Post on 24-Jul-2020
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Global Fund Round 9 Grant
HIV and HSS
UNDP-Belize
14 June, 2011
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“Accelerating the Pace: Reaching Marginalized
and Vulnerable Populations with Critical Services”
Factsheet:
Project approved in Round 9 of GFATM approvals
Total value: 6,035,735 USD
Total duration 5 years, divided into two phases
Phase 1: 1 Jan. 2011 – 31 Dec. 2012 (Y1-Y2)
Phase 2: 1 Jan. 2012 – 31 Dec. 2015 (Y3-Y5)
Phase 1 budget: 3,178,720 USD
Phase 2 budget: 2,857,015 USD
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HIV/AIDS Globally
o COMBAT HIV/AIDS, MALARIA AND OTHER DISEASES – MDG 6
o The global AIDS epidemic
o Since the beginning of the epidemic, aprox. 60 million people infected with HIV and
25 million people died of HIV-related causes.
o In 2008, some 33.4 million [31.1 million-35.8 million] people living with HIV, 2.7 million
[2.4 million-3.0 million] new infections and 2 million [1.7 million-2.4 million] AIDS-
related deaths.
o In 2008, around 430 000 [240 000-610 000] children born with HIV, bringing to 2.1
million [1.2 million-2.9 million] the total number of children under 15 living with HIV.
o Young people account for around 40% of all new adult (15+) HIV infections
worldwide.
o Sub-Saharan Africa is the region most affected and is home to 67% of all people
living with HIV worldwide and 91% of all new infections among children.
o In sub-Saharan Africa the epidemic has orphaned more than 14 million children.
The Belize scenario:
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Total Expenditure: BZ$ 4,925
US$ 2,463
Per capita: BZ$ 15.30
US$ 7.65
Total exp. in Prevention: BZ$ 1,280
US$ 640
Per capita in prevention: BZ$ 3.98
US$ 1.99
Source: NASA Report, 2008/2009
The Belize scenario:
The Belize Scenario:
MDG 6 -COMBAT HIV/AIDS, MALARIA AND OTHER DISEASES
The Belize scenario: (MoH- 2010 National TB, HIV &
other STIs Annual Report):
•2010: 244 new infections, 81 confirmed AIDS cases,
106 associated deaths.
•1,053 persons on ARV therapy
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The Belize Scenario: 2010
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The Belize Scenario: 2010
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The Goal: Halt the Spread of HIV with a specific
emphasis on young people in Belize
Objective 1: To reduce the sexual transmission of HIV among
Most at Risk Populations (MARPs: young people, MSM, FSW)
Objective 2: To improve the quality of life of PWH and children
infected and affected by HIV and AIDS in Belize and Stann Creek
Districts
Objective 3: To improve the coverage and quality of the
continuum of care for HIV infected and affected populations
Objective 4: Management, Capacity building, Data Collection and
Management
Objective 5: Health System Strengthening: to support the Belize
Health Information System (BHIS) , Central Medical Laboratory
(CML) and Central Medical Store (CMS) from the MOH.
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Partners in Round 9 implementation
Government: MOH, (NAP, CML, CMS, BHIS), MHD, MOEY (QADS, YFF)
NGOs: BFLA, BRC, PASMO/PSI, Hand in Hand Ministries, POWA
Others:
Country Coordinating Mechanism
NAC
UN Agencies: UNFPA, UNICEF, PAHO/WHO, UNAIDS
Peace Corps
PriceWaterHouse Coopers – Local Fund Agent
Regional cooperation (CDB, CARICOM, PANCAP, COMISCA, CDC, PEPFAR, PASCA)
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Objective 1: Young people and MARPs
Objective 1: To reduce the sexual transmission of HIV among Most at Risk
Populations (MARPs: young people, MSM, FSW)
BCC through Mass Media: Focused on young people in school 12-17 years, and Safer
sexual practices and partner reduction among out of school youth 15-24 years.
