PEPFAR's annual planning process is done either at the country (COP) or regional level (ROP).
PEPFAR's programs are implemented through implementing partners who apply for funding based on PEPFAR's published Requests for Applications.
Since 2010, PEPFAR COPs have grouped implementing partners according to an organizational type. We have retroactively applied these classifications to earlier years in the database as well.
Also called "Strategic Areas", these are general areas of HIV programming. Each program area has several corresponding budget codes.
Specific areas of HIV programming. Budget Codes are the lowest level of spending data available.
Expenditure Program Areas track general areas of PEPFAR expenditure.
Expenditure Sub-Program Areas track more specific PEPFAR expenditures.
Object classes provide highly specific ways that implementing partners are spending PEPFAR funds on programming.
Cross-cutting attributions are areas of PEPFAR programming that contribute across several program areas. They contain limited indicative information related to aspects such as human resources, health infrastructure, or key populations programming. However, they represent only a small proportion of the total funds that PEPFAR allocates through the COP process. Additionally, they have changed significantly over the years. As such, analysis and interpretation of these data should be approached carefully. Learn more
Beneficiary Expenditure data identify how PEPFAR programming is targeted at reaching different populations.
Sub-Beneficiary Expenditure data highlight more specific populations targeted for HIV prevention and treatment interventions.
PEPFAR sets targets using the Monitoring, Evaluation, and Reporting (MER) System - documentation for which can be found on PEPFAR's website at https://www.pepfar.gov/reports/guidance/. As with most data on this website, the targets here have been extracted from the COP documents. Targets are for the fiscal year following each COP year, such that selecting 2016 will access targets for FY2017. This feature is currently experimental and should be used for exploratory purposes only at present.
Years of mechanism: 2008 2009
SUMMARY: Support will be provided to Promoteurs Objectif Zérosida (POZ) in order strengthen
interpersonal counseling and services to PLWHAs and increase condoms and other prevention services to
men who have sex with men (MSM). Activities will provide comprehensive psycho-social counseling and
prevention services and STI treatment for those living in high risk situations and vulnerable to acquiring
HIV/AIDS. POZ is in an excellent position to link HIV counseling and testing with information dissemination
and psycho-social, care, support and treatment through its centers and outreach network. The primary
emphasis of the activity is to reduce HIV transmission among MSM, and those engaged in high-risk
behavior, and to minimize the impact of HIV within HIV-positive MSM by working through its center and
community level activities. This year emphases will be put on: partner notification and referral services;
support groups and empowerment activities; and greater involvement of the beneficiaries in promotional
and educational activities. In addition, greater efforts will be made to strengthen linkages with PEPFAR
supported ARV sites, and to reduce stigma and discrimination of MSM's access to HIV services. The
activities will be carried out in some cities from west department (Port-au-Prince, Pétion-ville, Leogâne,
Croix des Bouquets) and one city in North Department.Cap-Haitien.
BACKGROUND: Promoteurs Objectif Zérosida (POZ) established a social center in Port-au-Prince in FY06
for its clients, mainly MSM and PLWHA's and their families. This center addresses prevention, treatment
and care issues for men who engage in high risk behavior, especially the MSM population. To minimize the
social impact of HIV infection among this target group, POZ provides comprehensive support including
prevention activities, behavior change and community outreach activities, messages for safer sex practices,
partner reduction, condom use, pre and post-test counseling, HIV tests, basics lab tests, treatment of STI,
OI, access to care through partnership with specialized NGO's and home visits.
ACTIVITIES AND EXPECTED RESULTS
Activity 1: The POZ Testing Care and Support Centers and in the will continue to provide a safe,
confidential and comfortable environment where individuals can meet, come to ask questions, receive IEC
material and condoms and be involved in discussion groups around HIV prevention, treatment and care
issues. A trained counselor will provide prevention education to MSMs and PLWHA clients. CDC's "HIV
Prevention within the Care and Treatment Setting" will be utilized. The center will offer continuous
counseling for the high risk group of men enrolled in the program. POZ will also continue pre and post test
counseling and ensure confidential consultations on the complexities of HIV positive clients and the stigma
and discrimination surrounding MSMs. A psychologist will assist the counselor in counseling and case
management of MSMs and PLWHA clients. Special efforts will be made to assist high risk clients in
developing personal risk reduction plans and practicing safe sexual behaviors. POZ will work through their
established social network of MSM to develop an awareness campaign for the centers. In addition, as a way
to reach more MSM to refer them to the centers, the project team will visit groups not yet approached:
traditional healers, prisons, security agencies, NGO's. Advocacy and information of the center will also
occur within PEPFAR supported care and treatment centers to reduce MSM barriers to care due to stigma.
