Trinidad and Tobago
Trinidad and Tobago is a twin-island state located at the southern end of the Caribbean island chain with a population of approximately 1.3 million. Since the first case of HIV was identified in 1983, nearly 22,000 persons have been diagnosed with HIV in Trinidad and Tobago. Currently, the adult HIV prevalence is approximately 1.5%, and the annual number of new infections per year remains at about 1,400.
In response to the outbreak, the first HIV/AIDS National Strategic Plan (NSP) was developed for 2004 – 2008. The plan was extended for one year and a Transitional National Strategic Plan was prepared for the fiscal year 2010-2011.
Health Systems 20/20 provided support to the National AIDS Coordinating Committee (NACC) in providing a costing estimate of the NSP for 2011-2016. The costing estimate links the objectives, strategies and activities in the NSP to resources that reflect the anticipated targets expected to be achieved during the period of the NSP.
The cost estimates of the NSP were developed using an activity-based costing methodology. In order to breakdown the strategy activities into implementable activities that could be costed, consultations were held with key stakeholders including: technical working group participants, civil society organizations, Ministry of Health HIV/AIDS coordinators, and regional health authorities. Stakeholders represented the range of activities included in the NSP covering each of the five NSP priority areas: 1) Prevention, 2) Treatment, Care and Support, 3) Advocacy and Human Rights, 4) Strategic Information and 5) Policy and Program Management.
