The Rt. Hon. Sir Charles Michael Dennis Byron, President, Caribbean Court of Justice urges new PANCAP Champions to use collective influence to help end AIDS

The Pan Caribbean Partnership against HIV and AIDS (PANCAP), the mechanism that provides a structured and unified approach to the Caribbean’s response to the HIV epidemic, relaunched the Champions for Change initiative during a ceremony on Tuesday, September 12 at the Guyana Marriott Hotel, Georgetown.

Sixteen advocates for ending AIDS from across the region within civil society organisations, National AIDS Programme Managers, faith leaders, academia, youth, regional parliamentarians were recognized by PANCAP for exceptional work in advocacy.

The highlight of the event was a keynote address by The Rt. Hon. Sir Charles Michael Dennis Byron, President, Caribbean Court of Justice, who urged the new Champions to use their combined influence to make significant strides to reduce stigma and discrimination against HIV people living with HIV and to implement programmes and activities that seek to end the spread of HIV.

‘Your commitment to leveraging your individual and collective influence will play a key role in helping our Region, and the world, end this epidemic’ stated Sir Byron, ‘We can no longer sit back contently in our “rocking-chairs” of indecision and indecisiveness or intention and inertia and observe the undoing of all the advancements we have made. While we must celebrate those achievements, this is a time for A-C-T-I-O-N!’

In his examination of Judicial Attitudes and HIV and AIDS within the context of positioning the judiciary to effectively contribute to ending AIDS by 2030, Sir Byron contended that HIV affects every aspect of the human condition and, as such, it requires an informed, rational and just response if we are to be successful in ending the epidemic. ‘This premise is relevant to the judiciary in the discharge of its duties as guardian of the due administration of justice and protector of human rights’ contended Sir Byron, who also observed that law is an important structural determinant of health.

Sir Byron reasoned that judicial officers must exhibit and reinforce anti-discriminatory attitudes and practices that will supplement and underscore the efforts being made to end the epidemic. Judicial officers must manage what goes on in the courtroom, to ensure that persons who are susceptible to discriminatory treatment are treated fairly by all players in the judicial process including court staff, counsel, police officers, witnesses and such others.

Sir Byron proposed that it is incumbent for judicial officers to equip themselves with the requisite knowledge about HIV and AIDS, not merely knowledge of the law relating to HIV and AIDS, human rights, anti-discriminatory laws and the like, but also knowledge concerning the disease itself and issues which affect and promote the spread of the disease such as, for example, gender inequality.

‘Judicial officers must adopt a proactive stance to acquiring and updating this knowledge – we must obtain the relevant tools and materials’ stated Sir Byron.

Sir Byron shared his views on the role of the Caribbean Court of Justice. ‘As President of the CCJ, it is my view, that as an apex Court our reach should extend beyond the precincts of the Court and our adjudicatory functions. As a Caribbean institution, we must engage in activities which improve access to and the quality of justice for all and instill confidence in the fairness of the judicial system and the administration of justice’.

Sir Byron noted that in dealing with attitudes towards knowledge and capacity building, the propositions made in PANCAP’s Model Anti-Discrimination Bill for the establishment of a dedicated Anti-Discrimination Commission and Tribunal must be appreciated as they indicate a positive attitude towards capacity building. ‘The establishment of a dedicated grievance resolution system means that complaints will not be hampered by existing case backlogs within the current judicial systems across the region, which unfortunately still cause inordinate delay’, contended Sir Byron.

Assistant Secretary-General, Human and Social Development, CARICOM Secretariat, Dr Douglas Slater spoke on behalf of Ambassador Irwin LaRocque, Secretary-General, CARICOM. He stated that the ‘PANCAP Champions for Change initiative presents a unique opportunity to transfer the best practices learnt through PANCAP interventions, to the public health sector in the Region’. He described PANCAP as a best practice within the Region for coordinating and orchestrating effective interventions particularly among civil society organisations. He also referred to PANCAP interventions and capacity building for National AIDS programme managers as significant steps in the response to the spread of HIV.

Honourable Nicolette Henry, Minister of Education, Guyana in her remarks recommitted to using her influence to reduce stigma and discrimination within the health sector. She urged that health care practitioners should be professional and warned that stigma and discrimination are aiding the continued spread of HIV. ‘Treating people with dignity and respect should be at the forefront of the response to HIV,’ stated Minister Henry, ‘I am committed to speaking out against discrimination and will use my office to ensure people living with HIV receive the care and treatment they require’.

