Message from UNAIDS Executive Director, Mr Michel Sidibé 

This year marks the 30th anniversary of the first World AIDS Day. Thirty years of activism and solidarity under the banner of World AIDS Day. Thirty years of campaigning for universal access to life-saving services to treat and prevent HIV. But after 30 years, AIDS is still not over. We have miles to go.

World AIDS Day is a day to remember the millions of people who have lost their lives to AIDS-related illnesses, many of whom died because they couldn’t access HIV services, because of stigma, because of discrimination and because of criminalization of key populations.

On this World AIDS Day, UNAIDS is campaigning for people to know their HIV status and their viral load. In 2017, 9.4 million people were simply unaware that they are living with a potentially deadly, but treatable, disease. If people don’t know their HIV status, people who are living with HIV can’t start treatment, and people who are HIV-negative can’t get the knowledge and skills they need to keep that way. If people don’t know their HIV status, they can’t protect themselves, their families, their partners. If people living with HIV don’t know their viral load, they won’t be sure that the treatment is effective, protecting their health and stopping HIV transmission.

Live life positively. Know your HIV status.

Message from the Secretary-General of the United Nations, Mr. António Manuel de Oliveira Guterres

Thirty years after the first World AIDS Day, the response to HIV stands at a crossroads.  Which way we turn may define the course of the epidemic — whether we will end AIDS by 2030 or whether future generations will carry on bearing the burden of this devastating disease.

More than 77 million people have become infected with HIV and more than 35 million have died of an AIDS-related illness.  Huge progress has been made in diagnosis and treatment, and prevention efforts have avoided millions of new infections.

Yet the pace of progress is not matching global ambition.  New HIV infections are not falling rapidly enough.  Some regions are lagging behind and financial resources are insufficient.  Stigma and discrimination are still holding people back, especially key populations — including gay men and other men who have sex with men, sex workers, transgenders, people who inject drugs, prisoners and migrants and young women and adolescent girls.  Moreover, one in four people living with HIV do not know that they have the virus, impeding them from making informed decisions on prevention, treatment and other care and support services.

There is still time to scale up testing for HIV; to enable more people to access treatment; to increase resources needed to prevent new infections; and to end the stigma.  At this critical juncture, we need to take the right turn now.

Love and Church

Image: (L-R) Marvin Livan and Peter Pooran

Written by Subraj Singh, Society against Sexual Orientation Discrimination (SASOD)

Earlier this year, I spoke to Marvin Livan and Peter Pooran, a young same-sex couple, who identify as LGBTQ+ Guyanese, as well as church-going Christians. Their story is unusual and beautiful and serves as a reminder that there are still people in the world who use their faith to do good, people who try to represent the tenets of the Bible, which teaches love and acceptance for all people.

Marvin and Peter use their religion in a way that brings them closer together as a couple. Perhaps this is unsurprising given that the duo actually met in a church. Prior to recounting the events of the day when they first saw each other, Marvin acknowledged that although he had been married to a woman before, he had come to a point in his life where he had to authentically face his attraction to men, and therefore, when he saw Peter in church on that particular day, it was easy for Marvin to approach and talk to him.

The church tradition helped to facilitate the meeting of the two young men, since it is customary in for the congregation to mingle at the end of the service, to converse or maybe just hang out. It was in one of these moments after the church-service that Marvin took Peter’s copy of the Bible and wrote his number at the back, with the advice to call him if Peter ever wanted to talk. Although there was an attraction from their first meeting, Peter did not call Marvin right away. After several months, Peter’s call led to the men conversing more often and this laid the foundation for their romantic relationship.