Activity 2: POZ will expand its prevention with MSMs. Efforts will be expanded to increase contacts within
male groups in places such as clubs, men's associations, hotels, prisons and other places where men
engage in high risk activities; and to move beyond awareness of HIV and prevention methods, and focus on
behavior change activities within this population. "MSM" targeted materials will include: pamphlets and flip
charts will cover a wide range of topics such as HIV transmission, personal risk assessment, signs and
symptoms of STI and safe sex practices such correct condom use, and lubricants. Peers providing outreach
will visit night clubs, bars, areas where MSM engage in commercial sex, and other areas where MSMs
congregate; peers will meet monthly with the project coordinator and the community agents to discuss
methods of outreach, and improve peers outreach skills. During these encounters, outreach will be focused
on behavior change activities regarding reducing high risk behavior, correct and consistent condom use,
and encouraging clients to know their status. During outreach, POZ staff will refer clients to the POZ
centers for further counseling, CT, STI and syphilis diagnosis and treatment. HIV positive persons will be
referred for ARV services and treatment of opportunistic infections. Prevention for positive will also be a key
message for HIV positive clients. It is anticipated that 25,000 condoms will be distributed by POZ.
New/Continuing Activity: Continuing Activity
Continuing Activity: 17225
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
17225 5436.08 HHS/Centers for Promoteurs 7697 1390.08 HHS/GAC/Local $300,000
Disease Control & Objectif Zéro Sida
Prevention (Promoteurs de
l'Objectif Zéro
Sida)
9327 5436.07 HHS/Centers for Promoteurs 5141 1390.07 HHS/GAC/Local $200,000
5436 5436.06 HHS/Centers for Promoteurs 3416 1390.06 HHS/GAC/Local $76,000
Table 3.3.03:
The narrative has been modified in the following ways:
Activity 1:
POZ will support training or refreshments for 60 social and sites managers on how to organize and runned a
support group meeting for persons living with aids and affected families members enrolled in their sites.(NB)
delete from POZ will expand training against stigma. This activity is being developed in a separate
PROGRAM AREA under Health Strengthening.
Activity 2:
POZ will continue to strengthen its palliative care sites in seven districts. Grand Anse district is a new district
to be covered this year.
Through its psychosocial support, POZ will expand its services to connect the persons living with HIV to
other resources now available such as cash for work, food, and microcredit programs.
SUMMARY: The project proposes to expand its best practices model of accompaniment to empower people
living with HIV/AIDS (PLWHA) in nine geographical areas of Haiti: West, South, North East, South East and
North and Grand-Anse, Artibonite, North East and Nippes. It will help to create and strengthen grassroots
groups of PLWHA and peers leaders to become more self supportive and therefore capable of adopting
safe sexual behaviors and contributing to the reduction of the current HIV rate. This project is an expansion
and continuation of a POZ model accompaniment of PLWHA and their families in which the services will
allow clients to learn appropriate coping strategies in a supportive environment. POZ will continue to
upgrade three palliative care sites that were launched last year: one located in Montrouis integrated in a
community CT clinic, two other integrated in MSM clinics.
BACKGROUND::
The HIV/AIDS epidemic has a tremendous impact on Haitian communities. There is an estimated 200,000
persons living with HIV/AIDS (PLWHA) and 18,000 orphans of whom very few have access to basic care
and support services. In spite of major efforts supported by public and private groups to create and build
capacity of health staff and public awareness, strong stigma associated with the disease still exist and often
leaves PLWHA isolated from family and community support systems.
