World AIDS Day 2018 Theme Announced – “Know Your Status”

Tuesday, 11 September 2018 (PANCAP Coordinating Unit, CARICOM Secretariat):  The theme for the 2018 observance of World AIDS Day is “Know your status”.

The 30th anniversary of World AIDS Day will be marked on 1 December 2018. Since 1988, the AIDS response has made significant progress and today millions of people living with HIV are leading healthy and productive lives. But we still have miles to go, as the latest UNAIDS report shows, and one of the challenges remaining is knowledge of HIV status.

HIV testing is essential for expanding treatment and achieving the 90-90-90 Targets. It also empowers people to make choices about HIV prevention, so that they can protect themselves and their loved ones.

Many barriers to HIV testing remain and UNAIDS estimates that more than 9.4 million people living with HIV still do not know their status. Stigma and discrimination deter people from taking an HIV test. Access to confidential HIV testing remains an issue of concern. Many people get tested only after becoming ill and symptomatic. This leads to HIV treatment being initiated late, undermining its many benefits for both treatment and prevention. At the same time, there are many new opportunities to expand access to HIV testing. Self-testing, community-based testing services, and multi-disease testing are helping people to know their HIV status.

HIV testing programmes must be expanded. For this, we need political will and investment, as well as novel and innovative approaches to HIV testing that are fully leveraged and taken to scale.

In the coming weeks and months, we will be sharing more campaign ideas and materials via PANCAP.org.

PANCAP anticipates a highly successful World AIDS Day 2018.  Join us! 

Health Finance and Governance project helping to improve understanding of national funding and spending on health

Guyana has achieved significant progress in funding the national response to HIV but faces challenges related to scaling up of Treat All in an environment of declining donor funding. The USAID-funded Health Finance and Governance (HFG) project, in collaboration with PAHO/WHO, has supported a National Health Accounts (NHA) estimation exercise in Guyana to improve understanding of national funding and spending on health. A National Health Accounts dissemination meeting was held in Georgetown on 3 August, at which it was revealed that the Government’s share of HIV spending increased from 25 percent in 2015 to 64 percent in 2016, indicating increasing domestic resource mobilization for HIV.

Guyana’s Health Accounts will play an important role in the country’s health policy and future decision making for health expenditures. Ms. Julia Henn, Director of Health and HIV/AIDS Office, USAID/Eastern and Southern Caribbean, described the National Health Accounts as a “goldmine of information for policymakers.” One key recommendation is for Guyana to better leverage the private sector in order to diversify domestic funding sources for health and HIV. According to Mr. Tesfaye Dereje, Senior Health Finance Specialist of the HFG project, “Guyana is off to a great start.”

Faith leaders play a vital role in sustaining achievements of the health sector – Minister Karen Cummings, Guyana

Participants of the Guyana National Faith Leaders Consultation in August, including faith leaders and leaders of key populations, were privileged to hear from Hon. Dr Karen Cummings, MP, Minister within the Ministry of Public Health, Guyana.

While Minister Cummings reflected on the progress made in the region’s HIV response, including the seven Caribbean territories being validated for the elimination of mother-to-child transmission of HIV and syphilis, she spoke of some “hard truths” regarding the challenges related to the response.

Minister Cummings warned that stigma and discrimination threaten the laudable gains made and can be considered a primary barrier to vulnerable populations accessing HIV prevention and other health care services.

“From fears of contagion to negative social judgment, many persons in society often unwittingly engage in and encourage varying degrees of stigma and discrimination against persons living with HIV,” stated the Minister.

Tackling stigma is key to HIV prevention

Minister Cummings further reflected on the early history of the epidemic when the late Jonathan Mann, former Head of the World Health Organization’s Global Programme on AIDS, had identified AIDS-related stigma and discrimination as a third epidemic following the accelerated spread of HIV infection and the visible rise in AIDS cases.

Minister posited that Mann recognized that stigma, discrimination, blame, and denial are potentially the most difficult aspects of HIV to address. However, she affirmed that tackling the factors that were outlined by Mann continues to be the key to preventing HIV transmission and mitigating the impact of the disease on individuals, families, and communities.

