ARV Treatment Regional Technical Consultation for the LAC Region

Spanish_buttonFrom May 3-5, 2010, the Antiretroviral Treatment Regional Technical Consultation for Latin America and the Caribbean was held in Santo Domingo, Dominican Republic. The PEPFAR Adult Treatment Technical Working Group, the Pan American Health Organization (PAHO), and the Secretaría de Integración Social Centroamericana (SISCA) World Bank Project partnered with USAID/Dominican Republic and the AIDSTAR-One project to co-sponsor this technical consultation on maintaining and increasing access to quality antiretroviral therapy (ART) services in Latin America and the Caribbean (LAC). This technical consultation served in part as a follow-up to the previous SISCA/World Bank “Taller de Equipos Regionales Encargados de Medicamentos Antiretrovirrales” with a special focus on ensuring access to care, improving quality of treatment services, and harmonizing regional treatment programs.

This event brought together 90 technical experts including participants and presenters representing Costa Rica, Dominican Republic, El Salvador, Honduras, Guatemala, Nicaragua, Panama, Mexico and the United States. Knowledge and experiences were shared through presentations, interactive question and answer sessions, and facilitated small group discussions. The specific objectives of the consultation were to:

  • Provide the latest updates in evidence-based delivery of ART services for children, adolescents and adults
  • Examine the implications of the latest WHO/PAHO HIV treatment guideline updates on national programs in regards to access, quality, and sustainability
  • Discuss barriers to treatment access from the perspective of both patients and providers
  • Explore models of service integration and review the practical implementation of HIV/AIDS service delivery integration in the region
  • Discuss regional strategic monitoring and evaluation plans, including harmonization of indicators
  • Provide a framework for adaptation and harmonization of guidelines and supply chain logistics to promote regional collaboration and improve cost effectiveness

The key outcomes of the consultation included:

  • Enhanced clinical expertise of participants in evidence-based delivery of ART for adults, adolescents, children and infants
  • Clearer understanding of the implications of the new guidelines on national programs in regards to access, quality, and sustainability
  • Increased awareness of applicable models of HIV service integration that have been used in the region
  • Concrete suggestions for implementation of the latest WHO/PAHO treatment guidelines, including cost modeling to find cost-effective and sustainable approaches to ART services
  • Development of action oriented action plans by teams of representatives from Costa Rica, Dominican Republic, El Salvador, Honduras, Guatemala, Nicaragua, and Panama based on knowledge gained from the consultation


Day 1 Day 2 Day 3

Central America: A Diverse Region
Presented by Carlos Baztin
(PDF, 1.47 MB)

Integration of HIV Services
(PDF, 1.02 MB)
Presented by Elliot Raizes, CDC

Partnership for the Management of HIV/AIDS Drugs and

(PDF, 542 KB)
Presented by Dalia Castillo, OPS

Antiretroviral Treatment: WHO Current Trends and Recommendations
(PDF, 488 KB)
Presented by Carlos R Mejía Villatoro, H. Roosevelt

The CAPASITS Integrated Model
(Mexican Experience)

(PDF, 2.73 MB)
Presented by Jorge Saavedra, AIDS Healthcare Foundation

Planning and Funding of ART Programs
(PDF, 689 KB)
Presented by Lucía Merino, USAID | PASCA

HIV‐1 Pediatric Treatment
(PDF, 1.06 MB)
Presented by Luis G. Castaneda, Hospital Bloom

Monitoring, Evaluation and Epidemiological Surveillance System for HIV‐AIDS (SUMEVE) in El Salvador
(PDF, 1.96 MB)
Presented by Julio Alberto Armero Guardado, Ministry of Health

ART Regional Technical Consultation Objectives
(PDF, 900 KB)
Presented by MOH, PAHO, World Bank, and PEPFAR Representatives

Barriers in Access to Treatment for People Living With AIDS in C.A.
(PDF, 442 KB)
Presented by Sergio R. Montealegre, REDCA+

MANGUA: An Electronic Medical Record System for HIV/AIDS
(PDF, 1 MB)
Presented by Blanca Samayoa, Mangua

Procurement and Supply Chain Logistics
(PDF, 756 KB)
Presented by Heidi Mihm, PEPFAR

Summary of Country Challenges and Barriers to Treatment Scale-up
(PDF, 419 KB)
Presented by Rolando Cedillos, SISCA/BM

Honduras: HIV and AIDS Regional Strategic Plan 2010-2015
(PDF, 1.35 MB)
Presented by Héctor Galindo Castellanos, Ministry of Health

CHAI's Approach for the ARV Supply Chain
(PDF, 190 KB)
Presented by Alberto Necco, CHAI

Overcoming Access Obstacles for Treatment and Care: Advocacy for People with HIV
(PDF, 163 KB)
Presented by Karla Zepeda, OPS

An Overview of Operations Research and HIV
(PDF, 1.12 MB)
Presented by Jennifer Campbell and Alberto Necco, CHAI


Quality Improvement: State of the Art
(PDF, 266 KB)
Presented by Andrew Fullem, JSI/AIDSTAR-One

Evaluating the Quality of Services for People Living with AIDS - El Salvador
(PDF, 1.09 MB)
Presented by Sergio R. Montealegre, REDCA+