15th Meeting of the Regional Coordinating Mechanism of PANCAP; Montego Bay , Jamaica
9-10th September, 2010
To provide creative and dynamic services to PANCAP to enhance the regional response to HIV and AIDS
ANALYSIS OF NATIONAL HIV AND AIDS STRATEGIC PLANNING PROCESS
To provide creative and dynamic services to PANCAP to enhance the regional response to HIV and AIDS
BackgroundBackground
The Caribbean Regional Strategic Framework (CRSF)
envisages that its vision and goals are to be achieved
by facilitating :
country driven processes which are guided by their
National Strategic Plans (NSP) .
policies at country level which are based on the guiding
principles and strategic approaches of the CRSF.
To provide creative and dynamic services to PANCAP to enhance the regional response to HIV and AIDS
The PANCAP Coordinating Unit (PCU) began a review
in October, 2009 of PANCAP Member countries (PMC)
with a view of:
assessing the status of NSPs
assessing their alignment with the goals and objectives
of the CRSF
BackgroundBackground
To provide creative and dynamic services to PANCAP to enhance the regional response to HIV and AIDS
Priority AreasPriority Areas
1. An enabling environment that fosters universal access to HIV and
AIDS prevention, treatment, care, and support services;
2. An expanded and coordinated intersectoral response to the
HIV/AIDS epidemic;
3. Prevention of HIV transmission;
4. Treatment, care, and support;
5. Capacity development for HIV/AIDS services; and
6. Monitoring, evaluation and research
To provide creative and dynamic services to PANCAP to enhance the regional response to HIV and AIDS
MethodologyMethodology 1. Collection of existing NSPs from PMCs along with other
supporting documents such as monitoring and evaluation
(M&E) plans and operational plans
2. A Desk Review of existing plans to evaluate alignment
with the six (6) Priority Areas of the CRSF.
3. In-Country team visits
To provide creative and dynamic services to PANCAP to enhance the regional response to HIV and AIDS
Status of NSPs in PANCAP Member CountriesStatus of NSPs in PANCAP Member Countries
NSP available NSP being developed No response
Barbados Dominica Suriname
Belize Saint Lucia Aruba
Cuba Grenada Bermuda
Guyana BVI Bonaire
Haiti Antigua Cayman Islands
Jamaica The Bahamas Curacao
Montserrat Trinidad & Tobago French Guiana
St. Kitts and Nevis Martinique
St. Vincent and the Grenadines
Saba
Anguilla St. Eustacius
Dominican Republic St. Maarten
Guadeloupe
Turks and Caicos
To provide creative and dynamic services to PANCAP to enhance the regional response to HIV and AIDS
There was a response rate of 58%. (18 countries responded)
Of the 18 responding countries 11 had completed plans, 7 were
in development
28% (5)had M&E plans to monitor the progress of their NSPs in
keeping with the Three ones concept
39% (7)had a costing for implementation of activities
33% (6) had a completed implementation/operational plan
Key findingsKey findings
To provide creative and dynamic services to PANCAP to enhance the regional response to HIV and AIDS
Countries requiring assistance for completion of NSP
process:
Antigua and Barbuda
Commonwealth of Dominica
Grenada
Key findingsKey findings
To provide creative and dynamic services to PANCAP to enhance the regional response to HIV and AIDS
Countries with NSPs completed before the completion of
the CRSF in 2008, did not have plans that were in full
alignment with existing CRSF’s objectives, but do capture
the strategic directions of the CRSF.
Priority areas of Treatment, Care and Support and
Prevention were clearly outlined in all plans and there was
also alignment in general with the Strategic Objectives for
National Level Response.
Review of existing National Strategic PlansReview of existing National Strategic Plans Key Findings Key Findings
To provide creative and dynamic services to PANCAP to enhance the regional response to HIV and AIDS
For CRSF Priority Areas : enabling environment, multisectoral response, M & E and Capacity Building - the majority of the countries did not align their programmatic response neatly under these headings. Notwithstanding this, many activities within the NSPs were in alignment with the Strategic Objectives for the National HIV Response in these priority areas .
Example: Capacity building was a cross cutting theme in all priority areas outlined in the NSPs and was not isolated under one priority area as in the CRSF.
Overall: If NSPs are resourced and supported, countries should meet the goals and objectives of the CRSF.
Review of existing National Strategic PlansReview of existing National Strategic Plans Key FindingsKey Findings
To provide creative and dynamic services to PANCAP to enhance the regional response to HIV and AIDS
In Country In Country Team VisitsTeam VisitsObjectivesObjectives
1. Identify challenges being encountered with respect to development of the
NSP;
2. Identify needs and gaps in the implementation, monitoring and evaluation
of the NSP;
3. Ascertain adequacy and sources of funding for implementation of the NSP
with a view towards informing the resource mobilization efforts of
PANCAP for country programmes;
4. Identify the technical assistance and training needs;
5. Foster improved communication between PCU and national programmes
To provide creative and dynamic services to PANCAP to enhance the regional response to HIV and AIDS
Preliminary FindingsPreliminary Findings
Analysis is currently underway and should be completed for review by PACC:
Gaps in the development and/or documentation of policies and protocols at national
and institutional level. The need for resources and tools for policy development and
strengthening or updating existing policies consistent with strategic priorities or
state of the art approaches.
Gaps existed in initiatives to achieve strategic objectives around stigma and
discrimination. The need for tool kits targeted at vulnerable groups and supportive
resources and strategies for reducing or eliminating institutionalized stigma and
discrimination were identified.
To provide creative and dynamic services to PANCAP to enhance the regional response to HIV and AIDS
Standards of care varied greatly across territories as both a function of gaps in
health sector management and variances in professional delivery of treatment by
medical and nursing professionals. Health system reform and strengthening
emerged as a priority area for resource mobilization.
All territories placed high priority on the integration and decentralization of HIV
care but sought assistance for reengineering institutions and processes at the
primary care level, supportive policy development, quality control and monitoring
and evaluation.
Preliminary FindingsPreliminary Findings
To provide creative and dynamic services to PANCAP to enhance the regional response to HIV and AIDS
Prevention strategies were pursued in many territories but gaps existed in the
capacity to evaluate the efficacy of approaches.
Improving access to and the use of available strategic information for multi-sectoral
programme planning.
Countries with higher level of in-country technical expertise sought to leverage
available skills by requesting in-country training and knowledge transfer rather
than the use of externally based consultants or one off regional workshops.
Key FindingsKey Findings
To provide creative and dynamic services to PANCAP to enhance the regional response to HIV and AIDS
ACTION REQUIREDACTION REQUIRED
The meeting is invited to:
Note the status of the National Strategic Planning
Processes and their level of alignment with the CRSF;
Advise on any specific measures that may be taken to
strengthen the nexus between national and regional
strategic planning and implementation processes.
To provide creative and dynamic services to PANCAP to enhance the regional response to HIV and AIDS
Thank youThank you
Questions?Questions?
