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Central American Regional

Activity Data Sheet

PROGRAM:  Central American Regional
TITLE AND NUMBER:  Enhanced Central American Capacity to Respond to HIV/AIDS Crisis - Phase II, 596-008
PLANNED FY 2001 OBLIGATION AND ACCOUNT:  $2,572,000 (CSD)
PROPOSED FY 2002 OBLIGATION AND ACCOUNT:  $3,700,000 (CSD)
STATUS: New
INITIAL OBLIGATION: FY 2001   ESTIMATED COMPLETION DATE: FY 2006

Summary: The current HIV/AIDS program has played a catalytic role in enhancing regional and national policy agendas, pursued the development of regional and national HIV/AIDS strategic plans, strengthened policy, advocacy and prevention networks as well as the national NGOs forming these networks. The strategy recognizes that the regional program's country-specific policy and strengthening activities need to transition toward networking and information dissemination where there is a clear value added from the regional program. The strategy expects an increasing involvement by bilateral HIV/AIDS programs in these national policy and prevention activities. The regional CSM program will continue its focus on correct and consistent condom use in high-risk populations and expanding nontraditional distribution. It will also employ a brand name and generic marketing campaign to increase overall awareness and condom use among youth in the sub-region.

Key Results: The objective will be achieved by: 1) assisting in the implementation of appropriate HIV/AIDS policies and strategic plans at the regional and national levels; 2) supporting the implementation of improved prevention, support systems and other services; and 3) continuing support for an effective regional condom social marketing effort.

Performance and Prospects:   USAID is in the early procurement stages of this objective and implementation will begin later in 2001.

The FY 2001 funds are being used to carry out activities to assist in the implementation of appropriate HIV/AIDS policies and strategic plans ($619,000); to support the implementation of improved prevention, support systems and other services ($507,000); and to continue support for condom social marketing ($1,446,000).

Of the $3,700,000 in FY 2002 CSD funds, approximately $1,139,600 will support the participatory process of monitoring and supporting the implementation of the National Strategic Plans through strengthening of existing partnerships and networks. Another $932,400 will support the information networks established among national partners involved in HIV/AIDS prevention activities particularly the Community Prevention Planning (Acción SIDA) model, pull together and disseminate information on care and support services models. Some $1,628,000 will be used to expand both the breadth and depth of distribution of condoms in order to reach higher risk populations while making affordable condoms available to all actual and potential consumers by increasing sales outlets-both traditional and non-traditional.

Possible Adjustments to Plans:  None

Other Donor Programs:  UNAIDS contributed $450,000/yr to national programs in Central America during 1998-99. UNAIDS also is beginning to provide some financial support to regional activities, e.g., the mobile populations initiative, meetings and conferences. The Dutch, the only other truly regional donor, channel most of their support through a Costa Rican NGO, but will discontinue their support after 2001. Norway and Sweden are providing approximately $3.6 million dollars over three years to support programs in Guatemala, Nicaragua, El Salvador and Honduras. The GTZ and Doctors without Borders have also been active in some countries. Japan and Spain are considering support for a regional initiative to prevent HIV among mobile populations under the Common Agenda with USAID. USAID is the leading donor in this sector and coordinates with other donors both directly and through the country theme groups and the national strategic planning processes.

Principal Contractors, Grantees, or Agencies:  Grantees are the Academy for Educational Development (Policy Dialogue and NGO Strengthening Activities) and Population Services International (Condom Social Marketing).

Central America Program: 596-008

Performance Measures:

Indicator FY97
(Actual)
FY98
(Actual)
FY99
(Actual)
FY00
(Actual)
FY00
(Plan)
FY01
(Plan)
FY02
(Plan)
Indicator 1: AIDS Policy Environment Score (PES) / AIDS Program Effort Index (API)NA51.8 and 53.3**NA52.7**54.3*NANA
Indicator 2: Modified Safer Sex CompositeP: 24.8%
MSM: 44.9%
NANANAP: 45%
MSM: 50%
NANA
Indicator 3: Number of person days of technical assistance/training provided by Central American consultants during programmed activities (cumulative)61521.51,4271,8521,600NANA
Indicator 4: Percent of non-pharmacy outlets in high-risk urban areas carrying condoms: GuatemalaNANA1313.6NA1721.3
Indicator 5: Percent of non-pharmacy outlets in high-risk urban areas carrying condoms: Costa RicaNANA35.537.9NA41.745.9
Indicator 6: Percent of non-pharmacy outlets in high-risk urban areas carrying condoms: El SalvadorNANA13.720.7NA25.632.3
Indicator 7: Percent of non-pharmacy outlets in high-risk urban areas carrying condoms: NicaraguaNANA9.212.7NA15.619.9
Indicator 8: Percent of non-pharmacy outlets in high-risk urban areas carrying condoms: HondurasNANA15.113.5NA16.921.1
Indicator 9: Percent of non-pharmacy outlets in high-risk urban areas carrying condoms: PanamaNANA19.419.4NA21.325.5

Indicator Information:

Indicator Level (S)or(IR) Unit of Measure Source Indicator Description
Indicator 1: SAverage percent of Central American countries' scorePASCA AIDS PES/APIThe AIDS PES is an instrument intended to measure the degree to which the policy environment in a particular country supports efforts to prevent the transmission of HIV/AIDS and ensures the rights of people with HIV/AIDS. The aspects of the HIV/AIDS policy and program measured are: political support; policy formulation; organizational structure; program resources; evaluation and research; legal and regulatory policies; and program components. (Program is defined as a group of interventions; i.e. government sponsorship, support, administration, facilities, private efforts, etc.).

