End-of-term evaluation



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6. Activity Timetable


.

Timelines

ACTIVITY

August 19- September 10

  • Draft Focus Group Protocol and tools for review by CARPHA/NHAC

  • Plan logistics for focus group discussions with Key affected populations in collaboration with NHAC and NGOS

September 10-September 17

  • Undertake focus group discussions with representatives of key affected populations and produce abridged transcripts

September 18-26

October 3--6

  • Analyse data and draft initial findings and disseminate to EET in Barbados and for input and review (one week turnaround for feedback)

  • Finalise qualitative report section for NSP evaluation report
















APPENDIX I-CONSENT FORMS




KEY INFORMANT VERBAL CONSENT SCRIPT

CONSENT DISCUSSION FOR ADULT PARTICIPANTS FOR BARBADOS NATIONAL STRATEGIC PLAN 2008-2013 EVALUATION -FOCUS GROUPS DISCUSSIONS

The Caribbean Public Health Agency along with the National HIV/AIDS Commission is carrying out an end of term evaluation of the HIV National Strategic Plan 2008-2013. This set out the country’s plans and programmes to reduce HIV transmission among the general population and groups who are particularly vulnerable to HIV infection over the past five years.

In order to assess the programme we would like to hear what your thoughts are on some of the programmes and services that you may have come in contact with, or you that you have heard about. This will help to give a good all round picture of the strengths and weaknesses of the programmes and assist the NHAC in planning the next phase.

What you say in the discussion group is very important. It will not be linked back to you as the information will be put together with all the other comments and discussions that we have, as we will be conducting eight focus group altogether with many different people with diverse needs. Therefore we are not recording any names so that nothing that you say can be linked back to you.

If at any time you are uncomfortable with the discussion and you would like to take a break or leave, please feel free to do so.

We are offering a small stipend to cover your transportation costs and lunch of US$10.00.

Please can you tell me if you consent to participating in a Focus Group discussion that will take approximately an hour to complete?

PARENT/GUARDIAN VERBAL CONSENT SCRIPT

VERBAL CONSENT DISCUSSION FOR PARENT/GUARDIAN OF PARTICIPANTS

UNDER 18 YEARS OF AGE FOR BARBADOS NATIONAL STRATEGIC PLAN 2008-2013 EVALUATION -FOCUS GROUPS DISCUSSIONS

The Caribbean Public Health Agency along with the National HIV/AIDS Commission is carrying out an end of term evaluation of the HIV National Strategic Plan 2008-2013. This set out the country’s plans and programmes over the past five years to reduce HIV transmission among the general population and among groups who are particularly vulnerable to HIV infection, like young people.

In order to judge the programme over the past five years, we would like to hear young peoples’ views about what they think of any HIV prevention programmes and messages that they have come into contact with or heard about, as this will help to give a good all round picture of the strengths and weakness of the programmes aimed at young people and assist the NHAC in planning for the future. We would like your son/daughter to be a part of a discussion group with other young people, if they are willing and we have your permission?

We will be conducting two focus groups and we will not be recording or using their names in any of the reports, as all the information will be put together in a report to capture the general views of young people.

If at any time your son/daughter feels uncomfortable with the discussion and they would like to take a break or leave, they will be told before the start of the discussion that they are free to do so.

We are offering a small stipend of US$10.00 to cover your son/daughters transportation and lunch costs.

Please can you tell me if you consent to your son/daughter participating in a Focus Group discussion that will take approximately one hour to complete?

ADOLESCENT VERBAL CONSENT/ASSENT SCRIPT

VERBAL CONSENT DISCUSSION FOR PARTICIPANTS

UNDER 18 YEARS OF AGE FOR BARBADOS NATIONAL STRATEGIC PLAN 2008-2013 EVALUATION -FOCUS GROUPS DISCUSSIONS

The Caribbean Public Health Agency along with the National HIV/AIDS Commission is carrying out an end of term evaluation of the HIV National Strategic Plan 2008-2013. This set out the country’s plans and programmes over the past five years to reduce HIV transmission among the general population and groups who are particularly vulnerable to HIV infection, like young people.

