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

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.