S ustainable Development and HIV: the new Caribbean agenda Juliette Bynoe-Sutherland

1. Sustainable Development and HIV: the new Caribbean agenda Juliette Bynoe-Sutherland Director PANCAP

2. Latin America AND the Caribbean World Bank – Brazil meeting 2011 – a “lending” portfolio around health system strengthening PEPFAR regional evaluation underway & partnership review -July 2012 Global Fund shifting to “Global Fund Africa” by eligibility criteria Countries and Organizations demonstrating @20% counterpart financing EU placed HIV resources into GFATM Bi-lateral opportunities do exist but are limited by global economic crisis – Europe & US LAC G20 – Mexico and Brazil being courted

3. N Bring HIV out of isolation

4. Sustainability – is not new We have been trying to reshape the development discourse for some time “For countries like St. Kitts and Nevis, the MDG issue is not the progress to 2015 targets, the priority mission is to sustain the progress already made in reducing poverty and hunger; maintaining universal access to education and healthcare; and protecting the ecosystem. Development goals are met and surpassed by investment in the services people need to pursue happiness” Dr. Patrick Martin, Chief Medical Officer, St. Kitts & Nevis 2010

5. Keys to Sustainability: Economic Development The new Sir Arthur Lewis (?) This current reliance by WB, GFATM on GDP per capita to measure the investment potential of a country is meaningless for states whose economy could be destroyed in a few seconds by an earthquake or by a major hurricane.
 “Having to incur a high level of indebtedness because of high cost loans for human and infrastructure development and post-disaster reconstruction is iniquitous” said Dr. Patrick Martin (2010)

6. Keys to Sustainability Promote Human Rights and Equality for All “Making St. Kitts a better place for all” – a series of national consultations To combat HIV we need to get to the underlying causes of vulnerability and risk: Poverty, inequality and social exclusion. Investments in social policy (e.g housing, crime and security) and social welfare/empowerment becomes investments in HIV elimination e.g

7. Keys to sustainabilityI Migrant workers in Construction Sector in Trinidad & Tobago Rationalize the international development agenda: HIV & International Convention on Population and Development/ HIV & CEDAW How? Integrate HIV into Sexual and Reproductive health programmes (e.g Jamaica) partnering with the private sector and civil society (e.g family planning affiliates & gender advocates)

8. Keys to Sustainability Building Partnerships: Ending competition, territorialism and building coalitions to maximize impact

9. Keys to sustainability ILO CCL Workshop for presentation of findings of 12-Country study and agreement on Curricula content held in Antigua & Barbuda on March 27-28, 2012 Integrate HIV into health and wellness/occupational health and safety for collective bargaining rights The value chain – the right to work as a PLHIV

10. Keys to Sustainability Forge new paths Youth (particularly adolescents) as a vulnerable group (e.g Jamaica and Barbados “at risk youth” a category Rio + 20 Conference Outcome Document: “We ( States) recognize that people are at the centre of sustainable development and in this regard we strive for a world that is just, equitable and inclusive, and we commit to work together to promote sustained and inclusive economic growth, social development and environmental protection and thereby to benefit all

11. KKeKeys to Sustainability Foster a non-partisan environment for HIV & human rights Hon. Mark Brantley, Leader of the Opposition, Nevis: “For me and any politician interested in development - HIV is not to be made a political issue”

12. WE ARE PANCAP PANCAP engages Ministers of Health (April 2012), Attorneys General (June 2012) and Youth Ministers ( July 2012) e.g PAHO, UNAIDS, CMLF Support civil society engagements e.gCVC/COIN Partner and Donor Harmonization e.g PEPFAR & GFATM Prioritize regional Institutions e.g UWI, CARPHA