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Strengthening linkages between Latin America and the Caribbean

The Ministerial declaration “Prevention through Education”

The LAC GFATM Constituency Experience

Dr. José Antonio Izazola LiceaDirector General, National Center for AIDS prevention and control, MexicoLAC Representative - GFATM Board

10th AGM PANCAP/CARICOM“Reflection and Renewal”

St. Maarten, 31st October - 2nd November, 2010

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MINISTERIAL DECLARATION “PREVENTING THROUGH EDUCATION”

By 2015, reduce by 75 per cent the number of schools under the jurisdiction of the Ministries of Education that have failed to institutionalize comprehensive sex education; More involvement of education sector is required

By 2015, reduce by 50 per cent the number of adolescents and young people who are not covered by health services that address their sexual and reproductive health needs appropriately.

E.g. Mexico’s MoE announced on october 2010:Comprehensive sex education strategy: 6,000 schools

Including condom distribution at schools

LAC CONSTITUENCY ORGANIZATION

Representative: Dr. José Antonio Izazola Licea (México)

Alternate representative: Min. Leslie Ramsammy (Guyana)

Focal Point: Dr. Jorge Saavedra López

Committees with LAC Members

AmFm: Min. Leslie Ramsammy (Guyana)MD&C: Dr. Carl Borwn (PANCAP)

PIC: Dr. Paulo Teixeira (Brazil)PSC: Dr. José Antonio Izazola Licea (México)

LAC CONSTITUENCY

AGREEMENTS BETWEEN LA & CARIBBEAN

Involved instances: GCTH (LA) & PANCAP (Caribbean)

One Constituency for the LAC region

Annual rotation of Member/alternate: 2010: LA board member; the Caribbean alternate 2011: Caribbean board member; LA alternate Inclusion in GFATM committees of member(s) from both regions.

LAC CONSTITUENCY

LAC CONSTITUENCY

LAC REPRESENTATION: DECISION POINTS(Examples)

•Approval of Wave 8 Rolling Continuation Channel Proposals

•1 Guyana Malaria - USD $1.6 millions•1 Guatemala HIV - USD $42.48 millions•1 Guatemala Malaria - USD $7.06 millions

•Extension: Phase 2 term & to commit additional funds for Suriname’s Round 5 Malaria

•Extension: Grant Signing Deadline for Haiti Round 8 Malaria Proposal

LAC CONSTITUENCY

PRIORITIZATION DISCUSSION FOR R-1021st GFATM BOARD MEETING, APRIL 2010

• Low income countries• Poor and vulnerable populations

• Inter-Agency Working Group proposal (UNAIDS and WHO)

• Priority: Generalized epidemic countries (Prevalences ≥ 2%)• Lower priority to countries with Concentrated epidemics among MARPs (Prevalences ≥ 10%)

• LAC Negotiatons = MARP’s Channel•USD $200 million: USD$12.5 million per applicant (maximum) & only USD $5 millions for Ph-1

LAC CONSTITUENCY

CURRENTLY: ELIGIBILITY CRITERIA

22st GFATM BOARD MEETING, DECEMBER 2010

• PSC & PIC Meetings: october 26th-29th

• No consensus on changing current eligibility criteria• Prioritization to be revised, but similar to R10

• Currently PIC proposal might affect LAC Countries

•Middle income and concentrated epidemics

•LAC constituency position: No changes in elegibility

•All regions, countries & kinds of epidemics must be eligible•GFATM should still being “GLOBAL”

LAC CONSTITUENCY

PROPOSED ELIGIBILITY CRITERIAHOW IT AFFECTS LAC COUNTRIES?

LAC CONSTITUENCY

PROPOSED ELIGIBILITY CRITERIAHOW AFFECTS LAC COUNTRIES?-II

LAC CONSTITUENCY

PROPOSED ELIGIBILITY CRITERIAHOW AFFECTS LAC COUNTRIES?-II

LAC CONSTITUENCY

PROPOSED ELIGIBILITY CRITERIAHOW AFFECTS LAC COUNTRIES?-II

HYPOTHETICAL CUT-OFF VALUES

LAC CONSTITUENCY

PROPOSED ELIGIBILITY CRITERIAHOW AFFECTS LAC COUNTRIES?-II

HYPOTHETICAL CUT-OFF VALUES

LAC CONSTITUENCY

NEXT STEPS

• Improving comunication & consultation with

LAC Countries about GFATM Board issues•All involved instances: CCM’s, MoH, National

programmes (HIV/AIDS, Tb & malaria

• LAC Constituency web site

•LA CCM’s meeting: December, 2010

•Caribbean CCM’s meeting: probably end november,

2010

•Availability (and translation) of relevant GF

documents

• Full involvement of CCMs and RCMs in governance

decissions in Board and Committees

• Institutional history of LAC decissions and

participation

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UNAIDS PROGRAM COORDINATING BOARD

LAC members in 2010: El Salvador, Guatemala and BrazilGuatemala not continued for 2011-2013

LAC countries at PCB for 2011: El Salvador, Brazil & MexicoEl Salvador to be renewed as member for two

more yearsMexico will be member of UNAIDS PCB (2011-

2013)