Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 5135
Country/Region: Haiti
Year: 2007
Main Partner: National Alliance of State and Territorial AIDS Directors
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $250,000

Funding for Strategic Information (HVSI): $250,000

Linked to Activities 9310, 9284, 9341, 9348.

SUMMARY: The National Alliance of State and Territorial AIDS Directors (NASTAD) will support capacity enhancement of the Ministère de la Santé Publique et de la Population (MOH) through three components of this activity: providing on-going technical assistance for the development of a national AIDS surveillance system; supporting the Haiti-Dominican Republic (DR) Border Initiative by assisting the MOH, the United States Government (USG) Team and DR partners to address HIV in the Haitian-DR border region; and providing peer-to-peer technical assistance to central and departmental epidemiologists in order to facilitate the analysis and synthesis of HIV data and promote the use of data for departmental planning and decision-making. These activities will be carried out through pairing U.S. state health department epidemiologists with their Haitian counterparts in the MOH regional departments and the Unite De Coordination Et De Controle VIH SIDA (AIDS Coordinating Control Unit or UCC). Epidemiologists from the U.S. will travel to Haiti to provide long-term technical assistance to epidemiologists in the MOH, UCC, and regional departments. In addition, NASTAD will provide one-time and/or discrete topic-specific technical assistance via peer-to-peer interactions, teleconferences and exchange of materials. It is also expected that longer-term placements (length to be determined) of team members will occur in support of FY07 objectives.

BACKGROUND: In 2003, at the request of the USG Team, NASTAD began working with partners in Haiti to revitalize the national AIDS surveillance system and improve the capacity of the MOH to conduct surveillance and monitoring and evaluation (M&E) activities. Although AIDS has been a reportable condition in Haiti, the "passive case reporting" adopted years ago remained dormant for several years. During this period, case reporting remained incomplete and the MOH could not accurately analyze and disseminate reported data. The USG Team revitalized the case reporting system by allocating resources to NASTAD, IHE, and MOH to pilot a new system at six ARV sites. In FY06, the pilot system will be expanded to a total of 14 anti-retroviral (ARV) sites to move closer to the goal of developing a national surveillance system. In addition, NASTAD will continue to provide peer-to-peer technical assistance through pairing of U.S. health department epidemiologists with their counterparts in Haiti to support enhancement of capacity in epidemiology, surveillance, and M&E.

ACTIVITES AND EXPECTED RESULTS: Activity 1: NASTAD will provide technical assistance for the development of a national AIDS surveillance system. Following a situational analysis of the MOH and departmental capacity for implementing and supporting a national surveillance system (completed in FY06), the NASTAD team will support the MOH in expanding the surveillance system in a sustainable fashion to ensure appropriate analysis and application of the surveillance data. In FY06, 14 ARV sites are scheduled to report cases. Additional reporting sites for FY07 may include voluntary counseling and testing (VCT), prevention of mother to child HIV transmission (PMTCT) and palliative care sites. Partners in this expansion process will include the departmental epidemiologists, IHE and the USG Team. Funding will support peer-to-peer technical assistance at the central and departmental levels, training development and implementation, and a delegation visit to the United States for Haitian counterparts to observe U.S. health department surveillance programs. In FY06, NASTAD will host three delegates from the central government at two U.S. health departments. The FY07 delegation visit will include government representatives at the departmental level.

Activity 2: NASTAD will support the Haiti-DR Border Initiative by assisting the MOH, the USG and DR partners to address HIV in the Haitian-DR border region. Activities will include strengthening communication between the two countries, sharing information, and developing methods for capturing HIV data relevant to policy, prevention, and treatment.

Activity 3: NASTAD will provide peer-to-peer technical assistance to central and regional departmental epidemiologists in order to facilitate the analysis and synthesis of HIV data and promote the use of data in departmental planning and decision-making. Following the development of a pilot HIV/AIDS epidemiologic profile in one regional department in FY06, NASTAD will support the MOH and the remaining departments in developing epidemiologic profiles which will incorporate AIDS surveillance and M&E data to support joint analysis of the collected data to aid in program planning. In addition, VCT and PMTCT data will be incorporated into the epidemiologic profiles. At the request of the MOH, a long-term

technical advisor will be placed at MOH.