Marvin notes that even though their relationship has the normal ups and downs that are experienced by every young couple, he believes that their relationship is strong, especially with the emphasis that they put on being together and on being faithful to each other. He also says that he has been accepted as a member of the Anglican Church and that although there are people within the church who know about his relationship with Peter, he is still accepted and he still maintains his status as an avid churchgoer. Marvin hopes to one day become a priest and to be able to invite LGBTQ+ persons into the “house of God.” As a priest, he hopes one day to facilitate persons to serve in the church if they have the call to serve, regardless of their sexual orientation and gender identity. Marvin credits his love of church and the joy he feels being a Christian to his religious upbringing and to those who encouraged him to become an altar boy when he was a child.

Peter for his part shares that he is as religious as his partner, pointing out that he has been going to church since he was seven years old. When he met Marvin, he was hesitant about attending his partner’s church. However, after seeing the impact the Anglican Church had on Marvin, Peter finally decided to give it a chance. He describes his experience of stepping into the church in terms of profound sanctity and credits this joy and sense of fulfillment he experienced in the church as the reason for his continued presence there.

Peter believes everyone, regardless of their sexual orientation and gender identity, should come forward to serve the Lord. This is something that Marvin also advocates for, as he maintains that the church can be a place of education on gender and sexual diversity and a place for LGBTQ+ persons to meet other people who intersect with the Christian community, such as Marvin and himself. Marvin firmly believes that Jesus loves LGBTQ+ people exactly as they are.

Peter plans on coming out to the priest of the church they attend, and this truly seems to be important to him, which is unsurprising since many gay people long to be accepted in any social group or institution as their true, authentic selves. He is convinced that the reactions of fellow parishioners to him will not change and that he will continue to be accepted in the church, as there are already some people in the church who are aware of their relationship.

On the reactions of other sections of the Christian community who preach homophobia, Marvin contends that the evidence for a case against homosexuality in the Bible is weak and sees his sexuality as a blessing from God. He also emphasizes the fact that everyone sins and that there are aspects of the Bible that are conveniently left unaddressed by homophobes in order to maintain a lack of culpability and repentance for the sins they also commit that are outlined in the Bible.

Both men believe that human beings are human beings and they should be allowed into the church because sexual and gender minorities have the same emotions and beliefs as everyone else, and people should have the right to believe in and serve God.

Being so vocal about the church and sexuality issues places Marvin and Peter in a special category of Christians who are able to reconcile their love for each other and their religion in a way that does not require them to compromise their feelings about who they are and about the church in any way. They firmly believe that the church can support LGBTQ+ people to live their truth and that it is the Christian way to welcome all, to represent goodness and kindness, regardless of who the person is. They both are extraordinary not only in their love for each other but in their dedication to their faith and the ways in which they want these two major parts of themselves to come together and work for the betterment of the entire world.

The Department of Pathology, The University of the West Indies (UWI), Jamaica receives accreditation

The Department of Pathology, The University of the West Indies (UWI), was presented with the Certification (Award) of Accreditation in conformance with the ISO 15189:2012 International standard from the Jamaica National Agency for Accreditation (JANAAC). The honour was bestowed on the occasion of the 10th Anniversary of the Jamaica National Agency for Accreditation (JANAAC), at an awards function hosted at the Jamaica Pegasus Hotel in Kingston, Jamaica.

The accreditation scope for the Department of Pathology includes Chemical Pathology, Haematology, Flow Cytometry, and Cytology.

Dr. Donovan McGrowder (Director of the Accreditation Committee) and Mrs. Julene Smith-Valentine (Quality Manager) received the Certificate from Mrs. Andrene Collings, Acting Permanent Secretary to MICAF, in the presence of JANAAC’s Chairman, Mr. Simon Roberts and Chief Executive Officer, Mrs. Sharonmae Shirley.

In her remarks, Mrs. Smith-Valentine expressed gratitude to the Head of the Department of Pathology , Dr. Gilian Wharfe, the Director of the Accreditation committee, Dr. McGrowder, the Quality Assurance Team (Mr. R. White, Mrs. G. Martindale-Williams, Mrs. G. Hamm,  Mrs. C. Green, Mrs. A. Low-Lewis, Mr. G. Burnell and Mr. K. Vaz), and all staff members in the Sub-Departments for working assiduously in making the milestone possible.

