CAREC HIV/AIDS/STI PROGRAMMES THE WAY FORWARD Caribbean Epidemiology Centre PAHO/WHO

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


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


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


CAREC


Centre&

Upgrade of CATIN at CAREC

Major Achievements

Acquisition/installation of

equipment to enhance

database operation and

facilitate trainingin the field



in the Caribbean


CAREC


Centre&

Implementation of CATIN in other CMCs

Major Achievements

Installation and training done in Barbados. Needs

assessment completed in

Guyana. Installationscheduled for early

May



in the Caribbean


CAREC


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



in the Caribbean


CAREC


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


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


Centre&

Documents

CAREC HIV/AIDS/STI PROGRAMMES THE WAY FORWARD Caribbean Epidemiology Centre PAHO/WHO