Detailed Mechanism Funding and Narrative

Years of mechanism: 2011 2012

Details for Mechanism ID: 13077
Country/Region: Caribbean Region
Year: 2011
Main Partner: Abt Associates
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $630,000

A fundamental objective of the PF is to move the region toward sustainability of HIV/AIDS programs. Goal #5 of the PF is "To improve the capacity of the Caribbean national governments and regional organizations to effectively lead, finance, manage, and sustain the delivery of quality HIV prevention, care, treatment and support services" with a sub-objective being to "Improve Financial Management Capacity of National HIV Programs." Achieving measurable progress on this critical objective will require a major effort as most country governments currently provide very limited national budget resources to their own HIV and AIDS programs, relying to an alarming degree on external funding much of which has come from the Global Fund and the World Bank, with smaller support from bilateral donors.

USAID/Barbados & the Eastern Caribbean (USAID/B&EC) will support the second year of a five year program that supports innovative strategies to sustain critical HIV/AIDS services. In general, countries need to: (1) Identify the financing gap; (2) Increase efficiency and/or prioritize high need, high impact services; (3) Identify new sources of funding; and (4) Develop a comprehensive sustainability strategy. Under the PF, with ROP '11 resources, USAID/B&EC seeks to build on the momentum made during year one and provide targeted technical assistance for financial systems strengthening. USAID and Abt Associates will explore various options to expand and diversify domestic financing (private and public) and non-USG external financing. Among the opportunities that are under discussion: (a) increasing program efficiency (doing more with less) through changes in structure (e.g. service integration), organizational arrangements, payment systems (e.g. payments reward efficiency as well as quality), and optimizing resource allocation to the most cost-effective interventions for the country's epidemic profile; (b) improving the competence of operational-level financial management of HIV/AIDS-related programs; (c) initiating or expanding coverage (financing) of services through risk pooling/insurance both private and public; (d) increasing country capacity to mobilize and manage non-USG external resources for capital and recurrent costs; and (e) increasing the transparency and accountability of budgeting and spending to ensure that plans and commitments are carried out.

Funding for Health Systems Strengthening (OHSS): $630,000


Subpartners Total: $0
To Be Determined: NA