57246 STATUS OF PROJECTS IN EXECUTION FY10 SOPE LATIN AMERICA AND THE CARIBBEAN REGION Trinidad and Tobago Operations Policy and Country Services OCTOBER 03, 2010 Introduction The Status of Projects in Execution (SOPE) Report for FY10 provides information on all IBRD, IDA, and trust funded projects that were active as of June 30, 2010. The World Bank has issued a SOPE Report every year as an internal communication to the Board of Executive Directors. In accordance with the Bank's revised disclosure policy, since FY02, the SOPE Report is available to the public. The report is intended to bridge the gap in information available to the public between the Project Appraisal Document or Program Document, disclosed after the Bank approves a project, and the Implementation Completion Report, disclosed after the project closes. In addition to the project progress description, the FY10 SOPE report1 contains project level comparisons of disbursement estimates and actual disbursements, and a table showing the loan/credit/grant amount and disbursements to date. 1 Notes: Amounts and Graphs for loans/credits/grants in currencies other than U.S. dollars may not match exactly due to exchange rate fluctuations over the life of the project. Disbursement graphs are not included for Development Policy Operations, which provide quick-disbursing financing to support policy and institutional reforms. For these operations, funds are disbursed in one or more stages (tranches), released when the borrower complies with agreed prior actions. Projects which are not yet effective may not have a planned disbursement schedule and thus will not include a graph. Trinidad and Tobago Project Name (ID): T&T: HIV/AIDS PREVENTION AND CONTROL (P075528) Country: Trinidad and Tobago Board Approval Date: 06/27/2003 Midterm Review Date: 03/13/2006 Closing Date: 09/30/2010 Loan/Credit/Grant Number: IBRD-71840 Sector (s): Health (100%) Theme (s): HIV/AIDS (33%), Population and reproductive health (33%), Health system performance (17%), Child health (17%) Project Development Objectives: The project development objectives are to assist in the implementation of the National HIV/AIDS Program by (a) deepening prevention interventions targeted at high risk groups and the general population; (b) increasing access to treatment, care and support services for infected and affected individuals; and (c) strengthening program management and analysis to identify priorities for building the capacity of the health sector to respond to the HIV/AIDS epidemic and other priority health problems. The project was restructured, or received Additional Financing during FY 10 The project restructuring (a) revised the Project Development Objective statement to better reflect the outputs and outcomes that are achievable and attributable to the Project; (b) revised the results framework to align indicators with the revised Project Development Objective; (c) established a Special Account for the Loan under the Office of the Prime Minister and an Operational Project Account under the Ministry of Health; and (d) revised Schedule 1 of the Loan Agreement to: (i) include a new category "sub-project" for financing subprojects for civil society organizations and (ii) reallocate resources among categories of expenditure to take account of the actual costs of project activities and to reflect the funding needs to support the revised project objectives and activities in the future; and (e) extended the project closing date from December 31, 2009 to September 30, 2010. Progress toward achieving development objective(s): The project is an integral part of the National AIDS Program and it has been the major source of financing for the National Strategic Plan (NSP) 2004-2009. The National AIDS Program has made noteworthy achievements in its response to the HIV/AIDS epidemic and the Government is developing a new NSP for 2010-2015. The project is scheduled to close on September 30, 2010. Considerable progress has been made in achieving the project development objectives since the project restructuring in 2009, particularly in the area of increasing access to treatment and care of people living with HIV/AIDS. Free antiretroviral therapy (ART) has been provided for people living with HIV and AIDS. As of December 2009, a total of 6,646 HIV patients are under treatment and care, and 54% of them are under ART. As a result, the number of deaths due to AIDS has been reduced significantly and the number of reported, newly diagnosed HIV cases has started to decline. AIDS mortality in Tobago witnessed a steady decline in 2009 attributed to ART. However, the proportion of HIV-positive pregnant women who receive a complete course of ART to reduce the risk of mother-to- child transmission is still below the target of 90% (71.2% in 2009). Remedial actions supported by the project are taking place to ensure that targets are reached. The project has strengthened the institutional capacity of the Ministry of Health, other Government agencies, and civil society organizations through workshops and seminars to train trainers and health care providers to ensure an effective multisectoral response to the HIV/AIDS epidemic. In the area of prevention, the project has supported activities to increase the availability and accessibility of condoms. The project continues to support the strengthening and upgrading of the country's Voluntary Counseling and Testing (VCT) capacity. Almost all pregnant women (95%-97%) have been reached for VCT testing; but the percentage of population being tested is still low (about 2% of the population aged 15 to 49). More effort is needed to strengthen prevention programs in order to reach high risk groups. Lending Information/Disbursement Summary (USD millions, as of June 30, 2010) Loan/Credit/Grant Status Amount Disbursed Undisbursed Cancellation IBRD-71840 Effective 20.00 18.26 1.74 0.00 STATUS OF PROJECTS IN EXECUTION FY10 LATIN AMERICA AND CARIBBEAN REGION STATUS OF PROJECTS IN EXECUTION ­ FY10 LATIN AMERICA AND CARIBBEAN REGION