“We have been working towards this milestone since 2002, and it would be negligent of me not to recognize the hard-working staff now retired (Mrs. V. Hanson, Mrs. V. Smith, and Mrs. J. Powell-Jones) who worked alongside Dr. McGrowder to drive this process before I came onboard in 2014”, said Mrs. Smith-Valentine.

She concluded that as the Department of Pathology moves forward, the goal is to continue to strive for excellence in the services offered to clients through the competence of staff and the quality work generated.

NACC Trinidad and PAHO build capacity in HIV Combination Prevention

Image: Hon. Ayanna Webster-Roy, Minister of State in the Office of the Prime Minister

The Office of the Prime Minister, National AIDS Coordinating Committee (NACC), Republic of Trinidad and Tobago in collaboration with the Pan American Health Organization hosted an HIV Combination Prevention Meeting with national partners in September 2018.

The main objective of the meeting was to strengthen and enhance the national capacity to provide comprehensive HIV/STIs services for adults and adolescents.

The Honourable Ayanna Webster-Roy, Minister of State in the Office of the Prime Minister in her feature address at the opening ceremony stated that “the empowerment of citizens to their sexual and reproductive health essentials, requires that we look at all the systems that need to be put in place to ensure that the policies, facilities, education, services, and community support are available to prevent and control the spread of HIV and other Sexually Transmitted Infections”.

She emphasized that everyone has a part to play and that all stakeholders can support the NACC to achieve its mandate to end AIDS by 2030 by reducing the population’s susceptibility to HIV and AIDS.

Dr. Eldonna Boisson, PAHO Country Representative stated that we know of the ambitious elimination goals for HIV/STI and that these goals require an accelerated response to HIV and STIs. She indicated that in order to achieve these goals, high-impact intervention, technologies and approaches were needed. She called for “focused actions tailored to the needs of key populations”.

Dr. Ayanna Sebro, Technical Director, NACC Secretariat in her address emphasized the need to “consider opportunities for the prevention of other sexually transmitted infections, gender-based violence, poverty, social determinants and other matters that affect the sexual and reproductive health and rights of the citizens of Trinidad and Tobago within one service”. She noted that this type of integrative approach is one that will not only benefit the clients but will also improve the efficiency of services.

Over three days, participants addressed the opportunities to collaborate, partner and create synergies to promote institutional innovation and effectiveness for service delivery, intervention, treatment and prevention of HIV and STIs. The Meeting agreed that collaboration is key to ensuring that the most vulnerable populations have access to HIV prevention.

Double Positive Foundation in collaboration with National AIDS Programme Suriname facilitated an information session on side-effects of Tuberculosis (TB) and HIV medications

Image: (L-R) Nurse Sieds Wildenbeest, Nurse Willemien Dorama, Dr. Frank Kroon and Dr. Kees Brinkman.

People Living with HIV (PLHIV), civil society organizations, health navigators, peer counselors and “peer buddies” participated in a knowledge sharing exercise facilitated by The Double Positive Foundation, a Suriname-based civil society organization.  The event was implemented in collaboration with the National AIDS Programme Suriname.

The exercise encompassed valuable advice for PLHIV on the medications intended for Tuberculosis and HIV that may counteract with each other.

The presentations were conducted by Dr. Kees Brinkman, Dr. Frank Kroon, Nurse Willemien Dorama and Nurse Sieds Wildenbeest.

At the culmination of the activity, Dr. Kees Brinkman presented Ms. Ethel Pengel, Chair of Double Positive with a copy of “Hello Gorgeous”, a magazine produced by PLHIV.  The subject of the magazine’s cover story, Netherlands activist Ms. Janice Telgt, also attended the event to meet with participants of the knowledge sharing activity.

