Integration of HIV Services in the Latin American and Caribbean Region

The Global Fund
Dominican Republic

EHG was contracted by the Global Fund to conduct a thematic review on Integration of HIV Services in the Latin American and Caribbean (LAC) region with aim to better understand the current status of integration and identify bottlenecks that prevent further integration of national HIV programmes in the Jamaica and Dominican Republic health systems.

The EHG team:

a) assessed the level of integration of HIV program in the health system in terms of governance, financing, management system and service delivery in Jamaica and Dominican Republic;
b) Identified bottlenecks at different levels of the system in these countries to operationalize integration, including cross-program integration of policies, planning, processes, institutional capacity and health financing;
c) Identified opportunities for incremental integration;
d) Facilitated country discussion and supported the countries in the design of a feasible roadmap for incremental integration.

The EHG team employed a mixed method approach including desk reviews of relevant documents, interviews with key informants at global, regional and country level and direct observations during the country visits to identify and document options and develop a roadmap. The team produced country reports providing recommendations to the Global Fund LAC team on how Global Fund can support integration in order to contribute to more sustainable responses in Jamaica and Dominican Republic.