Caribbean Regional Strategic Framework

Shared Responsibility

“Shared responsibility is not an option for small states. It is our reality. We have no choice in the Caribbean but to develop shared approaches in all sectors.” Honourable Denzil Llewellyn Douglas, Prime Minister of the Federation of St Kitts and Nevis

The principle of shared responsibility is at the core of the PANCAP model and of a broader, more inclusive vision of health and sustainable development in the region. Harnessing the comparative advantages of all partners, in multiple sectors, increases the availability of resources, improves efficiency and creates synergies for sustainable long-term solutions to common problems. Shared responsibility in the regional response to HIV underscores a commitment to an enabling environment (SPA 1) and sustainability (SPA 6) by ensuring voice and participation in decision making and diversifying funding sources. It expresses the importance of good governance at all levels of the response, including active and sustained political leadership, efficient regional coordination and people empowered to hold governments accountable for how resources are used and results are achieved.

Country ownership will continue to be central to a strong and mutually accountable partnership. More effective and sustainable investments that reflect country priorities will ensure that regional public goods and services translate to real benefits on the ground. Sharpening the focus on connectivity at the regional, national and community levels through information sharing, technical support and multisectoral and public-private partnerships will reinforce the leadership role of country partners in setting priorities, implementing programmes and achieving results. Community systems strengthening to develop the capacity of key populations to engage as full partners in the regional response is a cross-cutting area of focus for PANCAP.

Strategic objective 2.1: Strengthen country ownership through multisectoral approaches and by increasing the use of modalities such as horizontal cooperation.

Expected results:

1. Reporting and information sharing is strengthened and streamlined at all levels to promote evidence-informed decision making within the partnership.
2. Regional technical leadership is coordinated to provide coherent, consistent and creative strategic guidance to national programmes.
3. Technical support is tailored to country needs, including laboratory capacity and strategic information (research, surveillance, data management and M&E).
4. The private sector is a partner in strengthening national systems through the application of its competencies, infrastructure and resources.
5. Civil society, people living with HIV and key populations are empowered to engage in all facets of the response.
6. Civil society, people living with HIV and key populations are partners in planning, delivery and evaluation of quality-assured, rights-based prevention, care and treatment programmes.

Strategic objective 2.2: Strengthen accountability and transparency mechanisms to promote good governance.

Expected results:

1. Systems are strengthened to measure, track, document and report on funding flows in order to better understand the response and for greater transparency and accountability in the deployment of resources.
2. At all levels of the partnership, procedures, policies and agreements that facilitate accountability and transparency are in place.
3. Improved harmonisation of international and regional partners to support more effective and efficient regional and country responses is achieved.