Image: (L-R) Ms. Ethel Pengel, Chair, Double Positive, Dr. Kees Brinkman and Ms. Janice Telgt

OECS RCM hosts workshop to build Region’s capacity to produce effective HIV Public Service Announcements

The Organization of Eastern Caribbean States (OECS) Regional Coordinating Mechanism (RCM) leveraged the strategic advantage of the media by hosting a workshop on how to create effective HIV Advocacy Public Service Announcements (PSAs).

The initiative was facilitated by Dr. Allyson Leacock, Executive Director of LIVE UP: The Caribbean Media Alliance and Chair, Barbados Broadcasting Authority (BBA). The 3-day workshop brought together key population advocates and select Health officials, media operatives and partners to foster alliances for stigma reduction.

Key Populations (KPs) in the Caribbean, People Living with HIV (PLHIV), Men who have sex with men (MSM), sex workers and the Transgender community still face troubling levels of stigma and discrimination in their communities.

Discrimination remains a barrier to accessing HIV prevention services and retaining and ensuring adherence levels.  It also takes a toll on the mental health of PLHIV. KPs often lack the resources, funding and sensitive services to deal with these issues.  Sensitized KPs can engage the media who can become advocates and partners in the cause.  There is evidence that the media can be utilized as an effective tool for advocacy, strategy, and programming to address structural barriers.

Dr. Leacock challenged the participants to change the generic HIV stigma narrative and empower key populations to create their own messages and have their voices heard while enlightening audiences to love, protect and respect all people.

Given her 12-year track record of training media on how to report responsibly and accurately on the multi-faceted and complex issue of HIV and having created over 100 behaviour change PSA media campaigns,  Dr. Leacock used this experience to effectively engage key populations on ways in which to create their own messages and use the power of media to become unwitting advocates to reduce stigma and discrimination in our region.

According to Dr. Leacock “the workshop was designed to be interactive through sessions with practical exercises, details of advocacy and the multiple media tools available that can be used by advocates, while Health officials and partners were shown tangible examples of ways to reduce stigma in their services, using the approaches they understand”.

This workshop and the programme that it supports proved to be unique because of the mutual benefits for the media, key populations and Ministry officials who were provided with the opportunity to collaborate on their own PSAs.

The OECS RCM used its grant not only to build its stigma reduction capacity but also to build the capacity of several local Civil Society Organizations (CSOs) that are working on stigma reduction advocacy programming as well. Dr. Leacock noted, “Giving key populations the tools as well as the platform with which to amplify their efforts and voices is novel and unprecedented”.

She highlighted that while the objective of the workshop was to produce one PSA, the media operatives involved in the training offered further guidance and expertise, which resulted in the production of three PSAs.

Guyana respects CCJ decision on cross-dressing– Prime Minister of Guyana

Prime Minister of Guyana, Hon. Moses Nagamootoo has said that Guyana respects the decision of the Caribbean Court of Justice (CCJ) on its recent ruling that the criminalization of cross-dressing in Guyana is “unconstitutional.”

At a Human Rights forum held at the Guyana Pegasus in November, the Prime Minister said that following the ruling, Guyana must now work on adjusting its culture to include all sections of society including Lesbian, Gay, Bisexual, and Transgender (LGBT) persons. Emphasizing that it is a human rights issue, the Prime Minister said that education will need to form a major part of the process intended to change the way persons engage with the LGBT community.

“So I think social organizations, in particular, have a responsibility to start the education process to be more tolerant to accept that we have differences in our society that we are not all the same; that we are all entitled to the same rights,” the prime minister said.

The Ministry of Social Protection and the Ministry of Social Cohesion also have a role to play in the process, he added, emphasizing that the ruling “is one step forward in an appreciation of the fact that society has differences.”

He noted too that the government must also find mechanisms through which it can give “teeth” to the decision.

The Society against Sexual Orientation Discrimination (SASOD) has also underscored the importance of training in Guyana for the country’s law- enforcement agencies, judiciary and social society, to guard against discrimination aimed at those who will now be exercising their freedom to cross-dress.