Ms Joan Didier, Board Member, Caribbean Vulnerable Communities Coalition, in her remarks stated that civil society is ‘imploring policy makers, parliamentarians and all those with influence to ensure that people living with HIV are not discriminated against when they seek help from public health institutions’. ‘A scornful look or an attitude of concern and care from a nurse or doctor, could mean the difference between life or death for someone with HIV,’ stated Ms Didier, ‘Champions, I urge you to use your platform to empower people living with HIV’.

The ceremony concluded with Sir Byron issuing an inspired charge to the new PANCAP Champions. ‘Efforts over the next few years will decide whether we will end AIDS by 2030 or face resurgence’, stated Sir Byron, ‘In over four decades of the epidemic, science, social mobilization, political commitment and coordinated response among key stakeholders have made it possible to end AIDS. History shall not be kind to us if we become complacent now’.

The 2017 Champions for Change include Guyana’s First Lady, Mrs Sandra Granger for her outstanding leadership and championing of the ‘Every Caribbean Woman, Every Caribbean Child’ Initiative; the Executive Director of LIVE UP Dr. Allyson Leacock; Attorney-at-law Dr. Arif Bulkan; Canon of the Cathedral in the Diocese of Jamaica and the Cayman Islands, Canon Garth Minott, Member of Parliament (Guyana), Dr. Frank Anthony; the Chief Executive Officer of the Institute of Law and Economics (ILE), Jamaica, Dwayne Gutzmer; Founder and Managing Director of the Society Against Sexual Orientation Discrimination (SASOD) in Guyana, Joel Simpson; Executive Director of the Eastern Caribbean Alliance for Diversity and Equality (ECADE) Kenita Placide; Speaker of the National Assembly of Belize and Chairperson of the National AIDS Commission, Laura Tucker-Longworth; Chair of the Caribbean Forum for Liberation and Acceptance of Genders and Sexualities (CariFLAGS), Lucien Govaard; Guyana’s professional squash player, Nicolette Fernandes; President of the Barbados Evangelical Association, Rev. Dr Nigel Taylor; Director of the National HIV/AIDS and Infectious Disease Programme at the Bahamas Ministry of Health, Dr Nikkiah Forbes; Trinidad and Tobago Minister of Health, Terrence Deyalsingh; Deputy Programme Manager within the Communications Unit at the CARICOM Secretariat, Volderine Hackett; and Senior Pastor of The Poonah Open Bible Miracle Centre (POBMC), Trinidad and Tobago, Rev. Winston Mansingh.

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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.

PANCAP Champions for Change Relaunched

The Pan Caribbean Partnership against HIV and AIDS (PANCAP), the mechanism that provides a structured and unified approach to the Caribbean’s response to the HIV epidemic, will relaunch the PANCAP Champions for Change initiative after an eleven-year hiatus. The two-day event will be held from Tuesday, September 12 to Wednesday, September 13 at the Guyana Marriott Hotel, Georgetown, Guyana. The keynote speaker will be the Rt. Hon. Sir Charles Michael Dennis Byron, President of the Caribbean Court of Justice.

Originally launched in 2004, the Forum will include a wide cross section of PANCAP members, partners and stakeholders engaged in discussions around the theme ‘Champions for change IV: ending AIDS by 2030’. During the event, over fifteen (15) champions will be identified from among the participants, which include civil society organisations, National AIDS Programme Managers, faith leaders, academia, the private sector, youth, regional parliamentarians and other advocates for HIV awareness.

‘Champions for Change IV will seek to align the expected contributions of the Champions for Change with international and regional commitments for ending AIDS’ stated Director of PANCAP, Mr Dereck Springer, ‘these include the UN High Level Meeting Political Declaration (June 2016); the Caribbean Cooperation in Health IV (2016), the PANCAP Justice for All Roadmap (2015/2016) and the 2030 Sustainable Development Goals’.

The Director further explained that the relaunched initiative will seek to assess the impact of recommendations for overcoming barriers to ending AIDS identified by major international and collaborating agencies, including the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), The Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM) and The Joint United Nations Programme on HIV and AIDS (UNAIDS).

Participants of Champions for Change IV will also discuss recommendations from the recent PANCAP consultations of Faith Leaders (February 2017), National AIDS Programme Managers and Key Partners Meeting (March 2017), Meeting of Youth Leaders: Sexual and Reproductive Health (April 2017), Regional Parliamentarians Forum (May 2017), and other related initiatives such as the Caribbean First Ladies/Spouses championing the ‘Every Caribbean Woman Every Caribbean Child’ Initiative (February 2017).