In order to judge the programme over the past five years, we would like to hear young peoples’ views about what they think of any HIV prevention programmes and messages that they have come into contact with or heard about, as this will help to give a good all round picture of the strengths and weaknesses of the programmes aimed at young people and assist the NHAC in planning for the future.

We would like you to be a part of a discussion group with other young people, if you are willing and we have your/your parents’ permission?

We will be conducting two focus groups and we will not be recording or using your names in any reports as all the information will be put together in a report to capture the general views of young people.

We are offering a small stipend of US$10.00 to cover your transportation and lunch.

Please can you tell me if you consent to participating in a Focus Group discussion that will take approximately one hour?

APPENDIX II-DRAFT FGD GUIDES


Adult Key Informant Focus Group Discussion Guide

Thank you for agreeing to take part in the focus group discussion. My name is Audrey Brown and my colleague is…………….. who will be taking the notes.

We would also like to audio record the session to assist us in recalling what you say. However the tapes are only for our use and will not be circulated to anyone else. Are you ok with this?

Before we begin if you would like to introduce yourself to the group and tell us what your name is and something good that happened to you in the past week, please do.

As we discussed before the group began, we want to discuss some matters relating to HIV/STIs and we are really focussing on HIV/STI prevention, HIV/STI services and stigma and discrimination. This is a conversation and all of your views and contributions are valuable to us. There is no right or wrong answers. If you disagree with one another that is ok, just think of this as a conversation and you don’t need to wait for me to call on you speak. However we have some questions to guide the conversation.

May we begin?



Knowledge of HIV/STIs:

  1. What can you tell us about HIV/STI transmission in Barbados?

(Probe: groups most affected, modes of transmission and myths)

  1. Thinking back can you remember how or where you learnt this information?

(Probe: sources of information and key messengers)

  1. If you were giving a talk on HIV/STIs to someone like yourself and you only had about 5 minutes to do it in, what are the most important things that you think you should tell them to help them to protect themselves?

(Probe: knowledge of key BCC messages, HIV testing, reducing multiple partners, treating STIS, accessing/buying and using condoms and lubricants (correctly/consistently)

  1. Similarly if you were giving a talk on HIV/STIs to someone like yourself and you only had about 5 minutes to do it in, what are some of the incorrect beliefs about HIV that you would definitely need to tell them?

(Probe: myths and misinformation)

HIV services and accessibility

  1. Can you tell us a little bit about some of the HIV/STI services that you are familiar with?



  1. Has anyone ever used any of these services and how do you find them personally?

(Probe: accessibility, user friendly, equitable etc.)

  1. In what ways do you think the treatment/reception by staff or service access for people like you can be improved?

Impact of Services on Empowerment

  1. Can you describe any services that have helped to improve your job or educational prospects and why?



  1. Can you describe any services that have helped you feel more confident about yourself and your future and why?



  1. Do you think HIV and STI services are better or worse now than they were 5 years ago and why?



  1. Do you have any suggestions about the way in which HIV/STI services can be improved for {name specific group)?

(Probe: location, number of services, quality of the services, staff, access, including physical layout for PWD with mobility problems etc.)

  1. How would you describe the people out there involved in HIV/STI prevention work that you have come across?

(Probe: credible, knowledgeable, professional, influential)

  1. What are your opinions on how well the HIV/STI services that you have come across are managed? (Probe any changes, good and bad)

Behaviour Change

  1. Since engaging with HIV/STI services can you describe any changes that you have made in relation to your own HIV/STI risk or that of others? (Probe good and bad)



  1. Can you tell us about any changes that you have noticed among your peers over the past few years? (Probe good and bad)



  1. If you had to choose one or two services in relation to HIV/STI prevention what services would you say has had the biggest impact on you, in relation to how you think about HIV/STI now and how you protect yourself and others? (Probe: VCT, counselling, treatment advice, peer education, NGOS. Media, radio TV, written pamphlets posters, messages, community outreach

Enabling Environment/ Human Rights and Gender:

  1. Were there any times that you felt that you were treated unfairly just because of your perceived: (sexuality, disability, gender, SW, HIV status) and what happened?



