Resource Type: Report
Authors: Rachel Sanders, Lisa Tarantino
Published: 12/2014

Resource Description:

Antigua and Barbuda has made great strides in organizing its response to HIV and AIDS in recent years, and has managed to control the growth of the epidemic. The National AIDS Program (NAP) is now at a critical juncture as the country plans to adapt to the changing donor funding landscape, new clinical guidelines, strategic objectives, and changes in policy including greater program integration into primary care, which are designed to increase access and reduce the cost of service delivery.

This document provides analytic inputs that support a case for investment in the Antigua and Barbuda HIV and AIDS response. This report provides a quantitative analysis of trends in the HIV epidemic and the impact of various prevention and treatment efforts to date, along with a projection of possible future programming scenarios, their costs, and their implications for the epidemic. The report describes estimated funding available and gaps in funding that The Goals and Resource Needs models – part of the Spectrum/OneHealth modeling system that estimates the impact and costs of future prevention and treatment interventions – were used for this analysis.

UNAIDS and the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) have provided support to the six small-island countries of the Eastern Caribbean to develop HIV investment cases – reports that aim to help program leaders target investments on the interventions and populations where they will have maximum impact, given limited resources (UNAIDS 2012). With funding from the U.S. Agency for International Development (USAID), experts from the Health Finance and Governance Project have applied these tools to analyze available data from Antigua and Barbuda. The scenarios described in this report can help the Government of Antigua and Barbuda and civil society stakeholders to advocate for increased domestic funding for HIV and AIDS, and apply for available external funding from donors.