PANCAP Achievements

Established on 14 February 2001 by the Caribbean Partnership Commitment, the goal of the Pan Caribbean Partnership against HIV and AIDS (PANCAP) is to reverse the spread of HIV and AIDS in the region.

To date, in addition to an expanded partnership which now comprises 62 members from the English-, Dutch-, French- and Spanish-speaking Caribbean, PANCAP has recorded a signal number of accomplishments in its approximately ten years of existence. Designated by the Joint United Nations Programme on HIV and AIDS (UNAIDS) an international best practice in 2004 for its governance structure, PANCAP  has provided  the  umbrella under which many  opportunities  have been garnered for  the provision of regional goods and services and has bridged the resource constraints gaps in its collective response to the epidemic in the Caribbean.

The following is a summary of some key accomplishments of the Partnership. These are:

• Regional Coordination;
• Regional Policies;
• Regional Goods and Services;
• Care and Treatment Initiatives;
• Prevention;
• Resource Mobilisation; and
• Advocacy Initiatives.
 

Regional Coordination

1. An expanded Partnership composed as follows: Countries and territories (34%); civil society organisations (26 %); bilateral/multilateral organisations (19%); donor partners (11%); and regional institutions (10%).

 

 2. A PANCAP philosophy , structure and governance arrangement  defined and in place. PANCAP is currently implementing its second Strategic Framework: The Caribbean Regional Strategic Framework on HIV and AIDS 2008 - 2012. This Framework defines the strategic direction and programmatic orientation of the Partnership.

 

Regional Policies

1. A Regional Model Code of Practice for psycho-social practitioners in HIV and AIDS care

2. A Regional Model Code of Practice regarding HIV and AIDS for Caribbean Medical Practitioners

- These two policies provide standards and principles to guide the response in the delivery of HIV and AIDS-related treatment, care and support services and to reduce discriminatory treatment of people living with HIV and AIDS.

3. Condom Model Policy - This policy aims to protect the rights of all sexually active people in the Caribbean by creating an environment which enables them to acquire condom-related information and skills, and to access and use condoms as an option to prevent the transmission of sexually transmitted infections (STIs), including HIV, and undesired pregnancies.

4. Model Workplace Policy on HIV and AIDS - (insert link if you have this electronically)The scope of this policy is to guide the development of workplace policies in the private and public sectors throughout the Caribbean Region. In this context, it is envisaged that such policies would, among other things, enable the protection of human rights and dignity in the workplace and eliminate stigma and discrimination against persons infected with, and affected by HIV and AIDS.

 

Regional Goods and Services

1. Anti-Stigma and Discrimination Toolkits with accompanying Facilitators’ Guides. These Guides were developed for six target sectors: health, education, faith-based organisations, the private sector, tourism and people living with HIV and AIDS.  It is anticipated that the toolkits will serve as resource guides in developing policies and implementing sector-specific programmes aimed at reducing stigma and discrimination.

2. Key HIV and AIDS-related Studies in the Caribbean:

(i) Tourism and HIV;
(ii) Poverty and HIV;
(iii) Costing, Monitoring and implementation of HIV and AIDS programmes;
(iv) Major milestones in HIV in the Caribbean;
(v) Sex work in the Caribbean;
(vi) Assessment Study on Drug Registration and Regulatory Systems in CARICOM and the Dominican Republic; and
(vii) Assessments of National Legal Frameworks with reference to HIV.

3. A PANCAP Regional Stigma Unit established in 2009

4. A Pan Caribbean Business Coalition against HIV and AIDS established in 2005, with national coalitions, to date,  in Barbados, Belize, Guyana, Jamaica and Suriname.

Enabling Environment

  • Promotion of the Model anti-stigma discrimination law in Jamaica, St. Lucia, St. Kitts and Nevis
  • Pilot review of laws and legislation undertaken in Aruba with support from PHCO
  • Development of national workplace policies in seven countries, training for Trade Unionists, and occupational health and safety officers and capacity building initiatives at the Caribbean Congress of Labour
  • Draft legislation on S&D adopted in 8 countries

Care and Treatment

• By the end of 2007, 40,000  persons with advanced HIV  infection were receiving therapy – a tenfold increase since 2003;

• More than 16,500 Health Care Workers had been sensitised and trained in HIV and AIDS care and treatment;

• Increased clinical care capacity in all countries through the training of more than 300 medical and nursing practitioners;

• Wide accessibility of low-cost technologies and strategies for viral load testing; 

• Laboratories strengthened to conduct HIV and AIDS diagnostic investigations through the provision of specialised equipment;

• Scaled-up treatment of pregnant women with HIV infection thereby reducing significantly the number of infected newborns; and

• Development and frequent updates of Caribbean HIV Treatment Guidelines.


Prevention

1. 100% screening achieved by the majority of Caribbean countries through donated blood units;

2. Advocacy and Technical Assistance for Caribbean-wide implementation of the programme to prevent mother-to-child transmission of HIV and AIDS (PMTCT);

3. Active participation of CARICOM Youth Ambassadors in peer group counselling through the PANCAP Mini-Grants programme; and

4. More than 6,000 out of school youth in 14 countries exposed to the PANCAP Life Skills Programme.


Resource Mobilisation

As of October 2009, more than US$46.74 million had been mobilised through PANCAP . This amount does not include resources from the United States President’s Emergency Programme for AIDS Relief (PEPFAR) II and the Global Fund Round 9. Click here For Resource Mobilisation

Multisectoral response

40  key media leaders sensitized/trained and broadcasting 1.5 hours of HIV programming per week
Implementation of the CRN+ Community Volunteer Programme.
Prevention
TWG on Prevention established; with support from regional partners USAID and UNFPA; Prevention Results Framework developed
Primary prevention programme  for Key Populations in the OECS by CHAA reached 3979 new people
The CARISMA project socially marketed over seven million condoms in 11 PANCAP countries and
launched an anti-Stigma campaign targeting stigma and discrimination against Key populations   “True Friends Don’t Discriminate”
204 media personnel trained and engaged in youth prevention messaging by CBMP under the Global Fund project

Other Key Advocacy Initiatives 

2002: Cheaper anti-retroviral drugs (ARVs)

• With technical support from the Pan American Health Organisation/World Health Organisation (PAHO/WHO) and UNAIDS, PANCAP negotiated successfully with six pharmaceutical companies for a price reduction in ARVs. The cost of ARVs was reduced from approx. US$12000 to just over US$140 per patient per annum.

2004 Conceptualised and developed the Champions for Change brand/approach for promoting the reduction of stigma and discrimination.

2005  Structured and strengthened international relations through -

• A CARICOM/PANCAP/Government of Brazil Technical Cooperation Agreement;

• Obtaining ARVs for 500 persons in the member countries of the Organisation of Eastern Caribbean States (OECS);

• Human resource development;

• Cooperation in monitoring and evaluation; and

• Technical Assistance in the form of the attachment of experts and staff exchanges, etc.

2006  Strengthening PANCAP’s relations with British, Dutch and French Overseas Territories and Countries in the Caribbean.

2006  Coordinating the region’s response to UN mandate on Universal Access to Prevention, Care and Treatment for people living with HIV and AIDS.