POZ opened its doors in Port-au-Prince, Haiti in 1995 with the mission to reduce the prevalence of HIV in
Haiti. It quickly developed into an institution that champions the cause of the PLWHA through advocacy,
awareness, and in particular PLWHA psychosocial support. POZ's major focus has been to implement
PLWHA support groups throughout the country. So far, over 50 support groups have been created in four
geographic areas with emphasis on empowering PLWHA to become spokesmen and women, and on
promoting positive attitude regarding care and treatment. Many organisations now use POZ-trained and
empowered PLWHA as facilitators in their programs. Four of these support groups have been reinforced to
become PLWHA associations with the capacity to manage funding, to provide palliative care services and to
participate in social mobilization and income generating activities. In addition POZ has been very active in
implementing activities to reduce stigma with focus on training health professionals and community leaders
in the fight against stigma. All health professionals in 25% of the sites have benefited from this training as
well as community leaders living around these sites using national guidelines and curricula that POZ has
developed in coordination with the Ministry of Health (MOH) and major stakeholders.
POZ has been managing four CT sites: one in Montrouis integrated with a model of community mobilization
and support services, two in Port-au-Prince and one in Cap Haïtien. One of the two in Port-au-Prince and
the one in Cap-Haitian are targeting Men having Sex with Men (MSM). With existing resources, the CT site
in Montrouis and the two MSM sites are being reinforced to provide clinical palliative care.
With Fiscal Year (FY) 2008 resources, POZ will continue to support the expansion of implementation of
PLWHA support groups around all the HIV sites to create a supportive environment for them to reduce
stigmatization, to promote positive attitudes, and to foster their adherence to treatment. To this end, POZ
will essentially play a lead role in building capacity at the sites to organize these support groups. POZ will
continue to reinforce the four existing PLWHA associations (1 in the South, 1 in the West and 2 in the North)
and will create two others in Grand'Anse and the South East. Each association will receive six types of
training: Advocacy, Leadership, Communication, Adherence / Commitment, Basic knowledge in HIV/AIDS,
Micro credit
POZ will continue to expand in coordination with the MOH departmental directorates the training of health
professionals and community leaders in stigma reduction ensuring that most of sites benefit from this
training thru a strategy of training of trainers. They will continue to strengthen the three palliative care sites
with a full package of clinical care in referral with ARV to ensure continuum of care.
ACTIVITY AND EXPECTED RESULTS
ACTIVITY 1: POZ will support training of 60 social workers and site managers on how to organize and
animate support groups for PLWHA and affected families enrolled at their sites POZ will also expand
training against stigmatization to reach 600 new health professionals in 20 sites and 300 community leaders
around the sites. For these trainings POZ will use the training of trainers use the national tools and
guidelines that they have developed in collaboration with MOH. Funding will be used to support training
logistic costs and supervision of support group activities. Funding will also be used to organize regular
departmental and local meetings on the progress of this program.
ACTIVITY 2: POZ will continue to provide technical assistance and financial support to help building
administrative and institutional capacity to six associations of PLWHA in the following areas: managing
small grants, project writing; organizational assessment, strategic planning meeting and program
development; partnership in mobilizations and support activities for advocacy and support of the PLWHA
Activity Narrative: ACTIVITY 3: POZ' will continue to strengthen its palliative care sites in Port au Prince, Montrouis, and Cap
Haitien to provide clinical and home based care to PLWAs enrolled at these sites. All will receive access to
laboratory, clinical, nutrition, psycho-social assessment and follow up services to prevent and to treat
opportunistic infection, malnutrition, to manage pain and symptoms, to monitor optimal time to provide
HAART and create a supportive environment for adherence to long term follow up and care. Funding will
be used to enhance infrastructure and strengthen both clinical and community staff in order to meet scale
up need with emphasis on nurses to play a greater role in providing clinical care. Through the community
personnel home based care will be reinforced around these sites to provide at PLWHA homes a package of
preventive care, counseling and education services. POZ will support around these sites support groups
and will provide technical oversight, supervision and monitoring of activities..
