Dominica eliminates Mother-to-Child Transmission of HIV and Syphilis

The country is the eighth in the Caribbean to receive validation from WHO for the dual elimination. New HIV infections among children in the Caribbean declined by nearly 40% between 2019 and 2010. Reported cases of congenital syphilis are at 9.6 cases per 100,000 newborns, well below the goal of no more than 50 cases per 100,000 newborns.

Washington, D.C., May 14, 2021 (PAHO) – Dominica today celebrated its World Health Organization certification for the elimination of mother-to-child transmission of HIV and syphilis. With the achievement, Dominica joined seven other Caribbean countries that have received the dual validation, demonstrating continuing regional progress against the two diseases.

During a virtual celebration today, Dominica Prime Minister Hon. Roosevelt Skerrit said “what we are celebrating here is truly a remarkable achievement. Eliminating mother-to-child transmission of HIV and syphilis as a public health concern requires the strengthening of primary prevention and treatment services for HIV and syphilis for pregnant women within an established and successful maternal, perinatal and child health services.”

Dr Carissa F. Etienne, WHO Regional Director for the Americas and Director of the Pan American Health Organization (PAHO), said, “Dominica’s journey to this ambitious achievement represents a cumulation of years of expanding the capacity of its primary care services to address communicable diseases and adopting harmonized and integrated approaches to improving the health outcomes for women and their children within maternal and child health services.”

While Dominica received the certificate for elimination during the ceremony today, the country was recommended by WHO for certification last September.

New HIV infections among children in the Caribbean declined by nearly 40% between 2019 and 2010 – the year that the Regional Initiative for the Elimination of Mother-to-Child Transmission of HIV and Congenital Syphilis in Latin America and the Caribbean was launched. During that period, the number of cases declined from 3,400 to 1,500. Reported cases of congenital syphilis in the Caribbean are now at 9.6 cases per 100,000 newborns, well below the goal of no more than 50 cases per 100,000 newborns.

The seven other Caribbean countries and territories that have received the dual certification are Cuba in 2015 and Anguilla, Antigua and Barbuda, Bermuda, Cayman Islands, Montserrat and Saint Kitts and Nevis in 2017. Worldwide, the rest of the countries that have received the certification include Maldives (2019), Sri Lanka (2019), Malaysia (2018), and Armenia (HIV only), Belarus and Moldova (syphilis only), and Thailand (HIV and syphilis) in 2016.

Dr James Guwani, Director for the Caribbean Sub-regional Office of UNAIDS, noted that Dominica’s success brings the country and region a step closer to ending AIDS. “Dominica’s achievement in ensuring that its children are born free of HIV is truly inspiring and is testament to the combined strength and leadership of government, civil society activists and communities living with and affected by HIV. By putting people first, we can end the AIDS epidemic,” he asserted.

Jean Gough, UNICEF’s Regional Director for Latin America and the Caribbean, said, “From now on, every child will be born free of HIV and congenital syphilis in Dominica. No mother will transmit these diseases to her children. Today is a moment of pride for the country, but also a source of hope for many others in Latin America and the Caribbean.”

Dr Rosmond Adams, Director of the Pan Caribbean Partnership against HIV and AIDS (PANCAP), described the elimination as remarkable. “This is a commitment by Dominica that no child is born with HIV or congenital syphilis. It is also an indication of the country’s commitment and the hard work of the health care providers to reduce new HIV infections, which is a key strategy towards achieving the 2030 Sustainable Development Goals.”

Dominica’s efforts to achieve elimination were intensified and accelerated under the umbrella of the Regional Initiative for the Elimination of Mother-to-Child Transmission of HIV and Congenital Syphilis in Latin America and the Caribbean, coordinated by PAHO and UNICEF with support from other regional partners.

LINKS

Virtual celebration of certification of elimination of mother-to-child transmission of HIV and syphilis (English)

Virtual celebration of certification of elimination of mother-to-child transmission of HIV and syphilis (Spanish)

Global Validation of Elimination of Mother-to-Child Transmission (EMTCT) of HIV and Syphilis

Regional Initiative for Elimination of Mother-to-Child Transmission of HIV and Congenital Syphilis in Latin America and the Caribbean

Video – Dominica’s Road to EMTCT Validation

Regional Public Health Practitioners to benefit from Clinical Management of HIV course

Friday, 12 March 2021 (PANCAP Coordinating Unit, CARICOM Secretariat): The Pan-Caribbean Partnership against HIV and AIDS (PANCAP), the mechanism that provides a structured and unified approach to the Caribbean’s response to the HIV epidemic, is facilitating an exciting educational and capacity building opportunity for Public Health practitioners working in the Region’s HIV response.

PANCAP is providing financial support for twenty (20) Public Health practitioners to attend the Clinical Management of HIV course at the University of Washington Global Health E-Learning Program. The course provides a global perspective on the diagnoses and clinical management of HIV. Participants will learn from experts in the field, who offer real-world examples of diagnosing and treating HIV and STIs in both resource-rich and resource-constrained settings, with a focus on using US-based guidelines. The course will commence in April 2021.

During a virtual orientation, Dr Rosmond Adams, Director, PANCAP, highlighted that the course is happening at a critical time when Public Health Practitioners are challenged with maintaining the HIV response while tackling COVID-19.

“Our public health practitioners have mounted an extraordinary response to COVID-19”, stated Dr Adams, “Within a few months, the Region reacted with COVID-19 testing, appropriate safety measures and public health education. Now we’re witnessing the rollout of effective COVID-19 vaccines within a year after the start of the pandemic. Our healthcare workers were responding to COVID-19 while maintaining the gains made in the HIV response. PANCAP is pleased to enhance their ability to test, treat and provide care for HIV by facilitating access to the course”.