  1. When or if you should ever experience discrimination or stigma when accessing services, where/who would you go to and report these things?

(Probe: Do you know of anywhere like this and how to get in contact with them? Would you use such a service?) If yes: What happens?

19. Are you aware of any new legislation or policies to assist in protecting you as a (name group)?



  1. How would you describe and compare the kind of treatment/reception that you receive from staff at the public/private/NGO services and why?

NSP Goals and Objectives:

21. The NHAC is trying to:



SO1: To increase awareness and knowledge on the transmission and prevention of STIs/HIV

SO2: Effect positive behaviour change to prevent and reduce the spread of HIV/STIs

SO3: Strengthen treatment, care and support services for PLHIV, OVC, and vulnerable and high-risk groups

SO4: Boost the educational and economic opportunities of PLHIV and of the most at risk

Do you think these objectives would help people like you?



Social Determinants:

22. What are the other factors in your life as a (name group) that you think may prevent you from changing your behaviour or succeeding with your education, training or employment goals?



General Comments:

23. Is there anything else that we have not already discussed that you would like to tell the National HIV/AIDS Commission about for their evaluation, or for future planning that you think they need to know?



THANK YOU FOR YOUR PARTICIPATION

Adolescent Focus Group Discussion Guide-Males

Thank you for agreeing to take part in the focus group discussion. My name is Audrey Brown and my colleague is …….who will be jotting down what you say on the flip chart. We would also like to audio record the session to assist us in recalling what you say. However the tapes are for our use only and we will not be circulating them to anyone else, so no one will be able to hear what you tell us. Are you ok with this?

Before we begin if you would like to introduce yourself to the group and tell us what your name is and something good that happened to you in the past week if you would like to.

As we discussed before the group began, we want to discuss some matters relating to HIV/STI, and we are really focussing on HIV/STI services, prevention and stigma and discrimination. This is a conversation and all of your views and contributions are valuable to us. There is no right or wrong answers. If you disagree with one another it is ok, just think of this as a conversation and you don’t need to wait for me to call on you speak, although I have some questions that will help to guide the discussion.

May we begin?

Prevention:


  1. What words come to mind when you think of HIV/STI transmission in Barbados?

(Probe for groups most affected, modes of transmission and myths)

  1. Name all the sources that you learnt this information from?

(Probe: school, community, NGO, church etc.)

  1. We have two columns on the flip chart. Must Tell Them and Don’t Tell Them and we have only 5 minutes to do this and someone is going to time it for me.

So you are giving a talk on HIV/STI to someone of your age and you only have about 5 minutes to do this.

What are the most important things you would need to tell them to help them to protect themselves from HIV, which we will jot down in the Must Tell Them column?



Similarly you have 5 minutes to make sure you deal with all the incorrect information they might have. What are the things that you would definitely want them to know are incorrect, that we can jot down in the Don’t Tell Them column?

(Probe for knowledge of key BCC messages, HIV testing, reducing multiple partners, treating STIS, accessing/buying and using condoms and lubricants (correctly/consistently)

  1. Can you name some of the HIV/STI prevention services that you can go to as young men?



  1. Can you tell me how you feel when you go to these places?



  1. When you access services, can you describe how staff treats you?

(Probe can they get counselling, access information, access condoms)

  1. If you have never used any of these services can you tell us why not?



  1. Are there any services that you can tell me about that have helped to improve you job or educational prospects?



  1. Can you describe any services that have helped you feel more confident about yourself and your future and why?



  1. Do you know what the schools are doing to educate young people on sex, STIs and HIV?



  1. How do you rate the information that you get/got in schools on a scale of 1-5? (Explain 1 lowest, 5 highest) and why?



  1. Can any of you recall any of the TV and radio advertisements on HIV/STIs and what do you think about them?

(Probe: style, music, messages, culture, messengers)

Behaviour Change:

  1. If you were making these advertisements what would you put in them to encourage young men to listen and change their behaviour?



