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CAREC HIV/AIDS/STI PROGRAMMESCAREC HIV/AIDS/STI PROGRAMMES
THE WAY FORWARD
Caribbean Epidemiology Centre PAHO/WHO
CAREC’s MissionCAREC’s Mission
To improve the health status of the Caribbean people by working with and developing member country capacity to implement programs of health promotion and disease prevention based on sound epidemiology, laboratory technology and related public health disciplines
To improve the health status of the Caribbean people by working with and developing member country capacity to implement programs of health promotion and disease prevention based on sound epidemiology, laboratory technology and related public health disciplines
VisionVision
Information-based organization generating, providing and using information with a variety of publics, which directly or indirectly improves health of population
Information-based organization generating, providing and using information with a variety of publics, which directly or indirectly improves health of population
CAREC at a GlanceCAREC at a Glance
• The Caribbean’s health monitoring and disease prevention agency - 21 countries
• A PAHO/WHO Centre in the Americas
• Founded 1975 after outbreaks of polio, typhoid
• The Caribbean’s health monitoring and disease prevention agency - 21 countries
• A PAHO/WHO Centre in the Americas
• Founded 1975 after outbreaks of polio, typhoid
CAREC at a GlanceCAREC at a Glance
• Epidemiology & Laboratory Services, Information, Training, Research; Special Programs: Immunisation, STI, Tourism, Health & Resource Conservation
• Public Health Advocacy; Resource Mobilisation; Quality Assurance
• US $5 million budget, 120 staff
• Epidemiology & Laboratory Services, Information, Training, Research; Special Programs: Immunisation, STI, Tourism, Health & Resource Conservation
• Public Health Advocacy; Resource Mobilisation; Quality Assurance
• US $5 million budget, 120 staff
CAREC Budget by Source of Funding, 1999 ($US)CAREC Budget by Source of Funding, 1999 ($US)
WORLD BANK
CIDA
QUOTAS$1.73M
PAHO/WHO$1.2M
NSL
IDBCDC
WRAIR
IDRC
NIH
FTC
GTZUKDFID
Classification of CAREC Member Countries by Population Size
Classification of CAREC Member Countries by Population Size
TYPE POP. COUNTRIES
SmallSmall >250,000>250,000 T&T, Jamaica, Barbados, Bahamas, Guyana, SurinameT&T, Jamaica, Barbados, Bahamas, Guyana, Suriname
MiniMini 50,000 -50,000 -250,000250,000
Antigua, Grenada, St. Vincent, St. Lucia, Netherlands Antilles,Dominica, Bermuda, Belize, Aruba
Antigua, Grenada, St. Vincent, St. Lucia, Netherlands Antilles,Dominica, Bermuda, Belize, Aruba
MicroMicro <50,000<50,000 St. Kitts, BVI, Cayman Islands, TCI, Anguilla, MontserratSt. Kitts, BVI, Cayman Islands, TCI, Anguilla, Montserrat
Changes of Mortality Patternsin CAREC Member Countries
1980 - 1995
Caribbean Cooperation in Health PrioritiesCaribbean Cooperation in Health Priorities
• Health Systems Development
• Human Resource Development
• Family Health
• Food & Nutrition
• Health Systems Development
• Human Resource Development
• Family Health
• Food & Nutrition
• Chronic Non-Communicable Diseases
• Communicable Diseases
• Mental Health
• Environmental Health
• Chronic Non-Communicable Diseases
• Communicable Diseases
• Mental Health
• Environmental Health
Communicable Disease: CCH Sub-PrioritiesCommunicable Disease: CCH Sub-Priorities
• Food & Water Borne Disease
• Vector Borne Disease
• Vaccine Preventable Diseases
• STIs/HIV/AIDS
• TB
• Food & Water Borne Disease
• Vector Borne Disease
• Vaccine Preventable Diseases
• STIs/HIV/AIDS
• TB
Estimates of Annual Incidence of AIDS Cases in CMCs 1982 - 1999
Estimates of Annual Incidence of AIDS Cases in CMCs 1982 - 1999
-
500
1,000
1,500
2,000
2,500
1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999
5.8%
0.7%
9.6%
35.3%
28.1%
12.9%
7.6%
0%
5%
10%
15%
20%
25%
30%
35%
40%
0-4 5-14 15-24 25-34 35-44 45-54 55+
Age Group Distribution of Reported AIDS Cases 1982 - 1998
Age Group Distribution of Reported AIDS Cases 1982 - 1998