Minister Cummings noted that since its detection in 1983, HIV has been associated with aspects of religion such as “moral failings” and “sinful behaviour”. She underscored that this was a misguided view, stating, “We need to recognize, acknowledge and embrace all people, regardless of their beliefs, political persuasion, and sexual orientation.”

The Public Health Minister said that an essential part of the Fast Track Initiative to end AIDS is the inclusion of key populations who are being left behind in the HIV response. This mainly occurs, the Minister noted, because of stigma and discrimination, which severely impact negatively on vulnerable groups who hesitate to be tested because of fear.  These persons are ultimately left untreated.

“As healthcare providers responsible for the health and wellbeing of our fellow human beings, we cannot be blinded by prejudice and insular judgment. If we are truly committed and determined to take the fight to end AIDS, then we must demonstrate that resolve by working with persons with HIV, including the key population component,” Minister Cummings emphasized.

Faith leaders are integral to the response

Addressing the participants of the consultation, Minister Cummings highlighted that religious leaders play a vital role in helping to further the achievements of the health sector.  “Through your perspective, you have expanded programmes in partnership with the Ministry of Public Health. Further, you have support from international funding to help track the epidemic in a multi-sectoral, multi-level, multi-dimensional effort that simultaneously reduces stigma, shame, denial, discrimination, inaction, and misinformation still attached to HIV.”

Minister recommended that faith leaders intensify their efforts to support public health initiatives by promoting the SAVE model – Safe practices, available medicines, voluntary testing and empowerment through education – at the individual, family, local, community and national level.

She challenged Guyana’s faith community to work closer with the public health sector on removing barriers of stigma and discrimination and underscored that partnership and collaboration are integral to achieving the 2030 goal of ending AIDS.

Guyana to host National Faith Leaders Consultation

Tuesday, 7 August 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 Guyana National Faith Leaders Consultation in Georgetown, Guyana on the 9TH  and 10TH  August 2018.    

 The event will be hosted at the Guyana Marriott Hotel Georgetown; highlights will include a feature address by Hon. Dr Karen Cummings, MP, Minister within the Ministry of Public Health.

 The consultation is occurring two years ahead of the 2020 deadline for reaching the Joint United Nations Programme on HIV and AIDS (UNAIDS) 90-90-90 Targets —90% of people living with HIV diagnosed, 90% of diagnosed people on treatment and 90% of those on treatment virally suppressed.

 The initiative forms part of a series of engagements with faith leaders in Guyana under the PANCAP Justice for All (JFA) programme. It will encompass the development of an action plan for advancing faith leaders’ implementation of key elements of the Justice for All programme. Participants will include 40 faith leaders from religious networks across Guyana.

The action plan will include the establishment of the main goals for an inter-religious faith leaders network in Guyana with emphasis on ending AIDS. It will also involve the identification of the lessons learned for ending AIDS from faith leaders’ engagements with People Living with HIV (PLHIV) and with other groups such as parliamentarians, youth leaders, civil society and members of church communities.

Participants will also propose solutions for resolving the challenges in developing a viable faith leaders network and will make specific recommendations to achieve the goals of the inter-religious – faith leaders network as well as identifying priorities and timelines for achieving the goals of the network.

In an invited comment, coordinator of the Consultation, Bishop Michael Perreira (Eccles Assembly of God – East Bank Demerara), encouraged faith leaders to partner with stakeholders to find common ground, respect differences, and work towards the establishment of a national faith leaders network.

– 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

Helpful links:

 PANCAP Justice for All (JFA) programme – https://pancap.org/what-we-do/justice-for-all/

 10th European Development Fund Project (EDF) – https://pancap.org/pancap-work/10th-european-development-fund-project/

 Focus of the PANCAP consultations – https://pancap.org/what-we-do/faith-leaders/

Caribbean Regional Network of People Living with HIV and AIDS (CRN+) convened 17th Bi-Annual General Meeting

Image: The New CRN+ Board of Directors 

The Caribbean Regional Network of People Living with HIV/AIDS (CRN+) convened its Bi-Annual General Meeting on 3 – 4 July 2018 in Port-of-Spain, Republic of Trinidad and Tobago; the first AGM held in four years. Thirty members from across 20 affiliate networks attended.  The meeting agreed on the membership of a new Board of Directors, which will serve from 3 July 2018 to 2 July 2020.

Mr Winfield Tannis-Abbott was elected Chair, Mr Tyrone Ellis, Vice Chair, Ms Tamara Felicien, Secretary, Mr Purnell Christian-Thomas, Treasurer, Ms Deneen Moore, Assistant Secretary-Treasurer, Ms Kerlin Charles, Board Member, and Ms Diana Weekes, Committee Member.

The goal of the AGM was to establish the strategic direction for the new CRN+ Board of Directors and affiliate networks of People Living with HIV (PLHIV).  The meeting also provided an update on the work plan implementation executed in the previous period and allowed members to reflect on progress in 2017 and the first half of 2018.

“Cross-dressing” Case Raises Deep Issues of Human Rights and Social Justice for Region

By Joel Simpson, Managing Director, SASOD 

On Thursday, June 28, 2018, a five-member panel of the Caribbean Court of Justice (CCJ), chaired by Justice Adrian Saunders, President, held a hearing in the appeal by Angel (Seon) Clarke, Gulliver (Quincy) McEwan, Peaches (Joseph) Fraser and Isabella (Seyon) Persaud, at the CCJ’s headquarters in Port of Spain, Republic of Trinidad and Tobago.

Click here for the audio recording of the hearing.

In February 2009, four transgender women were convicted for the offence of being “a man” appearing in female attire in a “public place” for an “improper purpose.” This offence falls under the 1893 Summary Jurisdiction (Offences) Act section 153(1) (xlvii) and, in its application, disproportionately targets Trans women. Labeling the law “hopelessly vague,” and constitutionally invalid, the litigants argued that the offence infringes on their rights to due process, freedom of expression and non-discrimination and equality. The litigants further argued that the law is not formulated with enough precision and clarity to allow the ordinary person to regulate their conduct.

It is important to note that “man” under this summary offence has been treated by state officials as including persons whose birth certificates describe them as “male” at birth and who identify as transgender persons or Trans women. However, there is growing acceptance and respectful treatment of persons whose gender identity does not correspond with the gender marker on their birth certificate.

It is a common and respectful practice to refer to a transgender person in a manner that is consistent with the gender that matches the individual’s identity, which in this case is female.

The four litigants, who were all present at the CCJ hearing on June 28, were represented by attorneys-at-law Douglas Mendes, S.C. (Republic of Trinidad and Tobago), lead counsel, C.A. Nigel Hughes (Guyana), Mishka Puran (Guyana), Clay Hackett (Trinidad and Tobago) and Isat Buchanan (Jamaica). Solicitor General Kim Kyte-Thomas, Kamal Ramkarran, and Selwyn Peiters represented the State.

In addition to the four litigants, over twenty representatives from civil society organizations and universities were present to observe the proceedings. Civil society organizations (CSOs) present included the Society Against Sexual Orientation Discrimination (SASOD), one of the original litigants in this case, Guyana Trans United (GTU), Guyana Rainbow Foundation (GuyBow), Promoting Empowerment Through Awareness For Les/Bi Women (PETAL) from Belize and the Alliance for Justice and Diversity (ADJ), which is a coalition of seven organisations in Trinidad and Tobago. The Faculty of Law The University of the West Indies Rights Advocacy Project (U-RAP) was also present.

Ifasina Efunyemi, an educator and representative from PETAL Belize, said, “Even though this was a case coming out of Guyana, it involves issues that are relevant to the LGBT community, and other social justice movements, throughout the region.” In a public forum held in the evening of 28 June at the City Hall in Port of Spain, hosted by Trinidad and Tobago’s AJD, on “Administrative Violence and Structural Inequality,” panellist David Abdulah, leader of the Movement for Social Justice, commented on the intersections of social justice claims.

The well-known labour rights leader said that “You cannot be fighting for workers’ rights and then discriminate between one worker and another.” Highlighting the need to recognize difference and diversity, the Very Reverend Shelley-Ann Tenia, Dean of the Holy Trinity Cathedral, also a panellist at the evening forum said, “There is space for us, even if we are different.”

One of the major hurdles for the appellants in their challenge to the 125-year-old law was the existence of a savings law clause in the Constitution that made it harder to use the Guyana Constitution to question laws in force before the 1980 Constitution. However, the ground-breaking decision of the CCJ on Wednesday 27 June, in the case of Nervais and Severin vs. AG of Barbados, provides an interpretation of savings law clauses that significantly limits their negative impact in cases challenging colonial laws. The CCJ declared that the mandatory death penalty in Barbados was unconstitutional and that the general savings law clause was not a barrier to that declaration.

Substantively, both sides appeared to agree that dress consistent with one’s gender identity, even if that identity is different from the gender assigned at birth, was wholly legal.

As a result, the focus of the hearing became the element of an “improper purpose.” Mendes SC in his presentation argued that criminalizing just thought—an “improper purpose”—was impermissible. He also highlighted that no offence was committed if a “man” was dressed in “male attire” for an “improper purpose;” likewise if a “woman” was dressed in “female attire” for an “improper purpose.”

At AJD’s public forum of 28 June, panellist and Managing Director of the Lloyd Best Institute of the West Indies, Sunity Maharaj, said that, “To one degree or another, people of the Caribbean have been living lives of improper purpose,” making reference to histories of resistance and struggle in response to colonial oppression.

Much of the discussion earlier that day between the CCJ judges and the attorneys focused on whether the term “improper purpose” was sufficiently certain to allow persons to know what was being prohibited. In his comments and questions, Justice Wit emphasized that the test must be based not on legal experts as the standard, but ordinary citizens and charges should stem from crimes and not one’s manner of dress.

Mendes SC strenuously argued that those applying the law specifically targeted the appellants as Trans women. The State suggested that any arbitrary and discriminatory enforcement of this law could be addressed through appeals and applications for judicial review. During the hearing, President Saunders commented that transgender persons who are not of great means or social influence might lack meaningful access to these procedures and thereby be at risk if the law is not sufficiently certain. Justice Wit gave the example of a rich person and a poor person, both of whom in principle could reserve a room at the Waldorf Astoria Hotel, but of course, in real terms, this hotel was entirely out-of-reach to the poor person because of lack of means.

It is important to recognize the experiences and efforts of the four transgender women leading this litigation over the past eight years.

Being a part of an extremely marginalized community, they have faced significant barriers to legal representation and accessing justice due to various contributing factors such as poverty and discrimination. While they were successful in accessing partnerships and resources to help further their challenge of the law, the larger community of Transgender persons still face many of these barriers. This litigation is an important step towards a more progressive and accepting society but we should remain cognizant of the everyday realities of those who are still marginalized due to their identities.

The CCJ has reserved judgment in this appeal. If the CCJ finds for the appellants, it can declare that the summary offence in section 153(1) (xlii) is inconsistent with the Constitution and therefore null and void. Alternatively, the CCJ may seek to modify the offence to bring it in conformity with the Guyana Constitution. The written decision in the McEwan appeal could be delivered during the remainder of 2018 or the first half of 2019, based on CCJ’s practice in other cases.

HFG project supporting 3 Caribbean countries to produce first-ever Health Accounts

Image: Health Accounts technical team members trained in Guyana, June 2017.

The USAID-funded Health Finance and Governance (HFG) project has been supporting three countries in the Caribbean region to produce their first ever Health Accounts. This support will enable the Republic of Trinidad and Tobago, Guyana and Suriname to understand how the health sector is financed, to plan for future financing needs and to benchmark their health financing performance with peer countries. In addition, health spending for specific diseases such as HIV will be analyzed. This will help the governments to plan for domestic financing for HIV in the context of decreasing donor funding and to ensure more efficient allocation of those funds.

The Health Accounts are being produced using the internationally-recognized framework of the System of Health Accounts 2011 and will provide analysis on the sources of health spending, as well as how health spending is distributed to different health providers, goods and services and diseases or conditions. All three Health Accounts are expected to be completed by the end of September 2018. HFG is also supporting Barbados to update their 2012/13 Health Accounts for an updated analysis of spending for fiscal year 2016/17, using a new approach to analyze health spending in a quick and cost-effective way to respond to health ministries’ needs.

HFG is working with multiple partners to institutionalize Health Accounts in these countries, including UNDP in Trinidad and Tobago and PAHO in Guyana and Suriname, as well as co-producing the Health Accounts in Trinidad and Tobago with The University of West Indies’ Health Economics Unit. HFG’s support will help ensure that the University can be a source of technical support for Health Accounts for the region in the future. Health Accounts results have already been used by countries in the Caribbean to increase government allocation to health (e.g. in Saint Kitts and Nevis) and to introduce taxes on sugary foods and drinks (e.g. in Barbados and Dominica). HFG-supported Health Accounts analysis with partner countries is one component of USAID’s programs designed to strengthen the sustainability of the HIV response in the region, including targeted prevention, care, and support for key populations and the achievement of countries’ commitment to 90-90-90 goals.

SCLAN creates alliances for health initiatives

Image:  (R-L) Spouse of the Prime Minister of Belize and Chair of SCLAN, Mrs. Kim Simplis Barrow, First Lady of Guyana and Vice Chair of SCLAN, H.E. Mrs. Sandra Granger,  Dr. David Walcott (Jamaica), Mrs. Elizabeth Murray (Gilead Sciences), Dr. Edward Greene (PANCAP) and Mr. Ramon Zertuce (Gilead)

Since the Launch of the Spouses of CARICOM Leaders Action Network (SCLAN) in Belize in September 2017 emphasis has been placed on establishing partnerships to advance the objectives of the Network. On June 26, 2018, a Dialogue between the Business Centre for International Understanding (BCIU) and Spouses of CARICOM Leaders Action Network (SCLAN) was held in the Grand Ballroom, Inter-Continental Barclay Hotel, New York. SCLAN was represented by Her Excellency Mrs. Kim Simplis Barrow, Spouse of the Prime Minister of Belize (Chair) and Her Excellency Mrs. Sandra Granger, First Lady of Guyana (Vice Chair). BCIU was represented by its President and CEO Mr Jirair Tichansky who chaired the Dialogue.

Also in attendance were members of Gilead Sciences Inc., including Mrs. Elizabeth Murray, Director of Latin America Access and Emerging Markets. Since the Network’s Inception in 2017, Gilead Sciences Inc. has committed to assist the First Ladies in building stronger collaborations to maximize synergies across the regions. Through their access programs, the company assists developing countries to address high incidences of HIV, including the elimination of mother-to-child transmission by offering HIV medications at substantially reduced prices.

The aim of the dialogue in New York City was to form alliances with the Business Centre in support of the four main pillars of the “Every Caribbean Woman Every Caribbean Child” Initiative for which SCLAN advocates. These include reducing adolescent pregnancies, violence against women and girls, cervical cancer and eliminating mother-to-child transmission of HIV. These pillars fall within the priorities of the PANCAP JFA Roadmap.

Other participants at the Dialogue also expressed support for SCLAN’s Programme. Among them were representatives from Chevron Corporation, Hess Corporation, AB INBEV Ltd, IHG, ORBIS, Henry Schein Inc., Rabin Martin, UNAIDS, PANCAP and a number of NGOs including AIDS for Life, Infiniti Partnership, Global Coalition of the Ageing, Thirty Steve East, Mount Sinai Medical System, UNIDOS EN RED and Physicians for Human Rights.

Dr Tedros Adhanom Ghebreyesus, WHO Director-General and his Team, also responded positively to the initiative and agreed to foster links with  SCLAN in the context of WHO’s 5-year Development Plan which includes the goals of achieving Universal Health Coverage and responding to the health challenges of climate change especially among the SIDS in the Caribbean and the Pacific.

Mrs Barrow in thanking the participants, said ‘this dialogue has opened the doors for worthwhile partnerships that would contribute to the viability of SCLAN in its efforts to make a difference in the lives of women, girls, and adolescents in the Caribbean.”