PANCAP intends to utilize the relaunched initiative to create achievable targets, goals and timelines that will guide the new champions in their advocacy and HIV awareness implementation with the overarching aim of significantly contributing to the end of AIDS by 2030.

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Context – PANCAP Champions for Change

In the Caribbean, there were 285,900 people living with HIV in 2015, a decline from 333,400 in 2010 and 450,000 in 2005. However, 87% of People living with HIV live in just 4 countries in the Caribbean: Haiti, Dominican Republic, Jamaica and Cuba. There is also a variation in coverage with Cuba having the highest at 69% and the Jamaica, the lowest at 32%. Most countries have committed to ‘test and treat’ using the new WHO guidelines and the UNAIDS 90-90-90 Targets. While the Caribbean is on track to be the first region in the world to eliminate MTCT- Cuba, being the first country in the world to do so—there has been an increase in new HIV infections in Caribbean by 9% 2010-2015 (UNAIDS GAP Report July 2016) with the main drivers being Cuba and Jamaica.

Many Caribbean countries still criminalise same sex relations and in those countries, key populations such as men who have sex with men, sex workers and transgender persons are subjected to pervasive stigma, discrimination and violence.

History of the PANCAP Champions for Change Initiative

The PANCAP Champions for Change was initiated in 2004 and convened in St. Kitts and Nevis. The event brought together multi-stakeholders including parliamentarians, faith leaders, youth, private sector representatives, international partners and People Living with HIV. It focused significantly on eliminating stigma and discrimination. PANCAP facilitated further stakeholder engagements among faith-based organisations in 2005 and media operatives in 2006.

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

Appointment of Regional Programme Manager – CariFLAGS

The Caribbean Forum for Liberation and Acceptance of Genders and Sexualities (CariFLAGS) wishes to announce the appointment of Mr Dane Lewis as Regional Programme Manager. Dane will lead the Secretariat’s work towards the effective implementation of the CariFLAGS project and management of the sub-grant from CVC/COIN titled, “Building LGBTI Leaders from the Inside Out” to strengthen LGBTI leadership in the Caribbean region. The Secretariat is currently based at the Society Against Sexual Orientation Discrimination (SASOD) in Georgetown, Guyana. Dane can be reached by telephone at SASOD’s office on +592 225-7283 or directly by email at cariflags@sasod.org.gy.

Dane comes to the CariFLAGS Secretariat and Guyana, having served at the helm of leadership at J-FLAG in Jamaica for the past 9 years.

PANCAP Director reacts to launch of EMTCT – Plus

The following is a message from Director of PANCAP, Mr Dereck Springer on the EMTCT – Plus initiative:

The Pan American Health Organisation (PAHO) recently launched the EMTCT – Plus: Framework for Elimination of Mother-to-Child Transmission of HIV, Syphilis, Hepatitis B and Chagas. The objective of the EMTCT-Plus initiative is to achieve and sustain the elimination of mother-to-child transmission of HIV, Syphilis, Chagas, and perinatal Hepatitis B (HBV) as a public health threat. It embraces the principles and lines of action of the Strategy for Universal Access to Health and Universal Health Coverage, building upon the lessons learned from the PAHO 2010 Strategy and Plan of Action for the EMTCT of HIV and Congenital Syphilis.

In 2016, 18,000 new infections occurred in the Caribbean. The region continues to be heavily impacted by the HIV epidemic with an estimated prevalence of 1.3% and 310,000 persons living with the disease at the end of 2016.

The investments made in HIV Prevention of Mother-to-Child Transmission (PMTCT) in the region is significant. The progress is evident.
In June 2015, Cuba became the first country in the world to achieve elimination of mother to child transmission (EMTCT) of HIV and Syphilis. This achievement was lauded by the World Health Organisation (WHO) as a major victory in the fight against HIV and an important step in achieving an AIDS free generation. Since then, the region has accelerated efforts to achieve elimination status. Option B Plus is the defined standard of care and fully implemented. There have been significant investments in capacity building for health care workers across the region in delivering the highest quality of care that is based on scientific evidence. All pregnant HIV infected women are initiated on antiretroviral therapy as early as possible and maintained for life. Laboratory systems have been strengthened to provide quality assured early infant diagnosis to all exposed infants.