Dr Shanti Singh-Anthony, Coordinator, Knowledge Management, PANCAP, explained that the online graduate-level course consists of video lectures, readings, discussion forums, and quizzes. She emphasised that group participation is encouraged as it provides a platform for discussing course concepts and applying them to the Caribbean.

Dr Singh-Anthony further highlighted that the course is part of PANCAP’s overarching Knowledge Management strategy to empower regional public health practitioners to achieve the 2030 goal of ending AIDS through providing the requisite capacity building, training and knowledge.

The course is funded by the United States Agency for International Development (USAID) through support to the PANCAP Coordinating Unit. Mr Jason Fraser, USAID Country Representative, noted that they are indeed glad to support this initiative to build capacity as the Region advances action towards ending AIDS.

Permanent Secretary in the Ministry of Health, Guyana, Mr Malcolm Watkins, thanked PANCAP for spearheading this initiative and stated that it would build capacity for practitioners working in HIV to advance national and international targets.

Participants include Medical Doctors, Nurses, Physician assistants/Medexes, National AIDS Programme Managers, and Civil Society Organisation (CSO) representatives with clinical backgrounds.

The course is only the first phase of a planned capacity building initiative by PANCAP, encompassing more training opportunities and virtual courses for Public Health practitioners working in the Region’s HIV response.

      – ENDS –

Contact:
Timothy Austin
Senior Project Officer, Communications
PANCAP Coordinating Unit
CARICOM Secretariat
Turkeyen, Greater Georgetown, Guyana
Email: taustin.consultant@caricom.org
Tel: (592) 222-0001-75, Ext. 3409 | Visit www.PANCAP.org

Helpful links:

Clinical Management of HIV course web page
https://edgh.washington.edu/courses/clinical-management-hiv

What is PANCAP?

PANCAP is a Caribbean regional partnership of governments, regional civil society organisations, regional institutions and organisations, bilateral and multilateral agencies and contributing donor partners which was established on 14 February 2001. PANCAP provides a structured and unified approach to the Caribbean’s response to the HIV epidemic, coordinates the response through the Caribbean Regional Strategic Framework on HIV and AIDS to maximise efficient use of resources and increase impact, mobilises resources and build capacity of partners.

As COVID-19 reduces access to HIV testing services, AIDS response partners call for Caribbean countries to adopt HIV self-testing

KINGSTON, 1 December 2020—On the occasion of World AIDS Day, Caribbean AIDS response stakeholders are calling for countries in the region to adopt HIV self-testing. During the virtual launch of the “In Your Hands” Caribbean HIV self-testing campaign yesterday, partners advocated for self-testing policies to be developed and implemented as part of a comprehensive strategy to ensure that HIV diagnosis does not decline during the COVID-19 pandemic. The advocacy campaign is jointly endorsed by the Joint United Nations Programme on HIV/AIDS (UNAIDS), Pan American Health Organization (PAHO), Pan Caribbean Partnership against HIV and AIDS (PANCAP), President’s Emergency Plan for AIDS Relief (PEPFAR) and the Caribbean Med Labs Foundation (CMLF).

To achieve the Fast Track targets that would set countries on course to end AIDS by 2030, it is imperative that people living with HIV are diagnosed early, start treatment right away and achieve an undetectable viral load. People who are virally suppressed are not able to transmit the virus. Testing is the critical first pillar of this “treatment as prevention” strategy.

Even before COVID-19, the Caribbean was not on track to achieve the 90-90-90 testing and treatment targets due at the end of 2020. In 2019 77% of all people living with HIV in the Caribbean knew their status, 81% of diagnosed people were on treatment, and 80% of those on antiretroviral therapy were virally suppressed. A survey conducted by PANCAP and PAHO showed that during 2020, facility-and community- based HIV testing services reduced in two-thirds (69%) of countries due to COVID-19.

“This decline means that people with undiagnosed HIV are not getting life-saving antiretroviral treatment and, of course, continue to be unaware of their HIV status with the risk of potentially exposing others,” said Ms Sandra Jones,  PAHO’s Technical Advisor for HIV/STI, TB & Viral Hepatitis in the Caribbean.

“The COVID-19 pandemic… has presented the opportunity for us to explore new and innovative approaches that are result-oriented. We cannot sit and continue to debate how we can increase the number of people who know their HIV status without seizing the opportunity to explore and implement initiatives such as HIV self-testing,” PANCAP Director, Dr Rosmond Adams said.

According to UNAIDS Caribbean Sub-regional Office Director, Dr James Guwani, it is particularly important to increase testing uptake among men who are more likely to be diagnosed late. In 2019 85% of Caribbean women living with HIV were aware of their status as compared to 72% of men. There is also a need to increase testing coverage among members of key population communities who have reduced access to HIV services due to stigma and discrimination.

HIV self-testing is a process whereby a person collects saliva or pinprick blood specimen, performs a test, and receives the result in private. The World Health Organization (WHO) recommends that HIV self-testing be offered as an additional approach to the facility- and community-based services. Evidence shows that self-testing is safe and accurate and increases testing uptake among people who may not test otherwise. National policies should include a communication package with information to link testers to prevention and treatment services, as well as minimum standards for the procurement and distribution of HIV self-test kits in the private and public sectors.

“We strongly believe that HIV self-testing can help close the gap in the First 90. It can be targeted to individuals not being reached by existing HIV testing services, particularly those populations with low testing coverage and at high risk of HIV. It’s not a replacement for all testing services, but it should be included in the toolbox,” said Mrs Victoria Nibarger, PEPFAR Caribbean Regional Programme Coordinator.