  1. Do you think that there is anything else that can be done for young men that is not being done now to keep them safe from HIV/STIs?



  1. If you had to pick one or two things (services/TV radio ads, talks etc.) that had the most impact in you in relation to changing your own behaviour and reducing your risk of HIV/STIs or treating the risk of HIV/STIs more seriously, what would you say they were?



  1. Since engaging with HIV/STI services can you describe any changes that you have made in relation to your own HIV/STI risk or that of others? (Probe good and bad)



  1. Can you tell us about any changes that you have noticed among your peers over the past few years? (Probe good and bad)

Enabling Environment and Human Rights:

  1. Do you think that young people get enough help to protect themselves from HIV/STIs and why?



  1. Most of us have heard the debates about condom access for students in schools, what are your thoughts on that?



  1. Do you think that young men face discrimination when they seek out sexual health services? (Probe why?)



  1. Do you think is is easier for girls or boys to protect themselves from HIV/STI and why?

Social Determinants:

22. What are the other factors in your life as a young man that you think may prevent you from changing your behaviour or succeeding with your education, training or employment goals?



NSP Goals and Objectives:

23. The NHAC is trying to:

SO1: To increase awareness and knowledge on the transmission and prevention of STIs/HIV

SO2: Effect positive behaviour change to prevent and reduce the spread of HIV/STIs

SO3: Strengthen treatment, care and support services for PLHIV, OVC, and vulnerable and high-risk groups

SO4: Boost the educational and economic opportunities of PLHIV and of the most at risk

Do you think these objectives would help people like you?

General Comments:

24. Is there anything else that we have not already discussed that you would like to tell the National HIV/AIDS Commission about for their evaluation or for future planning that you think they need to know?



THANK YOU FOR YOUR PARTICIPATION

Adolescent Focus Group Discussion Guide-Females

Thank you for agreeing to take part in the focus group discussion. My name is Audrey Brown and my colleague is …….who will be jotting down what you say on the flip chart. We would also like to audio record the session to assist us in recalling what you say. However the tapes are for our use only and we will not be circulating them to anyone else, so no one will be able to hear what you tell us. Are you ok with this?

Before we begin if you would like to introduce yourself to the group and tell us what your name is and something good that happened to you in the past week if you would like to.

As we discussed before the group began, we want to discuss some matters relating to HIV and we are really focussing on HIV prevention and stigma and discrimination. This is a conversation and all of your views and contributions are valuable to us. There is no right or wrong answers. If you disagree with one another and that is ok, just think of this as a conversation and you don’t need to wait for me to call on you speak.

May we begin?

Prevention:


  1. What words come to mind when you think of HIV/STI transmission in Barbados?

(Probe for groups most affected, modes of transmission and myths)

  1. Name all the sources that you learnt this information from?

(Probe: school, community, NGO, church etc.)

  1. We have two columns on the flip chart. Must Tell Them and Don’t Tell Them and we have only 5 minutes to do this and someone is going to time it for me.

So you are giving a talk on HIV/STI to someone of your age about HIV/STI and you only have about 5 minutes to do this.

What are the most important things you would need to tell other young women to help them to protect themselves from HIV that we can put in the Must Tell Them column?



Similarly you have 5 minutes to make sure you deal with all the incorrect information they might have. What are the things that you would definitely want them to know are incorrect, that we can jot down in the Don’t Tell Them column?