In its recent ruling, the CCJ said the law, Section 153(1) (xlvii) of the Summary Jurisdiction (Offences) Act, which makes cross-dressing criminal, should be “struck from the laws of Guyana.”

The decision was handed following the conclusion of the case of Quincy McEwan, Seon Clarke, Joseph Fraser and Seyon Persaud versus the Attorney General of Guyana.

The case has its origin in the February 2009 arrest of the four appellants, who identify as transgender persons and were detained, convicted and punished for cross-dressing in public. At the time of the arrest, McEwan was dressed in a pink shirt and a pair of tights; Clarke was wearing slippers and a skirt, and Fraser and Persaud were dressed in skirts and were wearing wigs.

While in custody, Fraser was denied legal counsel, medical attention, a telephone call, and a statement. In addition, all four spent the entire weekend in police custody without any explanation. They all pleaded guilty to the cross-dressing charge and McEwan, Clarke and Persaud were fined G$7,500, while Fraser was fined G$19,500.

With the assistance of SASOD, proceedings were brought in the High Court of Guyana challenging the law on several grounds, including that it is discriminatory and inconsistent with the Constitution of Guyana.
Both the High Court and the Court of Appeal in Guyana had denied the constitutional challenges, after which the appellants took their case to the CCJ. The CCJ panel, comprising the Honourable President Justice Saunders and Justices Wit, Anderson, Rajnauth-Lee, and Barrow, agreed that the law was from a different time and no longer served any legitimate purpose in Guyana.

Jamaica National Faith Leaders Consultation

Tuesday, 27 November 2018 (PANCAP Coordinating Unit, CARICOM Secretariat): The Pan-Caribbean Partnership against HIV and AIDS (PANCAP), with funding from the CARIFORUM 10th European Development Fund (EDF) Programme of Support for Wider Caribbean Cooperation will host the Jamaica National Faith Leaders Consultation at Cardiff Hotel and Spa, Runaway Bay, Jamaica on 28 and 29 November 2018.   

 The Consultation forms part of a series of engagements with faith leaders in Jamaica under the PANCAP Justice for All programme. It will facilitate the development of an action plan for advancing faith leaders’ implementation of key elements of the Justice for All programme. Participants will include faith leaders representing national faith leaders’ networks across Jamaica.

The main purpose of the consultation is the establishment of the main goals for an inter-religious faith leaders network in Jamaica with emphasis on contributing toward the end of AIDS.  Faith leaders will be engaged in identifying the lessons learned for ending AIDS from faith leaders’ engagements with People living with HIV and with other groups such as parliamentarians, youth leaders, civil society and members of church communities.  Participants will discuss the challenges for developing a viable Faith Leaders Network and proposals for overcoming them.  Faith leaders will also identify specific recommendations to achieve the goals of the inter-religious/faith leaders network as well as priorities and timelines for achieving the goals of the Network.

In an invited comment, coordinator of the consultation, Canon Garth Minott, member of the Religious Groups Steering Committee of the Jamaica Council of Churches, said, “it is expected that participants will make recommendations for strategies that would contribute to promoting positive values, healthy living and affirming respect for all, irrespective of differences.  Valuing every human life is important from a religious perspective and is a useful point of departure for a holistic response to the HIV and AIDS epidemic.”  

  – 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.

  • 10th European Development Fund (EDF) Programme of Support for Wider Caribbean Cooperation

 Under the 10th (EDF) Programme of Support for Wider Caribbean Cooperation, PANCAP will strengthen coordination on human rights issues in keeping with the Justice For all Roadmap through the HIV and AIDS Thematic Task Force in CARIFORUM.

  • CARIFORUM

CARIFORUM refers to the Grouping of Caribbean States which are signatories of the Georgetown Agreement establishing the African, Caribbean and Pacific Group of States (ACP). The ACP grouping is composed of 79 African, Caribbean and Pacific states.

