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Mexico
>> Regional Overview >> Mexico Overview Activity Data Sheet
PROGRAM: Mexico
TITLE AND NUMBER: Enhanced Quality and Sustainability of HIV/AIDS and STI Services in Targeted Areas, 523-002
PLANNED FY 2001 OBLIGATION AND ACCOUNT: $1,996,000 (CSD)
PROPOSED FY 2002 OBLIGATION AND ACCOUNT: $2,000,000 (CSD)
STATUS: Continuing
INITIAL OBLIGATION: FY 1998 ESTIMATED COMPLETION DATE: FY 2003Summary: The number of HIV/AIDS cases reported by Mexico is the second highest in Latin America, behind Brazil, presenting a serious challenge to public health policies and prevention efforts in Mexico. Under the decentralized national health system, state health secretariats tailor their programs to local realities. Local authorities and citizens are responsible for health policy and the quality of services. USAID's efforts support Mexican national efforts by assisting states to manage and integrate HIV/AIDS and sexually transmitted infection (STI) programs. Specifically, activities help states to assess their current and projected HIV/AIDS and STI situations, identify vulnerable populations, and design financially viable programs for prevention and mitigation of the epidemic. The National AIDS Prevention Council (CONASIDA) selected the states of Yucatan, Guerrero, Puebla, Veracruz, Jalisco, Oaxaca, Mexico State, and the Federal District as target states, taking into consideration the number of cases, current level of response, and socio-economic conditions of each state.
USAID emphasizes participatory strategic planning and closer linkages between government and civil society. Although the Government of Mexico (GOM) and Mexican states develop the guidelines for combating HIV/AIDS, civil society must participate in formulating the strategy and implementing activities, especially among hard-to-reach populations.
Mexico is an important migration route from Latin America into the United States where people on the move spread disease and are vulnerable to contracting it. Mexico's National Institute of Public Health (INSP), with support from USAID, works with CONASIDA and non-governmental organizations (NGOs) on HIV/AIDS prevention activities targeted at trans-border populations in all seven Central American countries. In order to enhance programmatic impact, focus is placed on populations residing in "hot spots" rather than throughout the countries.
Key Results: USAID has supported the efforts of several states to increase their annual budgets for HIV/AIDS/STI prevention which has helped to produce a dynamic community response to preventing HIV/AIDS in three of the most seriously affected Mexican states. USAID-sponsored lobbying efforts and technical assistance were instrumental in establishing an HIV/AIDS program and a specialized HIV/AIDS clinic in Mexico City, the first of its kind in the country. Policy for HIV/AIDS is more proactive in Yucatan and Guerrero, the first two states to participate in the program. NGO capacity-building activities continue to strengthen strategic planning and external relations of civil society organizations. A service provision assessment to measure the quality of HIV/AIDS/STI services in seven priority states was completed in March 2000. It will serve as the basis for improving the quality of HIV/AIDS/STIs care in Secretariat of Health facilities in those states during 2001-2002. USAID assisted CONASIDA in updating the HIV/AIDS national guidelines as well as in developing the first national guidelines for STI reporting and treatment. These guidelines have been submitted for national ratification.
Performance and Prospects: In 2000, multi-sectoral planning groups consolidated their work on a coordinated response to HIV/AIDS in three new states, designing strategic plans and analyzing resource allocation with tailored, technical assistance from USAID. Two additional state groups will initiate activities in 2001. The success of the state-level health planning groups arises from their innovative and participatory nature in providing a community response to HIV/AIDS.
NGO institution-building activities were carried out in two additional states in the past year, and one of the original states is now providing technical assistance to NGOs in two neighboring states. In 2001, NGOs will continue to improve internal functioning and outreach to other NGOs and to the public sector. Training for health workers and clinic managers in the new national guidelines for HIV/AIDS and STIs will begin in late 2001. The diagnostic phase of the Mexico-Central America HIV and Migration activity will be completed in 2001, at which time USAID will plan and initiate targeted interventions in previously identified "hot spots".
Planned expenditures of FY 2001 funds are broken down as follows: $750,000 for policy-related activities (i.e., planning workshops in three additional states as well as follow-up with existing groups and state-level workshops on gender, human rights, and adolescents); $425,000 for institutional strengthening and technical capacity building of NGOs; $250,000 for completion of national guidelines for STIs and training of health service providers in target states; $350,000 for regional and cross-border activities focused on migration and HIV; and $221,000 for evaluation and program management.
