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Jamaica Second HIV/AIDS Project

Abstract*

The Second HIV/AIDS Project for Jamaica development objectives are to assist in the implementation of the Government's National HIV/AIDS Program by supporting the: (i) deepening of prevention interventions targeted at high risk groups and the general population; (ii) increasing of access to treatment, care and support services for infected and affected individuals; and (iii) strengthening of program management and analysis to identify priorities for...

* The project abstract is drawn from the PAD, SAR or PGD and may not accurately reflect the project's current nature

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Development Objective

The project development objectives are to assist in the implementation of the Governmentâ??s national HIV/AIDS program through support to: (i) deepening of prevention interventions targeted at high risk groups and for the general population (ii) increasing of access to treatment, care and support services for infected and affected individuals; (iii) strengthening of program management and analysis to identify priorities for strengthening the health sector capacity to respond to the HIV/AIDS epidemic and other priority health problems.

Key Details

Project Details

  • P106622

  • Closed

  • Shiyan Chao

  • N/A

  • Jamaica

  • November 12, 2007

  • (as of board presentation)

    May 13, 2008

  • September 23, 2008

  • US$ 10.00 million

  • B

  • June 14, 2013

  • March 31, 2013

  • BANK APPROVED

  • Notes

Finances

Financing Plan (US$ Millions)

No data available.
Financier Commitments
International Bank for Reconstruction and Development 10.00
Borrower/Recipient 1.54

Total Project Financing (US$ Millions)

Product Line IBRD/IDA
IBRD Commitment 10.00
IDA Commitment N/A
IBRD + IDA Commitment 10.00
Lending Instrument
Grant Amount N/A
Total Project Cost** 11.54

Summary Status of World Bank Financing (US$ Millions) as of January 31, 2025

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No data available.
Financier Approval Date Closing Date Principal Disbursed Repayments Interest, Charges & Fees

Detailed Financial Activity as of January 31, 2025

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No data available.
Period Financier Transaction Type Amount (US$)
Oct 15, 2019 IBRD-75560 Loan Repay 193,510.53
Apr 15, 2020 IBRD-75560 Int Charges 82,624.95
Apr 15, 2020 IBRD-75560 Loan Repay 193,510.53
Oct 15, 2014 IBRD-75560 Loan Repay 193,510.53
Oct 15, 2014 IBRD-75560 Int Charges 18,415.46
Oct 15, 2020 IBRD-75560 Int Charges 53,830.77
Aug 19, 2013 IBRD-75560 Loan Disb 343,061.00
Aug 19, 2013 IBRD-75560 Loan Disb 910,179.60
Aug 19, 2013 IBRD-75560 Loan Cancel 349,537.16
Oct 15, 2020 IBRD-75560 Loan Repay 193,510.53
Oct 15, 2018 IBRD-75560 Int Charges 108,211.68
Oct 15, 2018 IBRD-75560 Loan Repay 193,510.53
Apr 15, 2017 IBRD-75560 Int Charges 61,842.30
Apr 15, 2017 IBRD-75560 Loan Repay 193,510.53
Oct 15, 2017 IBRD-75560 Int Charges 68,173.11
Oct 15, 2017 IBRD-75560 Loan Repay 193,510.53
Apr 15, 2018 IBRD-75560 Int Charges 413.18
Apr 15, 2018 IBRD-75560 Int Charges 71,802.23
Apr 15, 2018 IBRD-75560 Loan Repay 193,510.53
Oct 15, 2016 IBRD-75560 Loan Repay 193,510.53
Oct 15, 2016 IBRD-75560 Int Charges 46,314.30
Apr 15, 2016 IBRD-75560 Int Charges 29,659.63
Apr 15, 2016 IBRD-75560 Loan Repay 193,510.53
Apr 15, 2015 IBRD-75560 Int Charges 19,312.78
Apr 15, 2015 IBRD-75560 Loan Repay 193,510.53
Oct 15, 2015 IBRD-75560 Int Charges 24,435.95
Oct 15, 2015 IBRD-75560 Loan Repay 193,510.53
Apr 15, 2014 IBRD-75560 Int Charges 992.15
Apr 15, 2014 IBRD-75560 Int Charges 20,613.96
Apr 15, 2014 IBRD-75560 Loan Repay 193,510.53
Oct 15, 2013 IBRD-75560 Int Charges 21,342.93
Oct 15, 2013 IBRD-75560 Loan Repay 167,944.44
May 13, 2008 IBRD-75560 Loan Commitment 10,000,000.00
Oct 15, 2023 IBRD-75560 Int Charges 3,166.44
Oct 15, 2023 IBRD-75560 Int Charges 164,617.00
Oct 15, 2023 IBRD-75560 Loan Repay 193,510.53
Apr 15, 2024 IBRD-75560 Int Charges 2,013.74
Apr 15, 2024 IBRD-75560 Int Charges 173,884.20
Apr 15, 2024 IBRD-75560 Loan Repay 193,510.53
Apr 15, 2023 IBRD-75560 Int Charges 6,333.75
Apr 15, 2023 IBRD-75560 Int Charges 136,072.36
Apr 15, 2023 IBRD-75560 Loan Repay 193,510.53
Oct 19, 2021 IBRD-75560 Loan Repay 193,510.53
Apr 15, 2022 IBRD-75560 Int Charges 15,820.38
Apr 15, 2022 IBRD-75560 Loan Repay 193,510.53
Apr 15, 2022 IBRD-75560 Int Charges 10.54
Oct 15, 2022 IBRD-75560 Int Charges 72,611.78
Oct 15, 2022 IBRD-75560 Loan Repay 193,510.53
Apr 15, 2021 IBRD-75560 Int Charges 18,833.72
Apr 15, 2021 IBRD-75560 Loan Repay 193,510.53
Oct 19, 2021 IBRD-75560 Int Charges 18,396.21
Apr 15, 2019 IBRD-75560 Loan Repay 193,510.53
Apr 15, 2019 IBRD-75560 Int Charges 111,798.15
Oct 15, 2019 IBRD-75560 Int Charges 109,530.24