CARIFORUM is the recipient of and manages the implementation of Caribbean Regional Indicative Programmes financed by the EDF and Caribbean regional programmes financed by individual Member States of the European Union. It also provides technical assistance to agencies/institutions implementing projects under these programmes.

  • European Union

The Member States of the European Union have decided to link together their know-how, resources, and destinies. Together, they have built a zone of stability, democracy, and sustainable development whilst maintaining cultural diversity, tolerance, and individual freedoms. The European Union is committed to sharing its achievements and its values with countries and peoples beyond its borders’.

Background to the PANCAP Justice for All (JFA) Roadmap

The PANCAP Justice for All (JFA) Programme was established in September 2013 as a regional response to the UN High-Level Political Declaration (June 2011) designed to reduce AIDS-related stigma and discrimination. The objectives of the JFA Roadmap are:

  • Enhancing family life and focusing on those in need
  • Increasing access to treatment and affordable medicines
  • Reducing gender inequality including violence against women, girls, and adolescents
  • Promoting prevention with special reference to sexual and reproductive health and rights including age-appropriate sexual education
  • Implementing legislative reforms for modifying AIDS-related stigma and discrimination

PANCAP and OECS Commission collaborate on Skills Building Workshop in Saint Lucia 

At the request of the HIV Programme Unit of the Organisation of Eastern Caribbean States (OECS) Commission, staff of the PANCAP-Knowledge for Health (K4Health) Project facilitated a two-day training workshop for programme managers and technical officers of the HIV/TB Elimination Project, OECS Commission, and Ministry of Health, as well as programme staff from national Civil Society Organizations (CSOs) – “Loving Care”, ECADE, and HERStoire. The training was conducted in Castries, Saint Lucia on 14 and 15 November 2018.

The overall objective of the initiative was to build the capacity of the participants in the use of online tools to develop visually appealing knowledge products and to improve how workshops, seminars, and meetings are evaluated.

The staff of the PANCAP-K4Health Project focused on three online tools, “Poll Everywhere”, “Adobe Spark”, and “Piktohcart”. These tools are utilized frequently within the knowledge management-focused project to share information on HIV and to evaluate and improve events happening within the region.

Using a virtual sharing platform, Go-to-Webinar, Mr. Timothy Austin, Communications Specialist for the PANCAP-K4Health Project, introduced the live virtual evaluation and interactive audience participation programme, “Poll Everywhere” from his office in Georgetown, Guyana.

Woven creatively through the two-day workshop to demonstrate how to integrate “Poll Everywhere” at various stages of an event, Timothy shared details on using this online virtual evaluation programme to gauge participants’ satisfaction with an event in an effort to improve workshops, seminars, and meetings in the future.

Dr. Shanti Singh-Anthony, Knowledge Management Coordinator of the PANCAP-K4Health Project, introduced the online design application, “Adobe Spark”.

The free online application allows users to create eye-catching knowledge products, web pages, and videos that can be shared on social media, via email, or embedded on a website.
Participants developed Adobe Spark pages using data, photos, and information from events and reports on topics from HIV case-based and drug resistance surveillance to the status of 90-90-90 Targets in the OECS.

Ms. Elizabeth Tully, Programme Officer supporting the PANCAP-K4Health Project, introduced the online infographic programme, “Piktochart”.

The free online programme allows users to create visually appealing products that can be downloaded, printed or shared online through social media or a website.
The programme can be used to create a variety of products including “infographics” and is ideal for displaying data in a visually interesting manner or helping to simplify a complex idea or topic.
Participants developed a variety of knowledge products including flyers for awareness days including World AIDS Day 2018, a graphic presentation for Trans Awareness Week and a fact sheet for 90-90-90 data in the OECS, among others.

Dr. Cleophas D’Auvergne, Project Coordinator of the HIV/TB Elimination Project at the OECS Commission, expressed his appreciation to the PANCAP-K4Health Project for facilitating the skills building workshop and highlighted that the initiative demonstrates the value that PANCAP provides to the region.