1. PANCAP AGM Sonesta Maho Resort, St Maarten Oct 31-Nov 1, 2010 Purpose of presentation  Regarding the response to the HIV epidemic at national and regional level in the Caribbean To underline the rationale for Capacity Development To identify successes in the area of capacity development To consider past and present challenges To envision the way ahead

2. PANCAP AGM Sonesta Maho Resort, St Maarten Oct 31-Nov 1, 2010 Challenges - present and future PProgrammatic How to continue capacity building - themes, focus Coordination and harmonization Move training beyond the disease specific orientation and focus on human development Staffing and Sustainability OOther Allow/prioritize time to attend training Staff turnover - a frustration, but a reality to be addressed

3. PANCAP AGM Sonesta Maho Resort, St Maarten Oct 31-Nov 1, 2010 Reasons to continue  Changing training needs Leadership and management Surveillance, M&E Caring for children born with HIV who are now adolescents Care and treatment of older persons with HIV HIV and co-morbidities  Integration of HIV into primary health care  Staff turnover and attrition – need for appropriate assignment; bonding  Strengthening pre-service education and training  Training outside of traditional health sector

4. PANCAP AGM Sonesta Maho Resort, St Maarten Oct 31-Nov 1, 2010 In building capacity… It is necessary to develop a Regional Capacity Building Strategy

5. PANCAP AGM Sonesta Maho Resort, St Maarten Oct 31-Nov 1, 2010 Capacity building: Thinking and acting strategically  Assess human resource needs quantitatively Other systems needs (equipment, supplies, maintenance, optimal record keeping, communication, procurement) Attrition and Turnover - reasons, reduction, adjustment  Build the work force systematically  Allocate personnel appropriately  Track progress – are persons applying what they learnt and what is the impact  Measure and evaluate in relation to needs  Use existing capacity for mentorship programmes

6. PANCAP AGM Sonesta Maho Resort, St Maarten Oct 31-Nov 1, 2010 Train for effective leadership and teamwork Fill important service gaps Integrate HIV into general health care and wider human development issues Practice Continuous Quality Improvement Invest in multi-sectoral training Expand regional response through communities of interest, including DR and Haiti Activate public:private partnerships, including with regional Universities Improve grants management Use a business approach – need to be cost efficient Capacity building: Thinking and acting strategically

7. PANCAP AGM Sonesta Maho Resort, St Maarten Oct 31-Nov 1, 2010 The way ahead  Build capacity of NGOs (MARPs; youth) in order to strengthen partnerships  Scale up ‘pre-service’ training  Give certification for in-service training programmes  Coordinate / Harmonize training  Emphasize Quality Improvement through Monitoring & Evaluation with feedback  Implement better tracking systems  Establish written policies and procedures to ensure follow-through

8. PANCAP AGM Sonesta Maho Resort, St Maarten Oct 31-Nov 1, 2010  Topic-based, clinical training is not enough Need to take a whole systems approach Include training in  Leadership knowledge, skills and attitudes  Specific areas of management  Surveillance  M&E  Research skills  Grants management  Implement business/sustainability plan The way ahead

9. PANCAP AGM Sonesta Maho Resort, St Maarten Oct 31-Nov 1, 2010  Own - Governments need to own and support/sustain national training  Partner - to plan and execute training and strengthening of services  Support a regional approach for  national benefits The way ahead