Sexual and reproductive health services

HIV Prevalence among young people in the Caribbean is the second highest in the world, females being more affected than males.  The available data shows that more than half of all reported cases of HIV infection can be linked to unprotected sexual intercourse.  The need therefore for efficient, adequate and available sexual and reproductive health services in the Region cannot be overemphasized.  Good sexual and reproductive services, in addition to reducing the incidence of unprotected sexual intercourse can have considerable impact on the achievement of wider health related social and economic development goals; which can collectively can lead to the prevention of HIV infection
 For reproductive and sexual health services to have the required impact they should have the following characteristics:
1.    Equitable: They should reach out to everyone including the key populations.   Many at risk populations, e.g. MSM and sex workers claim that the administration and management of the current national sexual and reproductive health services do not effectively cater to their needs
2.    Efficient: They should utilize resources in a way that  minimizes waste
3.    Effective:  Services should be  provided by technically competent, trained professional who also know how to communicate effectively with all clients
4.    Confidential: They should assure client  privacy during and after provision of services  
5.    Comprehensive: As far as possible a wide range of services should be offered including
•     Family planning and contraceptives including condoms
•     STI treatment
•    HIV and STI  testing and prevention
•    HIV Counseling
•    Printed information
•    An efficient and reliable referral system
Many PANCAP Partners including countries, regional support agencies and other partners are currently involved in the delivery of sexual and reproductive health programmes and services.   For example, Options with funding from KfW are providing services through the CARISMA project in 13 countries across the region.  UNFPA also contributes significantly by conducting research, funding programmes and undertaking capacity development to improve the sexual and reproductive health in the Caribbean.
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