Matthew Brown

“ Financing HAS/community health program, USAID through HS-2004 supports services to a population of nearly
150,000. HAS community health program boasts a fully immunized rate of 82% for children under 1 (compared
with the national average 34%) , a rate of 76% for 3 or more prenatal visits, and 83% of all births are attended by a
trained medical medical (sic) professional (compared with the national average 80% of home-based delivery by TBA) .
With UNICEF’s support, HAS has just started PMTC activities ”

“ The last seven medical centers began their ARV program very recently.
With technical assistance and training, what would be a reasonable number of hospitals that could support an
ARV program in the first 1-2 years of an expanded program?
USAID and CDC-GAP is currently working with GHESKIO and the MOH to put in place 27 (public and
private) VCT centers throughout Haiti. There has been a large demand from other medical centers
to become part of the national VCT program. Many of these centers will become part of the national plan in
the next year. ”

“ MARCH just an application to obtain support from USAID
and CDC to start PMTCT activities in its populations.
PIH/ZL
Partners in Health (PIH) is a non profit organization affiliated with Harvard Medical School. PIH and Zanmi
lasante (ZL) , its Haitian partner organization, have been working in Haiti’s Central Plateau area for over 15 years.
By 1998, PIH had begun the "HIV Equity Initiative" to develop a truly comprehensive AIDS program. ”

“ In addition to research, GHESKIO delivers health and social services to over 7,000 new clients annually.
Services include: testing, treatment, counseling and prevention education for HIV, STIs, TB, diarrheal disease and
since 3 years PMTCT care. GHESKIO has been chosen by the MOH as one of the three sites for the PMTCT pilot
project in Haiti. With USAID and CDC support GHESKIO is now the training center for the PMTCT expansion
in Haiti. USAID has supported GHESKIO since 1983.
end page 10 of original document
3. ”

“ In 2001, the Ministry of Health
agreed to accept nevirapine as analternative for women who enrolled in the program late in pregnancy.
Is there a target goal or recognizedneed for new or updated PMTCT guidelines? If yes, explain: Haiti needs to
add nevirapine to the ARV choices – In addition, debates on newborn feeding (breastfeeding vs. infant
formula) need to be resolved. Finally, there needs to be a consensus ondelivery modes (normal or C
section) .
end page 5 of original document
PMTCT Policy or Guidelines problem areas. ”

“ Hospital operations are financially supported by private donations made through the Grant Foundation. HAS also
attracts funding from numerous private foundations including 2.5 million from the William Gates Foundation. ”

“ Others: dissemination of lessons learned and best practices,Inter Caribbean liaison, Drugs forSTI, OI
and MDRTB.
end page 6 of original document
National PMTCT plan
Is there a national PMTCT plan (for implementation, expansion,scale-up) ?
Yes ______ No ____X___
A PMTCT national plan is beingelaborated and will be ready by March 31, 2003
If yes, briefly describe:
ii. What are the target goals, timeline,and steps for scale-up to a national program?
There was a pilot project targeting 400 HIV+ pregnant women. ”