Objective 1: An enabling environment that fosters universal access to HIV services.

Objectives and Overview of Approach

Objective 1: An enabling environment that fosters universal access to HIV services.

Target populations


Expected Results

Key social, economic, and political institutions such as workplaces, schools, faith based organisations, community organisations, public agencies and policy makers, the press, and opinion leaders.

1.1 Countries reporting improvement in national commitment and action via the National Composite Policy Index (#, %). [UNGASS 2]

15 of 16 countries will show an increase of over 20% above the 2010 UNGASS baseline.

1.2 Countries with regionally networked PLH and MARP membership in NAC / CCM (#, %).

80% of countries not complying in 2010 will be in compliance by 2014.

1.3 Countries in which PLH and MARP surveys show a perceived reduction in stigma and discrimination (#, %).

By 2014, surveys in 80% of countries (14 of 17) of PLH and MARP will reflect a perceived reduction in S&D.

Overview of approach
Though this project is focused primarily on vulnerable groups, the effort to provide them with usable access to HIV services requires fighting prejudice in a larger social sphere.

Activities are targeted to engage with regional and national institutions that can influence the evolution of more positive sets of attitudes and behaviours in each of the countries and the region as a whole.

It is appropriate to promote them from the regional level because: 1) of the cost efficiency inherent in developing methods that can be adapted and replicated to build capacity in many countries, rather than each country having to invent everything on its own, and 2) local political and social resistance would unnecessarily delay the development of programmes in some countries, whereas gaining acceptance for a regional approach can be more practical. Due to that, interventions that support the creation of an enabling environment have been prioritised in the CRSF by the Caribbean countries as a regional public good. Strategy and implementation will be gender‐focused.

SDA 1.1 Policy Development Including Workplace Policy


Expected Result

1.1.1 Finalize and promote adoption of model policies and legislation (with parliamentarians, governments, and opinion leaders). [PCU]

- adoption in 10 countries of regional policy/legislation models in at least 3 areas (such as anti‐stigma and discrimination measures;
- regional standards for labs and training programmes;
- integration of HIV services into health systems;
- facilitation of task shifting;
- improved access to HIV services; and - social auditing by vulnerable populations.

1.1.2 Develop knowledge and methods to incorporate migrants, MARP, and PLH workers into workplace approaches to HIV. [PCU/ILO; CEC, CCL]

Development of a curriculum for workers on industrial relations for the protection of the workers’ rights of PLH and of persons affected by HIV and AIDS and suitable for use in distance education.



SDA 1.2 Strengthening of Civil Society and Institutional Capacity Building


Expected Result

1.2.1 Promote PLH peer support, building organizational, business, and service delivery skills of grassroots, national, and regional PLH organizations. (PCU/CRN+)

Functioning local PLH groups and national networks in 50% of countries.

1.2.2 Support and strengthen regional HIV response coordination mechanisms. [PCU]

PANCAP able to coordinate regional processes and address tasks assigned in CRSF.