ACTIVITY 4: The International AIDS Candlelight Memorial is a yearly event that reaches millions of people
in Haiti since 2001. POZ is the sole coordinator of this event partnering with more than 50 NGO, local
grassroots, Christian churches, to bring awareness and support to PLWHA. Year 2009, POZ hopes to
conduct short training sessions for Candlelight coordinators to educate them about planning community
memorials, community mobilization, and advocacy. All members will grant seeds money to conduct this
event in their areas of mobile.
Activity 5: POZ will strengthen its capacity to plan, and supervise activities. Funding will be used to hire and
train new staff in psycho-social support and management. POZ will implement two regional offices: one in
the North and one in the South to provide proximity technical assistance.
TARGETS
•At least 3,000 PLWHA and affected families in targets areas will be supported and trained;
•Train 150 PLWHA on leadership, communication and basic HIV/AIDS facts;
•60 support groups and 40 groups for accompaniment and technical assistance established and from
across six (6) departments to meet monthly;
•Upgrading two (2) clinics to become official to deliver palliative care and create one (1) at Domus Mariae;
•1,500 patients treated for IO and others STI and MSM;
•2 million Christians, religious and community members reached during mass Candlelight event, and civic
gatherings;
•18 field agents to be trained for planning and organizing training sessions for PLWHA's in six (6)
departments;
•15 social workers trained to continue development and maintenance of local support group;
•Technical assistance to build up institutional capacity of 6 PLWHA associations in 6 departments;
•Economical support to families and PLWHA
Continuing Activity: 17226
17226 4497.08 HHS/Centers for Promoteurs 7697 1390.08 HHS/GAC/Local $650,000
9326 4497.07 HHS/Centers for Promoteurs 5141 1390.07 HHS/GAC/Local $650,000
4497 4497.06 HHS/Centers for Promoteurs 3416 1390.06 HHS/GAC/Local $330,000
Table 3.3.08:
ACTIVITY UNCHANGED
Summary: POZ will conduct VCT in four sites of which two are stand-alone facilities in Port au Prince, one is
in a clinic in Montrouis (a high risk community serving as a rest area by long distance drivers) and the fourth
is a community health center located in Lafosette, an overpopulated, vulnerable area in Cap Haitian.
Activities in this program will be carried out to support expansion of comprehensive counseling and testing
services to high risks behavior groups such as men having sex with men (MSM), young adults in vocational
school, and communities along the routes of long distance drivers. Services in this project will include:
providing counseling during both pre and post testing; increasing outreach activities, including additional
field promoters to identify more clients among targeted groups, and supervising and training VCT
counselors for increasing quality of services. These services are in line with the national HIV/AIDS plan and
requested by the Ministry of Heath's (MOH) public teams.
Background: POZ began counseling and testing services in 2002 at the Centre of Education and
Counseling Services named CESAC, using a concept of integrated HIV/AIDS case management promoted
by POZ. Funded by the Global Fund to fight AIDS, Tuberculosis and Malaria (GFATM), these VCT activities
provided a continuum of community care service which has been very successful in getting people living
with HIV/AIDS (PLWHA) out of isolation and empowering them to live full lives. POZ has become a unique
institution in Haiti, providing services to a highly underserved population (MSM), in addition to their
community clinics. In 2004 the President's Emergency Plan for AIDS Relief (PEPFAR) provided funds to
procure test kits and medical materiel for laboratory screening. POZ will focus on the areas around Port au
Prince, Montrouis, and Cap Haitian where high risk behavior groups are meeting in order to promote the
VCT services.
Activities and Expected Results: POZ will perform two activities in this program area:
Activity 1: POZ will provide comprehensive counseling and testing services through both stand-alone
locations in Port au Prince, and integrated VCT service at the POZ community health centers in Montrouis
and Cap Haitian. Pre and post HIV test counseling will be provided by trained counselors at each center.
Blood samples will be drawn and the test conducted on-site with results given the same day. Individuals
who test positive will be registered for follow-up service. The follow-up counseling program will meet the
needs of PLWHA, their partner(s), family members, and friends. Services provided will include: follow-up
individual counseling, family counseling, partner notification, condom distribution, and support group
activities. Regular clients will be assigned a single counselor who will be responsible for managing his/her
case. While the majority of funding to support the centers will come from GFATM, PEPFAR will provide
testing kits, renovation of working space, laboratory equipment, energy power, two additional laboratory
technicians, and two field promoters to expand the services.
