1. ORGANISATION OF EASTERN CARIBBEAN STATES (OECS) Report on the Project aimed at “Scaling up Prevention, Care and Treatment to Combat the HIV/AIDS Pandemic in the Organisation of Eastern Caribbean States (OECS) Sub-Region” to the Thirteenth Meeting of the Regional Coordinating Mechanism of the Pan Caribbean Partnership against HIV and AIDS Georgetown, Guyana September 17 – 18, 2009

2. Content: Introduction Achievements Programmatic performance and planned Actions Financial performance Future Options

3. Introduction 5-year project: March 2005 to Feb. 2010 Focus on 6 independent OECS Member States (sub recipients) Total of US $8,898,744 available over the life of the project With the OECS Secretariat serving as Principal Recipient

4. ACHIEVEMENTS To respond to the capacity building needs to meet the agreed goals and targets through the development and establishment of: Standardised Monitoring & Evaluation systems and Data collection tools Standardised Financial Management systems for the project; and Standardised Patient Management system SYSTEMS STRENGTHENING

5. ACHIEVEMENTS cont’d… Clinical staging, Treatment and care - Clinical Mentorship programs through CHART for Doctors, Nurses and Pharmacists Testing and Diagnosis – Support from CAREC, CDC and CCAS Leadership – Through CHLI Behavioral Change Communication – COMBI Data Management – Collaboration with PAHO Monitoring and Evaluation – Support from CHRC HUMAN RESOURCE DEVELOPMENT

6. Programmatic performance (to June 30 th 2009): Indicators Phase 2 Targets Actual 1. Number of PLWHA receiving antiretroviral combination therapy in accordance with Caribbean Guidelines 459561122% 2.1 Number of people receiving HIV counseling and testing including the provision of the test results 698361187417% 2.2. Number and percent of HIV-positive pregnant women receiving a complete course of antiretroviral prophylaxis to reduce the risk of mother-to-child transmission 1084440% 3.1 Number of facilities carrying out comprehensive clinical staging of PLWHA as per Caribbean Guidelines 67120% 5.1 Number of countries with a system in place to receive and respond to complaints of discrimination by people living with and affected by HIV/AIDS 5480% 6.1 Number of countries using standardized monitoring and evaluation patient tracking system 6583% 7.1 Number of PLWHA receiving care and support 65457488% 8.1 Percent (%) of people (15-49) who both correctly identify ways of preventing the sexual transmission of HIV and reject major misconceptions around HIV transmission 90 (%)NA

7. Planned actions - Indicator 2.1 Revisit of the working definition for the indicator Provide TA to hasten the decentralization and integration of Voluntary Counselling and Testing Institutionalize HIV rapid testing to facilitate ‘same session’ results Secure access to confirmatory testing services, CD4 proficiency testing and QA/QC for related laboratory services Promote behaviour change initiatives

8. Planned actions - Indicator 2.2: Maintain the over 90% coverage of ante-natal clients at MCH clinics which provides, inter alia, antiretroviral medications and access to polymerase chain reaction (PCR) testing through the Clinton HIV/AIDS Initiative; Promote the (almost 100%) uptake of these services by pregnant women; Review the estimates for HIV positive pregnant women through a study to more accurately determine their numbers; and Report on the percentage of the women treated for HIV among the HIV positive pregnant women

9. Planned actions - Indicator 5.1 The PR has moved to (a)Identify (i) replacement funding for the operations of the Human rights desks and (ii) Human rights advocates capable of providing supporting, and (b) Collaborate with the Caribbean HIV/AIDS Alliance to draft a ‘Business’ plan for discussions with the PANCAP and local authorities to revisit, revitalize or re-develop as appropriate (and put on a sustainable path), mechanisms for tackling acts related to HIV/AIDS stigma and discrimination. The related functions will include: Sensitization programs aimed at raising awareness about HIV/AIDS and the effect of stigma and discrimination, Strengthening of the capacity of national focal points to address human rights related issues, and importantly, Continuous monitoring and evaluation and upgrading of accountability and performance of the sub-recipients consistent with the GFATM terms and conditions

10. Financial performance (to June 30, 2009):

11. Financial Execution

12. Financial performance cont’d.: Disbursement versus Expenditure by Sub-Recipient from inception

13. Financial Situation - Current Phase Phase II Funding: Approved Project Budget for Phase II (to February 2010) Cash received to June 2009 Project Funds held by GFATM as at June 30, 2009 Disbursement requested for July 2009 to Feb 2010 (based on Work plan and cash-in-hand) Unrequested funds at end of February 2010 US Dollars: $6,860,183 $4,320,844 $2,539,339 $555,677 $1,983,662

14. FUTURE OPTIONS NO COST EXTENSION – 6 Month extension up to August 2010 plus 3 months ‘wrap-up’ CONTINUITY OF SERVICES – 2 Year funding for treatment of those already in care (September 2010 to August 2012) OECS TREATMENT PROJECT within PANCAP Round 9 Proposal – 5 year funding to provide universal access (September 2010 to August 2014) OECS MULTI COUNTRY ROUND 10 PROPOSAL (during continuity of services)

15. THANK YOU Thank you!