At the launch, leaders from communities of people living with HIV and key populations endorsed the call for HIV self-testing. At the same time, they advised that increased investments are needed in post-test counselling and adherence counselling for the entire HIV response.

According to CMLF Director, Valerie Wilson, under the Global Fund Project for the region and in collaboration with PANCAP, the Caribbean Vulnerable Communities Coalition (CVC), the Centre for Orientation and Integral Research (COIN), the Organization of Eastern Caribbean States HIV/TB Elimination Project and PAHO, work is underway to conduct verification and feasibility assessment for the introduction of HIV self-testing within the region.

“HIV self-testing has the potential to be a high impact, low-cost intervention to reach population groups that are not testing and to increase the number of people living with HIV who are identified and have initiated treatment,” Mrs Wilson said.

Priority Areas Coordinating Committee (PACC) convenes virtual meeting to discuss the continuity of HIV services during COVID-19

Wednesday, 24 June 2020 (PANCAP Coordinating Unit, CARICOM Secretariat): The Pan-Caribbean Partnership against HIV and AIDS (PANCAP), the mechanism that provides a structured and unified approach to the Caribbean’s response to the HIV epidemic continues to examine strategies to sustain the HIV and AIDS response in the Caribbean region despite disruptions from the ongoing COVID-19 (Coronavirus) pandemic.

The 39th Meeting of the Priority Areas Coordinating Committee (PACC), the PANCAP governance body that focuses on coordinating regional priority areas plans, was convened 23 – 24 June 2020 under the chairmanship of Dr Donald T. Simeon, Professor of Biostatistics and Research, Faculty of Medical Sciences, The University of the West Indies, St Augustine, Republic of Trinidad and Tobago.

The PACC received updates from the Director, PANCAP, Dr Rosmond Adams on the work that the Partnership has implemented to respond to COVID-19 and sustaining the HIV response. Dr Adams stated that it is critical especially at this time to ensure the continuity of care in the region and to advocate for maintaining the gains as the Region works towards the UNAIDS 90-90-90 Targets and ending AIDS.

Dr Shanti Singh-Anthony, Coordinator, Knowledge Management, PANCAP Coordinating Unit, provided an update on the knowledge management, marketing and communications initiatives implemented by PANCAP in response to COVID-19.  She highlighted that the PANCAP Knowledge Management hub continues to share information and guidelines to support National AIDS Programmes and Civil Society Organizations in service delivery and mitigating the impact of COVID-19.

The PACC also received updates from the various Technical Working Groups (TWGs).  Ms Curvelle David, Senior Project Officer, Monitoring and Evaluation (M and E), Strategic Management Unit, CARICOM Secretariat, provided an update on the Regional M and E TWG on Health.  She emphasised the need to strengthen data collection and the use of information to guide strategic action to strengthen the regional response.

The meeting also received updates from the Policy and Strategy Working Group on Stigma and Discrimination.  Mr Lucien Govaard, Vice-Chair, outlined how the lessons learned from HIV and AIDS can be translated to supporting the COVID-19 response in tackling issues around stigma and discrimination.

Mr Kevin Mendez, Chair, PANCAP Regional Youth Advocacy Steering Committee for the implementation of Regional Youth Advocacy Framework on Sexual and Reproductive Health Rights, reported on initiatives by youth leaders to engage the region’s young people on issues related to HIV and COVID-19.  The activities included capacity building and training on HIV prevention and supporting COVID-19 issues.

The meeting also received updates from key partners including the Pan American Health Organization/World Health Organization (PAHO/WHO), the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), the Joint United Nations Programme on HIV/AIDS (UNAIDS), the Caribbean Public Health Agency (CARPHA) and The University of the West Indies (UWI).

The PACC noted the challenges faced by the region including prevention services, treatment, care and human rights-based issues. The PACC committed to engaging with policymakers on support for the regional response, including increasing domestic funding for national HIV programmes.  The PACC also pledged support for documentation of the progress and best practices in the Region and to advocate for strengthening supply chain management to minimise interruption in the availability of antiretrovirals (ARVs) and other commodities for the Region.

The PACC also noted that safeguarding providers and clients from COVID-19 is critical and supporting safe and sustained HIV service must continue with a focus on Key Populations.

– ENDS –

Contact:

Timothy Austin

Senior Project Officer, Communications

PANCAP Coordinating Unit

CARICOM Secretariat

Turkeyen, Greater Georgetown, Guyana

Email:      taustin.consultant@caricom.org

Tel: (592) 222-0001-75, Ext. 3409  | Visit www.PANCAP.org

Helpful links:

Global AIDS Update 2018 – Miles to Go

https://pancap.org/pancap-documents/global-aids-update-2018-miles-to-go/

Caribbean Regional Strategic Framework on HIV and AIDS (CRSF) 2019-2025 

https://pancap.org/pancap-documents/caribbean-regional-strategic-framework-2019-2025/

What is PANCAP?

PANCAP is a Caribbean regional partnership of governments, regional civil society organisations, regional institutions and organisations, bilateral and multilateral agencies and contributing donor partners which was established on 14 February 2001. PANCAP provides a structured and unified approach to the Caribbean’s response to the HIV epidemic, coordinates the response through the Caribbean Regional Strategic Framework on HIV and AIDS to maximise efficient use of resources and increase impact, mobilises resources and build capacity of partners.

Editor’s Notes

What are the Joint United Nations Programme on HIV and AIDS (UNAIDS) 90-90-90 Targets?

  • By 2020, 90% of all people living with HIV will know their HIV status.
  • By 2020, 90% of all people with diagnosed HIV infection will receive sustained antiretroviral therapy.
  • By 2020, 90% of all people receiving antiretroviral therapy will have viral suppression.

