1. __________________________________________________________________________________________________________________________________ USAID/MEXICO 2003

2. USAID The United States Agency for International Development USAID, the U.S. government’s agency for assistance, works in approximately 80 countries supporting: –economic growth, agriculture and trade; –global health; and –democracy, conflict prevention and humanitarian assistance

3. __________________________________________________________________________________________________________________________________ USAID/MEXICO 2003 USAID in Mexico Objective: Develop and implement collaborative development responses to shared problems Annual Budget: $US 30 million Supports Mexican development and reform initiatives in five primary areas

4. __________________________________________________________________________________________________________________________________ USAID/MEXICO 2003 Focus Areas in Mexico Higher Education Infectious Diseases Natural Resource Management Micro-Finance Governance and Rule of Law

5. __________________________________________________________________________________________________________________________________ USAID/MEXICO 2003 Infectious Diseases HIV/AIDS and Tuberculosis

6. __________________________________________________________________________________________________________________________________ USAID/MEXICO 2003 HIV/AIDS Strategy Favorable policy environment Prevention Targeted resources Social marketing Behavior change Most vulnerable groups Stigma and discrimination Condom availability

7. __________________________________________________________________________________________________________________________________ USAID/MEXICO 2003 HIV/AIDS Presence HIV / AIDS Activities Yucatan Guerrero Puebla Oaxaca Veracruz EDOMEX DF Chiapas (Sonora) (Tamaulipas) Current Future

8. __________________________________________________________________________________________________________________________________ USAID/MEXICO 2003 HIV/AIDS Activities Formation of state multisectoral groups for advocacy and strategic planning Establishment of National STIs guidelines including training of medical services personnel Study of stigma and discrimination and on HIV/AIDS in mobile populations Providing technical assistance to CA countries for designing interventions in key migrant transit points

9. __________________________________________________________________________________________________________________________________ USAID/MEXICO 2003 Bi-lateral agreement Secretary of Health Strengthen capacity of NTP Case identification and continuity of treatment thru DOTS Address migration and HIV/AIDS impact on TB Tuberculosis Strategy

10. __________________________________________________________________________________________________________________________________ USAID/MEXICO 2003 TB Strategy Partners Support a sustainable and effective institutional capacity in Mexico to diagnose, control, and monitor tuberculosis Partners: SSA, Division of Health Promotion and Prevention National Center for Epidemiological Surveillance Institute of Epidemiological Diagnosis and Reference National Institute of Respiratory Diseases (INER) State Health Secretariats

11. __________________________________________________________________________________________________________________________________ USAID/MEXICO 2003 13 target states Border states report 20% of Mexico’s cases Other states where conditions favor TB transmission Priority Areas California Arizona New Mexico Texas Jalisc o Michoacán Guerrero Oaxaca Chiapas Veracruz San Luis Potosí Baja Californ ia Norte Tamaulipas Nuevo León Coahuila Chihuahua Sonora

12. __________________________________________________________________________________________________________________________________ USAID/MEXICO 2003 Border Health Strengthening emergency health facilities Public, private and community collaborators

13. __________________________________________________________________________________________________________________________________ USAID/MEXICO 2003 Emergency Health Care Grants for equipment and supplies Triage and Stabilization Unit, Nogales Sonora