BCC through Community Outreach and Schools: Focused on Adolescents in secondary
school 13-17years; Out of school Youth 15-24 years and MSM and FSW in Belize and Stann
Creek Districts.
Condom Distribution: for MARPS in Belize and Stann Creek. (1,169,000 male condoms
between Y1-Y3).
Testing and Counseling: Training in PITC for 2,400 staff in primary care facilities, equipment,
mobile testing van and development and dissemination of awareness messages on testing.
Facility based diagnosis and treatment of STIs for MSM and FSW : An MOU with a local
NGO providing STI services, Outreach and referral to 1875 FSW and MSM and 3763 STI
screening and treatment for 1881 FSW and MSM.
Supportive Environment: Reduce Stigma in all settings: “Know your rights/laws campaign”
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Objective 2: Care and support to PWH and OVCs
Objective 2: To improve the quality of life of PWH and children infected
and affected by HIV and AIDS in Belize and Stann Creek Districts
Care and Support for the chronically ill: One psychosocial coordinator,
Training & Psychosocial support to 3,600 PWHIV with links to other support
services, 180 social workers trained.
Care and Support: Support for orphans and vulnerable children (OVCs):
Services and cash transfers to 500 OVC; Community care point for OVC in
Dangriga Town.
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Objective 3: Improved Treatment to PWHIV
Objective 3. To improve the coverage and quality of the
continuum of care for HIV infected and affected populations
Treatment: ARV treatment and monitoring; ARV for 200
additional PWH in years 1 and 2; 600 and 750 viral load
tests for PWHIV in years 1 and 2; and 2 adherence counselors
in Belize and Stann Creek Districts.
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Objective 4: Capacity Building and Research
Objective 4: Management, Capacity building, Data Collection and
Management
Capacity Development: Technical, Operational Skills and Capacities: PR
and SR’s;
Data collection and Management Capacity: Epidemiological research and
surveillance (MICS4-UNICEF, CDC-UV Guatemala, 2011)
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Objective 5: Health System Strengthening
Belize Health Information System (BHIS): A National virtual
health system data network operational, national data
depository and database systems developed and functional.
CML: Procure & install equipment for CML and two Regional
Labs (Belmopan and Stan Creek); recruitment of lab
technicians to improve the quality of health services.
CMS: Procurement and Supplies Management (PSM)
strengthening, improvement of the CMS conditions, Recruit
Pharmacist for CMS and regional health facilities, training on
drug quantification and use of SOPs.
Figure 1: GF-Round 9 Grant: Budget Breakdown by Program activity (US$)
Obj. 1 Prevention: US$ 684,448
Obj. 2: Care & Support: US$ 276,303
Obj. 3: Treatment US$293,866
Obj. 4: Cap. Building US$211,432
Obj. 5: HSS US$1,015,521
Obj. 6: Prog Mngt. & Admin US$697,151
Obj. 1: Prevention (US$ 684,448) 22%
Obj. 2: Care & Support (US$276,303) 9%
Obj. 3: Treatment (US$ 293,866) 9%
Obj. 4: Cap. Building (US$ 211,432) 7%
Obj. 5: HSS (US$1,015,521) 32%
Obj. 6: Prog. Mngt. & Admin. (US$ 697,151) 22%
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Figure 2: GF-Round 9 Grant: Budget Breakdown by Implementing Entity
MOEY-US$246,085
BRC-US$63,000
PASMO/PSI-US$101,289
BFLA-US$43,410
MOH-US$ 1,449,120
MHD-US$276,253
UNDP-US$999,564
MOEY (8%-US$246,085)
BRC (2%-US$63,000)
PASMO/PSI (3%-US$ 101,289)
BFLA (1%-US$43,410)
MOH (46%-US$1,449,120)
MHD (9%-US$276,253)
UNDP (31%-US$999,564)
Sub-recipients:
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