Gender Distribution of Reported Adult AIDS Cases 1982 - 1998
Gender Distribution of Reported Adult AIDS Cases 1982 - 1998
Male67%
Female33%
3.6%
2%
1.5%
1%
1%
0.99%
0.92%
0.5%
0.3%
0.12%
7.1%
0% 1% 2% 3% 4% 5% 6% 7% 8%
Guyana (1996)Guyana (1996)
Bahamas (1995)Bahamas (1995)
Belize (1996)Belize (1996)
Jamaica (1998)Jamaica (1998)
Barbados (1996)Barbados (1996)
Trinidad & Tobago (1996)Trinidad & Tobago (1996)
Montserrat (1995)Montserrat (1995)
Antigua & Barbuda (1998)Antigua & Barbuda (1998)
St. Vincent & Grenadines (1995)St. Vincent & Grenadines (1995)
Dominica (1997)Dominica (1997)
St. Lucia (1995)St. Lucia (1995)
Prevalence of HIV among Pregnant WomenPrevalence of HIV among Pregnant Women
DFIDPrevention and Control of HIV/AIDSand Sexually Transmitted Infections
in the Caribbean
Department forInternational Development
GOAL:To reduce incidence and impact of HIV/AIDS
and contribute towards improving the reproductive health and well being of
participating countries
CARECCaribbean
EpidemiologyCentre
&
DFIDUnited Kingdom Caribbean Overseas
Territories (UKCOT’S) HIV/AIDS Project
Department forInternational Development
GOAL:To strengthen capacity of four UKCOTS
to manage the prevention and control ofHIV/AIDS
CARECCaribbean
EpidemiologyCentre
&
DFIDPrevention and Control of
HIV/AIDSand Sexually Transmitted
Infections
in the Caribbean
Department forInternational Development
OUTPUTS:
•Improved HIV/AIDS/CSTI case management in selected CMCs•Development and implementation of IEC interventions aimed at reaching certain vulnerable groups•Improved management of National AIDS Programmes in participating CMCs•Implementation of sentinel surveillance for HIV, Syphillis and Hepatitis B in six CMCs
CAREC
CaribbeanEpidemiology
Centre&
DFID Prevention and Control of HIV/AIDS
and Sexually Transmitted Infections
in the Caribbean
Department forInternational Development
CAREC
CaribbeanEpidemiology
Centre&
Upgrade of CATIN at CAREC
Major Achievements
Acquisition/installation of
equipment to enhance
database operation and
facilitate trainingin the field
DFID Prevention and Control of HIV/AIDS
and Sexually Transmitted Infections
in the Caribbean
Department forInternational Development
CAREC
CaribbeanEpidemiology
Centre&
Implementation of CATIN in other CMCs
Major Achievements
Installation and training done in Barbados. Needs
assessment completed in
Guyana. Installationscheduled for early
May
DFID Prevention and Control of HIV/AIDS
and Sexually Transmitted Infections
in the Caribbean
Department forInternational Development
CAREC
CaribbeanEpidemiology
Centre&
Implementation of CATIN in other CMCs
Major Achievements
Review meeting held with
pilot countries - Antigua and Barbuda, Dominica, Grenada, St Lucia, St Vincent and the Grenadines - to
guide future development
DFID Prevention and Control of HIV/AIDS
and Sexually Transmitted Infections
in the Caribbean
Department forInternational Development
CAREC
CaribbeanEpidemiology
Centre&
Review of Laboratories
Major Achievements
Review undertaken of lab in Antigua. Major
issues including management, lack of
key supplies, reliability testing
highlighted. Follow-up QA
workshop being discussed.
DFIDUnited Kingdom Caribbean
OverseasTerritories (UKCOT’S) HIV/AIDS
Project
Department forInternational Development
OUTPUTS:
• Strengthening HIV/AIDS/STI case managementStrengthening HIV/AIDS/STI case management• Supporting development/implementation of Supporting development/implementation of behavioural, communication and information behavioural, communication and information interventions for vulnerable groups interventions for vulnerable groups • Providing technical support for strengthening Providing technical support for strengthening management of national AIDS Programmesmanagement of national AIDS Programmes• Improving epidemiological surveillance Improving epidemiological surveillance including health information systems.including health information systems.
CAREC
CaribbeanEpidemiology
Centre&
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