Across the region, our programmes are striving to ensure viral suppression throughout pregnancy and delivery, so that no baby is born HIV positive. At the end of 2016, ART coverage among HIV pregnant mothers is 74% and 1700 new infections were averted as a result of Prevention of Mother-to-Child Transmission (PMTCT) programmes. Currently, several countries in the region are undergoing the WHO validation process for HIV and Syphilis. Many more are in the final stages of preparing and submitting their documentation.

The EMTCT Plus initiative launched by WHO and aimed at the elimination of four (4) diseases, namely HIV, Syphilis, Hepatitis B and Chagas disease, is strategic in leveraging the momentum of HIV PMTCT initiatives. The Partnership envisages the EMTCT Plus initiative as a coordinated approach, building on well-established and successful platforms and systems of Maternal and Child Health (MCH) programmes. The successes and lessons learned around sustainability and integrating HIV PMTCT responses within MCH programmes will serve as key tools in guiding EMTCT of Syphilis, Hepatitis B and Chagas disease.

The Partnership welcomes the EMTCT Plus Initiative and commits to working with PAHO and all stakeholders in the achievement of this significant regional public health good.

Campaign launched for people living with HIV to take medication for life

A social marketing campaign has officially been launched by the Ministry of Health to encourage people living with the human immunodeficiency virus (PLHIV) to take their medication and to continue to do so for life.

The campaign, which has been dubbed ‘Test and Start: Get on yu meds and get on wid life’, goes further to encourage people to get tested for HIV in order to know their status and, if confirmed positive, to commence antiretroviral treatment.

Director of health services planning and integration in the ministry, Dr Simone Spence, said the test and start recommendation and, by extension, the campaign are based on current scientific evidence from clinical trials and observational studies.

“It demonstrates that initiating antiretroviral therapy (ART) earlier results in better clinical outcomes in persons living with HIV, versus delay in treatment,” she said at the launch at the Jamaica Pegasus hotel in New Kingston yesterday.

“Treatment as a method of prevention is another benefit of these new guidelines. As more PLHIVs are virally suppressed, the risk of transmission… decreases. Testing is, therefore, a critical tool in the management and treatment of this disease,” she continued.

Citing data from the United States-based Centres for Disease Control (CDC), Dr Spence informed that people who use ART can be kept healthy for many years.

“Antiretroviral medications lower HIV in the blood, reduces HIV-related illnesses, and reduces the spread of HIV to others,” she noted.

Meanwhile, acting mission director of the United States Agency for International Development (USAID), Sara Buchanan, said the campaign will change lives.

She said that, through it, more individuals will realise that HIV is no longer a “death sentence but a manageable illness”.

Country director for the Joint United Nations Programme on HIV/AIDS (UNAIDS) in Jamaica, Manoela Manova, is elated that Jamaica has initiated the campaign, which she indicated required a great deal of planning, resources and courage.

Jamaica has an estimated 30,000 people living with HIV or 1.7 per cent of the adult population.

The most urbanised parishes, such as Kingston and St Andrew, and St James have the highest cumulative number of reported cases of HIV.

Radio, television and poster advertisements will form part of the social-marketing campaign of ‘Test and Start’.

Tool kit: Understanding and challenging HIV stigma

The International HIV/AIDS Alliance has developed a tool kit titled ‘Understanding and challenging HIV stigma’. The organisation believes that ‘HIV-stigma has long been recognised as a barrier to prevention, care and treatment, yet there are few tools available to support trainers and community leaders to begin to tackle this problem’.

The toolkit originally evolved out of a two-year research project on stigma conducted in Zambia, Tanzania and Ethiopia. Tools were developed with the involvement of staff from more than 50 NGOs from these countries. They shared stories and their experiences, developed exercises and tested some of the tools.

This revised edition builds on the original toolkit and includes the experience of the Alliance’s Regional Stigma Training Project. New modules now address stigma as it relates to treatment, children and youth and men who have sex with men.

The toolkit contains over 100 participatory exercises which can be adapted to fit different target groups and contexts. There are different sets of pictures codes which help to identify stigma, discuss the rights of positive people and help to stimulate discussions around gender and sexuality and morality issues linked to stigma. Click here for the tool kit.

SASOD Commends Guyana Government for Supporting LGBTI Resolution at Recent OAS General Assembly

The Society Against Sexual Orientation Discrimination (SASOD) recently participated in the 47th General Assembly of the Organisation of the American States (OAS) in Cancun, Mexico. Representing SASOD was member and volunteer, Terianna Bisnauth, who met with several local and international representatives of government and civil society organisations. Since her return, Bisnauth was elected as the Chairwoman of the SASOD Women’s Arm Guyana (SWAG).

