World Bank Document

Public Disclosure Authorized

Document of

The World Bank

Report No: 23265-JM

Public Disclosure Authorized

Public Disclosure Authorized

PROJECT APPRAISAL DOCUMENT ONA

PROPOSED LOAN IN THE AMOUNT OF US$15 MILLION

TO JAMAICA FOR AN HIV/AIDS PREVENTION AND CONTROL PROJECT (SECOND PHASE OF THE MULTI-COUNTRY HIV/AIDS PREVENTION & CONTROL APL FOR THE CARIBBEAN) January 25, 2001

Sector Management Unit for Human Development Carribean Country Management Unit Latin America and Caribbean Region

Public Disclosure Authorized

AGD AIDS ANC ARV BCC BSS CAS CAREC CBO CDC CD4 CHARES CMO COHSAD CQ CSW DALY DOTS FAA FBO FMR GDP GOJ GTZ HAART HCL HIV HRC/COHSAD IBRD ICB IDB IEC JAS JN+ KAPB LAC LIB

CURRENCY EQUIVALENTS

(Exchange Rate Effective November 11, 2001)

Currency Unit = Jamaica Dollar (JMD) I JMD = US$0.0214

US$1 = JMD 46.76

FISCAL YEAR April 1 -- March 31

ABBREVIATIONS AND ACRONYMS Auditor General's Department Acquired Immune Deficiency Syndrome Ante-Natal Clinic Antiretrovirals Behavior Change Communication Behavior Surveillance Survey Country Assistance Strategy Caibbean Epidemiology Center Community-Based Organization Center for Disease Control and Prevention Helper T-lymphocytes Center for HIV/AIDS Research, Education and Services Chief Medical Officer Human Resource Council (Subcommittee of Cabinet) Consultant Qualifications Commercial Sex Worker Disability Adjusted Life Years Directly Observed Treatment, Short Course Financial Administration and Audit Act Faith-Based Organization Financial Management Reports Gross Domestic Product Govemment of Jamaica Deutsche Gesellschaft fir Technische Zusammenarbeit (GTZ) GmbH Highly Active Antiretroviral Therapy Health Corporation Limited Human Immune-deficiency Virus Human Resource Council (Subcommittee of Cabinet) Intemational Bank for Reconstruction and Development, The World Bank International Competitive Bidding Inter-American Development Bank Information, Education and Communication Jamaica AIDS Support Jamaica Network of HIV+ Knowledge, Attitude, Practices and Behavior Latin American and Caribbean Countries Limited International Bidding

M&E MOFP MOH MSM MTCT NAC NCB NCC NGO NNRTI NPC NPHL NSP 01 OM PAC PAHO PDC PEP PHD PCU PIOJ PLWHA PSO QCBS RPA RPR SBD SOE STI TB UNAIDS USAID VCT VDRL WB WHO

Monitoring and Evaluation Ministry of Finance and Plannning Ministry of Health Men Who have Sex with Men Mother-to-Child Transmission National AIDS Committee National Competitive Bidding National Contract Commission Non-Governmental Organization Non-Nucleoside Reverse Transcriptase Inhibitors National Planning Council National Public Health Laboratory National HIV/AIDS Strategic Plan (2002-2006) Opportunistic Infections Operations Manual Parish AIDS Committee Pan American Health Organization Parish Development Committee Post-Exposure Prophylaxis Parish Health Department Project Coordination Unit Planning Institute of Jamaica People Living with HIV/AIDS Private Sector Organization Quality and Cost-Based Selection Regional Procurement Advisor Rapid Plasma Reagin Standard Bidding Documents Statement of Expenditures Sexually Transmitted Infections Tuberculosis Joint United Nations Program on HIV/AIDS U.S. Agency for International Development Voluntary Counselling and Testing Venereal Disease Research Laboratory World Bank World Health Organization

Vice President: Country Manager/Director:

Sector Manager/Director: Task Team Leader/Task Manager:

David de Ferranti Orsalia Kalantzopoulos Ana-Maria Arriagada Girindre Beeharry

JAMAICA HIV/AIDS PREVENTION AND CONTROL PROJECT (SECOND PHASE OF THE MULTI-COUNTRY HIV/AIDS PREVENTION & CONTROL APL FOR THE CARIBBEAN)

CONTENTS

A. Program Purpose and Project Development Objective

1. Program purpose and program phasing 2. Project development objective 3. Key performance indicators

B. Strategic Context

1. Sector-related Country Assistance Strategy (CAS) goal supported by the project 2. Main sector issues and Government strategy 3. Sector issues to be addressed by the project and strategic choices

C. Project Description Summary

1. Project components 2. Key policy and institutional reforms supported by the project 3. Benefits and target population 4. Institutional and implementation arrangements

D. Project Rationale

1. Project alternatives considered and reasons for rejection 2. Major related projects financed by the Bank and other development agencies 3. Lessons learned and reflected in the project design 4. Indications of borrower commitment and ownership 5. Value added of Bank support in this project

E. Summary Project Analysis

1. Economic 2. Financial 3. Technical 4. Institutional 5. Environmental 6. Social 7. Safeguard Policies

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