CHART Regional Coordinating Unit

2006: The Year in Review

Three goals (targets)

1. Achieving sustainability 2. Enhancing capacity 3. Recruiting skilled persons / assuring

transfer of skills to a larger pool of persons

Activities

CHART Network CHART Network Governance activatedGovernance activated

Strategic Plan developedStrategic Plan developed M & E strengthened* National Training Centres

supported* Provision of funds through

PANCAP Global Fund Field Visits

Selected training events supported

Negotiating for establishment of new National Training Centres*

Study Tour of Southern Africa

Strengthening links with partner agencies*

Participated in XVI International AIDS

Conference, Toronto, Canada

Retreat with I-TECH staff

* = On-going

= 1.

= 2.

= 3.

Achieving sustainability

Towards sustainability: Governance

Executive Council Inaugural meeting: June 6, 2006 Kingston,

Jamaica Second meeting: September 30, 2006, Nassau,

Bahamas Third meeting: February 1, 2007, Port-of-Spain,

Trinidad & Tobago Advisory Board

First meeting: February 1, 2007, Port-of-Spain, Trinidad & Tobago

Towards sustainability: Governance Structure

ADVISORY BOARD

CHART EXECUTIVE

COUNCIL

PANCAP TWG (care, Rx

& support)

PANCAPBOARD

Towards sustainability: Operational procedures

Bye-laws established, ratified and in operation

Terms of reference, roles and responsibilities established for Executive Committee and Advisory Board

Establishment Memoranda of Understanding Criteria for establishment of new CHART

centres drafted

Achieving sustainability: Strategic Planning

An overview of the CHART Network Strategic Plan 2007-2011 will be presented separately

Enhancing capacity and transferring skills

Additional staffing at the RCU

Programme Management Advisor - Jan 06 Executive Assistant - April 06 Information and Communications Officer -

June 06

Transfer of Skills and Responsibility

VCT Instructional Design Workshop, Kingston, Jamaica, 2-6 October 2006 Overall goal: to develop the draft of a training manual

that would help to improve and maintain an optimum quality of VCT services in the Caribbean.

Method: Participatory learning Training conducted by six Master Trainers from the

region, who had been previously trained by JHPIEGO

Significant Developments

Caribbean Partnership for Nurses in HIV&AIDS Care (CHART/I-TECH/CNO) Meeting of Caribbean Nurses, January 2006, Barbados Second Meeting, June 2006, Jamaica Third Meeting, September 2006, Dominica Fourth Meeting, January 2007, Trinidad Nursing Training of Trainers on Mentoring, Las Vegas,

Nevada (USA), 31 October – 2 November 2006

Significant Developments

HIV Training for Dental Practitioners Workshops: Suriname, Guyana, St. Lucia Publication of handbook, HIV/AIDS in Dental

Practice, edited by Prof. S. Prabhu (Book launch in JA September 2006)

Imminent adaptation of this handbook for use by dental practitioners in India

Significant Developments

HIV Training for Caribbean Pharmacists The Caribbean Association of Pharmacists (CAP)

Declared its commitment to improving Pharmaceutical care of persons living with HIV

Formed a working alliance with the CHART RCU The RCU supported participation of pharmacists in

regional meetings organized by CAP at which HIV training was done Rational procurement, Jamaica, March 200 Meetings held in St Kitts and Jamaica

Significant Developments

CHART/CDC GAP/I-TECH Caribbean Training Integration Workshop, Barbados, November 2006

Focus on developing/clarifying/producing national training plans

33 participants from 15 Caribbean countries; including CHART National Training Coordinators; OECS Training Coordinator; staff from Belize, Guyana, Haiti MoH, Trinidad & Tobago

Caribbean Trainers

Type Number

Qualified Clinical Trainer 29

Qualified Advanced Trainer 9

Counseling Trainer 36

Clinical Trainer 41

Classroom Trainer 13

TOTAL 128

The CHART/I-TECH Link

Continued to be the main channel for financing the units of the CHART Network (except Haitian Centres)

Sponsored CHART Staff to I-TECH International Conference on Mentorship

Contributed to the CHART Study Tour of Southern Africa (with Merck, Inc., Global Fund and UN PAF)

Gave scholarships to 15 Caribbean nationals to attend Principles of STI Research course at UW

I-TECHI-TECH

The CHART/I-TECH Link

Provided technical assistance in the following areas: Organizational development Strategic planning Curriculum and materials development (Training Tools) Updating of Caribbean Clinical Care Guidelines Monitoring and Evaluation Training in PMTCT, STI treatment, use of ARVs Development of a Caribbean Nursing Initiative

I-TECHI-TECH

The CHART/I-TECH Link

Hosted separate retreats for NC and RCU Staff

Concluded support to the CHART Centres in Haiti, but strengthened support to some other aspects of the Haitian HIV programme

I-TECHI-TECH

The CHART RCU and the OECS

Between January and June 2006, the CHART RCU completed a contract with the Harvard Medical School Division of AIDS on behalf of the OECS HIV/AIDS Project Unit

(Before this, the arrangement was maintained on behalf of the Secretariat of the OECS Regional Coordinating Mechanism)

The CHART RCU and the OECS

Harvard Medical School Division of AIDS (subcontracted by the RCU); hired Dr Julianne Steel-Duncan (Paediatrician with

experience in HIV/AIDS clinical care) Ms. Linda Marc, Registered Nurse

These two field staff worked in 6 OECS Countries conducted training activities helped with preparation of HIV care guidelines

and protocols

HMSDAIDS in the OECS:Aug 2005 - June 2006

259 Individuals trained Range 2-103 per country

18 workshops/group trainings at work places 360 episodes of individual training

85 preceptorship-type 275 didactic sessions

HMSDAIDS in the OECS:Aug 2005 - June 2006

Guidelines and/or protocols developed/improved in 5 of 6 countries

Topics covered in training sessions: Antiretroviral management in adults and children Prevention and treatment of opportunistic

infections Post exposure prophylaxis Partner counselling and notification Adherence and stigma reduction training (pilot)

Negotiating for establishment of New CHART Centres

Trinidad & Tobago A series of meetings with key stakeholders

CHART / I-TECH / PAHO / MoH / RHAs / UWI

Dominican Republic Meetings with the leadership of COPRESIDA Correspondence with the leadership of

DIGECITSS

Links with regional agencies

PANCAP CCNAPC CRN+ CHRC PAHO and CAREC

Staff Movements

Sandra McKenzie Programme

Management Advisor

Maria Rankine Executive Assistant to

the Director

Lorraine Anglin Information and

Communications Officer

Hope Ramsay Assistant Lecturer, UWI

HARP and CHART Trainer

Barbara McGaw First Regional Training

Coordinator

Arriving Leaving

The Way Forward

Implement strategic plan 2007-2011 Develop and activate business plan and

communication plan Regularly use benchmarks and indicators in

assessing, and reporting on outputs and outcomes Harmonize activities and indicators Consolidate relationships with Caribbean and

International partners Evaluate inputs, process, outputs, outcomes and

impact

End of Presentation