NAP Managers and CSOs urged to use COVID-19 as an opportunity to advance the HIV gains for the Caribbean

Monday, 22 June 2020 (PANCAP Coordinating Unit, CARICOM Secretariat): The Pan-Caribbean Partnership against HIV and AIDS (PANCAP), the mechanism that provides a structured and unified approach to the Caribbean’s response to the HIV epidemic,  convened a virtual three-day meeting of National AIDS Programme (NAP) Managers, Civil Society Organisations (CSOs) and Key Partners, 16 – 18 June 2020 to discuss the challenges and strategies that are being implemented in the region to respond to the disruption of services posed by the ongoing COVID-19 (Coronavirus) Pandemic.

The meeting examined the challenges experienced by the region in the delivery of services for HIV and AIDS in the context of COVID-19, the sustainability of the regional response amidst decreasing donor funding and the critical role of civil society in supporting the continuity of care and reaching Key Populations.

Ms Victoria Nibarger, PEPFAR Coordinator, Caribbean Regional Program, Office of the Global AIDS Coordinator and Health Diplomacy (S/GAC), Jamaica stated that as the Region experiences unprecedented times with the COVID-19 pandemic, the NAP Managers and Key Partners Meeting is more important than ever, as it will enable the exchange of vital information and learning for the dual pandemics. She commended the PANCAP team for providing leadership at an incredibly challenging time.  She highlighted that this ability to adapt and forge ahead has been “truly impressive”.

In his remarks, Director of PANCAP, Dr Rosmond Adams highlighted the critical need for National AIDS Programme (NAP) Managers and Civil Society Organisations to share knowledge and innovations which are essential for the continuity of HIV services during the COVID-19 Pandemic.  He thanked the participants for committing to the meeting and stated that he was pleased that PANCAP could provide the virtual platform essential for knowledge sharing about HIV and COVID-19.  He further called for the exploration of new and innovative strategies and greater collaboration among governments, civil society, private sector and community-based organisations with the overarching aim of ending AIDS in the region.

The meeting received updates from Member Countries and Civil Society Organizations on the work that they are doing to respond to the disruptions and to sustain national responses. Ms Aldora Robinson, Director of the Health Promotion and Advocacy Unit within the Ministry of Health, Agriculture and Human Services, Turks and Caicos Islands and the National AIDS Programme Managers Representative on the PANCAP Governance Bodies stated that while these are unprecedented times, there are lessons learnt from the HIV response that can be applied to the COVID-19 response.

She underscored that the gains made in the HIV response could easily be reversed unless urgent efforts are made to sustain the progress made thus far. She stated, “while it may seem that we are at risk of losing momentum in the HIV and AIDS response let me assure you that if we continue to do what we have always done including sensitization of vulnerable groups, collation of statistics, instituting preventative measures, administering treatment, putting people at the centre and strongly engaging our civil society, we will get through this unpredictable and highly dynamic situation.”

The meeting encouraged countries to continue to manage health resources wisely considering the numerous challenges faced by the region and to push for increased domestic resources for health and HIV responses as we move to end AIDS as a public health threat. Countries were encouraged to strengthen multisectoral collaboration, implement sustainability plans and to increase the use of data to guide strategic actions that will advance towards the UNAIDS 90-90-90 Targets.

The PAHO Subregional Program Coordinator for the Caribbean, Ms Jessie Schutt-Aine underscored that the COVID-19 pandemic has created new challenges in the HIV and STI response. She stated, “COVID-19 has created unprecedented conditions that hinder the capacity of many health systems to access COVID-19 related supplies but also other essential medicines, due to country lockdowns, travel restrictions, fragmented funding sources, and increased costs for certain commodities.  A recent study done by PAHO’s Strategic Fund has found that many countries in the Caribbean region are at imminent or high risk of stock out of essential medicines for HIV, STI, TB and other essential medicines.  This calls for the need to strengthen supply chain systems, including forecasting in the region”.

She highlighted that PAHO in collaboration with CARICOM and in support of Member States has been focusing on pooled procurement for essential COVID-19 items.

Dr James Guwani, UNAIDS Caribbean Sub-regional Office Director, highlighted that HIV stakeholders bring to the COVID-19 challenge almost forty years’ worth of experience and wisdom in responding to a pandemic. He stated “this is what we know: Testing and treatment on their own will not ensure we combat either COVID-19 or HIV. Community involvement and investment are vital to building trust and getting results. There must be responsiveness to the lived realities, needs and vulnerabilities of all people, especially the most marginalised. And we have to embrace big, bold targets if we are to super-charge our response.

The role of Civil Society Organizations was also underscored as they play a critical role in working at the community level to reach those most in need and to attend to the psychosocial needs of People Living with HIV. Dr Adams noted that civil society is key at getting to the core of the epidemic and that they should be supported and must have an equal seat at the table as a vital stakeholder in the fight against HIV and AIDS. He reiterated the presentation made by Mr Ivan Cruickshank, Executive Directors, Caribbean Vulnerable Coalition (CVC) that civil society must not be an “add-on” but should be an integral part of the multisectoral response.

The PANCAP Director in closing the meeting reminded participants that the work will continue and must continue and that we should not allow COVID-19 to make us push the pause button but to be a reason for us to fast forward and push for progress in the region. He further emphasised that we cannot speak about regional health security if we do not work towards ending AIDS by ensuring that there is a strong regional response to HIV and other communicable diseases.

Mr Winfield Tannis, HIV and AIDS Advocate, lit a candle to recognise the work that has been done throughout the region and to pay tribute to those who have died from AIDS.  He also explained that the candle lighting was also meant to pay homage to those working in the field of HIV and AIDS and to encourage them to continue with efforts to achieve the 90-90-90 Targets and ending AIDS by 2030.

