HIV and STI Research
HIV Services Provision Assessment
The HIV/AIDS Service Provision Assessment (HSPA) is a methodology developed by MEASURE DHS+/ORC Macro. The Caribbean HSPA has been carried out in two phases to assess the availability of health services and capacity to provide quality HIV/AIDS-related services in the nine focus countries of the USAID Caribbean Regional Mission: Antigua & Barbuda, Barbados, Dominica, Grenada, St. Kitts & Nevis, St. Lucia, St. Vincent & the Grenadines, Surinam and Trinidad & Tobago.
Phase I included four countries - Barbados, Dominica, St. Lucia and St. Vincent and the Grenadines. AID, Inc., Barbados, was contracted to manage the buy-in of stakeholders, implementation of the field training exercises and conduct the data collection, data management and preliminary data analyses for the four countries of Phase I. Regional Team Leader - Ms. Sarah Adomakoh
Phase 2 countries included Antigua and Barbuda, Grenada, Suriname, Trinidad & Tobago, St Kitts & Nevis. St. Georges University, Grenada was contracted to oversee phase 2 data collection. Regional Team Leader - Dr Robert Kennedy
The HSPA provides facility-based information such as what services are available where, the capacity and conditions at those service delivery points, and who is accessing these services. Information about AIDS-related services and mapping the geographic location of these services provides a regional perspective as well as data useful for country programs to improve the provision of AIDS-related services and to create conditions to support the scale-up. The HSPA provides information on two UNAIDS/WHO/Global Fund indicators that are included in the Caribbean Indicators and Measurement Tools (CIMT) related to the conditions and capacity for health facilities to provide quality HIV/AIDS services at both the basic and advanced level. The information collected by the HSPA already exists in many different places within a facility (such as patient registers, individual patient files, health information system database, staff training records, and equipment and pharmacy distribution records). However, it is necessary to bring that information together in order to determine the care available to patients.