the project at a glance overview, status, challenges & next steps
DESCRIPTION
A PANCAP/GIZ/EPOS Project. Improving access to HIV services for migrants in the Caribbean. THE PROJECT AT A GLANCE OVERVIEW, STATUS, CHALLENGES & NEXT STEPS. PROJECT OVERVIEW. A Project Embedded at CARICOM/PANCAP. The response. The PANCAP/GIZ/EPOS project Duration 30 Months - PowerPoint PPT PresentationTRANSCRIPT
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THE PROJECT AT A GLANCEOVERVIEW, STATUS, CHALLENGES & NEXT STEPS
A PANCAP/GIZ/EPOS Project
Improving access to HIV services for migrants in the Caribbean
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PROJECT OVERVIEW
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A Project Embedded at CARICOM/PANCAP
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The PANCAP/GIZ/EPOS project
Duration 30 Months
3 phases 1- Inception, 2- Analytical, 3- implementation
Countries 5
Interrelated components 4
The response
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The PANCAP/GIZ/EPOS project
Duration 30 Months
3 phases 1- Inception, 2- Analytical, 3- implementation
Countries 5
Interrelated components 4
The response
![Page 6: THE PROJECT AT A GLANCE OVERVIEW, STATUS, CHALLENGES & NEXT STEPS](https://reader036.vdocument.in/reader036/viewer/2022062322/56814cfb550346895dba12f9/html5/thumbnails/6.jpg)
The PANCAP/GIZ/EPOS project
Duration 30 Months
Countries 5
Interrelated components 4
The response
![Page 7: THE PROJECT AT A GLANCE OVERVIEW, STATUS, CHALLENGES & NEXT STEPS](https://reader036.vdocument.in/reader036/viewer/2022062322/56814cfb550346895dba12f9/html5/thumbnails/7.jpg)
The PANCAP/GIZ/EPOS project
Duration 30 Months
Countries 5
Interrelated components 4
The response
![Page 8: THE PROJECT AT A GLANCE OVERVIEW, STATUS, CHALLENGES & NEXT STEPS](https://reader036.vdocument.in/reader036/viewer/2022062322/56814cfb550346895dba12f9/html5/thumbnails/8.jpg)
The PANCAP/GIZ/EPOS project
Duration 30 Months
Countries 5
Interrelated components 4
The response
![Page 9: THE PROJECT AT A GLANCE OVERVIEW, STATUS, CHALLENGES & NEXT STEPS](https://reader036.vdocument.in/reader036/viewer/2022062322/56814cfb550346895dba12f9/html5/thumbnails/9.jpg)
The PANCAP/GIZ/EPOS project
Duration 30 Months
Countries 5
Interrelated components 4
The response
![Page 10: THE PROJECT AT A GLANCE OVERVIEW, STATUS, CHALLENGES & NEXT STEPS](https://reader036.vdocument.in/reader036/viewer/2022062322/56814cfb550346895dba12f9/html5/thumbnails/10.jpg)
The PANCAP/GIZ/EPOS project
Duration 30 Months
Countries 5
Interrelated components 4
3 phases 1- Inception, 2- Analytical
3- implementation
The response
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Result chain objectives
Overall objectiveDecrease transmission of HIV/AIDS in the Caribbean
Phase objectiveCreation of an environment facilitating access to HIV services for migrant populations
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Result chain objectives
Overall objectiveDecrease transmission of HIV/AIDS in the Caribbean
Phase objectiveCreation of an environment facilitating access to HIV services for migrant populations
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“Bottom Up” approachmeets “Top Down” approach
This project tackles key issues from Top & from bottom
•Development of regional policies •promotion of local grass root organizations•Support local HIV-service provision
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This project tackles key issues from Top & from bottom
•Development of regional policies •promotion of local grass root organizations•Support local HIV-service provision
“Bottom Up” approachmeets “Top Down” approach
![Page 15: THE PROJECT AT A GLANCE OVERVIEW, STATUS, CHALLENGES & NEXT STEPS](https://reader036.vdocument.in/reader036/viewer/2022062322/56814cfb550346895dba12f9/html5/thumbnails/15.jpg)
This project tackles key issues
From Top , support development of • Regional policies • Health financing mechanisms
From bottom,• Promotion of local grass root organizations• Support local HIV-service provision
“Bottom Up” approachmeets “Top Down” approach
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This project tackles key issues
From Top , support development of • Regional policies • Health financing mechanisms
From bottom• Promotion of local grass root organizations• Support of local HIV-service provision
“Bottom Up” approachmeets “Top Down” approach
![Page 17: THE PROJECT AT A GLANCE OVERVIEW, STATUS, CHALLENGES & NEXT STEPS](https://reader036.vdocument.in/reader036/viewer/2022062322/56814cfb550346895dba12f9/html5/thumbnails/17.jpg)
Reaching the target: Improving Access of Migrant Populations to HIV Services
Reaching the target: Improving Access of Migrant Populations to HIV Services
4 Components to reach the target Improving Access of Migrant Populations to HIV Services
4 Components to reach the target Improving Access of Migrant Populations to HIV Services
1- Building
Regional & National Policy
and legal Frameworks
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1- Building
Regional & National Policy
and legal Frameworks
Reaching the target: Improving Access of Migrant Populations to HIV Services
Reaching the target: Improving Access of Migrant Populations to HIV Services
4 Components to reach the target Improving Access of Migrant Populations to HIV Services
