Detailed Mechanism Funding and Narrative

Years of mechanism: 2011 2013 2014 2015

Details for Mechanism ID: 13054
Country/Region: Caribbean Region
Year: 2013
Main Partner: ICF International
Main Partner Program: ICF Macro
Organizational Type: Private Contractor
Funding Agency: HHS/CDC
Total Funding: $504,324

This activity will support the implementation, scale-up and monitoring of PITC and PwP services through an implementing partner(IP) in collaboration with the Bahamas and Trinidad and Tobago Ministries of Health (MOH). Through site-level monitoring and clinical supervision, an IP will assist the MOH clinics with integration of prevention services, partner testing, and PITC services. Technical assistance (TA) will be provided to build the Governments capacity to provide quality prevention services, to link people to HIV prevention services, and to reduce barriers that affect PLHIV and MARPs abilities to receive appropriate services. In order to build capacity and promote long-term sustainability nationwide, the IP will also assist the MOH in building in-country competencies in monitoring and evaluation and quality of services using the train-the-trainer (TOT) model. The IP will work in close collaboration with Regional Training Network and the MOH to advise and support the on-going training of health care workers and peer counselors within health facilities working with PLHIV and MARPs.This implementing mechanism supports the USG Caribbean Regional Partnership goal for prevention (Goal1) and addresses the need for capacity development and TA in the area of regional prevention expertise. Specific outcomes related to Goal 1 include 1) increasing the number of people who learn their HIV status, 2) identifying persons who are HIV positive, and 3) ensuring linkages of HIV positive persons to care and treatment services including partner testing. The IP will be asked to develop an annual work plan with agreed-upon performance benchmarks starting in year one and will be required to report on progress towards the essential and outcome indicators on a semiannual and annual basis

Funding for Care: Adult Care and Support (HBHC): $114,324

Under this mechanism, the Prevention with positives (positive health dignity & prevention PHDP) program will build more strategic linkages and follow up into care and treatment for those HIV positive persons identified in community and in facility models. PwP will include a minimum package of services delivered at treatment and care facilities, testing counseling sites and among community partners providing services to persons diagnosed and living with HIV. These services include; psychological support i.e. group and individual counseling, prevention services i.e. partner/couples HIV testing and counseling, risk reduction counseling, adherence counseling and support, STI diagnosis and treatment, family planning counseling, and condom provision.

Funding for Strategic Information (HVSI): $170,000

During the PEPFAR mid-term evaluation conducted in 2012, it became apparent that all PEPFAR activities that implement training activities need to be evaluated with the same standard and rigor in accordance to the Organization for Economic Cooperation and Development's, Development Assistance Committee (OECD--DAC) standards for evaluation quality that have been endorsed by USAID and State. ICF will review PEPFAR training curricula and develop evaluation guidelines for training activities under the PEFPAR Caribbean Region program. Depending on funding, they will also evaluate training in progress and review past training evaluation reports to measure quality of training based on the OECD--DAC.

Funding for Testing: HIV Testing and Counseling (HVCT): $220,000

Under this mechanism, linkages are being established between prevention, SI and Laboratory to ensure availability of PITC and efficient referrals to appropriate services. CDC will provide TA for quality assurance and monitoring and Evaluation of HTC. This mechanism will also assist Partnership Framework governments to building capacity to provide quality prevention services, to link people to HIV prevention services, and to reduce barriers that affect PLHIV and MARPs abilities to receive appropriate services. This will be accomplished through site-level monitoring, clinical supervision, and technical assistance.

Key Issues Identified in Mechanism
Mobile Populations