Leading up to the official events, Bisnauth engaged in several meetings with the Lesbian, Gay, Bisexual, Transgender, Transsexual, Travesti and Intersex (LGBTTTI) Coalition of Latin America and the Caribbean, of which SASOD is a member organization. The Coalition met a few days before the General Assembly meetings to discuss the issues in their respective countries and agree on proposals that were tabled at the official General Assembly meetings.

SASOD joins with the LGBTTTI Coalition of Latin American and the Caribbean to celebrate the adoption of the Resolution on Human Rights, Sexual Orientation, Gender Identity and Expression by OAS during its 47th General Assembly.

According to a statement prepared by the LGBTTTI Coalition, “in that Resolution, the OAS condemns all forms of discrimination and acts of violence based on sexual orientation or on gender identity or expression, and urges Member States to take effective measures for the protection of the rights of Lesbian, Gay, Bisexual, Trans and Intersex (LGBTI) people. In particular, the Resolution calls on Member States to generate data, prevent and investigate acts of homophobic, lesbophobic, biphobic, and transphobic violence. Further, it calls States to guarantee proper protection to human rights defenders working on the rights of LGBTI people through the implementation of policies and procedures ensuring the protection of these rights. The Resolution, as in previous years, urges States to afford appropriate protection to intersex people, regarding medical practices”.

SASOD commended the Government of Guyana for joining the Resolution on Human Rights, Sexual Orientation, Gender Identity and Expression in consensus for the past two respective General Assemblies in 2016 and 2017.

Ending AIDS by 2030 means removing bottlenecks to care and treatment – but what causes them?

The expansion in the provision of life-saving antiretroviral therapy (ART) in sub-Saharan Africa over the past fifteen years has been an unprecedented achievement for public health, resulting in dramatic declines in HIV-related deaths and disease.

By 2015, just over half of the 10 million people living with HIV in sub-Saharan Africa were accessing ART, paving the way for the Joint United Nations Programme on HIV and AIDS (UNAIDS) to launch a bid to eliminate AIDS by 2030. This would require that 90% of people living with HIV (PLHIV) are diagnosed, 90% of those diagnosed then initiate ART, and 90% of those on ART adhere to their treatment sufficiently well as to achieve viral suppression.

This week, Paris is hosting the International AIDS Society conference. The event provides a further catalyst for rolling out policies to achieve the 90-90-90 targets, so now is a good time to take stock and examine how the most affected countries address the challenges in meeting them.

Making ART available for all PLHIV+ is a huge step forwards towards eliminating AIDS, but significant stumbling blocks remain. Many people do not feel ready or willing to undergo a HIV test, and those diagnosed may not feel able to take the daily drug regimens for the rest of their life. Understanding and addressing the reasons for existing barriers in HIV care and treatment is critical to achieving a future free of AIDS.

Contextual, social and health system factors influence the engagement of PLHIV with HIV care and treatment in sub-Saharan Africa, but how? Our ‘Bottlenecks’ study published in the journal Sexually Transmitted Infections has provided crucial insight. Funded by the Bill & Melinda Gates Foundation, the multi-country qualitative study examined the bottlenecks to HIV care and treatment at seven sites in six African countries; Kenya, Uganda, Tanzania, Malawi, South Africa and Zimbabwe.

Uniquely we were able to draw on locally available census data linked to HIV clinic records. This meant we could identify and interview PLHIV with different HIV care and treatment histories, including those who had disengaged from the HIV care process and family members of PLHIV who had died. Such groups are notoriously difficult to include in qualitative studies. As a result, their voices and stories are often missing from accounts of HIV service use, resulting in policy recommendations that focus on those who face fewer challenges to HIV care engagement.

We found that interactions between patients and health workers, who are often desperately overworked and underpaid, had a huge influence on care seeking. In some cases, health workers believed themselves to be considering the patients’ best interests when using persuasive tactics to increase the number of patients undergoing HIV tests. Health providers, in an effort to achieve viral suppression, are also often failing to recognise the impact of debilitating side-effects that PLHIV endure on their engagement in HIV care.

Furthermore, we found that many PLHIV consult with alternative and traditional healers, although this was rarely accepted within the biomedical sector. Health workers must accept patients’ desires to access multiple channels in order to reduce the conflicts and confusions which culminate in bottlenecks.

Another major issue that affected engagement with HIV services across all settings related to couples’ relationships. For many, fear of blame, abandonment or abuse resulted in an unwillingness to disclose their HIV status to each other. Even among mutually disclosed couples there was little scope for them to attend appointments together, or to collect drugs for their partner if they were too busy themselves.