(Probe for knowledge of key BCC messages, HIV testing, reducing multiple partners, treating STIs, accessing/buying and using condoms and lubricants (correctly/consistently)

  1. Can you name some of the HIV/STI prevention services that you can go to as young women?



  1. Can you tell me how you feel when you go to these places?



  1. When you access services, can you describe how staff treats you as a young woman?

(Probe can they get counselling, access information, access condoms)

  1. If you have never used any of these services can you tell us why not?



  1. Can you describe any services that have helped to improve you job or educational prospects and why?



  1. Can you describe any services that have helped you feel more confident about yourself and your future and why?



  1. Do you know what the schools are doing to educate young people on sex and HIV/STIs?



  1. How do you rate the information that you get/got in schools on a scale of 1-5? (Explain 1 lowest, 5 highest) and why?



  1. Can any of you recall any of the TV and radio advertisements on HIV/STIs and what do you think about them?

(Probe: style, music, messages, culture, messengers)

Behaviour Change:

  1. If you were making these advertisements what would you put in them to encourage young women to listen and change their behaviour?



  1. Do you think that there is anything else that can be done for young women that is not being done now to keep them safe from HIV/STI?



  1. If you had to pick one or two things (services/TV radio ads, talks etc.) that had the most impact in you in relation to changing your own behaviour and reducing your risk of HIV/STI or treating the risk of HIV/STI more seriously, what would you say they were?



  2. Since engaging with HIV/STI services can you describe any changes that you have made in relation to your own HIV/STI risk or that of others? (Probe good and bad)



  1. Can you tell us about any changes that you have noticed among your peers over the past few years? (Probe good and bad)



  1. If you were making these advertisements what would you put in them to encourage young women to listen and change reduce their risk of HIV/STIs?



  1. Do you think that is anything else that can be done for young women that is not being done now to keep them safer from HIV/STIs?



  1. If you had to pick one or two things (services/TV radio ads, talks etc.) that had the most impact in you in relation to changing your own behaviour and reducing your own risk of HIV/STI or treating the risk of HIV/STI more seriously, what would you say they were?

Social Determinants:

  1. What are the other factors in your life as a young woman that you think may prevent you from changing your behaviour or succeeding with your education, training or employment goals?

Enabling Environment and Human Rights:

  1. Do you think that young women get enough help to protect themselves from HIV/STIs and why?



  1. Most of us have heard the debates about condom access for students in schools, what are your thoughts on that?



  1. Do you think that young women face discrimination when they seek out sexual health services? (Probe why?)



  1. Do you think is easier for girls or boys to protect themselves from HIV/STI and why?

NSP Goals and Objectives:

26. The NHAC is trying to:

SO1: To increase awareness and knowledge on the transmission and prevention of STIs/HIV

SO2: Effect positive behaviour change to prevent and reduce the spread of HIV/STIs

SO3: Strengthen treatment, care and support services for PLHIV, OVC, and vulnerable and high-risk groups

SO4: Boost the educational and economic opportunities of PLHIV and of the most at risk

Do you think these objectives would help people like you?

General Comments:

27. Is there anything else that we have not already discussed that you would like to tell the National HIV/AIDS Commission about for their evaluation or for future planning that you think they need to know?



THANK YOU FOR YOUR PARTICIPATION



Appendix 4 – List of Documents Reviewed


National HIV/AIDS Commission, “Behaviour Change Communication for HIV Prevention in Barbados – A Proposal for a Strategy 2007”.

Caribbean HIV/ AIDS Alliance, “HIV and AIDS Data on Most at risk Populations Country Data Reports for Barbados”

Division of Youth, “National Youth KABP Survey on HIV Reports” 2009, 2011

Government of Barbados, (2014) “National Strategic Plan for HIV Prevention and Control 2014-2018: Investing in Results”

Government of Barbados, (2010) “Barbados National HIV Prevention Plan”

National HIV/AIDS Commission, (2008) “Government of Barbados National Strategic Plan for HIV Prevention and Control 2008-2013”

National HIV/AIDS Commission, (2008) “National Monitoring and Evaluation Framework and Operational Plan for HIV Prevention and Control”

Ministry of Health Barbados, (2014) “Global AIDS Response Progress Report 2014”

Ministry of Health Barbados, (2012) “Global AIDS Response Progress Report 2012”

Ministry of Health Barbados, (2012) “Policy on HIV Testing in Barbados”