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name Review Date
Procurement Satisfactory 2012-10-28
Project Management Satisfactory 2012-10-28
Progress towards achievement of PDO Moderately Satisfactory 2012-10-28
Monitoring and Evaluation Satisfactory 2012-10-28
Financial Management Satisfactory 2012-10-28
Overall Implementation Progress (IP) Satisfactory 2012-10-28
Overall Safeguards Rating Satisfactory 2012-10-28
Counterpart Funding Satisfactory 2012-10-28

COMPLETION RATINGS

INDICATORIMPLEMENTATION COMPLETION & RESULTS REPORT: 09-30-2013
Outcomes
Risk to Development OutcomeModerately Unsatisfactory
Bank Performance
Borrower Performance
Government Performance
Implementing Agency

INDEPENDENT EVALUATION RATINGS

INDICATORICR REVIEW: 05-08-2014PROJECT PERFORMANCE ASSESSMENT REPORT:
Outcome RatingModerately Unsatisfactory N/a
Risk To Development OutcomeSignificantN/a
Bank PerformanceModerately UnsatisfactoryN/a
Borrower PerformanceModerately SatisfactoryN/a
Government PerformanceModerately SatisfactoryN/a
Implementing AgencyModerately SatisfactoryN/a
Icr QualitySatisfactoryN/a
M&e QualityModestN/a

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATORBASELINECURRENTTARGET
  • % of young people aged 15-24 reporting the use of a condom the last time they had sex with a non-regular sexual partnerValueMen: 83.5%, Women 66.3% (2008)Male:79.25%, Female 57%Males 85%, Female 70%
    DateMarch 20, 2008March 29, 2013March 29, 2013
    CommentTarget Not Achieved. There may be two major reasons for not achieving target: (1) the economic down turn in Jamaica that hasdriven young people to take more risk behavior and (2) less attention and investment have been focused on young people as theNational AIDS Programs have focusing on key populations at higher risks.
  • % of infants born to HIV-infected mothers, who are HIV-infectedValue10% (2006), 25% (2000)1.4% (2011, preliminary)4.6% (2010)<5%
    DateMarch 20, 2008December 31, 2011November 30, 2012
    CommentTarget Surpassed. Target has consistently been achieved and surpassed. Efforts continue to be needed in this area due to arecentdecline in the percentage of HIV positive pregnant women receiving a complete course of ARV from 86.6% in 2010 to 84.3% in2011. These preliminary figures reflect the length of time required for definitive diagnosis of vertical transmission (up to 6months). Thetrue figure for 2011 is likely to be higher than 1.4%, but lower than the target of 5%.
  • % of people expressing accepting attitudes towards PLWHA, of all people surveyed aged 15-49ValueM 41.4%, F 34.3% (2008)Male 36.5%, Female 33.8%Male: 46%, Female: 40%
    DateMarch 20, 2008March 29, 2013March 29, 2013
    CommentTarget Not Achieved.

