1. CHART, BARBADOS ACCOMPLISHMENTS MEDICAL DIRECTOR : DR. NICHOLAS ADOMAKOH CHART TRAINING COORDINATOR : WENDY SEALY

2. BARBADOS  The most easterly island in the Caribbean  Is 166 square miles  Has a population of approximately 275,000  Capital city is Bridgetown

3. HIV/AIDS picture  First two cases of AIDS reported in 1984  As of June 2004: Total number of HIV, AIDS and deaths  HIV positive cases- 2,873  AIDS cases- 1,789  Deaths- 1,231

4. GOALS OF THE NATIONAL PROGRAMME  To reduce mortality from AIDS by 50%  To reduce the rate of new infections  To slow down the rate of progression of HIV infection to AIDS  To improve the wellbeing of persons living with HIV/AIDS

5. Activities of HIV/AIDS Programme of the Ministry of Health  Provision of comprehensive service  Strengthen surveillance systems  Maintain and strengthen prevention programmes  Upgrade surveillance systems

7. MILESTONES AND ACCOMPLISHMENTS  MAY 2003- Training Coordinator identified and participated in orientation process - CHART video lecture series in Polyclinics (75 persons trained  SEPT. 2003- Training Coordinator formally hired

8. MILESTONES AND ACCOMPLISHMENTS cont’d  SEPT. 2003- NEEDS ASSESSMENT FORM developed and piloted with staff of the Ladymeade Reference Unit - Bio data - Practice setting - Experience caring for HIV/AIDS clients - Training topics preferred based on the comprehensive care approach (a) Clinical management – ARV therapy, Adherence issues, ‘O I’ (b) Psychosocial issues- Stigma and discrimination

9. MILESTONES AND ACCOMPLISHMENTS cont’d  NOV. 2003 – Inaugural workshop “ Strengthening surveillance systems” for 30 participants  JAN 2004- Collaborated with NHAC and UWI/HARP, Cave Hill campus in planning and implementation of the First Research Symposium

10.  FEB. 2004 – Subcontract for Jan.2004- Sept.2004 approved and signed  MAR.2004- Facilitated two (2) persons attending 1 st TOT in Jamaica

11.  MAR. 2004- CHART Coor. and Dr. attended 1 st TOT in Jamaica  JUNE 2004- Facilitated the attendance of 13 persons to First CHART clinical conference. (Drs., nurses, pharm.,cln. Psy, soc. Work)

12. ACOMPLIHSMENTS  JULY 2004- Assisted with the revision of PMTCT curr.  AUG. 2004- Facilitated the filming of the PMTCT Trigger video series in Barbados - Medical Director and Coor. attended RCM /OECS Care Partners meeting in St. Lucia

13. ACCOMPLIHSMENTS  SEPT.2004- Collaborated with HIV/AIDS programmes of St. Kitts and Nevis and Grenada for technical visits of personnel to LRU  OCT. 2004- Collaborated with NHAC to host workshop on Behaviour Change and Adherence to Treatment by Citatelli Associates /New York Link (45 persons)

14. ACCOMPLISHMENTS  NOV. 2004- Pilot first case-based and interactive ARV 3 day workshop for Physicians (13 persons) using the Mobile Team concept - Collaborated, coordinated logistics with OECS for participation ( St. Vincent, St. Kitts and Nevis, Dominica, BVI-other countries unable to attend