Haiti: Partnering to Expand HIV/AIDS Services

Burdened with the worst AIDS epidemic in the western hemisphere, severe poverty, and political upheaval, Haiti is trying to meet the urgent need for expanded HIV/AIDS services. Working with multiple donors committed to fighting HIV/AIDS in Haiti, MSH's USAID-funded Health Services (HS) 2004 Project is actively supporting the establishment and scaling up of HIV/AIDS services to a national level.

Providing over thirty local non-governmental organizations (NGOs) with both resources and technical assistance, MSH helps these groups to deliver a package of basic health services, improve access to those services, and to assure their quality. The project also works with the public sector at the central and departmental levels to establish core health centers that offer voluntary counseling and testing (VCT) and prevention of mother-to-child transmission (PMTCT) services, as well as tuberculosis control and maternal health promotion-all within a basic primary health care structure. MSH's USAID-funded Management and Leadership (M&L) Program is also helping Haiti's Ministry of Health to carry out a comprehensive human resource assessment that will better identify both capacities and requirements needed to expand access to anti-retrovirals country-wide. Complementing this work, MSH's USAID-funded Rational Pharmaceutical Management (RPM) Plus Project is working to improve systems and management of essential drug procurement, including anti-retrovirals.

Through strong collaboration and coordination between Haiti's government, multiple donors, international organizations, local stakeholders as well as various projects, Haiti's potential to expand services in the next two years is great. By modeling and building on its partnerships, the Haitian government demonstrates a solid approach to scaling up HIV/AIDS services and also highlights why such a complementary approach is crucial-to ensure Haitians in need receive the high-quality care they deserve.

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