– ENDS –

Contact:

Timothy Austin

Senior Project Officer, Communications

PANCAP Coordinating Unit

CARICOM Secretariat

Turkeyen, Greater Georgetown, Guyana

Email:      taustin.consultant@caricom.org

Tel: (592) 222-0001-75, Ext. 3409  | Visit www.PANCAP.org

Helpful links:

Global AIDS Update 2018 – Miles to Go

https://pancap.org/pancap-documents/global-aids-update-2018-miles-to-go/

Caribbean Regional Strategic Framework on HIV and AIDS (CRSF) 2019-2025

https://pancap.org/pancap-documents/caribbean-regional-strategic-framework-2019-2025/

What is PANCAP?

PANCAP is a Caribbean regional partnership of governments, regional civil society organisations, regional institutions and organisations, bilateral and multilateral agencies and contributing donor partners which was established on 14 February 2001. PANCAP provides a structured and unified approach to the Caribbean’s response to the HIV epidemic, coordinates the response through the Caribbean Regional Strategic Framework on HIV and AIDS to maximise efficient use of resources and increase impact, mobilises resources and build capacity of partners.

Editor’s Notes

What are the Joint United Nations Programme on HIV and AIDS (UNAIDS) 90-90-90 Targets?

  • By 2020, 90% of all people living with HIV will know their HIV status.
  • By 2020, 90% of all people with diagnosed HIV infection will receive sustained antiretroviral therapy.
  • By 2020, 90% of all people receiving antiretroviral therapy will have viral suppression.

PANCAP advocates for treatment continuity for People Living with HIV during COVID-19 Pandemic

Friday, 24 April 2020 (PANCAP Coordinating Unit, CARICOM Secretariat): The Pan-Caribbean Partnership against HIV and AIDS (PANCAP), the mechanism that provides a structured and unified approach to the Caribbean’s response to the HIV epidemic, urges partners and stakeholders to ensure the continuity of treatment, care and support services for People Living with HIV (PLHIV) during the COVID-19 Pandemic.

According to Dr Rosmond Adams, Director, PANCAP, the Pandemic threatens to undo the gains made in the last ten years of the Region’s HIV response. He further noted that any disruption to care and treatment could pose significant threats and create additional burdens for National HIV and AIDS Programmes and Civil Society Organisations (CSOs) that work with PLHIV and key population groups.

Measures to combat COVID-19 such as quarantines, curfews and social distancing can reduce the number of working hours and disrupt services for programmes responding to HIV and AIDS.  National programmes and CSOs are urged to adopt measures to ensure the continuity of care and treatment and support for viral suppression among PLHIV and to help those who are at risk of HIV acquisition to remain HIV negative.

The PANCAP Director noted that appropriate precautions and mitigation strategies must be developed and implemented across all public health sectors to prevent potentially devastating outcomes. He recommended that the following measures should be explored and adopted where possible:

  • Promote the use of social media channels or boost existing platforms to disseminate HIV programme messages, including those related to COVID-19
  • Ensure uninterrupted supply of commodities such as condoms and lubricants at community distribution points, including the provision of multimonth dispensing to allow for less frequent pickups where stock allows and,
  • Rapidly scale up multimonth dispensing (MMD) of Antiretrovirals (ART) and other medications for clients for 3-6 months if stocks allow.

In addition, Dr Adams noted that we must keep a close watch on Gender-Based Violence and violence against vulnerable populations as the pandemic can lead to increases in violence within relationships; this situation is likely to be exacerbated by forced physical distancing, shelter-in-place measures and by economic distress caused by job losses that will harm the most vulnerable first.

Dr Adams also noted that we must ensure that CSOs are involved in providing the support required by PLHIV in accessing health services during the Pandemic. He commended the CSOs working in HIV and AIDS that have also joined the COVID-19 response and are working alongside National Authorities to scale up the quick and targeted response.

PANCAP also welcomes the assertion by the President’s Emergency Plan For AIDS Relief (PEPFAR) that “there is currently no direct evidence that people with HIV are at higher risk of COVID-19” and urges that all information shared about and with PLHIV should be based on empirical data.

PANCAP has commenced a multi-layered approach to the COVID-19 response.  This approach consists of a series of webinars aimed at building the capacity of National AIDS Programme Managers, CSOs, clinicians, doctors, youth leaders and other stakeholders in responding to the COVID-19 Pandemic.  PANCAP also initiated a public education programme to provide critical information to partners and stakeholders on COVID-19 guidance. It includes an interactive dashboard with data on the Caribbean and COVID-19 available on the PANCAP website, animated videos on COVID-19 prevention, digital posters on handwashing, advice on wearing masks and other essential information on combating COVID-19.  Materials can be accessed via the PANCAP website and social media platforms.

“PANCAP will continue to provide the support to National Programmes, CSOs and all stakeholders in the HIV response with initiatives that are community-led and based on human rights,” underscored Dr Adams. “It is critical that as we respond to COVID-19, we never lose sight of PANCAP’s vision of an AIDS-free Caribbean”.

–  ENDS –

Contact:
Timothy Austin
Senior Project Officer, Communications
PANCAP Coordinating Unit
CARICOM Secretariat
Turkeyen, Greater Georgetown, Guyana
Email:      taustin.consultant@caricom.org
Tel: (592) 222-0001-06, Ext. 3409  | Visit www.PANCAP.org

Helpful links:

PEPFAR Technical Guidance in the Context of COVID-19 Pandemic

 https://pancap.org/pancap-documents/pepfar-technical-guidance-in-context-of-covid-19-pandemic/

 Rights in the time of COVID-19

 https://pancap.org/pancap-documents/rights-in-the-time-of-covid-19/

What is PANCAP?

