Barbados - Carolina Population Center

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This report was made possible by support from the U.S. Agency for International Development (USAID) through Cooperative Agreement GPO-A-00-03-00003-00. The authors’ views expressed in this publication do not necessarily reflect the views of USAID or the United States Government.
CONTENTS ABBREVIATIONS AND ACRONYMS ..........................................................................................iii LIST OF TABLES...............................................................................................................................v LIST OF FIGURES...........................................................................................................................vii ACKNOWLEDGEMENTS.............................................................................................................. ix KEY FINDINGS................................................................................................................................ xi CHAPTER 1: OVERVIEW OF THE HEALTH SYSTEM IN BARBADOS.................................. 1 1.1 BACKGROUND...............................................................................................................................1 1.2 HIV AND AIDS IN THE CARIBBEAN ..............................................................................................1 1.3 HIV AND AIDS EPIDEMIC IN BARBADOS......................................................................................2 1.4 SELECTED HEALTH AND DEMOGRAPHIC CHARACTERISTICS.........................................................3 1.5 GENERAL ORGANIZATION AND FUNDING OF THE HEALTH SYSTEM..............................................4 1.6 GENERAL ORGANIZATION OF THE PUBLIC HEALTH SECTOR.........................................................4 1.7 NATIONAL HIV AND AIDS PROGRAMS ........................................................................................5 1.8 FINANCING HIV SERVICES AND PROGRAMS .................................................................................6 CHAPTER 2: SURVEY METHODOLOGY .................................................................................... 9 2.1 OVERVIEW ....................................................................................................................................9 2.2 INSTITUTIONAL FRAMEWORK AND OBJECTIVES OF THE HSPA.....................................................9 2.3 HSPA CONTENT AND METHODS FOR DATA COLLECTION ..........................................................10 2.3.1 Content of the HSPA.........................................................................................................10 2.3.2 Methods for Data Collection ............................................................................................10 2.4 SAMPLING DESIGN......................................................................................................................11 2.4.1 Sample of Facilities ..........................................................................................................11 2.4.2 Sample of Health Service Providers .................................................................................12 2.5 SURVEY IMPLEMENTATION .........................................................................................................12 2.5.1 Training and Supervision of Data Collectors...................................................................12 2.5.2 Data Collection Instruments.............................................................................................12 2.5.3 Data Collection Methods..................................................................................................12 2.5.4 Process for Data Management and Report Writing .........................................................13 2.5.5 Data Analysis and Conventions Followed in Developing the Indicators .........................13 2.6 MAPPING FACILITIES ..................................................................................................................14 CHAPTER 3: RESULTS—CAPACITY TO PROVIDE SERVICES FOR HIV AND AIDS....... 17 3.1 OVERVIEW ..................................................................................................................................17 3.2 AVAILABILITY OF PROVIDERS AND SERVICES.............................................................................19 3.2.1 Region-Specific Findings..................................................................................................20 3.2.2 Service Provider Stigma ...................................................................................................25 3.2.3 Patient Movement within the Region to Access Services (ART and PMTCT)...................26 3.3 BASIC-LEVEL SERVICES FOR HIV AND AIDS .............................................................................28 3.3.1 Availability of Basic-Level Services..................................................................................28 3.3.2 Voluntary Counseling and Testing....................................................................................28 3.3.3 Services and Service Conditions Relevant to HIV and AIDS Care and Support ..............31 3.3.4 Basic-Level Treatment of Opportunistic Infections and Palliative Care for HIV and AIDS Clients.......................................................................................................45 3.4 ADVANCED-LEVEL TREATMENT, CARE AND SUPPORT SERVICES FOR HIV AND AIDS CLIENTS ......................................................................................................................................46 i
Page 1: Barbados Caribbean Region HIV and A
Page 6 and 7: 3.4.1 Systems to Support Service Pr
Page 9: LIST OF TABLES Table 3.2.1a: Number
Page 13: ACKNOWLEDGEMENTS The authors are mo
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CHAPTER 3: RESULTS— CAPACITY TO P
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CHAPTER 4: STATUS OF THE HIV AND AI
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Barbados Caribbean Region HIV and A
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Barbados Caribbean Region HIV and A
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CHAPTER 5: AVAILABILITY OF YOUTH-FR
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CHAPTER 6: CONCLUSION proposed targ
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Kelly, J. A., A. M. Somlai, E. G. B
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APPENDIX: SURVEY INSTRUMENT 79
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GPS READING 1 Turn GPS machine on a
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25 GENERAL MEDICAL INPATIENT (Male
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STAFF LISTING FORM INTERVIEWER CODE
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NO. QUESTIONS CODING CATEGORIES GO
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SECTION E: LABORATORY AND OTHER DIA
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SECTION F: MEDICATION AND SUPPLIES
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SECTION H: COUNSELING AND TESTING C
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SECTION I: ANTIRETROVIRAL THERAPY C
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HEALTH WORKER INTERVIEW QRE K Code
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NO. QUESTIONS CODING CLASSIFICATION
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