%  Trinidad and Tobago (1,229,953) 1.5%  Suriname (524,143) 2.4%  Belize (322,100) 2.1%  Bahamas (307,552) 3%  Barbados (284,589) 1.2%  Six Eastern Caribbean states: –Antigua and Barbuda (85,632) –Dominica (72,660) –Grenada (90,739) –St. Kitts and Nevis (40,131) –St. Lucia (160,267) –St. Vincent and the Grenadines (104,574) Two Regional Programs  Pan Caribbean Partnership against HIV/AIDS (PANCAP)  Organization of Eastern Caribbean States (OECS)

6. HIV/AIDS CARIBBEAN Region The Caribbean has the second highest rate of HIV/AIDS prevalence in the world after Sub-Saharan Africa. The epidemic is the leading cause of death among adults ages 25-44 years of age and has left nearly quarter of a million Caribbean children orphaned. In 2007, approximately 14,000 Caribbean nationals died of AIDS, and an estimated 20,000 people were newly infected with HIV. Bi-lateral PEPFAR programs in Haiti, Guyana and the Dominican Republic under PEPFAR l

7. PEPFAR – USG Agencies  Based at U.S. Embassy Eastern Caribbean, Barbados  Centers for Disease Control & Prevention (CDC)  Department of Defense (DOD)  Peace Corps (OECS, Belize, Jamaica, Suriname)  Health Resources & Service Administration (HRSA)  United States Agency for International Development (USAID) Eastern Caribbean and Jamaica Missions  State Department (With U.S. Embassies in Bahamas, Belize, Jamaica, Suriname, Trinidad)

8. Caribbean Regional Partnership Framework Planning Documents: Strategy, Implementation Plan, Operational Plan, and Annual Work Plans  Caribbean Regional Partnership Framework  Completed and approved 5-year strategy  Partnership Framework Implementation Plan  Completed 5-year implementation plan  Annual Regional Operational Plan  Linked to fiscal year budget submitted every October  Country and Partner work plans

9. USG Caribbean Partnership Framework Partnership Framework Implementation Plan Goal Areas:  Prevention  Strategic Information  Laboratory Strengthening  Health Systems Strengthening

10. Prevention  Develop a Comprehensive Approach  Expand Services  Reduce Stigma and Discrimination  Establish Referral Systems

11. Strategic Information  Collect information to characterize the epidemic  Implement M&E strategies (NSPs)  Build SI capacity  Harmonize data collection (HMIS)

12. Laboratory Strengthening  Support Caribbean-led reorganization to create a sustainable regional laboratory network  Assist governments and regional public health agencies to improve the scope and quality of HIV diagnostic and laboratory services and systems

13. Health Systems Strengthening  Improve HRH systems as part of GHI  Improve Financial management capacity of national HIV programs  Improve integration and efficiency of national HIV partners (Harmonization)  Strengthen national leadership and governance in HIV programming

14. What is the Role of PEPFAR in the Caribbean Region? Coordination U.S. Government agencies Other donors and partners, PAHO, Clinton Foundation, Global Fund, UNAIDS, DfID, GTZ, etc. Regional partners, PANCAP, OECS Country partners, National AIDS Programs NGO, civil society Private sector Program Efficiency Use of scare resources for sustainable programs

15. PEPFAR Update Partnership Framework (PF) Approved Regional Operational Plan FY 2010 Approved Partnership Framework Implementation Plan Submitted Technical Advisory Group (TAG) Conference Calls, April, June, September PF Signatures from all countries, Regional Programs and six US Ambassadors PEPFAR work plan country meetings June – August Gender Specialist position approved for FY 2011 PEPFAR Programme Officer Position filled FY 2011 Regional Operational Plan due October 29 th Caribbean Regional PEPFAR Annual Meeting November 17 th and 18 th.

16. Partnership Framework Official Signings (Barbados and the OECS, PANCAP, Bahamas, Belize, Jamaica, Suriname, Trinidad and Tobago)

17. For further information, please visit: www.PEPFAR.gov Thank You!