Activity 2: POZ will ensure the provision high quality HIV testing and counseling services to clients visiting
these centers by working with partners who will provide supervision and monitoring of services. With
PEPFAR funding, POZ expects to provide continuous training to counselors, monitor performance and
efficiency of services through supervision, and reinforce norms & procedures. POZ will start this activity in
2008 in concert with its partners. They include--GHESKIO, Partners in Health, Centre Domus Mariae, and a
to-be-determined partner.
These results contribute to the PEPFAR 2-7-10 goals by improving access to and quality of VCT services to
identify HIV positive persons and increase the number of persons receiving ARV treatment.
Continuing Activity: 17227
17227 9364.08 HHS/Centers for Promoteurs 7697 1390.08 HHS/GAC/Local $200,000
9364 9364.07 HHS/Centers for Promoteurs 5141 1390.07 HHS/GAC/Local $75,000
Table 3.3.14:
SUMMARY: The purpose of this project is to reduce stigma and discrimination and the spread of HIV/AIDS
in five geographic areas of Haiti: It will help to create positive attitude amongst health service providers, the
traditional healers and the community have to create has environment more comfortable and supportive for
PLWHA.
BACKGROUND: A recent study carried out by an organization (Concern) highlighted the fact that infected
and affect are generally victims of stigmatization and discrimination on behalf of the health service
providers. The recommendation was thus to sensitize the health service providers to these two problems.
We thus propose to target 5 sites on the level of the 6 following departments (West, North, South, South
East, Grand Anse, and Nippes). On the level of these sites, we will sensitize all the health providers and
community leaders and traditional healers HIV/AIDS epidemic has a tremendous impact one the Haitian
communities. There is an estimated 200,000 persons living with HIV/AIDS (PLWHA) and 18,000 orphans of
whom very few have access to basics care and support services. In site of major efforts supported by public
and private groups to create and build up capacity of health staff and public awareness, strong stigma and
discrimination still associated with the disease still exist and often leaves PLWHA isolated from family and
community support systems. It has been well documented that to create an effective and sustained
response to HIV prevention, care, treatment and impact mitigation, stigma and discrimination must be
addressed. However, despite S&D being identified as an important factor in Haiti's epidemic--and is a core
component of the Ministry of Health's HIV prevention strategy--few resources have been earmarked
towards its mitigation. S&D and/or fear of S&D remain the main barriers to effective prevention and
treatment; yet the international community allocates the lion's share of its funding to ART. Speaking at last
year's AIDS conference in Toronto, Peter Piot, the executive director of UNAIDS, observed that stigma
together with human rights have been "relegated to the bottom of AIDS programmes…often with no
funding."
Also reported in many surveys, these negative attitudes often come from the health facilities personal itself
where the PLWHA ought to receive care and treatment. In addition, almost one (1) household on every
three (3) reported to consult a traditional healer when a member of the family become sick (EMMUS, 2000).
There is no gender difference and the proportion of household is equally significant in urban and rural
residence. It is also reported that late training course of chronic diseases such as AIDS cross the path of
traditional healers before they get to medical modern medicine, and quite often its too late. Since the
beginning of the AIDS epidemic to date, public and visible activities of traditional healers have been almost
non existent. There is no dialogue and few contacts between the two sectors delivering health care to the
population. Ratio traditional healer/Population in approximately 1/500 according to statistics and most of
beliefs, practices and farming representation carry on the causes of AIDS and HIV transmission are far
away different from what we know one modern medicine.
ACTIVITY 1: To sensitize 300 health service providers (doctors, nurses, medical auxiliaries of the targeted
institutions on Stigmatization and Discrimination problems. According to the available curriculum, health
service providers will be sensitized during two days on the causes, the consequences of Stigmatization and
Discrimination.
