1. CHART Regional Coordinating Unit 2006: The Year in Review

2. Three goals (targets) 1. Achieving sustainability 2. Enhancing capacity 3. Recruiting skilled persons / assuring transfer of skills to a larger pool of persons

3. Activities CHART Network Governance activated CHART Network Governance activated Strategic Plan developed Strategic Plan developed M & E strengthened* National Training Centres supported* Provision of funds through PANCAP Global Fund Field Visits Selected training events supported Negotiating for establishment of new National Training Centres* Study Tour of Southern Africa Strengthening links with partner agencies* Participated in XVI International AIDS Conference, Toronto, Canada Retreat with I-TECH staff * = On-going = 1. = 2. = 3.

4. Achieving sustainability

5. Towards sustainability: Governance Executive Council Inaugural meeting: June 6, 2006 Kingston, Jamaica Second meeting: September 30, 2006, Nassau, Bahamas Third meeting: February 1, 2007, Port-of-Spain, Trinidad & Tobago Advisory Board First meeting: February 1, 2007, Port-of-Spain, Trinidad & Tobago

6. Towards sustainability: Governance Structure ADVISORY BOARD CHART EXECUTIVE COUNCIL PANCAP TWG (care, Rx & support) PANCAP BOARD

7. Towards sustainability: Operational procedures Bye-laws established, ratified and in operation Terms of reference, roles and responsibilities established for Executive Committee and Advisory Board Establishment Memoranda of Understanding Criteria for establishment of new CHART centres drafted

8. Achieving sustainability: Strategic Planning An overview of the CHART Network Strategic Plan 2007-2011 will be presented separately

9. Enhancing capacity and transferring skills

10. Additional staffing at the RCU Programme Management Advisor - Jan 06 Executive Assistant - April 06 Information and Communications Officer - June 06

11. Transfer of Skills and Responsibility VCT Instructional Design Workshop, Kingston, Jamaica, 2-6 October 2006 Overall goal: to develop the draft of a training manual that would help to improve and maintain an optimum quality of VCT services in the Caribbean. Method: Participatory learning Training conducted by six Master Trainers from the region, who had been previously trained by JHPIEGO

12. Significant Developments Caribbean Partnership for Nurses in HIV&AIDS Care (CHART/I-TECH/CNO) Meeting of Caribbean Nurses, January 2006, Barbados Second Meeting, June 2006, Jamaica Third Meeting, September 2006, Dominica Fourth Meeting, January 2007, Trinidad Nursing Training of Trainers on Mentoring, Las Vegas, Nevada (USA), 31 October – 2 November 2006

13. Significant Developments HIV Training for Dental Practitioners Workshops: Suriname, Guyana, St. Lucia Publication of handbook, HIV/AIDS in Dental Practice, edited by Prof. S. Prabhu (Book launch in JA September 2006) Imminent adaptation of this handbook for use by dental practitioners in India

14. Significant Developments HIV Training for Caribbean Pharmacists The Caribbean Association of Pharmacists (CAP) Declared its commitment to improving Pharmaceutical care of persons living with HIV Formed a working alliance with the CHART RCU The RCU supported participation of pharmacists in regional meetings organized by CAP at which HIV training was done Rational procurement, Jamaica, March 200 Meetings held in St Kitts and Jamaica

15. Significant Developments CHART/CDC GAP/I-TECH Caribbean Training Integration Workshop, Barbados, November 2006 Focus on developing/clarifying/producing national training plans 33 participants from 15 Caribbean countries; including CHART National Training Coordinators; OECS Training Coordinator; staff from Belize, Guyana, Haiti MoH, Trinidad & Tobago

16. Caribbean Trainers TypeNumber Qualified Clinical Trainer29 Qualified Advanced Trainer9 Counseling Trainer36 Clinical Trainer41 Classroom Trainer13 TOTAL128

17. The CHART/I-TECH Link Continued to be the main channel for financing the units of the CHART Network (except Haitian Centres) Sponsored CHART Staff to I-TECH International Conference on Mentorship Contributed to the CHART Study Tour of Southern Africa (with Merck, Inc., Global Fund and UN PAF) Gave scholarships to 15 Caribbean nationals to attend Principles of STI Research course at UW I-TECH

18. The CHART/I-TECH Link Provided technical assistance in the following areas: Organizational development Strategic planning Curriculum and materials development (Training Tools) Updating of Caribbean Clinical Care Guidelines Monitoring and Evaluation Training in PMTCT, STI treatment, use of ARVs Development of a Caribbean Nursing Initiative I-TECH

19. The CHART/I-TECH Link Hosted separate retreats for NC and RCU Staff Concluded support to the CHART Centres in Haiti, but strengthened support to some other aspects of the Haitian HIV programme I-TECH

20. The CHART RCU and the OECS Between January and June 2006, the CHART RCU completed a contract with the Harvard Medical School Division of AIDS on behalf of the OECS HIV/AIDS Project Unit (Before this, the arrangement was maintained on behalf of the Secretariat of the OECS Regional Coordinating Mechanism)

21. The CHART RCU and the OECS Harvard Medical School Division of AIDS (subcontracted by the RCU); hired Dr Julianne Steel-Duncan (Paediatrician with experience in HIV/AIDS clinical care) Ms. Linda Marc, Registered Nurse These two field staff worked in 6 OECS Countries conducted training activities helped with preparation of HIV care guidelines and protocols

22. HMSDAIDS in the OECS: Aug 2005 - June 2006 259 Individuals trained Range 2-103 per country 18 workshops/group trainings at work places 360 episodes of individual training 85 preceptorship-type 275 didactic sessions

23. HMSDAIDS in the OECS: Aug 2005 - June 2006 Guidelines and/or protocols developed/improved in 5 of 6 countries Topics covered in training sessions: Antiretroviral management in adults and children Prevention and treatment of opportunistic infections Post exposure prophylaxis Partner counselling and notification Adherence and stigma reduction training (pilot)

24. Negotiating for establishment of New CHART Centres Trinidad & Tobago A series of meetings with key stakeholders CHART / I-TECH / PAHO / MoH / RHAs / UWI Dominican Republic Meetings with the leadership of COPRESIDA Correspondence with the leadership of DIGECITSS

25. Links with regional agencies PANCAP CCNAPC CRN+ CHRC PAHO and CAREC

26. Staff Movements Sandra McKenzie Programme Management Advisor Maria Rankine Executive Assistant to the Director Lorraine Anglin Information and Communications Officer Hope Ramsay Assistant Lecturer, UWI HARP and CHART Trainer Barbara McGaw First Regional Training Coordinator ArrivingLeaving

27. The Way Forward Implement strategic plan 2007-2011 Develop and activate business plan and communication plan Regularly use benchmarks and indicators in assessing, and reporting on outputs and outcomes Harmonize activities and indicators Consolidate relationships with Caribbean and International partners Evaluate inputs, process, outputs, outcomes and impact

28. End of Presentation