PANCAP is a Caribbean regional partnership of governments, regional civil society organisations, regional institutions and organisations, bilateral and multilateral agencies and contributing donor partners which was established on 14 February 2001. PANCAP provides a structured and unified approach to the Caribbean’s response to the HIV epidemic, coordinates the response through the Caribbean Regional Strategic Framework on HIV and AIDS to maximise efficient use of resources and increase impact, mobilises resources and build capacity of partners.

Editor’s Notes

What are the Joint United Nations Programme on HIV and AIDS (UNAIDS) 90-90-90 Targets?

  • By 2020, 90% of all people living with HIV will know their HIV status.
  • By 2020, 90% of all people with diagnosed HIV infection will receive sustained antiretroviral therapy.
  • By 2020, 90% of all people receiving antiretroviral therapy will have viral suppression.

New PANCAP Director Appointed

Wednesday 26 February 2020 (PANCAP Coordinating Unit, CARICOM Secretariat): The Pan Caribbean Partnership against HIV and AIDS (PANCAP) welcomes the appointment of Dr Rosmond Adams as the new Director effective 2 March 2020.

 A Vincentian by birth, Dr Adams is a Medical Doctor by training and holds Master of Science degrees in both Public Health and Bioethics. He is a public health specialist with more than ten years of experience in the health sector both at the national and regional levels in the areas of surveillance, communicable diseases including HIV, emergency response and health security.

Dr Adams began his public health career as the Coordinator of the Non-Communicable Diseases (NCDs) programme in the Ministry of Health, Wellness and the Environment, Saint Vincent and the Grenadines. He then served as the National Epidemiologist where his work focused on strengthening public health surveillance and strategic information to guide health policy, programmes and action.

In his previous post, he served as the Head of Health Information, Communicable Diseases and Emergency Response at the Caribbean Public Health Agency (CARPHA) where he led the development, implementation, monitoring and evaluation of the Caribbean Regional Health Security Strategy as a common strategic framework for the CARPHA Member States to strengthen their capacity to manage and respond to emerging disease threats and other public health emergencies.

Dr Adams serves on numerous national, regional and international public health advisory committees, including the World Health Organization (WHO) Global Coordinating Mechanism (GCM) on NCDs.  Asked about his immediate priority, the Director emphasised that the sustainability of the region’s HIV response is paramount.  “The HIV and AIDS epidemic is a threat to Regional Health Security considering that our productive population is being impacted,” stated Dr Adams, “I am optimistic that the region can end AIDS, but a lot of work must be done and the gains made so far must be sustained whilst ensuring that we scale up our response and renew our commitment to this goal”.

Dr Adams succeeds Mr Dereck Springer whose tenure ends on 28 February 2020.

 -ENDS –

What is PANCAP?

PANCAP is a Caribbean regional partnership of governments, regional civil society organisations, regional institutions and organisations, bilateral and multilateral agencies and contributing donor partners which was established on 14 February 2001. PANCAP provides a structured and unified approach to the Caribbean’s response to the HIV epidemic, coordinates the response through the Caribbean Regional Strategic Framework on HIV and AIDS to maximise efficient use of resources and increase impact, mobilises resources and build capacity of partners.

Contact:

Timothy Austin
Senior Project Officer, Communications
PANCAP Coordinating Unit
CARICOM Secretariat
Turkeyen, Greater Georgetown, Guyana
Email:      taustin.consultant@caricom.org
Tel: (592) 222-0001-06, Ext. 3409  | Visit www.PANCAP.org

Helpful links:

History of PANCAP
https://pancap.org/who-we-are/about-pancap/history-of-pancap/

PANCAP’s achievements
https://pancap.org/who-we-are/about-pancap/achievements/

PANCAP’s Executive Board
https://pancap.org/who-we-are/governance-bodies/executive-board/

PANCAP Knowledge Exchange promotes successful models of care for key populations

Friday 14 February 2020 (PANCAP Coordinating Unit, CARICOM Secretariat): The Pan-Caribbean Partnership against HIV and AIDS (PANCAP), the mechanism that provides a structured and unified approach to the Caribbean’s response to the HIV epidemic, has collaborated with the Integral Orientation and Research Center/Centro de Orientación e Investigación Integral (COIN) to facilitate a learning exchange focused on Pre-exposure Prophylaxis (PrEP) and successful HIV testing strategies for key populations to access prevention and treatment.  The capacity-building initiative will be held in Santo Domingo, Dominican Republic from 17-21 February 2020.  The two entities previously collaborated on a learning journey in June 2018.

The initiative is led by Dr Shanti Singh-Anthony, Knowledge Coordinator, PANCAP, who explained that the learning exchange was designed for participants to experience first-hand the process utilised by COIN to coordinate and collaborate with the Ministry of Public Health and Social Assistance, other civil society organisations and stakeholders to deliver comprehensive HIV services in communities and to key populations.

The learning exchange will also expose participants to components of a Pre-Exposure Prophylaxis (PrEP) programme, which serves as a highly effective prevention modality, and successful HIV testing and linkage strategies for key populations.

At the conclusion of the learning exchange, participants will be tasked with developing country-specific action plans to enhance in-country collaboration among civil society organisations and representatives of the national HIV programme to improve how key populations access prevention, testing and treatment.

Countries participating in the learning exchange are Antigua and Barbuda, Dominica, Grenada, Saint Kitts and Nevis, Saint Lucia and Saint Vincent and the Grenadines.

Participants will comprise country teams of National AIDS Programme Managers and civil society organisation (CSO) representatives. A total of ten persons from the six countries will participate and interact with representatives of the Ministry of Public Health and Social Assistance, Dominican Republic, COIN, and other CSO representatives.  Participants will also engage with the Ministry of Public Health and Social Assistance, National HIV response and community-based organisations through site visits to clinics and outreaches.

