BARBADOS COUNTRY PRESENTATION

ByMs. Wendy Sealy

3rd CHART Principals and Partners Meeting February 1-3,2007Trinidad & Tobago

STAFF

Dr. Nicholas Adomakoh, Medical Director/ Clinical Consultant, Ladymeade Reference Unit

Ms. Wendy Sealy, Training Coordinator

HIV/AIDS SITUATION IN BARBADOSCumulative total no. of HIV, AIDS cases and deaths

1984- Dec, 2005

Total no. of HIV positive cases 3110Total no. of AIDS cases 1931Total no. of deaths 1283

M:F – 1.13: 1Estimated prevalence 1.9

Statistical UpdateSummary of HIV and AIDS Cases and Deaths: 1984 -2003

0

50

100

150

200

250

1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003Year Diagnosed

Number of Cases

HIVAIDSDeaths

Scaling Up HIV/AIDS Treatment Care and Support Programme

PreventionCare and SupportTreatmentSurveillance/Research/Monitoring & EvaluationProgramme Management

People seeking orin need of services

“I need help to move on with my life”Psychosocial supportPersonal development

Centre, NGOs, Churches,

Welfare & Legal support

“I need treatment and care”

HIV/AIDS Specialist Medical

Care @ LRU

“I need care and help at home”

Domicilary/Community based

Care, Elroy Philips Centre.

“I need other medical services”

Surgical, Dental and Medical

Subspecialties

“I need help coping and changing to a healthier lifestyle”

Counseling/ Education.

“I need information and support”

HIV/AIDS Hotline436-2444 or 436-AIDS

“I need to know my HIV status”

Community Voluntary Counseling & Testing

Care seeking/Providing

Active referral

HIV/AIDS Continuum of Care and Support

TheLadymeadeReference Unit

Ladymeade Reference Unit 2006

Coverage>1000 clients followed up (Sept 06)/~2000 reported cases ~580 Clients on HAART (Sept 06)/ ~650 reported AIDS cases80% undetectable viral load

OutcomesNumber of admissions decreased by 42% from 316 overall admissions to 183.Total hospital days fell by 59.4% Rise in outpatient visits by 128%, from 4727 visits per year to 10,782.Overall reduction in deaths of clinic registered patients by approximately 56%

CHART Barbados Strategy & Project Objectives

To sustain the activities of the CHART Training Centre

To support the CHART vision and mission to expand the number of healthcare professionals educated and trained to deliver quality care, treatment and support services to clients

To develop an organizational infrastructure with the NTC network to assure effectiveness and long term sustainability of CHART

Training Priorities & Accomplishments 2006

TB Prevention & control guidelines Manual Development May –Dec. 2006

TB/HIV Training programme for health personnel including nurses, physicians & environmental health officers, May 2006

Clinical management of HIV training programmes for Pharmacists & Nurses in June & September 2006 respectively

Clinical Mentorship/Preceptorship programme for Nurses, Physicians & Pharmacists ( members of the Clinical Care Team) for Antigua, November 2006

Caribbean Partnership for Nurses in HIV & AIDS Care, Jan. 2006- Present

IMPACT OF TRAININGS: Immediate Impact

Anecdotal records: Oral & summary evaluations indicate that approximately 95% of participants benefit by gaining new knowledge

Follow up interviews with participants indicate application of knowledge & skills in about 75% of participants

Follow up interviews with trainers regarding observation of participants after trainings where possible, indicate marked improvement of confidence in applying knowledge acquired

Curricula content and delivery methods utilized interactive case based methods which allow participants to apply knowledge to real situations

Pre and post tests give immediate feedback of participants’ prior knowledge and acquired knowledge, showing improvement of 25% (from 70 % to 95%)

2007 Programmes & Initiatives

Initiated & Facilitated dev. Of CHART Barbados Strategic Framework & M& Plan, Jan. 8-12 2007

Consultation on Development of Draft Oral Health Policy for Barbados, Feb.5 2007

PMTCT Policy & Guidelines Stakeholder meeting, Feb. 28 2007

Launch of TB/HIV Manual & Training Update, March,25 2007

Introduction of Draft HIV Pre-service Nurse Curriculum to the Dept. Of Nursing, BCC, April 2007

Cont. Clinical Mentorship/Precptorship Programmes for Antigua & the OECS countries

Facilitate Scale up Clinical Management Trainings for the OECS countries

2007 Programmes & Initiatives cont’d

Coordinate Clinical management of HIV Training for Pharmacists, May, 2007

Coordinate Clinical Management of HIV training for Nurses, Sept.,2007

Cont. collaboration with the Caribbean partnership for HIV and AIDS Care

Coordinate Clinical Management of HIV training for Physicians, June 2007

2007 Programmes & Initiatives cont’d

Continue infrastructural development of the Training Centre

Collaborate with agencies to facilitate training activities for the implementation of the Integrated Approach Model of Care

Review of the CHART Barbados Strategic Framework for implementation.

OUTPUTS

Since Sept. 2003 : approximately 450 health care professionals trainedInstitutional strengthening of the project:

1. Development of infrastructure2. Sourcing of equipment & resources3. Contracts review4. Planning & budgeting5. Development of the CHART Barbados Strategic Plan Framework.

With major support from the MOH, Barbados CHART RCU & I-TECH

The Way ForwardCHART Barbados will seek to fulfill the vision and mission of the Regional Network within the context of country priorities identified

Provide training opportunities for health care professionals to enable access to standardized, current and relevant information to assist in building skills and knowledge base in the area of HIV and AIDS treatment, care and support.

Establishment of a dedicated CHART Barbados Office, Training room & Resource Centre.

THE END

TO BE CONTINUED………..