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APHA Scientific Session and Event Listing
5014.1: Wednesday, November 07, 2007 - Board 10

Abstract #152392

Scaling-up the Caribbean response to HIV: IPPF's experience

Jessica Halverson, MPH, LMSW1, Jane Galvao, PhD1, Aleisha Rozario, MPH student1, Glenn Leckie, Dr2, Peggy Scott3, and Yves Saintil4. (1) International Planned Parenthood Federation/Western Hemisphere Region, 120 Wall St, 9th floor, New York, NY 10005, 212-248-6400, jhalverson@ippfwhr.org, (2) Stichting Lobi, 120 Wall St, 9th floor, New York, NY 10005, Suriname, (3) PLAFAM, 120 Wall St, 9th floor, New York, NY 10005, (4) PROFAMIL, 120 Wall St, New York, NY 10005, Haiti

Background: In 2005, International Planned Parenthood Federation/Western Hemisphere Region (IPPF/WHR) launched a two-year project to help address the HIV epidemic in the Caribbean. Through Member Associations (MA) in Jamaica, Haiti, and Suriname, the initiative aimed to scale-up integration of HIV into SRH programs. Regional objectives included: sensitization of service providers; increased access to VCT; strengthening youth-friendly services; and establishment of referral networks.

Methods: MAs engaged their local Ministries of Health (MOH) to coordinate with the National AIDS Plans. Clinic staff received training, conducted outreach, established referral mechanisms, and enhanced youth involvement. IPPF/WHR provided technical assistance throughout all project phases, including implementation of a KAP survey to identify needs and inform training.

Results/Outcomes: Thousands of clients accessed VCT services in the first year, although outcomes varied among each MA. In Suriname, 31 of 1446 HIV tests administered were positive. Jamaica provided 1332 counseling sessions and 118 treatment services for sexually transmitted infections. Haiti's clinic conducted 102 VCT services in the first two months.

Conclusion: Significant challenges presented, including bureaucratic delays, limited infrastructure, competing priorities, and political instability. However, once clinics implemented VCT, service uptake was high, largely due to community trust in the institutions. On a regional level, collaborations, country/MA needs assessments, and familiarity with MOH guidelines proved essential. Locally, MAs learned the need for developed data systems, reexamination of human rights issues, and establishment of organizational priorities.

Learning Objectives: By the end of this presentation, participants will be able to

Keywords: International, Service Integration

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

HIV Treatment and Prevention Issues for Diverse Communities

The 135th APHA Annual Meeting & Exposition (November 3-7, 2007) of APHA