The learning exchange is supported with funding from the United States Agency for International Development (USAID).

-ENDS –

What is PANCAP?

PANCAP is a Caribbean regional partnership of governments, regional civil society organisations, regional institutions and organisations, bilateral and multilateral agencies and contributing donor partners which was established on 14 February 2001. PANCAP provides a structured and unified approach to the Caribbean’s response to the HIV epidemic, coordinates the response through the Caribbean Regional Strategic Framework on HIV and AIDS to maximise efficient use of resources and increase impact, mobilises resources and build capacity of partners.

What is the Integral Orientation and Research Center/Centro de Orientación e Investigación Integral (COIN)?

The Integral Orientation and Research Center/Centro de Orientación e Investigación Integral (COIN) is a private, social interest institution of the Dominican Republic, created on November 28, 1988, by a multidisciplinary team of people with shared experience in community and health work.  Born as a result of the emergence of the HIV and AIDS epidemic and trafficking in persons in the Dominican Republic, COIN has concentrated its efforts on implementing educational programmes.

COIN’s programmes focus on prevention, health care and social discrimination.  The entity implements innovative strategies and approaches that serve to empower key populations. In their work with marginalized populations, COIN promotes the integration of the community in the identification of their needs and problems and works with them to define policies and execute solutions.  COIN currently operates in the Dominican Republic, Cuba and Haiti with 82 staff.

Contact:

Timothy Austin
Senior Project Officer, Communications
PANCAP Coordinating Unit
CARICOM Secretariat
Turkeyen, Greater Georgetown, Guyana
Email:      taustin.consultant@caricom.org
Tel: (592) 222-0001-75, Ext. 3409  | Visit www.PANCAP.org

 

New Chair and Vice Chair Elected To PANCAP-CVC-COIN Technical Advisory Group For the Multi-Country Caribbean Global Fund Grant

Tuesday 28 January 2020 (PANCAP Coordinating Unit, CARICOM Secretariat): The Pan-Caribbean Partnership against HIV and AIDS (PANCAP), the mechanism that provides a structured and unified approach to the Caribbean’s response to the HIV epidemic, extends congratulations to Mr Roger McLean and Dr Gail Gajadhar who were elected Chair and Vice-Chair respectively of the PANCAP-CVC-COIN Technical Advisory Group for the Multi-Country Caribbean Global Fund Grant QRA-H-CARICOM 1838 titled “Sustainability of services for Key Populations in the Caribbean”.

Mr McLean is a Research Fellow/Lecturer HEU, the Centre for Health Economics, Faculty of Social Sciences, The University of the West Indies, St. Augustine Campus in the Republic of Trinidad and Tobago.   Dr Gajadhar is the Senior Medical Officer, Infectious Diseases Unit, The Department of Health and Wellness in Saint Lucia.

The Technical Advisory Group (TAG) is a regional, multi-sectoral body with a mandate to provide oversight to the PANCAP/CVC/COIN Global Fund Grant. That oversight includes ensuring that the implementation of the grant is focused, efficient and flexible, i.e. the TAG ensures that the execution is focused on the right activities, for the right populations and in the right places, in accordance with the performance framework of the PANCAP/CVC/COIN Global Fund Grant.  The TAG also ensures that there is efficient use of available resources.

In addition to the election of the new Chair and Vice-Chair, the TAG conducted an orientation of members on governance, oversight functions, management of conflicts of interest, and internal and external communication as well as a reviewing and endorsing of its oversight role and communications plan.

The success of the grant is critical to the Region achieving the 90-90-90 Targets as its objectives are aligned with PANCAP’s vision of an AIDS-free Caribbean.

What is PANCAP?

PANCAP is a Caribbean regional partnership of governments, regional civil society organisations, regional institutions and organisations, bilateral and multilateral agencies and contributing donor partners which was established on 14 February 2001. PANCAP provides a structured and unified approach to the Caribbean’s response to the HIV epidemic, coordinates the response through the Caribbean Regional Strategic Framework on HIV and AIDS to maximise efficient use of resources and increase impact, mobilises resources and build capacity of partners.

Editor’s Notes

TAG Membership

The TAG consists of representatives from PANCAP including the PANCAP Priority Areas Coordinating Committee (PACC), Caribbean Vulnerable Communities Coalition (CVC), and El Centro de Orientación e Investigación Integral (COIN) as grant owners; representatives from key population networks including recognised networks of Persons Living with HIV (PLHIV), Men who have Sex with Men (MSM), Transgender persons (TRANS), Sex Workers (SW), vulnerable youth and people who use drugs. Technical & implementing partners include the Caribbean Med Labs Foundation (CMLF), University of the West Indies – HIV and AIDS Response Programme (UWI-HARP), Faculty of Law, University of the West Indies Rights Advocacy Project (URAP), Regional Body Representing Faith-Based Organisations; Principal Recipient, CARICOM, representatives of the CCMs of each project country (Antigua and Barbuda, Barbados, Belize, Cuba, Dominican Republic, Guyana, Haiti, Jamaica, Suriname and Trinidad and Tobago). The TAG also includes Ex-office executives from PANCAP, CVC and COIN and three observers from UN/Multilateral Agencies/International Development Partners including UNAIDS, PEPFAR and UNDP.