INTERMEDIATE RESULTS INDICATORS

INDICATORBASELINECURRENTTARGET
  • % of young women and men aged 15 - 24 who both correctly identify ways of preventing the sexual transmission of HIV and who reject major misconceptions about HIV transmissionValueMales 37.4%, Females 42.3% (2008)Male 35.6%, Female 51.3%Males 45%, Females 50%
    DateMarch 20, 2008December 31, 2012November 30, 2012
    CommentComponent 1 indicator.The data is based on the final 2012 KABP Survey report. The target is partially achieved. Target for male was below the baselineand target for female was achieved. The challenge with this indicator is due to being a two-part question. Individuals have toidentify not only the ways of preventing HIV transmission, but at the same time know the major misconceptions.
  • % of SW reporting condom use with their most recent client.Value90%91%Maintain > 90%
    DateMarch 20, 2008December 31, 2011November 30, 2012
    CommentComponent 1 indicator.Target achieved. Since the target had been surpassed since 2008 the team proposed a rewording of the indicator to capturebehaviorpatterns with regular paying partners, where condom use is lower, and new paying partners. The target under the rewordedindicator(5b in Aide Memoire reflected here as sub-indicator) has not been achieved.
  • % of SW who received HIV testing in the last 12 months and who know the results.Value43% (2005)59.2% (2011)50%
    DateMarch 20, 2008December 31, 2011November 30, 2012
    CommentComponent 1 indicator.Target Surpassed. The original target has been achieved and surpassed, however, the target that was revised upwards has not beenachieved. The target was revised upward from 50% to 80% in line with previously established National and Global Fund target.
  • % of MSM reporting the use of condom the last time they had anal sex with a male partnerValue74% (2007)75.5%80%
    DateMarch 20, 2008December 31, 2011November 30, 2012
    CommentComponent 1 indicator.Target Not Achieved. Among the contributing factors for the target not having been achieved are that the strategy to reach MSM isrelatively new and operates in a highly stigmatized environment and is has been challenging to secure buy-in and support from CSOpartners into a consolidated response. Final report on MSM survey will be available by June 30, 2012 (to be confirmed).
  • Number of CSWs and MSMs reached through prevention activities.ValueCSW: 7790 MSM: 7832CSW: 34,510MSM: 19,922SW: 30,000; MSM: 19,000 (RF targets are SW: 14955
    DateMarch 20, 2008March 31, 2012November 30, 2012
    CommentComponent 1 indicator.Target Surpassed. Factors contributing to the targets being surpassed are the number of empowerment workshops the preventioncomponent has been organizing for CSW and MSM and that new hot spots have been identified allowing the Program to expand its reachto these areas.Targets have been increased as a significant amount of funds have been approved or re-programmed to further increase BCC outreachwork. The revised targets are in line with increased national targets also approved by the Global Fund. For SW, the target hasbeenincreased from 14,955 to 30,000 and for MSM the target has been increased from 14,059 to 19,000. Targets are cumulative. It isestimated that the SW population in Jamaica ranges from 7,000 – 18,000 and the MSM population is 9,000 to 27,000
  • % of inmates reached through prevention activitiesValue< 1%10%900 per year or 18%(RF target was 15%)
    DateMarch 20, 2008October 31, 2012November 30, 2012
    CommentComponent 1 indicator.Targets have been increased as a significant amount of funds have been approved or re-programmed to further increase BCC outreachwork. The revised targets are in line with increased national targets also approved by the Global Fund. The target has beenincreased from 15% to 18% or 900 per year.
  • % of adults & children with HIV still alive 12 months after initiation of ART.Value75% (2006)75.6% of 2010 cohort in 5 treatment sites92%
    DateDecember 31, 2006March 31, 2012November 30, 2012
    CommentComponent 2 indicator.Target Not Achieved. Socioeconomic factors, stigma and discrimination (real or perceived), and data capture issues arecontributing to this indicator not being achieved. Calculation of this figure is subject to deficiencies in the health informationsystem, which particularly does not allow capture of patients moving enrollment from one public treatment site to another.Consideration of deaths from AIDS reported in the public system indicates that the true 12 month mortality on treatment is above90%.
  • Number of men, women & children with advanced HIV receiving antiretroviral combination therapy according to national guidelinesValue3,000 (2007)9167(8675 Adults & 492 children)9,000
    DateMarch 20, 2007March 31, 2012November 30, 2012