4 Components to reach the target Improving Access of Migrant Populations to HIV Services
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2- IntroducingInnovativeFinancing
Instruments
1- Building Regional &
National Policy Frameworks
Reaching the target: Improving Access of Migrant Populations to HIV Services
Reaching the target: Improving Access of Migrant Populations to HIV Services
4 Components to reach the target Improving Access of Migrant Populations to HIV Services
4 Components to reach the target Improving Access of Migrant Populations to HIV Services
1- Building
Regional & National Policy
and legal Frameworks
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2- IntroducingInnovativeFinancing
Instruments1- Building Regional &
National Policy Frameworks
Reaching the target: Improving Access of Migrant Populations to HIV Services
Reaching the target: Improving Access of Migrant Populations to HIV Services
4 Components to reach the target Improving Access of Migrant Populations to HIV Services
4 Components to reach the target Improving Access of Migrant Populations to HIV Services
1- Building
Regional & National Policy
and legal Frameworks
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2- IntroducingInnovativeFinancing
Instruments
3- Strengthening
CommunityAdvocacy Networks
1- Building Regional &
National Policy Frameworks
Reaching the target: Improving Access of Migrant Populations to HIV Services
Reaching the target: Improving Access of Migrant Populations to HIV Services
4 Components to reach the target Improving Access of Migrant Populations to HIV Services
4 Components to reach the target Improving Access of Migrant Populations to HIV Services
1- Building
Regional & National Policy
and legal Frameworks
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2- IntroducingInnovativeFinancing
Instruments 3- Strengthening
CommunityAdvocacy Networks
1- Building Regional &
National Policy Frameworks
Reaching the target: Improving Access of Migrant Populations to HIV Services
Reaching the target: Improving Access of Migrant Populations to HIV Services
4 Components to reach the target Improving Access of Migrant Populations to HIV Services
4 Components to reach the target Improving Access of Migrant Populations to HIV Services
1- Building
Regional & National Policy
and legal Frameworks
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2- IntroducingInnovativeFinancing
Instruments 3- Strengthening
CommunityAdvocacy Networks
4- EnhancingAccess to
Quality HIV Services
1- Building Regional &
National Policy Frameworks
Reaching the target: Improving Access of Migrant Populations to HIV Services
Reaching the target: Improving Access of Migrant Populations to HIV Services
4 Components to reach the target Improving Access of Migrant Populations to HIV Services
4 Components to reach the target Improving Access of Migrant Populations to HIV Services
1- Building
Regional & National Policy
and legal Frameworks
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2- IntroducingInnovativeFinancing
Instruments 3- Strengthening
CommunityAdvocacy Networks
4- EnhancingAccess toAdapted Services
1- Building Regional &
National Policy Frameworks
Reaching the target: Improving Access of Migrant Populations to HIV Services
Reaching the target: Improving Access of Migrant Populations to HIV Services
4 Components to reach the target Improving Access of Migrant Populations to HIV Services
4 Components to reach the target Improving Access of Migrant Populations to HIV Services
1- Building
Regional & National Policy
and legal Frameworks
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Component 1 Legal &
Policy
Component 1 Legal &
Policy
Comp 1-Legal
& Policy
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Component 1 Legal &
Policy
Component 1 Legal &
Policy
Comp 1-Legal
& Policy
Comp 2-Health
Financing
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Component 1 Legal &
Policy
Component 1 Legal &
Policy
Comp 1-Legal
& Policy
Comp 2-Health
Financing
Comp 3-Communityimpowerment
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Component 1 Legal &
Policy
Component 1 Legal &
Policy
Comp 1-Legal
& Policy
Comp 2-Health
Financing
Comp 3-Communityimpowerment
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Component 1 Legal &
Policy
Component 1 Legal &
Policy
Comp 1-Legal
& Policy
Comp 2-Health
Financing
Comp 3-Communityimpowerment
Comp 4-HIV Services Adapted to
migrant needs
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Component 1 Legal &
Policy
Component 1 Legal &
Policy
Comp 1-Legal
& Policy
Comp 2-Health
Financing
Comp 3-Communityimpowerment
Comp 4-HIV Services Adapted to
migrant needs
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Key deliverables
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Key Deliverables
1. Development of policy and legal framework in selected countries
1- Building Regional &
National Policy/legal Frameworks
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Key Deliverables
1.Piloting of innovative health financing mechanisms in selected countries
2-IntroducingInnovativeFinancing
mechanisms
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Key Deliverables
1.Empowerment and Capacity building of organisations dealing with most at risk migrants