ACTIVITY 2: To sensitize 150 members of the personnel staff of these institutions. Since the personnel
staff (guard, housewives, boilers etc....) is also directly in liaison with the patients, it will be sensitized during
one day.
ACTIVITY 3: To sensitize 300 traditional healers on the six focused departments. Culturally a very great
number of Haitians when sick, turn to the traditional healers, especially chronic disease. Some do it in
parallel, others in very first place. Considering their obvious importance in the chain of health care of the
patient, POZ thus proposes to sensitize them during two days, not only on the problems of the HIV/AIDS,
Stigmatization and Discrimination but also to encourage them to refer of all the received patients so that the
latter receive adapted and powerful care which their case requires.
ACTIVITY 4: To sensitize 300 popular leaders of the community. Since the PLWHA also undergo
Stigmatization and Discrimination coming from the members of the community and as the leaders have a
great influence on it and are well listening and their advice taken, POZ will conduct a one day session.
ACTIVITY 5: To set up at the level of each department, a surveillance committee of stigmatization and
discrimination cases. Being given that all the personnel of each institution targeted will have been sensitized
and that it will have been selected because of the existence of service of testing, therefore, groups of
support and even association of PLWHA, POZ will set up a committee of 4 members (1 PLWHA, 1 health
service provider, 1 member of the community and 1 person from the religious sector).
ACTIVITY 6: Media campaigns will consist of radio and TV spots, journalistic reports, banners or billboards
and brochures. Under the direction of the POZ manager communication officer Coordinator, and with the
technical assistance of CECOSIDA and others partners, the media strategies will be planned and
implemented in the three catchment areas. There will be large events with media coverage as well as
reinforcing messages regularly diffused throughout the communities radio/TV networks.
ACTIVITY 7: Support the development and capacity building of two associations of MSM in Cap-Haitian and
Port-au-Prince respectively. POZ will provide technical assistance and financial support to help building
administrative capacity to two associations of MSM. These will include: accompaniment for official state
recognition; setting-up a location for holding meetings and administrative procedures to manage funds;
conducting organizational assessment, strategic planning exercises and program development; small grants
for communication activities; partnership in mobilization activities.
SPECIFIC MONITORING AND ACTIVITIES EVALUATION
Activity Narrative: POZ will conduct the following monitoring and reporting activities in order to assess the progress of the
project, effectiveness of interventions and to update the donor one has regular basis;
•Monthly progress updates of project activities through email;
•Narrative Written quarterly carry forwards;
•Mid- term evaluation
Continuing Activity: 18709
18709 18709.08 HHS/Centers for Promoteurs 7697 1390.08 HHS/GAC/Local $150,000
Program Budget Code: 19 - HVMS Management and Staffing
Total Planned Funding for Program Budget Code: $5,770,500
Total Planned Funding for Program Budget Code: $0
Program Area Narrative:
The United States Government (USG) has been supporting HIV/AIDS programming in Haiti for more than 20 years, initially
through USAID which focused on prevention interventions, community level support and care for people living with HIV/AIDS
(PLWHA) and orphans and vulnerable children (OVC), condom promotion, and screening and treatment of sexually-transmitted
infections (STIs), as well as systems development and capacity building in the nongovernmental (NGO) and public sector. The
Centers for Disease Control and Prevention (CDC) opened its country office in Haiti in 2003 to co-manage the USG HIV/AIDS
PEPFAR-funded program, focusing primarily on laboratory support, clinical care and treatment services, information management,
and efforts to build host-country capacity in each of these areas. The USG Team coordinates closely with the Government of
Haiti (GOH)'s Ministère de la Santé Publique et Population (MOH), and other donors, in health and HIV/AIDS and maintains a
close relationship with the Global Fund for AIDS, tuberculosis (TB), and Malaria (GFATM) for coordination of planning and
monitoring of projects and commodity purchases. USAID and CDC both strive to emphasize their competitive advantages and
leverage agency strengths in the respective program areas, while at the same time complementing each other's efforts through
active collaboration in program planning and operational management (e.g. joint staff meetings, site visits, sharing of best
practices). USAID and CDC are the only two USG agencies with established local offices (co-located). Peace Corps is not
currently operating in Haiti, nor are there activities implemented through the Department of Defense.