    CommentComponent 2 indicator.Target Surpassed. Despite achievement of target, the NHP continues to assess how to strengthen their efforts in this area to makeinroads in reaching the estimated 50% of PLHIV unaware of their status (approx 15,800 in need), address missed opportunities fortesting (PITC), increase the uptake of testing by the MARPs, and target testing.The target has been increased from 7,231 to 9,000. Following the UNAIDS Spectrum/EPP process in 2010, which revealed an estimateof 14,000 persons in need of treatment, national targets were increased to reflect placing an additional 1000 persons on treatmenteach year. This target is also supported by Global Fund.
  • % of HIV positive pregnant women receiving a complete course of ARV prophylaxis to reduce the risk of MTCTValue<10% (2002), 74% (2005), 84% (2007)2011: 84.3% (public sector)> 80%
    DateMarch 20, 2007March 31, 2012November 30, 2012
    CommentComponent 2 indicator.Target Surpassed. The project would like to increase from >80% to >85% given the demonstrated greater performance of the Programin this area over the past two years and because of the previous target having been consistently met since 2009. Capturing privatesector data remains a challenge.
  • % of ANC clients that are counseled and tested for HIV (Project I phrased as #Proportion of Ante-Natal Care attendees receiving MTCT interventions#)Value95% (2007)2011: >90% (public sector)Maintain >90%
    DateMarch 20, 2007March 31, 2012November 30, 2012
    CommentComponent 2 indicator.Target Achieved. The target has been consistently met. Capturing private sector data remains a challenge.
  • Percent of reported cases of HIV-related discrimination receiving redress.Value25% (2006)100%50%(RF target was 70%)
    DateMarch 20, 2006March 31, 2012November 30, 2012
    CommentComponent 3 indicator.Target Surpassed. The indicator was reworded to allow for measuring what is within the control of the NHP. Under the rewordedindicator, the target was surpassed. The decision to reword was based on the review of the indicator at MTR where the target was50% and had not been reached based on 2011 data reporting a rate of 32%.
  • Percentage of institutions/organizations reached adopting HIV/AIDS policies.Value31% (2007)217 of 206 or 105%(additional companies identifie90%(RF target was 50%)93% (191 of 206)
    DateMarch 20, 2007March 31, 2012November 30, 2012
    CommentComponent 3 indicator.Target Surpassed. Original target and revised target upwards have both been surpassed. The presence of an HIV/AIDS focal point,steering committees, and ongoing sensitization and training in each government ministry and the 245 peer educators trained inprivateand public sector contribute to Program’s achievements in this area.
  • Completion of computerization for Regional LabsValue0In Progress.Systems completed for 3 regional labs.
    DateFebruary 9, 2009March 31, 2012March 29, 2013
    CommentComponent 3 indicator.MoH is seeking to establish a National HIS. This system will integrate the LIS previously established by the NHP. The NHPparticipates in the working group that is developing user requirements and specifications for this system.
  • Alternative treatment technology for biomedical waste management established in the Western Health Region.Value011
    DateFebruary 9, 2009December 31, 2012March 29, 2013
    CommentComponent 4 indicator.The MOH and Bank team decided not to pursue the establishment in the western region due to the financial crisis and decided toupgrade existing facility with additional treatment, storage and transportation capacity. The expansion was completed withadditional equipment procured and installed and the plant officially opened and functional.
  • Environmental management and monitoring plans for each plant dealing with Biomedical Waste developed and being implemented.Value1In place2
    DateFebruary 9, 2009March 31, 2012November 30, 2012
    CommentComponent 4 indicator.Target Achieved. The existing plant will be expanded with another unit and the existing Environmental management and monitoringplan will be updated consequently.
  • Assessing the capability of the public sector to provide the population with equal access to quality health services.ValueDoneAn analytic report with recommendations for improv
    DateDecember 31, 2012December 28, 2012
    CommentComponent 4 indicator.Government is using IDB-grant funding of US$270,000 to undertake this assessment. The study was completed with recommendationsforimprovement. The target met with IADB funds.
  • Percentage of female sex workers reporting the use of a condom with their last regular paying partnersValue90.0088.0090.00
    DateMarch 20, 2008October 30, 2009November 30, 2012
    Comment