3- Strengthening
Advocacy Networks
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Key Deliverables
1. Adaptation of HIV prevention, treatment & care services to migrant needs.
2. Reduction of stigma & Discrimination of most at risk migrants.
4- Enhancing
Access and Quality of HIV
Services
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INDICATORS
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INDICATORS per component
1- Nb of countries which have developed national guidelines and regulations
2- Nb of countries which have started the implementation of financing instruments
3- Nb of regional and national bodies which represent the migrant population
4- Nb of health facilities offering targeted HIV-services for migrants
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INDICATORS per component
1- Nb of countries which have developed national guidelines and regulations
2- Nb of countries which have started the implementation of financing instruments
3- Nb of regional and national bodies which represent the migrant population
4- Nb of health facilities offering targeted HIV-services for migrants
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INDICATORS per component
1- Nb of countries which have developed national guidelines and regulations
2- Nb of countries which have started the implementation of financing instruments
3- Nb of regional and national bodies which represent the migrant population
4- Nb of health facilities offering targeted HIV-services for migrants
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INDICATORS per component
1- Nb of countries which have developed national guidelines and regulations
2- Nb of countries which have started the implementation of financing instruments
3- Nb of regional and national bodies which represent the migrant population
4- Nb of health facilities offering targeted HIV-services for migrants
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country Preselection
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Selection Criteria
Magnitude of migration
Countries where access to services is a challenge
Where improving access to services is a priority
Interest & willingness of the country to participate
The project is piloted in 5 countriesThe project is piloted in 5 countries
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FINALCountry Selection
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PROJECTACCOMPLISHMENTS
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1. Country preselection
2. Visit preselected countries to present the project and invite countries to consider their participation in the project
3. Launch short terms consultancies for each component at country and regional level
4. Inception Workshop in early December 5. Final countries selection6. Establishment of the governance structure of the project.
• A Focal point and a TWG designated in each country • A RAG constiyuated to advise the decision makers board
Steps already accomplished by the project
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1. Country preselection
2. Visits in preselected countries to present the project and invite countries to consider their participation in the project
3. Launch short term consultancies for component 1, 3 & 4 at regional level reports available & currently for Comp 2
4. Inception Workshop in early December 5. Final countries selection6. Establishment of the governance structure of the project.
• A Focal point and a TWG designated in each country • A RAG constiyuated to advise the decision makers board
Steps already accomplished by the project
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1. Country preselection
2. Visits in preselected countries to present the project and invite countries to consider their participation in the project
3. Launch short terms consultancies for each component at country and regional level
4. Inception Workshop in early December 5. Final countries selection6. Establishment of the governance structure of the project.
• A Focal point and a TWG designated in each country • A RAG constiyuated to advise the decision makers board
Steps already accomplished by the project
![Page 63: THE PROJECT AT A GLANCE OVERVIEW, STATUS, CHALLENGES & NEXT STEPS](https://reader036.vdocument.in/reader036/viewer/2022062322/56814cfb550346895dba12f9/html5/thumbnails/63.jpg)
1. Country preselection
2. Visits in preselected countries to present the project and invite countries to consider their participation in the project
3. Launch short terms consultancies for each component at country and regional level
4. Inception Workshop in early December 5. Final countries selection6. Establishment of the governance structure of the project.