Ministry of Health Barbados, (2010) “Barbados HIV/AIDS Surveillance Report 2010”

Ministry of Health, Barbados (2008) “Barbados Surveillance Unit report 2008”

Ministry of Health, Barbados, “Epidemiological profile of HIV and STIs in Barbados 2014”

Ministry of Health, Barbados, “Ladymeade Reference Unit (LRU) Clinic: Standard Operating Procedures”

Ministry of Health, Barbados “Policy Document on the Prevention of Mother-to-Child Transmission of HIV in Barbados”

Morris Imas, L.G. and Rist, R.C., (2009) “The Road to Results: Designing and Conducting Effective Development Evaluations”, World Bank, Washington

National HIV/AIDS Commission, (2013) “Barbados National HIV Research Agenda”

National HIV/AIDS Commission, (2013) “Barbados National HIV Monitoring and Evaluation System: An Assessment using the 12 Components System Strengthening Tool”

National HIV/AIDS Commission, (2012) “HIV Intervention Development: A Practical Guide for Advocacy, Social Mobilisation, Behaviour Change Communication and Monitoring & Evaluation”

National HIV/AIDS Commission, (2012) “HIV Operational Plan: Status Report“

National HIV/AIDS Commission, (2011) “Study of Knowledge, Attitudes and Practices as they relate to Stigma & Discrimination in Barbados”

National HIV/AIDS Commission, (2009) “Government of Barbados/IRDB 2nd HIV & AIDS Prevention & Control Plan: Strategic and Communication/Sensitization Approach”

National HIV/AIDS Commission, (2009) “National HIV & AIDS Draft Communication Plan 2009”

National HIV/AIDS Commission, (2009) “2008 AIDS Awareness Week Evaluation Report A Retrospective”

National HIV/AIDS Commission, “Barbados National HIV Policy: A framework for Action”

National HIV/AIDS Commission, “National HIV Programme Annual Reports” 2010-2014

National HIV/AIDS Commission, “Report on the Music and Behaviour Survey August 2008”

National HIV/AIDS Commission, “Survey of Key Populations Needs Report”

PAHO, (2011) “Evaluation of the Health System’s Response to HIV/STIs in Barbados: With emphasis on the Mid Term Review of the World Bank Loan”

PAHO, “The Health Sector Response to HIV & STI in Barbados; A Strategic Framework 2012-2015”

Patton, M.Q. (2008), “Utilization Focused Evaluation”, 4th Edition, SAGE Publications, California

Report on 2008 Monitoring & Evaluation Needs Assessment

Stufflebeam D, (2001) “Evaluation Models”: New Directions for Evaluation, 2001: 7–98. doi: 10.1002/ev.3, 2001

UNGASS Country Progress Report 2010. Barbados



Zall Kusek, J. and Rist, R. (2004), “Ten Steps to a Results-Based Monitoring and Evaluation System”, World Bank. Washington.