*The original target for this indicator was an average score of 48.8 across the 5 countries by the year 2000. By the 1988 mid-project review, this target had been exceeded (51.8). Improvement was perceived in most dimensions of the index, particularly in policy formulation and policy support. The index, now known as the AIDS Program Effort Index, was revised this year and is being employed by UNAIDS in 40 countries. The two indices have 37 elements in common.

**These new scores are for the 37 elements common to both indices, which changes the 1996 score to 44.0 and the 1998 result to 53.3. These 37 items are now the basis for tracking changes in the policy environment.

USAID will not report on this indicator for 2001 since this is a biannual indicator.

Indicator 2: S% of target population reporting safer sex practicesknowledge, attitudes and practices studyThis indicator is defined as the percent of target population adhering to any one of three behaviors: (1) abstinence (over the past 12 months), (2) a single sex partner over the past 12 months, or (3) condom use in the last sexual act with the ability to demonstrate correct condom use (on dildo). Target populations are defined as men who have sex with men (MSM) and female prostitutes (P). The latter to include prostitutes working in brothels and those working from the street. For internal purposes this indicator will be tracked by site and reported safer-sex practices at time of the follow-up survey in year four and year seven.

Indicator 3: SNo. of person days of TANAThis indicator is defined as the number of person days of technical assistance/training provided by Central American consultants during programmed activities.
Indicator 4: IRPercentExternal distribution surveysPercent of non-pharmacy outlets in high-risk urban areas that carry affordable condoms. A high-risk urban area is defined as an area where the members of the target populations live or tend to frequent. To "carry" is defined as a retail outlet having affordable condoms for sale to the general public.
Indicator 5: IRPercentExternal distribution surveysPercent of non-pharmacy outlets in high-risk urban areas that carry affordable condoms. A high-risk urban area is defined as an area where the members of the target populations live or tend to frequent. To "carry" is defined as a retail outlet having affordable condoms for sale to the general public.
Indicator 6: IRPercentExternal distribution surveysPercent of non-pharmacy outlets in high-risk urban areas that carry affordable condoms. A high-risk urban area is defined as an area where the members of the target populations live or tend to frequent. To "carry" is defined as a retail outlet having affordable condoms for sale to the general public.
Indicator 7: IRPercentExternal distribution surveysPercent of non-pharmacy outlets in high-risk urban areas that carry affordable condoms. A high-risk urban area is defined as an area where the members of the target populations live or tend to frequent. To "carry" is defined as a retail outlet having affordable condoms for sale to the general public.
Indicator 8: IRPercentExternal distribution surveysPercent of non-pharmacy outlets in high-risk urban areas that carry affordable condoms. A high-risk urban area is defined as an area where the members of the target populations live or tend to frequent. To "carry" is defined as a retail outlet having affordable condoms for sale to the general public.
Indicator 9: IRPercentExternal distribution surveysPercent of non-pharmacy outlets in high-risk urban areas that carry affordable condoms. A high-risk urban area is defined as an area where the members of the target populations live or tend to frequent. To "carry" is defined as a retail outlet having affordable condoms for sale to the general public.

U.S. Financing

(In thousands of dollars)

  Obligations   Expenditures   Unliquidated  
Through September 30, 1999    0 DA 0 DA 0 DA
0 CSD 0 CSD 0 CSD
0 ESF 0 ESF 0 ESF
0 SEED 0 SEED 0 SEED
0 FSA 0 FSA 0 FSA
0 DFA 0 DFA 0 DFA
Fiscal Year 2000 0 DA 0 DA    
0 CSD 0 CSD    
0 ESF 0 ESF    
0 SEED 0 SEED    
0 FSA 0 FSA    
0 DFA 0 DFA    
Through September 30, 2000 0 DA 0 DA 0 DA
0 CSD 0 CSD 0 CSD
0 ESF 0 ESF 0 ESF
0 SEED 0 SEED 0 SEED
0 FSA 0 FSA 0 FSA
0 DFA 0 DFA 0 DFA
Prior Year Unobligated Funds* 0 DA        
0 CSD        
0 ESF        
0 SEED        
0 FSA        
0 DFA        
Planned Fiscal Year 2001 NOA 0 DA        
2,572 CSD        
0 ESF        
0 SEED        
0 FSA        
0 DFA        
Total Planned Fiscal Year 2001 0 DA        
2,572 CSD        
0 ESF        
0 SEED        
0 FSA        
0 DFA        
      Future Obligations  Est. Total Cost 
Proposed Fiscal Year 2002 NOA 0 DA 0 DA 0 DA
3,700 CSD 5,978 CSD 12,250 CSD
0 ESF 0 ESF 0 ESF
0 SEED 0 SEED 0 SEED
0 FSA 0 FSA 0 FSA
0 DFA 0 DFA 0 DFA

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Last Updated on: May 29, 2002