ORGANISATION OF EASTERN CARIBBEAN STATES (OECS) Fifteenth Meeting of the Regional Coordinating Mechanism of the Pan Caribbean Partnership against HIV and AIDS Montego Bay, Jamaica September 9 – 10, 2010 Report on the OECS Global Fund HIV/AIDS Project

Content: Introduction Achievements Programmatic performance Financial performance Future Options

Introduction Project aim: “Scaling up Prevention, Care and Treatment to Combat the HIV/AIDS Pandemic in the Organisation of Eastern Caribbean States (OECS) Sub-Region”Project aim: “Scaling up Prevention, Care and Treatment to Combat the HIV/AIDS Pandemic in the Organisation of Eastern Caribbean States (OECS) Sub-Region” Duration of Project: 5-years - March 1, 2005 to February 28, 2010 Beneficiaries: 6 independent OECS Member States (sub recipients) Costs: Total cost of US$ 17.2m of which GFATM would make available US$8,898,744 as Grant funds With the OECS Secretariat serving as Principal Recipient

Current Donor Funding - timelines 10/2 10/8 12/8 13/6 15/6 16/6 09/6 RD 3 Original RD 3 No-Cost Extension RD 3 Close Out Plan PEPFAR 2 RD 9 RD 10 WB CNCD TIME 11/6 11/2 WB 05/2

Achievements- General -Institutional Strengthening: Standardization of: Monitoring & Evaluation – Definitions and Data collection tools, Financial Management systems for projects; and Patient Monitoring and Tracking System (PMTS) -Capacity building: HUMAN RESOURCE DEVELOPMENT Clinical Mentorship programs through CHART for Doctors, Nurses and Pharmacists Training Workshops for laboratory personnel – Support from CDC and CCAS Leadership Courses through CHLI and MSH’s VLDP Behavioral Change Communication – COMBI Data Management – Collaboration with PAHO Forecasting and Supply management - MSH Monitoring and Evaluation – Support from CHRC Physical Infrastructure - Minimal -Networking and Partnership building:

Indicators and Targets Semester 10 Targets Semester 10 Actual Deviations (%) 1. Number of PLWHA receiving antiretroviral combination therapy in accordance with Caribbean Guidelines Number of people receiving HIV counseling and testing including the provision of the test results 69,83616, Number and percent of HIV-positive pregnant women receiving a complete course of antiretroviral prophylaxis to reduce the risk of mother-to-child transmission Number of facilities carrying out comprehensive clinical staging of PLWHA as per Caribbean Guidelines Number of countries with a system in place to receive and respond to complaints of discrimination by people living with and affected by HIV/AIDS Number of countries using standardized monitoring and evaluation patient tracking system Number of PLWHA receiving care and support Percent (%) of people (15-49) who both correctly identify ways of preventing the sexual transmission of HIV and reject major misconceptions around HIV transmission 90 (%)NA

Financial performance (to June 30, 2010):

FUTURE OPTIONS CLOSE PUT PLAN – To bridge gap until Round 9 proposal OECS TREATMENT PROJECT within PANCAP Round 9 Proposal – 5 year co-funding for treatment (Originally September 2010 to August 2014) PEPFAR 2 US Caribbean Initiative OECS MULTI COUNTRY ROUND 10 PROPOSAL (OECS HIV/AIDS Strategic Plan)

THANK YOU!