The Haiti PEPFAR team is characterized by cross-cutting responsibilities for technical expertise with partner portfolio
management. Thus, a single individual acts as the technical lead for any one program area, interacting with partners whose
cooperative agreements or contracts may be managed by another individual, often in the complementary USG Agency (i.e. CDC
technical leads interact with USAID-managed partners and vice versa). With only a single exception, partners have contractual
agreements with one agency only, although they may receive funding from another agency as a sub-partner. In 2007, the Haiti
PEPFAR team helped pilot the Functional Staffing Analysis and effectively began the staffing for results process. This exercise
demonstrated a potential need for a TB/HIV program specialist, additional support in prevention of sexual transmission and in
strategic information (SI) at the Country Coordinator level. As the TB/HIV program area is considered by the team to have a
strong clinical orientation, the position will lie within the CDC program. USAID will recruit a public health specialist with skills in
prevention of sexual transmission in the coming year and funding will be provided to the USAID Global Health Fellowship Program
to recruit an SI specialist to fill the SI Coordinator position, funded under the SI program area. The SI Coordinator position, placed
alongside the Country Coordinator, will be responsible for interfacing at the national level with our international partners, both here
in Haiti as well as on the global front. Recruitment for the unfilled PEPFAR Country Coordinator is currently underway, both
locally and offshore. USAID and CDC have agreed to split costs for this position, with USAID paying salary and benefits while
CDC provides housing and support costs as required. The USG team is making efforts to fill these positions locally as a step
towards sustainability of the program.
As of September 2008, the USG Team has 45 positions, 43 of them full-time working on PEPFAR activities and programs,
including support and field staff. All but two of these are currently filled and recruitment is underway to fill these. Desired staff
skills are a mix of high-level technical leadership and experienced program management to ensure efficiency, reasonable costs
and long-term sustainability of the USG investment in Haiti. Technical leadership skills have provided assistance with establishing
vision and over-all program coherency while management skills provide capacity for operational planning, field monitoring and
supervision. There is also a continued need for substantial numbers of support and administrative staff due to the lack of efficient
systems and infrastructure in Haiti. Long-term sustainability will be achieved by the USG staff working side by side with
government and other local technical advisors and project monitoring personnel to train and to establish together the systems,
procedures and infrastructure that will be the legacy of the PEPFAR initiative.
CDC and USAID have worked to remain complementary in their technical oversight functions and take care not to be duplicative
in their hiring of technical specialists. Thus, USAID has technical advisors for OVC, pediatric AIDS, PMTCT, community care and
support, prevention of sexual transmission, policy and systems strengthening and commodity supply chain management, while
CDC has technical advisors in care and treatment (including facility-based palliative care), TB/HIV, counseling and testing,
laboratory infrastructure, prevention and strategic information. As the Haiti team is relatively small, it is envisioned that SFR will
continue to be a process involving the two USG Agency leads (Chief of Party for CDC and Senior HIV Advisor for USAID) in
conjunction with the PEPFAR Coordinator. Review of staffing needs is easily done in an informal setting, but formal yearly review
may become necessary if program areas scale up and require additional staffers to shore up the weak infrastructure within the
Haitian MOH. The USG team would certainly benefit, however, from a Staffing for Results visit by senior leadership from
headquarters.
CDC Haiti's team is almost exclusively devoted to PEPFAR implementation whereas USAID's Health Office manages the
PEPFAR program as an integrated element into its many-faceted health portfolio. Thus, while all of the technical advisors,
program managers and support staff on the CDC team work full-time on PEPFAR, USAID has three full-time PEPFAR technical
advisors, and 1 full-time support staff in addition to part time involvement from all other technical, management and support staff.
USAID and CDC have moved to the New Embassy Compound which house all offices and agencies of the USG in Haiti in April
2008. The offices continue to be co-located as this definitely facilitates communication and coordination of activities, enabling the
two offices to more effectively work as a single USG team.
The total planned spending on management and staffing for FY08 does not exceed 12% of the total planned budget for the year.
Table 3.3.19:
