New Call to Action provides guidelines for achieving sustainable HIV responses in Latin America and the Caribbean

Port-au-Prince, 10 November 2017 (PAHO/WHO-UNAIDS) — Civil society, government, private sector and development partners from Latin America and the Caribbean (LAC) concluded three days of deliberations in Port au Prince, Haiti with a Call to Action outlining the principles and actions that would set the region on track to achieve a sustainable HIV response, aligned with the Sustainable Development Goals. The Third Latin American and Caribbean Forum on Sustainability of the HIV Response, “Road to Ending AIDS in LAC: Towards Sustainable Regional Fast-Track Targets”, was held from 6th to 8th November 2017 and brought together more than 200 participants. The forum was organized by the Government of Haiti, UNAIDS, PAHO/WHO, people living with HIV and other partners.

The objectives of the third forum were to review the progress and challenges towards meeting international and national targets; to discuss strategies to sustain the response in the medium and long-term including reflection on how to improve health systems effectiveness, efficiency and appropriate resource allocations; and to identify recommendations on how to close the resource gaps, specifically by increasing domestic investments.

Through the 2016 Political Declaration on ending AIDS and the Sustainable Development Goals, the world has pledged to end the AIDS epidemic as a public health threat by 2030. Countries have committed to a “Fast-Track” approach which includes a commitment to close the global HIV and AIDS resource gap and to fully fund the HIV and AIDS response. In both Latin America and the Caribbean, the resources allocated to the HIV response remain lower than what is needed to achieve the Fast-Track Targets by 2020. Donor dependency is especially high for prevention with proven impact for key and vulnerable populations.

In 2016, there were 2.1 million people living with HIV in Latin America and the Caribbean. From 2010 to 2016 there has been a 19% reduction in the number of AIDS-related deaths. At present 56% of all people living with HIV in the region are on antiretroviral treatment. Of concern is the fact that new infections have remained stagnant at an estimated 120,000 each year since 2010. Inaction would lead to further resource needs that will increase the cost of responding to the epidemic. This could translate into lives lost and a heavy burden on public finances.

Winfield Tannis Abbott, Chair of the Caribbean Regional Network of People Living with HIV, emphasized that the work on sustainability must be underpinned by human rights principles: “Civil society organizations in this region are united in our insistence that ending AIDS is not just about drugs and sustainability is not just about money. To get the best returns on investments we must place special focus on human development, access to social justice for all and the particular needs of key and vulnerable communities.”

As result of this Third Forum in Port-au-Prince, participants agreed on key recommendations to reduce budget gaps, make public expenditure more efficient and equitable and maximize the use of non-financial resources. They also called for a number of actions by governments, civil society, donors and the United Nations to achieve sustainable HIV responses. The resulting Call to Action of Port-au-Prince document is based on the principles of Human Rights and Universal Health, and adopts the core values of the right to health, equity, and solidarity beyond financial sustainability.

“Current sustainability challenges towards ending the AIDS epidemic as a public health threat by 2030 go well beyond financing. We need a framework that leads to a comprehensive approach to address challenges associated with the organization of health service delivery and the model of care, the stewardship role of national health authorities and governance of the health system, as well as intersectoral action. The Regional Strategy for universal health provides such a framework,” said Dr. Amalia Del Riego, chief of the Health Services and Access Unit of the Pan American Health Organization.

“Ending the AIDS epidemic is a shared responsibility, requiring political commitment and increases in both international and domestic investment in the AIDS responses. This Call to Action lays the foundation for developing and implementing the rapid expansion of an efficient, effective, integrated and sustainable HIV response.” said Dr. César Núñez, Regional Director of the UNAIDS Latin America and Caribbean Regional Support Team.

Call to Action of Port au Prince

The call to action is divided into 4 main sections.

Call to Latin America and Caribbean governments

Participants urge governments in the region to allocate at least six percent of Gross Domestic Product (GDP) to health while innovating to increase the fiscal space available for health investments. Recommendations for doing this include the reform of existing taxation systems. A key priority is increasing accountability by implementing mechanisms to strengthen data collection including disaggregation by gender and key population, storage, analysis and dissemination of information aligned with the national health information systems to inform decision making, investments and planning, including information on HIV needs and expenditures. Governments are being asked to prioritize the meaningful involvement and funding of civil society organizations in support of an effective HIV response, particularly as it relates to increasing the access of key and vulnerable populations to HIV services.

Call to civil society organizations

Among other actions, participants urge civil society to continue, expand and build advocacy efforts to mobilize domestic resources and monitor budget allocation and expenditures. Greater investment in civil society and community-based service delivery is critical to the Fast-Track approach. Participants also call on civil society to participate in the preparedness processes of countries transitioning out of external donor support and to ensure transition plans adopt a multi-sectoral approach.

Call to donor governments and multilateral funding mechanisms

Participants call on donor governments and multilateral funding mechanisms to support a planned, measured and effective transition from donor funding to domestic reliance for the HIV response and to strengthen coordination to ensure that there is no duplication of donor support. They also urge donors to continue supporting the work of global, regional and national civil society organizations, particularly those working with Key Populations and groups in conditions of vulnerability.

Call to the United Nations

In the call to action, the UN is urged to promote horizontal technical cooperation such as the Horizontal Technical Cooperation Group (GCTH) and the use of evidence-based and highly effective interventions to prevent and treat HIV, and other related diseases as well as to reduce stigma and discrimination. The UN is also called to support the strengthening of governance capacity of LAC governments, particularly within Ministries of Health, in order to strengthen capacity for leadership of the HIV response. Participants indicate that PAHO and UNAIDS should be supported to monitor and report against the actions in the Call to Action, including collaboratively establishing indicators and targets.

About the LAC III Forum

This forum was organized as a collaborative effort by the Government of Haiti, in coordination with the Horizontal Technical Cooperation Group (GCTH), the Pan Caribbean Partnership Against HIV/AIDS (PANCAP), the Minister of Health of Brazil, the Joint United Nations Programme on HIV/AIDS (UNAIDS), the Pan American Health Organization (PAHO), the Global Fund Against AIDS, Tuberculosis and Malaria, the President’s Emergency Plan For AIDS Relief (PEPFAR), AIDS Healthcare Foundation (AHF), the Latin American Network of People Living with HIV (REDLA+) and the Caribbean Network of People Living with HIV and AIDS (CRN+).

Media contacts:

Stéphanie Renauld Armand
+ 509 3442 0841
stephanie@wellcomhaiti.com
French-speaking journalists

Michela Polesana
+ 507 69494371
polesanam@unaids.org
Spanish-speaking journalists

Cedriann Martin
+ 1 876 396-7610
martinc@unaids.org
English-speaking journalists

Daniel de Castro
decastrod@unaids.org
Portuguese-speaking journalists

PAHO/WHO
Leticia Linn
Phone. + 1 202 974 3440
Mobile: +1 202 701 4005
E-mail: linnl@paho.org
Sebastián Oliel
Phone: +1 202 974 3459
Mobile: +1 202 316 5679
Email: oliels@paho.org
Daniel Epstein
Phone. +1 202 974 3579
E-mail: epsteind@paho.org
PAHO/WHO: www.paho.org

Global Fund Appoints Peter Sands as Executive Director

GENEVA – The Board of the Global Fund to Fight AIDS, Tuberculosis and Malaria today appointed a new Executive Director: Peter Sands, a former chief executive of Standard Chartered Bank who after a distinguished career in banking immersed himself in a range of global public health projects.

Sands, who is currently Chairman of the World Bank’s International Working Group on Financing Pandemic Preparedness, is also a research fellow at the Harvard Global Health Institute and the Mossavar Rahmani Center for Business and Government at Harvard’s Kennedy School, where he works on research projects in global health and financial regulation.

“Peter Sands brings exceptional management and finance experience, and a heart for global health,” said Aida Kurtović, Board Chair of the Global Fund. “At a time when we face complex challenges, his ability to mobilize resources while managing transformational change is exactly what we need. We expect him to take the Global Fund to the next level.”

Sands served as Chief Executive Officer of Standard Chartered PLC from 2006 to 2015, having joined the bank in 2002 as Group Finance Director. Under his leadership, Standard Chartered successfully navigated the turbulence of the global financial crisis in 2007-2009, continuing to support clients and counterparties throughout the worst of the financial stresses and without drawing on government support of any kind.

Sands led Standard Chartered’s transformation into one of the world’s leading international banks, reinforcing its focus on emerging markets and driving the development of world-class product, risk management and technology capabilities, underpinned by a highly collaborative culture. During Sands’ tenure as CEO, Standard Chartered focused its corporate responsibility initiatives on health issues, including avoidable blindness, AIDS and malaria. Sands served on the board of the Global Business Coalition on AIDS, Tuberculosis and Malaria and was Lead Non-Executive Director on the board of the United Kingdom’s Department of Health.

After stepping down from the bank in 2015, Sands deployed his skills and experience in international finance on global health. Sands served as Chairman of the U.S. National Academy of Medicine’s Commission on a Global Health Risk Framework for the Future, which published the influential report on pandemics entitled The Neglected Dimension of Global Security: a Framework to Counter Infectious Disease Outbreaks. Sands is also serving on the U.S. National Academy of Science’s Forum on Microbial Threats and Committee on Ensuring Access to Affordable Drugs. Sands has published articles on global health and epidemics in various peer-reviewed journals.

“I am deeply honored to join this extraordinary partnership,” Sands said. “Infectious diseases today represent one of the most serious risks facing humankind. If we work together to mobilize funds, build strong health systems and establish effective community responses we will be able to end epidemics, promote prosperity and increase our global health security.”

Born in the United Kingdom, Sands was educated in Malaysia, the UK, Canada and the U.S. He began his career in the UK’s Foreign Office and then joined McKinsey & Company, where he worked for 13 years in the London office, advising clients in the financial services and telecommunications sectors.

Sands graduated from Brasenose College, Oxford University with a First Class degree in Politics, Philosophy and Economics. He also received a Master’s in Public Administration from Harvard University, where he was a Harkness Fellow.

As new Executive Director, Sands will oversee and guide the implementation of the Global Fund’s 2017-2022 strategy, designed to maximize impact against HIV, TB and malaria and build resilient and sustainable systems for health.

The Global Fund is a 21st-century partnership organization designed to accelerate the end of AIDS, tuberculosis and malaria as epidemics. Founded in 2002, the Global Fund is a partnership between governments, civil society, the private sector and people affected by the diseases.

The Global Fund raises and invests nearly US$4 billion a year to support programs run by local experts in countries and communities most in need. The Global Fund has been consistently rated as one of the most effective and transparent organizations in the development sector.

Remarks by the Director of PANCAP – Opening Ceremony for the Third Latin American and Caribbean Forum

His Excellency Jovenel Moise, President of Haiti, Mrs Kim Simplis Barrow, First Lady of Belize, Honourable Marie Greta Roy Clement, Minister of Health and Population, Haiti, Dr Cesar Nunes, UNAIDS Director LAC, Mr Mamadou Diallo, Deputy Special Representative of the United Nations Mission for Justice Support in Haiti and Resident Coordinator, Representatives of other UN agencies, PEPFAR, The Global Fund, GCTH, PAHO, AHF, the Caribbean Sex Worker Coalition, and the indomitable Kate Spring.

Ladies and gentlemen, I bring you greetings on behalf of the Chair of PANCAP, The Right Honourble Timothy Harris, Prime Minister of St Kitts and Nevis, Lead Head with Responsibility for Human Resources, Health and HIV within the Caribbean Community (CARICOM) Quaisi cabinet as well from Ambassador Irwin LaRocque, Secretary-General of the Caribbean Community.

The Pan Caribbean Partnership Against HIV and AIDS (PANCAP) is pleased to be part of this Third Latin American and Caribbean Forum. I wish to thank the Government of Haiti, UNAIDS and other organisers for making this forum a reality.

Since its establishment in 2001, PANCAP has seen many successes including unprecedented collective regional negotiation with five pharmaceutical companies for significant price reduction for ARVs; sharpest regional decline in HIV incidence by 48.1% between 2001 and 2013; declining AIDS-related deaths by 55% from 2000 to 2016; ARV coverage increased to 52% from less than 5% in 2001; eight countries have adopted the WHO recommendation that ARV therapy should be initiated in every person living with HIV at any CD4 cell count; elimination of mother-to-child transmission of HIV in seven countries; and capacity building of healthcare providers. These successes are due to the combined efforts of all PANCAP partners with strong leadership from national programmes, and regional, national and community partners supporting national responses.

Despite the overall gains, considerable challenges remain. The Caribbean has a mixed HIV epidemic consisting of a low-level generalised epidemic in the adult population, but an unacceptably high HIV prevalence among key populations, particularly MSM. While 64% of PLHIV knew their status in 2016, 36% did not; 52% were on treatment while 48% were not. Only Haiti has >89% of diagnosed people living with HIV on treatment. One-third (33%) of Caribbean people living with HIV on treatment were not virally suppressed in 2016.

The Partnership is conscious that the progress towards an AIDS-free Caribbean in the face of shrinking financial resources, requires strategic investment in effective interventions that save lives, maximise the impact of regional efforts, ensure value for money and scale-up work where HIV is most heavily concentrated. Further reductions in AIDS-related mortality and transmission will only be possible through improved efforts to meet the needs of people who are disproportionately affected by HIV. Achieving universal access to comprehensive, high-quality, integrated HIV prevention and treatment services requires inclusive and harmonised multisectoral action, including the removal of legal, social and cultural barriers.
At our 13th Annual General Meeting held in November 2014, the Partnership reaffirmed the central principle of shared responsibility through strong and mutually accountable partnerships with strengthened voice and participation in decision making for communities and people living with HIV; called for the acceleration of regional efforts to mobilise resources, and to implement measures to further reduce the cost of ARV treatment and laboratory reagents and commodities.

PANCAP’s leadership is engaged in a dialogue on how to sustain the gains of the last 10 years and have taken action towards sustainability of the regional response including an assessment of the Partnership. We are collaborating with development partners to engage our governments for increased HIV investment at the national level through shared responsibility, particularly with the private sector, human resource capacity building, health systems strengthening including laboratory and efficiencies in the supply chain, and are poised to accelerate these efforts.
I look forward to robust discussions over the next three days that will lead to identification and agreements on sustainable regional fast track targets.

Thank you.

AIDS Healthcare Foundation calls for accelerating and scaling up the response to HIV in the Caribbean

(Port-au-Prince, November 6, 2017) – From November 6 to 9, an international Forum is bringing to Haiti more than 150 national and international specialists to spur the dialogue on what are the key requirements to end AIDS in the region. AHF, which serves populations in more than a dozen countries in the Caribbean and in Latin America, has been a partner in implementing this joint effort from its inception in Mexico in 2014 and will continue to do so.

AHF, however, remains concerned about the slow implementation of the Test and Treat Strategy within the region and about the reduction as well as the inefficiency of utilization of existing donor funds.

“The percentage of overall funding allocated to treatment in the region is not in keeping with the evidence, which now indisputably indicates that getting to sustained viral suppression removes the risk of transmission. Yet, still only a half of those infected are on treatment, and worse, maybe less than half of those in treatment, is virally suppressed”, said Dr Kevin Harvey, Caribbean Regional director.  “We must continue to discuss sustainability of the response and country ownership in light of retreating donors and restricted funding; however, we believe there is an even more urgent need to discuss the mammoth task of doubling and, in some cases, triple the number of persons receiving treatment. Moreover, the social barriers that limit one’s ability to stay on treatment, we have hardly started to address”, also noted the former Head of HIV Program in Jamaica.

AHF is committed to expanding its role in the response in this region and around the world as we scale up the resources it provides in the LAC. “Our goal is to directly support one million persons in care by 2020”, said Mr Michael Kahane, Southern Bureau Chief. “And we will not be neglecting small developing states such as Haiti, the Dominican Republic, Jamaica and Trinidad and Tobago.” Dr. Patricia Campos, Chief of the Latin America Bureau, pointed out that AHF is also calling on National governments “to address, as a national emergency, the implementation of treatment for those who have the virus, considering that Test and Treat is an intervention that will not only save the lives of the individuals treated, but will protect the whole society due to the resultant reduction in transmission at the community level.”

Finally, as the Forum evolves, AHF is calling on all the donors, governments and civil society within this region to urgently develop and implement a roadmap to ramp up care and treatment, in keeping with the sustainable development goals and 90 90 90 targets, as agreed by the UN and partners.
“The evidence is clear and well documented, we would have failed the next generation if we retreat now”, Dr Harvey concludes.

AIDS Healthcare Foundation (AHF), the largest global AIDS organization, currently provides medical care and/or services to almost 820,000 patients in 38 countries worldwide in the US, Africa, Latin America/Caribbean, the Asia/Pacific Region and Eastern Europe. To learn more about AHF, please visit our website: www.aidshealth.org, find us on Facebook: www.facebook.com/aidshealth and follow us on Twitter: @aidshealthcare.

– ENDS – 

Finance and HIV Experts gather in Haiti to participate in the Third Latin American and Caribbean Forum on sustainability of the HIV response

PORT AU PRINCE, HAITI, NOVEMBER 5 2017: The Third Latin American and Caribbean Forum on Sustainability of the HIV Response, “Road to Ending AIDS in LAC: Towards Sustainable Regional Fast Track Targets” will be held in Port-au-Prince, Haiti, from 6 to 8 November 2017.

The Caribbean will be represented by National AIDS Programme Managers, Chief Medical Officers, key populations and regional partners.  Regional partners will include The University of the West Indies, Caribbean Med Labs Foundation (CMLF) and the Caribbean Vulnerable Communities Coalition (CVC).  Civil Society Organisations will also be participating including the Caribbean Sex Work Coalition (CSWC), Caribbean Forum for Liberation and Acceptance of Genders and Sexualities (CariFLAGS), Caribbean Regional Network of People Living with HIV and AIDS (CRN+), Eastern Caribbean Alliance for Diversity and Equality (ECADE), ,  The DMARCO Foundation and the Trinidad and Tobago Transgender Coalition.  Key populations attending include People Living with HIV (PLHIV) and lesbian, gay, bisexual, and transgender (LGBT) representatives.

Through the Political Declaration on HIV and AIDS: On the FastTrack to Accelerating the Fight against HIV and to Ending the AIDS Epidemic by 2030, the world has pledged within the Sustainable Development Goals to end the AIDS epidemic as a public health threat by 2030. Countries have committed to a “Fast-Track” approach from now until 2020 and reaffirm in light of the Addis Ababa Action Agenda concrete policies and actions to close the global HIV and AIDS resource gap and to fully fund the HIV and AIDS response with the target of ending the AIDS epidemic by 2030. Following the successful experiences of the first and second Latin American and Caribbean Forums, the key objective of this third Forum is to develop and implement the rapid expansion of an efficient, effective, integrated and sustainable HIV response aligned with the Sustainable Development Goals and the Latin America and the Caribbean regional Fast Track agenda.

The Forum, which will gather finance and HIV experts from Latin America, the Caribbean and from around the world, will provide a space for sharing information on national progress and preliminary results towards the achievement of the agreed “90-90-90” and the prevention and zero discrimination targets, challenges and unmet needs from the 2015 Rio Call to Action. It will also provide a space for sharing new scientific data, to support the implementation of cost-effective and efficient interventions across the continuum of HIV prevention, care and treatment. Finally, it will facilitate a discussion around strategies and mechanisms to transition into nationally sustainable responses to end AIDS as a public health threat in Latin America and the Caribbean by 2030.

This forum is organized as a collaborative effort by the Government of Haiti, in coordination with the Horizontal Technical Cooperation Group (GCTH), the Pan Caribbean Partnership Against HIV and AIDS (PANCAP), the Minister of Health of Brazil, the Joint United Nations Programme on HIV/AIDS (UNAIDS), the Pan American Health Organization, the Global Fund Against AIDS, Tuberculosis and Malaria, the President’s Emergency Plan For AIDS Relief (PEPFAR), AIDS Healthcare Foundation (AHF), the Latin American Network of People Living with HIV (REDLA+) and the Caribbean Network of People Living with HIV and AIDS (CRN+).

For media interviews please contact:

Spanish Speaking Journalists

Milena Sandler
Or
Michela Polesana
00507 69494371
polesanam@unaids.org

English Speaking Journalists
Cedriann Martin

– 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
Communications Specialist
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 and follow @pancaporg

CRN+ participated in CVC’s Regional CSO Forum and Advocacy Planning Meeting

The Caribbean Regional Network of People Living with HIV and AIDS (CRN+) participated in the CVC Regional Civil Society Organisation Forum and Advocacy Planning Meeting, held from 29th September to 3rd October 2017 at the Knutsford Court Hotel, Kingston Jamaica. The meeting brought together representatives from civil society organisations across the region, including CRN+ networks, CRN+ Board and Staff, Global Network of People Living with HIV (GNP+) representatives, PANCAP and other partners. The meeting provided an opportunity for CRN+ to contribute to the discussion on stigma and discrimination affecting PLHIV and other key population groups, network with other CSOs to strengthen its work with PLHIV across the region, establish new partnerships and to share good practices working with PLHIV.

CRN+ convenes Review and Reflection Meeting

The Caribbean Regional Network of People Living with HIV and AIDS (CRN+), with funding from the Robert Carr Network FundIII, convened a Review and Reflection Meeting from 27th – 28th September 2017 at the Knutsford Court Hotel, Kingston Jamaica. The meeting brought together representatives of the networks of People Living with HIV (PLHIV) from six of the eight target countries on the Global Network of People Living with HIV (GNP+) and the Caribbean Vulnerable Communities Coalition (CVC) grants. These included Belize, Dominican Republic, Guyana, Jamaica, Suriname and Trinidad and Tobago. CRN+ Board members, CRN+ Staff, GNP+ Executive Director and Programme Officer participated in the meeting. The PANCAP Global Fund grant supported board members and the Senior Programme Officer’ participation.

The meeting reviewed and discussed the HIV Environmental Scans supported by GNP+ which were conducted in 2016 and the UNAIDS 90-90-90 Progress Update 2017 – focusing on the Caribbean data. Participants reviewed and simplify the UNAIDS Caribbean epidemiological data to enable PLHIV to better understand the information and to aid them in their advocacy.

London clinic’s 90% drop in infections could be replicated elsewhere

Over the past three years, the 56 Dean Street clinic in central London has seen recent HIV infections among gay and bisexual men using its services fall by around 90%. The clinic’s experience shows that fundamentally reorganising HIV testing services to make them more attractive to people at risk can bring about enormous changes in HIV incidence and treatment uptake, delegates heard on the opening day of the 16th European AIDS Conference (EACS 2017) in Milan, Italy.

56 Dean Street offers sexual health, HIV and hepatitis diagnosis and treatment services, as well as specialist services for at-risk populations including sex workers and the trans community. The clinic has pioneered support for pre-exposure prophylaxis (PrEP) use, by offering renal monitoring and sexual health screening to people who are using generic PrEP. It is well known as a gay-friendly clinic that is responsive to user needs, for example, by providing non-judgemental services to support chemsex users and by acknowledging the importance of sexual pleasure and intimacy.

For people without symptoms who need screening for sexually transmitted infections (STIs), Dean Street Express is a largely automated clinic in which users go into a booth to carry out self-sampling tests for HIV and STIs. Results are sent to the service user within hours by text message; if treatment is needed the text includes a link to make an immediate appointment. The service has been phenomenally successful.

Each month 12,500 people attend the 56 Dean Street and Dean Street Express clinics, 60% of them gay and bisexual men. The clinics carry out a quarter of all STI tests in men who have sex with men in England. They diagnose half of all HIV infections in men who have sex with men in London, and of these, half are recent infections.