Appendix 5 – List of Persons Interviewed





Name

Organization/Role

Name

Organization/Role

Alexis Nurse

NHAC/ Behaviour Change Communications Specialist

Kim Bobb-Waithe

Welfare Department/Social Worker

Alies Jordan

NHAC/Former Director

Lisa Bayley

Gov’t Information Service/Information Officer

Angela Brandon Hall

Min of Tourism & International Transport/HIV Focal Point

Lynn Armstrong

NHAC/Deputy Director

Anne Murrell

Min of Health/Chief Public Health Nurse

Marguerita Worrell

Min of Labour/HIV Focal Point

Anton Best

Min of Health/ Senior Medical Officer

Marilyn Patrick

BDF/HIV Coordinator

Dr. Tracey Carmichael

LRU/Clinical Medical Officer

Marilyn Sealy

NHAC /Board Deputy Chair

Caroline King


Welfare Department/Social Worker

Merlene Blackett

HOPEN Inc./President

Charles Bostic


Electoral Department/HIV Focal Point

Merlene Hewitt

Min of Intl Business/HIV Focal Point

Chisa Cumberbatch

MOH/Health Planner

Michael Rapley

EQUALS/ Peer Animator

Dale Babb


MOH/Clinical Medical Officer

Monique Springer

UWI HARP

David Brathwaite


Min of Culture Sports & Youth/HIV Coordinator

Nia Salankey-Payne

Labour Dept./HIV Focal Point

DeCourcey Hutson

CARE Barbados/President

Nicole Drakes

NHAC/ Asst Director

Denise Nurse

Child Care Board/HIV Coordinator

Nicole Hinds


Labour Dept./HIV focal point

Donnya Piggott


B-GLAD/President

Patsy Grannum

MOVODAC/President

Donovan Emmanuel

CEED/President

Rhonda Farley

Min of Labour/HIV Focal Point

Fabian Todd

NHAC/Public Relations Officer

Ruchelle Roach

AIDS Foundation/Programme Officer

Francia Best

Min of Housing/HIV Coordinator

Sade Leon-Folkes

Ministry of Health/Community Health Education Officer

Francis Scantlebury

Ministry of Home Affairs /HIV Focal Point

Samuel Williams

CARE Barbados/Member

Hazel Carrington

Min of Transport & Works/HIV Focal Point

Shamelle Rice

Jabez House/Director

Hughson Inniss


Min of Education/HIV Coordinator

Shawna Crichlow


Min of Health/Data Analyst

Jacqueline Pinder

NHAC/Community Development Officer

Teddy Leon


(formerly) CHAA/ Senior Programme Officer - Barbados and Grenada

Jacqueline Wiltshire-Gay

NHAC/Director

Veronica Belle

Min of Social Care/HIV Coordinator

Jeanine-Marie Dupigny

D’!dea Shop/Director, Projects and Administration

Wendy Sealy

NHAC/Board Chair

Juliette Bynoe–Sutherland


Barbados Family Planning Association/Executive Director

Yolande Skeete


NHAC/Community Development Officer



1 Barbadian colloquialism for a wealthy person or someone from the upper classes

2 Components of high-impact prevention interventions include but not limited to: targeted HIV testing in non-health care settings among persons where new infections are occurring in high numbers and linkage to care; routine opt-out HIV testing in health care settings for people regardless of risk; condom distribution; one-on-one/group counseling for people at the very highest risk of transmitting or becoming infected with HIV; prevention programmes for people living with HIV and their partners; screening and treatment for other sexually transmitted infections in non-health care settings; etc (See Centres for Disease Control and Prevention http://www.cdc.gov/hiv/guidelines/index.html)

3 Formally titled ‘Government Of Barbados/IRDB Second HIV & AIDS Prevention & Control Plan Strategic Communication/Sensitization Approach – Scarlett – A National Pursuit 2009-2013’

4 Mid Term Review, 2012

5 KAPB, 2012

6 Source: PAHO (2011) Evaluation of the Health System’s Response to HIV/STIs in Barbados Report

7 http://acuteinnovation.bluedomino.com/minofhealth/index.php?categoryid=6

8 National HIV/AIDS Commission Barbados, (2008), National HIV Policy: ‘A framework for action’.

9 Global AIDS Response Progress Report (2014), Barbados. Pg. 35

10 https://labour.gov.bb/hiv

11 Whose duties include the coordination of their Ministries HIV/AIDS Working Group, the development of annual work plans and budgets for their Ministries

12 This shift occurred in 2008

13


14 The work of the NHAC is said to be facilitated by three committees: the National HIV/AIDS Youth Committee, the Life Skills Education Committee and the Research Committee. But for all intents and purposes the Monthly Coordinating Meeting appears to be the main forum for decision making and coordination, and there is poor understanding among stakeholders of what the other committees do.

15 Maiorana A1, Rebchook G, Kassie N, Myers JJ, On being gay in Barbados: "Bullers" and "Battyboys" and their HIV risk in a societal context of stigma.(Accessed 15/8/14@ http://www.ncbi.nlm.nih.gov/pubmed/23808347)


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