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Round table

A PANCAP/GIZ/EPOS Project. Evidences for necessary legislation/policy modifications for improving Migrants’ access to HIV services in the Caribbean. Round table. MELBOURNE 21 st of July 2014 Robert CAZAL-GAMELSY (PANCAP/GIZ/EPOS).

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Round table

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  1. A PANCAP/GIZ/EPOS Project Evidences for necessary legislation/policy modifications for improving Migrants’ access to HIV services in the Caribbean Round table MELBOURNE 21st of July 2014 Robert CAZAL-GAMELSY (PANCAP/GIZ/EPOS)

  2. Critical Findings & recommendations Most countries • Institutional Discrimination against migrants in Health/HIV services We should counter this “official” discrimination • Have signed Intl. legislations & treaties having impact on access they now need to be ratified and translated into domestic law • Demand the presentation of ID/NHI card to use health services this obligation should be removed for the use of HIV services • Limit the concept of Univ. Access to nationals & regular migrants UA to HIV services should be truly Universal with no exclusion

  3. Critical Findings & recommendations In most previous British colonies • Still remain punitive laws criminalizing sex work and buggerythuspreventing vulnerable migrants from accessing services This laws should be modified/removed • Trinidad & Tobago and Bahamas define HIV as an infectious disease, therefore a PLWH may be prevented from the entering the State, HIV shouldberemovedfrom the infectious disease list In Dutch islands/territories • European Intellectual Property rules related to drugs create barriers for undocumented /uninsured migrants to access ARV treatments Rules should be changes to authorize this territories to get generics

  4. Currentresponse In the Caribbean region the project is • Encouraging the countries to adopt the regional PANCAP Model Anti-discrimination Legislation • Developing an amendment to the regional PANCAP Model Legislation to strengthen access of vulnerable migrants to HIV services • Developing training modules and conducting trainings on Human Rights, cultural sensitivity and stigma and discrimination against migrants in the six countries

  5. Currentresponse Surinameis • Including HIV in the Law on Venereal Diseases to allow an institutional free and universal access to HIV services Trinidad & Tobago • The Caribbean Court of Justice has given a litigant leave to challenge T&T’s immigration law that prohibits entry of homosexual persons into the jurisdiction Sint Maarten is working to adopt • Rules authorising the importation of generic ARVs • Universal Access principle

  6. In a nutshell Challenges • There is a need for a paradigm shift from exclusion to inclusion • Vulnerable migrants are often “invisible” which contributes to their vulnerability with regard to HIV and poor access to services Conclusions • Migrants are an underserved vulnerable population in the Caribbean • The 90-90-90 by 2020 is only possible if we take care of all regardless of their immigration status => NOBODY should be LEFT BEHIND • It is now time to adopt • The regional antidiscrimination legislations • A Universal-Access policy that are truly Universal

  7. NOBODY LEFT BEHIND NOBODY LEFT BEHIND ManyThanks

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