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CAREC HIV/AIDS/STI PROGRAMMES

THE WAY FORWARD. Caribbean Epidemiology Centre PAHO/WHO. CAREC HIV/AIDS/STI PROGRAMMES. CAREC’s Mission.

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CAREC HIV/AIDS/STI PROGRAMMES

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

  2. CAREC’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

  3. Vision Information-based organization generating, providing and using information with a variety of publics, which directly or indirectly improves health of population

  4. CAREC 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

  5. CAREC 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

  6. FTC GTZ CIDA UKDFID PAHO/WHO $1.2M NIH WORLD BANK IDRC WRAIR CDC IDB QUOTAS $1.73M NSL CAREC Budget by Source of Funding, 1999 ($US)

  7. T&T, Jamaica, Barbados, Bahamas, Guyana, Suriname Small >250,000 Antigua, Grenada, St. Vincent, St. Lucia, Netherlands Antilles, Dominica, Bermuda, Belize, Aruba Mini 50,000 - 250,000 St. Kitts, BVI, Cayman Islands, TCI, Anguilla, Montserrat Micro <50,000 Classification of CAREC Member Countries by Population Size TYPE POP. COUNTRIES

  8. Changes of Mortality Patterns in CAREC Member Countries 1980 - 1995

  9. Health Systems Development Human Resource Development Family Health Food & Nutrition Chronic Non-Communicable Diseases Communicable Diseases Mental Health Environmental Health Caribbean Cooperation in Health Priorities

  10. Communicable Disease: CCH Sub-Priorities • Food & Water Borne Disease • Vector Borne Disease • Vaccine Preventable Diseases • STIs/HIV/AIDS • TB

  11. Estimates of Annual Incidence of AIDS Cases in CMCs 1982 - 1999 2,500 2,000 1,500 1,000 500 - 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999

  12. 35.3% 28.1% 12.9% 9.6% 7.6% 5.8% 0.7% Age Group Distribution of Reported AIDS Cases 1982 - 1998 40% 35% 30% 25% 20% 15% 10% 5% 0% 0-4 5-14 15-24 25-34 35-44 45-54 55+

  13. Female 33% Male 67% Gender Distribution of Reported Adult AIDS Cases 1982 - 1998

  14. St. Lucia (1995) Dominica (1997) St. Vincent & Grenadines (1995) Antigua & Barbuda (1998) Montserrat (1995) Trinidad & Tobago (1996) Barbados (1996) Jamaica (1998) Belize (1996) Bahamas (1995) Guyana (1996) Prevalence of HIV among Pregnant Women 0.12% 0.3% 0.5% 0.92% 0.99% 1% 1% 1.5% 2% 3.6% 7.1% 0% 1% 2% 3% 4% 5% 6% 7% 8%

  15. DFID Department for International Development CAREC Caribbean Epidemiology Centre & Prevention and Control of HIV/AIDS and Sexually Transmitted Infections in the Caribbean GOAL: To reduce incidence and impact of HIV/AIDS and contribute towards improving the reproductive health and well being of participating countries

  16. DFID Department for International Development CAREC Caribbean Epidemiology Centre & United Kingdom Caribbean Overseas Territories (UKCOT’S) HIV/AIDS Project GOAL: To strengthen capacity of four UKCOTS to manage the prevention and control of HIV/AIDS

  17. CAREC DFID Department for International Development Caribbean Epidemiology Centre & Prevention and Control of HIV/AIDS and 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

  18. CAREC DFID Department for International Development Caribbean Epidemiology Centre & Prevention and Control of HIV/AIDS and Sexually Transmitted Infections in the Caribbean Major Achievements Upgrade of CATIN at CAREC Acquisition/installation of equipment to enhance database operation and facilitate training in the field

  19. CAREC DFID Department for International Development Caribbean Epidemiology Centre & Prevention and Control of HIV/AIDS and Sexually Transmitted Infections in the Caribbean Major Achievements Implementation of CATIN in other CMCs Installation and training done in Barbados. Needs assessment completed in Guyana. Installation scheduled for early May

  20. CAREC DFID Department for International Development Caribbean Epidemiology Centre & Prevention and Control of HIV/AIDS and Sexually Transmitted Infections in the Caribbean Major Achievements Implementation of CATIN in other CMCs Review meeting held with pilot countries - Antigua and Barbuda, Dominica, Grenada, St Lucia, St Vincent and the Grenadines - to guide future development

  21. CAREC DFID Department for International Development Caribbean Epidemiology Centre & Prevention and Control of HIV/AIDS and Sexually Transmitted Infections in the Caribbean Major Achievements Review of Laboratories Review undertaken of lab in Antigua. Major issues including management, lack of key supplies, reliability testing highlighted. Follow-up QA workshop being discussed.

  22. CAREC DFID Department for International Development Caribbean Epidemiology Centre & United Kingdom Caribbean Overseas Territories (UKCOT’S) HIV/AIDS Project OUTPUTS: • Strengthening HIV/AIDS/STI case management • Supporting development/implementation of behavioural, communication and information interventions for vulnerable groups • Providing technical support for strengthening management of national AIDS Programmes • Improving epidemiological surveillance including health information systems.

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