• A Focal point and a TWG designated in each country • A RAG constiyuated to advise the decision makers board
Steps already accomplished by the project
![Page 64: THE PROJECT AT A GLANCE OVERVIEW, STATUS, CHALLENGES & NEXT STEPS](https://reader036.vdocument.in/reader036/viewer/2022062322/56814cfb550346895dba12f9/html5/thumbnails/64.jpg)
1. Country preselection
2. Visits in preselected countries to present the project and invite countries to consider their participation in the project
3. Launch short terms consultancies for each component at country and regional level
4. Inception Workshop in early December 5. 5 countries selected6. Establishment of the governance structure of the project.
• A Focal point and a TWG designated in each country • A RAG constituted to advise the decision makers
Steps already accomplished by the project
![Page 65: THE PROJECT AT A GLANCE OVERVIEW, STATUS, CHALLENGES & NEXT STEPS](https://reader036.vdocument.in/reader036/viewer/2022062322/56814cfb550346895dba12f9/html5/thumbnails/65.jpg)
1. Country preselection
2. Visits in preselected countries to present the project and invite countries to consider their participation in the project
3. Launch short terms consultancies for each component at country and regional level
4. Inception Workshop in early December 5. 5 countries selected6. Establishment of the governance structure of the project. 7. Establishment of Partnerships
Steps already accomplished by the project
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1. Country preselection
2. Visits in preselected countries to present the project and invite countries to consider their participation in the project
3. Launch short terms consultancies for each component at country and regional level
4. Inception Workshop in early December 5. 5 countries selected6. Establishment of the governance structure of the project. 7. Establishment of Partnerships 8. Country visit for planning activities
Steps already accomplished by the project
![Page 67: THE PROJECT AT A GLANCE OVERVIEW, STATUS, CHALLENGES & NEXT STEPS](https://reader036.vdocument.in/reader036/viewer/2022062322/56814cfb550346895dba12f9/html5/thumbnails/67.jpg)
1. Country preselection
2. Visits in preselected countries to present the project and invite countries to consider their participation in the project
3. Launch short terms consultancies for each component at country and regional level
4. Inception Workshop in early December 5. 5 countries selected6. Establishment of the governance structure of the project. 7. Establishment of Partnerships 8. Country visit for planning activities9. Establishment of the broad work plan 2011-2012
Steps already accomplished by the project
![Page 68: THE PROJECT AT A GLANCE OVERVIEW, STATUS, CHALLENGES & NEXT STEPS](https://reader036.vdocument.in/reader036/viewer/2022062322/56814cfb550346895dba12f9/html5/thumbnails/68.jpg)
1. Country preselection
2. Visits in preselected countries to present the project and invite countries to consider their participation in the project
3. Launch short terms consultancies for each component at country and regional level
4. Inception Workshop in early December 5. 5 countries selected6. Establishment of the governance structure of the project. 7. Establishment of Partnerships 8. Country visit for planning activities9. Establishment of the broad work plan10. Presentation of the project to the COHSOD
Steps already accomplished by the project
![Page 69: THE PROJECT AT A GLANCE OVERVIEW, STATUS, CHALLENGES & NEXT STEPS](https://reader036.vdocument.in/reader036/viewer/2022062322/56814cfb550346895dba12f9/html5/thumbnails/69.jpg)
1. Country preselection
2. Visits in preselected countries to present the project and invite countries to consider their participation in the project
3. Launch short terms consultancies for each component at country and regional level
4. Inception Workshop in early December 5. 5 countries selected6. Establishment of the governance structure of the project. 7. Establishment of Partnerships 8. Country visit for planning activities9. Establishment of the broad work plan10. Presentation of the project to the COHSOD11. Creation of 3 regional groups of experts for comp 1, 2, 3 & 4
Steps already accomplished by the project
![Page 70: THE PROJECT AT A GLANCE OVERVIEW, STATUS, CHALLENGES & NEXT STEPS](https://reader036.vdocument.in/reader036/viewer/2022062322/56814cfb550346895dba12f9/html5/thumbnails/70.jpg)
1. Country preselection
2. Visits in preselected countries to present the project and invite countries to consider their participation in the project
3. Launch short terms consultancies for each component at country and regional level
4. Inception Workshop in early December 5. 5 countries selected6. Establishment of the governance structure of the project. 7. Establishment of Partnerships 8. Country visit for planning activities9. Establishment of the broad work plan10. Presentation of the project to the COHSOD11. Creation of two groups of experts for comp 1 & 212. Launch consultations at country level for all components