Contact:

Timothy Austin
Senior Project Officer, Communications
PANCAP Coordinating Unit
CARICOM Secretariat
Turkeyen, Greater Georgetown, Guyana
Email:      taustin.consultant@caricom.org
Tel: (592) 222-0001-75, Ext. 3409  | Visit www.PANCAP.org

Helpful links:

Multi-Country Caribbean Global Fund Grant QRA-H-CARICOM 1838 “Sustainability of services for Key Populations in the Caribbean – project page

https://pancap.org/pancap-work/multi-country-caribbean-global-fund-grant-qra-h-caricom-1838-sustainability-of-services-for-key-populations-in-the-caribbean/

PANCAP-CVC-COIN awarded Multi-country Caribbean Global Fund Grant

https://pancap.org/pancap-releases/pancap-cvc-coin-awarded-multi-country-caribbean-global-fund-grant/

Global AIDS Update 2018 – Miles to Go:

https://pancap.org/pancap-documents/global-aids-update-2018-miles-to-go/

Guyana to host first meeting of PANCAP-CVC-COIN Technical Advisory Group for the Multi-Country Caribbean Global Fund Grant

Wednesday 15 January 2020 (PANCAP Coordinating Unit, CARICOM Secretariat): The Pan-Caribbean Partnership against HIV and AIDS (PANCAP), the mechanism that provides a structured and unified approach to the Caribbean’s response to the HIV epidemic, will host the first meeting of the PANCAP-CVC-COIN Technical Advisory Group for the Multi-Country Caribbean Global Fund Grant QRA-H-CARICOM 1838 titled “Sustainability of services for Key Populations in the Caribbean,” on 28 January 2020 at the CARICOM Secretariat, Georgetown, Guyana.

The US$6.5 Million grant commenced on 1 October 2019. The purpose of the grant is to provide sustainable HIV prevention, treatment and care services for key populations in the Caribbean Region including Men who have sex with men (MSM), Sex workers and Transgender people who are direct beneficiaries of the grant which will be shared by ten countries including Antigua and Barbuda, Barbados, Belize, Cuba, Dominican Republic, Guyana, Haiti, Jamaica, Suriname and the Republic of Trinidad and Tobago.

The Technical Advisory Group (TAG) is a regional, multi-sectoral body with a mandate to provide oversight to the PANCAP/CVC/COIN Global Fund Grant. That oversight includes ensuring that the implementation of the grant is focused, efficient and flexible, i.e. the TAG ensures that the execution is focused on the right activities, for the right populations and in the right places, in accordance with the performance framework of the PANCAP/CVC/COIN Global Fund Grant.  The TAG also ensures that there is efficient use of available resources.

According to Director of PANCAP, Dereck Springer, the upcoming meeting will provide TAG members with the opportunity to be oriented to the governance of the TAG, updated on the management of the grant and the implementation of activities including programmatic updates and information on disbursements.  “Members will also elect a Chair and Vice-Chair who will be responsible for ensuring that the TAG fulfils its mandate,” stated the Director, “bold and decisive leadership is needed to ensure that the implementation of the grant adequately addresses the sustainability of services for key populations”.  The Director further underscored that the success of the grant is crucial to the Region’s HIV response as it aligns with PANCAP’s vision of an AIDS-free Caribbean, one in which Caribbean people are empowered to fulfil their potential and live happy, healthy and peaceful lives.

-ENDS –

What is PANCAP?

PANCAP is a Caribbean regional partnership of governments, regional civil society organisations, regional institutions and organisations, bilateral and multilateral agencies and contributing donor partners which was established on 14 February 2001. PANCAP provides a structured and unified approach to the Caribbean’s response to the HIV epidemic, coordinates the response through the Caribbean Regional Strategic Framework on HIV and AIDS to maximise efficient use of resources and increase impact, mobilises resources and build capacity of partners.

Editor’s Notes

TAG Membership

The TAG consists of representatives from PANCAP including the PANCAP Priority Areas Coordinating Committee (PACC), Caribbean Vulnerable Communities Coalition (CVC), and El Centro de Orientación e Investigación Integral (COIN) as grant owners; representatives from key population networks including recognised networks of Persons Living with HIV (PLHIV), Men who have sex with men (MSM), Transgender persons (TRANS), Sex Workers (SW), vulnerable youth and people who use drugs. Technical & implementing partners include the Caribbean Med Labs Foundation (CMLF), University of the West Indies – HIV and AIDS Response Programme (UWI-HARP), Faculty of Law, University of the West Indies Rights Advocacy Project (URAP), Regional Body Representing Faith-Based Organisations; Principal Recipient, CARICOM, representatives of the CCMs of each project country (Antigua and Barbuda, Barbados, Belize, Cuba, Dominican Republic, Guyana, Haiti, Jamaica, Suriname and Trinidad and Tobago). The TAG also includes Ex-office executives from PANCAP, CVC and COIN and three observers from UN/Multilateral Agencies/International Development Partners including UNAIDS, PEPFAR and UNDP.

Contact:

Timothy Austin
Senior Project Officer, Communications
PANCAP Coordinating Unit
CARICOM Secretariat
Turkeyen, Greater Georgetown, Guyana
Email:      taustin.consultant@caricom.org
Tel: (592) 222-0001-75, Ext. 3409  | Visit www.PANCAP.org

Helpful links:

  • Multi-Country Caribbean Global Fund Grant QRA-H-CARICOM 1838 “Sustainability of services for Key Populations in the Caribbean – project page

https://pancap.org/pancap-work/multi-country-caribbean-global-fund-grant-qra-h-caricom-1838-sustainability-of-services-for-key-populations-in-the-caribbean/

  • PANCAP-CVC-COIN awarded Multi-country Caribbean Global Fund Grant

https://pancap.org/pancap-releases/pancap-cvc-coin-awarded-multi-country-caribbean-global-fund-grant/

  • Global AIDS Update 2018 – Miles to Go:

https://pancap.org/pancap-documents/global-aids-update-2018-miles-to-go/