Caribbean voices from AIDS 2018

Laboratory and Quality Systems Specialist at the Caribbean Med Labs Foundation (CMLF), Ms. Wendy Kitson-Piggott attended the 22nd International AIDS Conference, 23 – 27 July, as a self-sponsored delegate.  The Trinidad-based microbiologist has participated in several of the International AIDS Conferences since 1992 after assuming the regional laboratory advisory function for the Special Programme on Sexually Transmitted Infections (SPSTI) at the Caribbean Epidemiology Centre (CAREC).  

Speaking to the editor of the PANCAP Newsletter, Wendy shared that her consistent attendance has been quite rewarding.  She highlighted that the discussions, decisions and advocacy shared at the global event have resulted in significant actions and responses in the Caribbean aimed at the prevention and control of the HIV epidemic. These have ranged from innovations in lab diagnostic technology, which improved timeliness and reliability to significant cost reductions and access to antiretroviral medication (ARVs).

Wendy believes that it is important for Caribbean professionals in related STI and HIV professions engaged in the response to make a personal effort to continue to participate and influence the ongoing debates about effective and relevant approaches to HIV control and prevention.

AIDS 2018 provided a vast landscape of activities, panel discussions and presentations on innovations in the Global HIV response.  However, it was important for Wendy to secure her spot at events that provided a wealth of knowledge on the continuum of care for the 90-90-90 Targets.  She attended sessions that presented new knowledge on innovative and cost-effective approaches to scaling up HIV testing including experiences with and effectiveness of self-testing across the globe, the future of CD4 and viral load testing and the continuing importance of timely testing and diagnosis of Opportunistic Infections (OIs) and Sexually Transmitted Infections (STIs).  She was also exposed to sessions on the acceptability and feasibility of ‘Treat all’ as well as Pre-exposure prophylaxis (PrEP) in resource-limited environments.

Wendy was also grateful for the experience since it provided critical updates for the role of laboratories in the HIV response.  There were sessions that provided critical data that can aid the Caribbean region’s ability to apply global experiences and evidence to review and improve current lab approaches, programmes and services that support the achievement of treatment cascade targets.

At the culmination of AIDS 2018, Wendy does not regret her investment in attending, she stated, “I look forward to the application of innovative, relevant and cost-effective strategies to expand and improve testing support across the region for every step in the treatment cascade. I hope that professionals from all of the relevant disciplines who attended this conference – lab, clinical, behavioural, economic etc. – return and aggressively and collectively advocate for the region to take ultimate responsibility for the sustainability of efforts and capacities if we are to end AIDS by 2030”.

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Older Adults Living With HIV in the Region Highlighted at AIDS 2018

The Region continues to have a prominent voice at the 22nd International AIDS Conference 2018. The conference heard from Mr. Jason Shepherd from Guyana during a special panel discussion, “The Gray Zone: Ageism as a Human Rights Issue in the Global Response to HIV”. Jason is the Senior Project Officer for the Caribbean Regional Network of People Living with HIV and AIDS (CRN+).

The discussion focused on older adults living with or vulnerable to HIV because of discrimination against the elderly and HIV stigma; a societal problem referred to as the “Gray Zone”. Jason was joined by four global panellists who presented on how present-day HIV responses compromise the right to health of older people and the potential strategies to promote social justice for this population.

Jason shared his experience in the region on discrimination experienced by older adults living with HIV and advocated for more attention on the impact of HIV stigma on the older population. He urged that the region invest in collecting necessary data, which would inform how policymakers can enact strategies to protect the human rights and dignity of this vulnerable group.

He challenged advocates within the Region to propagate messages aimed at placing a spotlight on older adults living with and vulnerable to HIV and the negative health outcomes they experience because of stigma and discrimination. Jason challenged all advocates to bring the issue to the forefront as the region risks leaving this population behind in the HIV response.

Jason forms part of a large contingent of civil society representatives and advocates at AIDS 2018 who are providing a powerful voice for People Living with HIV in the region.