Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 12680
Country/Region: Caribbean Region
Year: 2010
Main Partner: Not Available
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $0

The purpose of this mechanism is to strengthen surveillance of most at risk populations (MARPS) in the region. The activities under this mechanism will complement the PEPFAR Partnership Framework (PF) goal for strategic information; which includes conducting surveys to know the distribution of the epidemic among the general population and specifically amongst MARPS in order to establish baselines for the implementation of interventions. Current lack of data on MARPS and discussions during in-country consultations for the PFIP; where countries requested assistance with size estimations of MARPS and determination of prevalence amongst these groups also support the need for this effort. The objectives of this mechanism will be achieved through the technical assistance and implementation of behavioral and biological surveys amongst most at risk populations such as men having sex with men (MSM) sex workers (SW) and migrants/mobile population to better inform and plan for appropriate prevention, intervention and treatment and care programming. This mechanism will be conducted through competitive FOA.

Countries receiving this assistance will be selected based on need, preparedness of the country to implement, estimated levels of population sizes and prevalence for the MARPS in the country. We will initially work in the countries that do not already have existing cooperative agreements for surveillance and survey activities. The initial countries include Belize and Grenada. Other countries will be Antigua and Barbuda, St. Kitts & Nevis, St. Vincent & the Grenadines and Suriname. These surveys will be a critical contribution to the countries knowing their epidemic as well the drivers in the epidemic. They will also complement activities by CDC and PAHO/PHCO (PAHO HIV Caribbean Office) in strengthening of surveillance systems in the region.

Funding for Strategic Information (HVSI): $0

Originally the $450, 000 was stated as NASTAD. However, it is split between two partners: CAP Belize $396,000.00 and Atlanta CDC Lab $54,000.00. CAP Belize will support BSS and surveys. As part of their National Strategic Plans and in alignment with the Partnership Framework, countries will be implementing activities to strengthen their surveillance systems to better define their epidemics and improve their M&E systems to better plan, develop and implement their programs. Conducting these surveys in a systematic manner will provide countries with behavioral and biological information of their identified MARPS. The overarching goal is for countries to know their epidemic.

This mechanism will focus on countries which currently do not have any cooperative agreements that include surveillance activities (Antigua & Barbuda, Belize, Grenada, St. Kitts & Nevis, St. Lucia, St. Vincent & The Grenadines and Suriname). The identified partner will provide technical assistance and implement surveys with input and collaboration with the MOHs. The technical assistance will involve training on population size estimates for MARPS, training on planning and implementation and assistance with the actual implementation of behavioral and biological studies for MARPS. The goal is to have countries use quality data that is generated in-country for policy, program development and reporting (epidemiological profiles and national strategic plans). Preliminary assessments will be conducted to assist in the determination of the readiness of the countries to receive assistance. Countries will be phased in based on agreed upon criteria such as readiness, estimated size of MARPS, prevalence amongst MARPS, existing surveillance capacity etc. This effort will also complement and support activities with PAHO/PHCO in surveillance system strengthening at national and regional levels.