Steps already accomplished by the project
![Page 71: THE PROJECT AT A GLANCE OVERVIEW, STATUS, CHALLENGES & NEXT STEPS](https://reader036.vdocument.in/reader036/viewer/2022062322/56814cfb550346895dba12f9/html5/thumbnails/71.jpg)
1. Country preselection
2. Visits in preselected countries to present the project and invite countries to consider their participation in the project
3. Launch short terms consultancies for each component at country and regional level
4. Inception Workshop in early December 5. 5 countries selected6. Establishment of the governance structure of the project. 7. Establishment of Partnerships 8. Country visit for planning activities9. Establishment of the broad work plan10. Presentation of the project to the COHSOD11. Creation of two groups of experts for comp 1 & 212. Launch consultations at country level for all components13. 1st meetings of the regional groups of experts
Steps already accomplished by the project
![Page 72: THE PROJECT AT A GLANCE OVERVIEW, STATUS, CHALLENGES & NEXT STEPS](https://reader036.vdocument.in/reader036/viewer/2022062322/56814cfb550346895dba12f9/html5/thumbnails/72.jpg)
Main Challenges
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We have only 2.5 years To develop this
• multi country, • multi stakeholder, • multi-sectoral programReach ambitious indicators
• Support paradigm shifting, as:– Change the way of thinking of societies that often stigmatizing and discriminating against migrants, PLWHA, CSW, MSM…– Change stigmatizing behaviors of health care providers– Get political commitment on very sensitive/political questions– Change and develop policies and legal frames in this quite reluctant environment
• Implement health insurance or social security mechanisms• Empower grass root organizations who want to remain underground • Improve services
– without specific resources from the project– with consequent counterparts from countries and other organizations
Our main challenges
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We have only 2 year• To reach ambitious indicators • Support paradigm shifting, as:
– Change the way of thinking of societies that often stigmatizing and discriminating against migrants, PLWHA, CSW, MSM…
– Change stigmatizing behaviors of health care providers– remain underground
• Improve services – without specific resources from the project– with consequent counterparts from countries and other
organizations
Our main challenges
![Page 75: THE PROJECT AT A GLANCE OVERVIEW, STATUS, CHALLENGES & NEXT STEPS](https://reader036.vdocument.in/reader036/viewer/2022062322/56814cfb550346895dba12f9/html5/thumbnails/75.jpg)
To support paradigm shifting & accompanying the change: In the way of thinking of societies that often stigmatize and
discriminate migrants, PLWHA, SW, MSM… To prevent stigmatizing behaviors of health care providers For getting political commitment on very politically sensitive
questions In developing policies and legal frames in this quite reluctant
environment
Our main challenges
![Page 76: THE PROJECT AT A GLANCE OVERVIEW, STATUS, CHALLENGES & NEXT STEPS](https://reader036.vdocument.in/reader036/viewer/2022062322/56814cfb550346895dba12f9/html5/thumbnails/76.jpg)
We have only 2 yearsSupport the Piloting of
• Health Insurance, • Social security systems • New taxes• Or other type of mechanisms – without specific resources from the project– with consequent counterparts from countries and other
organizations
Our main challenges
![Page 77: THE PROJECT AT A GLANCE OVERVIEW, STATUS, CHALLENGES & NEXT STEPS](https://reader036.vdocument.in/reader036/viewer/2022062322/56814cfb550346895dba12f9/html5/thumbnails/77.jpg)
We have only 2 years
Empower grass root organizations • who want to remain underground
Our main challenges
![Page 78: THE PROJECT AT A GLANCE OVERVIEW, STATUS, CHALLENGES & NEXT STEPS](https://reader036.vdocument.in/reader036/viewer/2022062322/56814cfb550346895dba12f9/html5/thumbnails/78.jpg)
Main Next Steps
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1. Finalize the situation analysis on the legal environment in each country by national consultants
2. Development of National policy & legal framework
3. Development of a regional policy model & a legal framework from the country experiences
Component 1
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1. Finalize feasibility study on the selected financial mechanisms & instruments in each country before piloting
2. Piloting of the selected health financing mechanisms
3. Evaluate this innovate approach
Component 2
![Page 81: THE PROJECT AT A GLANCE OVERVIEW, STATUS, CHALLENGES & NEXT STEPS](https://reader036.vdocument.in/reader036/viewer/2022062322/56814cfb550346895dba12f9/html5/thumbnails/81.jpg)
1.Multilevel Mapping at micro level (Migrants, organization dealing with migrants and Services used by migrants)
2.Consultancy to propose best ways to make services “migrant friendly”
3.Health sector HR training need assessment
Component 3 & 4
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Impr
ovin
g ac
cess
to in the Caribbean
HIV services for migrants