But the number of new HIV diagnoses has fallen from 60-70 a month at the end of 2015 to ten in September 2017. What is the reason for this dramatic fall, which is also being seen at other large clinics in London?

The decline in diagnoses first became evident within months of introducing rapid treatment initiation for seroconverters.
The decline accelerated after the results of the PROUD study promoted community activism to obtain generic drugs for PrEP.
It fell even more sharply after the clinic introduced a standard offer of antiretroviral treatment within 48 hours of HIV diagnosis.

Dr Emma Devitt’s presentation showed that although the clinic has been an innovator, everything done at the clinic could be put into practice in other cities – provided that PrEP can be offered and clinicians can build partnerships and trust with key populations such as men who have sex with men. There is a particular need to expand rapid access to antiretroviral treatment and PrEP in Eastern Europe, the conference was told.

How SMS is Transforming Lives of PLHIV in Africa

The recent pace of economic growth in sub-Saharan Africa has undeniably been of enormous benefit to the continent. Countries such as Angola, Ghana, Mozambique, and Nigeria have profited from high levels of foreign investment and commodity exports, enabling them to invest in much-needed infrastructure. While this has certainly led to societal transformations, it has also exacerbated the gap between new technologies and old, often defective systems. Much of sub-Saharan Africa continues to be plagued by poor access to electricity, sporadic Internet coverage, and weak governance—none of which is promising for the development of the latest technologies. These obstacles, while challenging, have nevertheless provided fertile ground for innovations using an already widespread technology: the mobile phone.

One of the most important advances in mobile technology has been the rapid growth of mobile banking. Africa has been and continues to be one of the most un-banked populations in the world. Millions of Africans are paid in cash, have no access to social security or financial services, and don’t pay taxes. Mobile banking works to alleviate this problem by offering individual users a convenient way to make payments at retailers with only a basic mobile phone that uses near field communications (NFC), meaning that no Internet connection is necessary. Likewise, in Kenya, Safaricom pioneered mobile money transfers, enabling individuals to easily transfer money to a friend or relative via SMS. The service, called M-Pesa, has reached millions of people who previously had no access to financial services. Such services, while basic, help to improve security, offer a more flexible way to manage funds, and allow individuals to manage their income in a structured way.

Mobile payments also enable consumers to make long-distance purchases, thereby opening retailers up to a diverse body of consumers, irrespective of geography. Since payment is made through a mobile phone, the transactional cost to the retailer is much lower than debit or credit card processing fees. Banks across the continent are also opening their doors to new customers. For instance, in Angola, Banco Angolana de Investimentos (BAI) launched the e-Kwanza, a phone application through which new customers can register and set up their accounts for free.

SMS is also becoming an increasingly invaluable tool in the provision of health care services for those living outside of major urban areas. In Kenya, health care professionals are able to stay in touch with individuals living with HIV through the Weltel Project, while in Nigeria, SMS is being used to track the distribution of mosquito nets.

Mobile technology is also creating business opportunities for entrepreneurs working to develop new health care solutions. Health insurance is one such industry sector. One of the world’s largest “micro-insurance” companies, MicroEnsure, has built a business through the provision of mobile-based health insurance in collaboration with mobile network providers. The company has offices in Ghana, Kenya, Mozambique, Rwanda, and Tanzania, and provides insurance services to some of the poorest people on the continent—even those living on less than $4 a day. To date, the company has around 4 million customers.

It is in the business arena that mobile technology is proving to be especially fruitful from a socio-economic perspective. A recent research paper from Forbes Africa in collaboration with Djembe Communications showed that the vast majority of young Africans (around 80 percent) would rather work for themselves than for an existing company—a prospect made more viable by access to mobile technology. In the agricultural sector, which accounts for roughly 60 percent of the continent’s export revenues, young entrepreneurs are creating new solutions for farming industries. M-Farm delivers real-time market information to farmers, helping them to better understand the true market price of crop supplies, as well as to negotiate more advantageous prices with wholesalers and importers. Other simple mobile phone ideas include iCow, which delivers a breeding calendar for cows’ gestation periods, in addition to providing farmers with advice on the best breeding practices.

