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Environmental Scan

Environmental Scan. Caribbean. Modalities of Delivery. Progress made on ICPD . Stabilization of Population growth – CPR varies Commitment to adult SRH - Unmet need for FP varies Maternal Mortality decreased Progress in Women’s education, participation - 2 female Prime Ministers

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Environmental Scan

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  1. Environmental Scan Caribbean

  2. Modalities of Delivery Progress made on ICPD • Stabilization of Population growth – CPR varies • Commitment to adult SRH - Unmet need for FP varies • Maternal Mortality decreased • Progress in Women’s education, participation - 2 female Prime Ministers • Census conducted in most countries • Signatories to conventions, proud of leadership in NCDs , gender, and youth.

  3. Lags in achieving the PoA • Maternal Mortality: • Stagnated over past several years in several countries • Related to quality of care, scarce human resources (esp. midwives and nurses), NCDs, monitoring systems. • Cultural and social factors

  4. Universal Access to Sexual and Reproductive Health • Legal and cultural barriers to access to SRH services for persons below the age of 18 • Absence of youth-friendly services • Resistance to sexuality education in schools • High stigma, discrimination and even violence against LGBT community, and lack of access to services • HIV prevalence high

  5. Teen-Pregnancy • High proportion of births (about 20%) to teen mothers • Mis-match between laws on age of sexual consent (16 years) and maturity for access to contraception and HIV testing (18 years) • Pregnant girls and teen mothers drop out of education system – policy results in continuing cycle of lack of opportunity and exclusion • Little support from “baby fathers” , and family • Some good examples, but contradictions make effective implementation difficult • “Choice”? Planned? • Need for comprehensive policy

  6. Gender Equality • Violence and citizen security major concerns • Violence against women, especially sexual violence, very high - between 3 and 8 times global average • Concerns around self-image, opportunities and mental health of young men, expressed as domestic violence/violence against women • Cultural norms see male violence as justified and “sign he cares”

  7. Data and evidence • Limited national and sub-regional capacity for data collection, analysis, use • Insufficient inter-censal data collection • Lack of trust makes collection of data difficult • Lack of evidence –based planning • Insufficient attention to linking different sectors for a holistic understanding of issues, and the development of multi-sectoral solutions.

  8. Favourable Trends • Reviews of legislation, policies in several countries • Willingness to draft new policies on population, SRH, gender, youth, migration • Debate and dialogues on difficult issues now in public space – eg MSM • Re-vitalisation of sub-regional mechanisms, CARICOM • Willingness to reach out to communities, young people, use social media,

  9. Favourable Trends • Good examples of what does work, good practice (SRH and disability, teens , youth parliament and YAGs) • Effective engagement of key stake-holders –eg FB leaders, parliamentarians • Renewed emphasis on Family Planning - focus on sexual decision-making, especially for adolescents • Strong Political Commitment , including from highest levels, following visit of ED

  10. Risk-factors to Progress • Legislative and policy barriers • Cultural , religious beliefs and leadership • Popular conceptions of sexuality • Capacity gaps – small size, migration • Planning gap – including cross-sectoral • Resource gaps – especially linked to Middle-Income status, HIV • Lack of investment in health, SRH • Lack of equity

  11. Regional Contributions Sound inputs to policy and legislation reform (analysis, convening inter-sectoral process, working with stakeholders to address religious and cultural factors) Sound and sustainable resource-mobilization (human and $$) Maximize impact of high-level commitment through review process, visibility, accountability related to ICPD +20

  12. Thank You

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