Finally, and perhaps most importantly, despite improvements to HIV care services and over a decade of HIV care provision, stigma remains a persistent barrier, not only within couples but also within the community at large. This is undermining engagement with HIV diagnosis, care and treatment in all of our study settings.

As we move towards universal ART, greater acknowledgement of these issues is required. But these are exciting times – there are several bold and imaginative approaches to address these concerns on the horizon.

Self-testing for HIV is enabling many underserved groups to learn their HIV status, and continued decentralization of care and task-shifting to lay and peer health workers is breaking down barriers to accessing treatment. Patient-centred care that recognises different patients have different needs is beginning to take precedence over the previous one-size-fits all approaches that we have seen until now. New family-centered models of care are also being proposed to enable PLHIV to not only test together, but to also collect drugs for themselves and their partners.

These approaches must be tried, tested, revised and scaled-up in order to unblock the persistent bottlenecks to HIV care and treatment. Only then the ambitious goal of AIDS elimination by 2030 can be reached.

Dr Carolyn Gomes accepted to serve on the developing country NGO delegation to Global Fund board

The Global Forum on MSM & HIV (MSMGF) announced that three members of The Consortium of MSM and Transgender Networks, Dr Carolyn Gomes, Simon Cazal, and Berry Nibogora, have been accepted to serve on the developing country NGO delegation to the Global Fund board.

Dr Carolyn Gomes is the Executive Director of Caribbean Vulnerable Communities (CVC), a PANCAP partner. Her work drives policy analysis, advocacy and resource mobilization to support services to vulnerable communities. Her organization, CVC, currently provides grants and technical support to a number of countries across the Caribbean islands and mainland territories.

Read more about CVC here.

Since its convening in 2013, The Consortium has reached communities of men who have sex with men, transgender people and other key populations in more than 60 countries worldwide, thanks in part to a grant provided by the Robert Carr Civil Society Network Fund (RCNF). Over the past two and a half years, members of The Consortium took aim at specific obstacles impeding meaningful engagement of men who have sex with men and transgender people in Global Fund processes at country level. Specifically, the Consortium increased community involvement of key populations in national AIDS planning processes and created direct links with Global Fund personnel. CVC led the development of the Jamaica Civil Society Forum that helped reform the CCM, including creating a civil society chair.

“We are very encouraged to see that the Global Fund is working to meaningfully include men who have sex with men and other community advocates in their programmes, policies, and funding initiatives,” said Dr George Ayala, Executive Director of The Global Forum on MSM & HIV (MSMGF). “We are proud to be a part of facilitating linkages between local advocates and global policy processes, ensuring that local needs continue to shape the global AIDS response.”

MSMGF stated that it is confident that the advocates’ experience, perspectives, and skills will greatly benefit both the Global Fund and key populations worldwide. MSMGF pledged support to their work on the delegation and wished all Global Fund NGO delegation members success in the work that lies ahead.

PANCAP Knowledge Coordinator conducts STI Management Training

PANCAP Knowledge Coordinator, Dr Shanti Singh-Anthony, facilitated the Ministry of Public Health (Guyana)’s ‘STI Management’ training in July. Dr Singh-Anthony explained that the training was pivotal at a time when the landscape of STI infections is changing and doctors are required to significantly enhance their knowledge capacity regarding the treatment of STIs.

More than twenty (20) doctors from the Ministry of Health participated in a series of presentations and interactive group sessions facilitated by Dr Singh-Anthony held at the Georgetown Public Hospital (GPH).

The topics discussed included strategies for prevention and control of sexually transmitted infections. Participants were encouraged to utilize the 5Ps ( Partners, Practices, Prevention of Pregnancy, Protection from STIs and Past History of STIs) recommended by US Centers for Disease Control, in conducting a comprehensive risk assessment. Emphasis was placed on understanding prevention methods and the value of biomedical prevention such as HPV and Hepatitis B vaccinations. Expedited Partner Therapy (EPT) was prioritised as a critical intervention in the control of STIs. Diagnosis and management were presented using WHO recommended syndromic management approach and addressed genito-urinary discharge syndrome and genito-ulcer disease. These were presented as case studies.

Dr Singh-Anthony explained, ‘it is vital that doctors make use of the new research, literature and data available to consistently upgrade their knowledge of the new advances in the treatment of STIs. The science associated with the treatment of STIs is constantly changing and doctors must keep up with the advances in order to effectively treat patients and improve their health outcomes’.