The mobile phone’s educational capacities aren’t limited to the farming sector. A pilot program in Uganda called MobiLiteracy Uganda uses SMS and audio technology to support home learning, offering daily reading lessons in local languages via the parent’s mobile phone to students who are unable to physically attend classes. Because the lessons are delivered by SMS and audio, illiterate parents are also able to participate. In Kenya a 32-year-old teacher has created a mobile phone-based teaching platform, which acts as a virtual tutor and teacher’s assistant, enabling students to access all of their courses outside of the classroom. It is a for-profit business whose success is based on a high volume of low-cost users. As of November 2015 the service had 500,000 customers.

Utilizing existing technology is a smart way for entrepreneurs to create much-needed solutions across Africa. Foreign direct investment and top-down government investment will continue to improve infrastructure, but in the meantime there is money to be made through the most basic mobile phones. Young business leaders across the continent are creating new solutions, but they remain frustrated by poor access to capital, which prevents them from investing in order to expand. Lack of capital is an ongoing issue in Africa, which is why many young businesses look towards foreign investors for help. There are an increasing number of solutions, such as one provided by the pairing service FACRA, a government-backed venture capital fund in Angola. It acts as a conduit between successful Angolan businesses and foreign investors—an introduction that makes it easy for home-grown businesses to source capital from a range of potential suitors. It also provides an easy-access route for foreign firms looking for opportunities in the country, offering cultural and business initiation services and attractive financial terms for direct investment.

Organizations such as FACRA are supporting enterprises and making it much easier for growing businesses to find ways of expanding nationally and across borders. It is especially important for mobile-based businesses to succeed because they deliver low-cost solutions that have the potential for high returns, not to mention the socioeconomic benefits they provide to communities.

Over the next few years, it is likely that the use of mobile technology—even basic SMS services—will grow. The cost of basic phones has fallen dramatically over recent years and even smartphones are becoming commonplace. Foreign investors now have an opportunity to look at this fast-growing sector as a way of securing long-term gains through businesses that have a strong socio-economic impact, which could provide a win-win scenario for African economies, entrepreneurs, and foreign investors.

CARICOM Youth Ambassadors complete two-day Youth Consultative Workshop

Under the Local Capacity Initiative (LCI) Project, the CARICOM Youth Ambassadors (CYAs) completed a two day Youth Consultative Workshop from the 26th – 27th October 2017 at the Coco Palm Resorts, Saint Lucia. The purpose of the workshop was to discuss existing HIV/AIDS knowledge and sexual behaviour among CARICOM youth, learn strategies for developing targeted health (HIV/AIDS) messages and enable CYAs to acquire skills in developing briefs to advocate with policymakers at the national and regional level on the priority issues affecting youth. The advocacy strategies developed at the meeting will be incorporated into the PANCAP Regional Advocacy Strategy which is being developed.

The CYAs participated in the LCI Project capacity building training and were awarded a small grant (US$50,000) to implement policy and advocacy activities. The CYAs designed a two-phase project targeting young people aged 15 – 29 to (i) increase knowledge and influence behaviour surrounding HIV/AIDS and (ii) address stigma and discrimination, and advocate for key populations. In the first phase, an electronic Knowledge Attitude and Practices (KAP) survey was conducted to inform the repackaging of HIV prevention messages to reach the target demographic. Whilst in phase two, an assessment to determine the needs of the target group is currently being conducted. The findings from this assessment will complement the advocacy needs identified at the Regional Youth Leaders Meeting held in April 2017.

The advocacy strategies developed at this meeting will be incorporated into the PANCAP Regional Advocacy Strategy which is being developed.
The CARICOM Youth Ambassadors Programme (CYAP) provides a unique platform for leadership development and collaboration that can strengthen the participation of a more diverse and better-informed youth constituency in CARICOM decision making. The CYAP works within 18 Member States through their CARICOM Youth Ambassadors (CYAs), community Institutions, and other regional and international stakeholders to design, implement and execute programmes and projects to address youth issues (including HIV/AIDS) at the national level within a regional strategic framework.

Read more about the LCI Project here.