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CARIBBEAN COALITION OF NATIONAL AIDS PROGAMME COORDINATORS PANCAP 9 TH ANNUAL GENERAL MEETING. National HIV/AIDS Country Report: Achievements, Issues and Challenges in the Implementation of National AIDS Programmes Dr. Kevin Harvey October 29, 2009. Background. HIV in the Caribbean
National HIV/AIDS Country Report:
Achievements, Issues and Challenges in the Implementation of National AIDS Programmes
Dr. Kevin Harvey
October 29, 2009
HIV in the Caribbean
As HIV continues to disproportionally affect vulnerable populations we thought it poignant to examine some of the issues taking place on a National level.
Focus was directed at four critical areas:
Eighty percent (80%) of countries have adopted a national multi-sectoral approach to HIV
Just over half (55%) of the countries had non-discrimination laws or regulations with specific protections for MARPs
There continues to be a significant gap in policies and legislation with respect to the inclusion and protection of vulnerable populations specifically men who have sex with men, sex workers, prisoners and migrant populations.
Caribbean Technical Expert Group 2004, Gebre et al 2006, UNAIDS 2007
Stigma continues to limit the effectiveness of interventions thus preserving a reservoir of the virus which will continue to transcend into the general population unless mechanisms can be found to provide the necessary prevention, treatment, care and support service to all MARPS.
Policy and legislative changes must occur to ensure that needed HIV service reach those most in need.
Twenty six percent (26%) of countries do not have a policy or strategy for promoting HIV related reproductive and sexual health education
While 70% of countries reported having a policy or strategy promoting HIV related reproductive and sexual health education for young people less than half (35%), actually had an education strategy targeting out of school youths.
With respect to MARPs about sixty five percent (65%) of respondents indicated that they did have a policy or strategy promoting information, education, communication and other preventative health interventions for this group.
Fifty nine percent (59%) have a M&E Plan, while 41% do not or are in the process of development
Thirty five percent (35%) of countries have a budget, 35% in progress, 30% do not have M&E budgeted.
Forty one (41%) yes, 23% in progress, 36% none
Fifty nine (59%) yes, 41% no.
60% of countries have been using M&E to inform their National AIDS Strategy, 57% used to determine resource allocation and 73% for Programmatic improvement.
Countries have made great strides with respect to scaling up of their National AIDS Programmes to meet the needs of a “generalised” epidemic. But the literature and research findings continue to show a disproportionate growth among specific interventions for MARPs.
In order to effectively address the needs of those most-at-risk National AIDS Programmes will require targeted technical, financial and political support to redefine strategies to focus on mitigating the impact of the epidemic amongst those most affected -MARPS