For FY 2002, funds will be allocated roughly as follows: $700,000 for policy-related activities; $400,000 for institutional strengthening and technical capacity building of NGOs; $200,000 for HIV/AIDS and STI stigma research and policy interventions as well as training for health service providers; $300,000 for regional and cross-border activities focused on migration and HIV; $200,000 for a service provision assessment in target states; and $200,000 for evaluation and program management.
Possible Adjustments to Plans: None planned at this time.
Other Donor Programs: USAID is pursuing active outreach to other donors for work in AIDS in Mexico. USAID has been the principal donor in Mexico since the beginning of the epidemic, and USAID's proactive outreach efforts are now bringing new players into the arena, most notably Japan. In prevention, donor support comes from the World Bank-funded regional project for Latin America, the joint United Nations Programme on HIV/AIDS (UNAIDS), the Pan American Health Organization, and the MacArthur Foundation.
Principal Contractors, Grantees or Agencies: U.S. organizations include the International HIV/AIDS Alliance, Family Health International, The Futures Group International, Macro International, and Tulane University. Mexican organizations include CONASIDA and the National Institute of Public Health.
Mexico 523-002
Performance Measures:
Indicator FY97
(Actual)FY98
(Actual)FY99
(Actual)FY00
(Actual)FY00
(Plan)FY01
(Plan)FY02
(Plan)Indicator 1: Number of target states with on-going public-private collaborations NA 0 2 4 4 6 7 Indicator 2: Number of HIV/AIDS NGOs in target states with improved strategic plans* NA 0 56 58 36 45 54 Indicator 3: Change in AIDS Policy Environment Score: Sets 1, 2, 3* NA 50 (Set 1) NA 56.4 (Set 1)
39 (Set 2)55 (Set 1)
50 (Set 2)50 (Set 3) 60 (Set 1)
60 (Set 2)Indicator Information:
Indicator Level (S)or(IR) Unit of Measure Source Indicator Description Indicator 1: SO Cumulative number of states Policy Project/The Futures Group The cumulative numbers of target states that have or have created a mechanism during the year for ongoing public-private collaboration around HIV/AIDS/STI issues. Indicator 2: IR Cumulative number of HIV/AIDS NGOs International HIV/AIDS Alliance documentation (provided by Colectivo Sol and focal point NGOs in each state) Number of HIV/AIDS NGOs in target states with demonstrably improved strategic plans which include external relations and alliance building strategies. Indicator 3: IR Percent Policy Project/Futures Group The AIDS Policy Environment Score measures the degree to which the policy environment in a particular country supports HIV/AIDS prevention, quality of care, human rights, and mitigation of negative effects on society. The baseline assessment was conducted in Mexico, Guerrero, Yucatan, and the Federal District (Set 1) in 1998; baseline data was gathered in Veracruz and Oaxaca (Set 2) in 2000. In 2001, it will be gathered in Jalisco and Puebla (Set 3). The indicator reported is the states' average score. U.S. Financing
(In thousands of dollars)
Obligations Expenditures Unliquidated Through September 30, 1999 0 DA 0 DA 0 DA 1,450 CSD 1,450 CSD 0 CSD 0 ESF 0 ESF 0 ESF 0 SEED 0 SEED 0 SEED 0 INL 0 INL 0 INL 0 DFA 0 DFA 0 DFA Fiscal Year 2000 0 DA 0 DA 1,210 CSD 1,180 CSD 0 ESF 0 ESF 0 SEED 0 SEED 0 INL 0 INL 0 DFA 0 DFA Through September 30, 2000 0 DA 0 DA 0 DA 2,660 CSD 2,630 CSD 30 CSD 0 ESF 0 ESF 0 ESF 0 SEED 0 SEED 0 SEED 0 INL 0 INL 0 INL 0 DFA 0 DFA 0 DFA Prior Year Unobligated Funds 0 DA 0 CSD 0 ESF 0 SEED 0 INL 0 DFA Planned Fiscal Year 2001 NOA 0 DA 1,996 CSD ESF 0 SEED 0 INL 0 DFA Total Planned Fiscal Year 2001 0 DA 1,996 CSD 0 ESF 0 SEED 0 INL 0 DFA Future Obligations Est. Total Cost Proposed Fiscal Year 2002 NOA 0 DA 0 DA 0 DA 2,000 CSD 2,000 CSD 8,656 CSD 0 ESF 0 ESF 0 ESF 0 SEED 0 SEED 0 SEED 0 INL 0 FSA 0 FSA 0 DFA 0 DFA 0 DFA
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Last Updated on: May 29, 2002 |
