Improving Access of Migrant and Mobile Populations to HIV Services in the Caribbean

This four component PANCAP/GIZ/EPOS project will be implemented in five countries, within an expected period of 30 months in 3 phases:1- Inception (5 months), 2- Analytical (10 months) and 3- implementation (15 months). EPOS Health Management has been contracted by GIZ to work in partnership with PANCAP and key regional stakeholders from selected countries and regional organizations, to achieve the following objectives:

  • Enhance the policy and legal framework constituting the access rights of mobile and migrant populations with regards to HIV & AIDS services at national level.
  • Identify and pilot effective financing mechanisms / models to secure the access of mobile and migrant populations to HIV services in selected selected countries.
  • Identify and strengthen organizations with the potential to represent the interests of mobile and migrant populations regionally and within the selected countries.
  • Enhance the number of public, private and non-governmental entities offering HIV services tailored to the specific needs of mobile and migrant population.


Objective of the Project

The overall objectives of this project will only be achieved with a collaborative multi-sectoral, multi-dimensional and multi-stakeholders approaches. There is also a need for a close cooperation of stakeholders at national and regional level, for the implementation of all four components. A “Bottom Up” approach will meet a “Top Down” approach.

This presentation provides a summary of how the piloted countries were selected to participate in the pilot phase. It presents the objective, deliverables and indicators for the implementation of the project.icon-ppt16x16 The Project at a glance (4.76 MB)

The specific expected deliverables/outcomes for each component are:

Legislations and regulations frameworks are developed at country level.

Pilot financing mechanisms are implemented.

Empowerment of organizations supporting migrants in the field of HIV.

Develop best practices regarding HIV-services for mobile and migrant population.


Project ComponentsThe project aims at supporting an enabling environment for migrants in the Caribbean with regards to their access to HIV/AIDS prevention, treatment and care. The activities of the project are built around four Components:

  1. Component 1: Development of gender specific regional policy guidelines on access of migrants to HIV services and their pilot implementation in at least 3 selected countries.
  2. Component 2: Development of financing mechanisms/models to secure the access of migrants to HIV services and their pilot implementation in at least 3 selected countries
  3. Component 3: Identification and strengthening of groups representing the interest of the migrant population (gender sensitive) and their participation in relevant national and regional HIV-policy planning bodies, and
  4. Component 4: Setting-up sub-regional alliances for the improvement of HIV gender and age specific service delivery to the migrant population, and promotion of best practice

Main achievements reached

  • The December Inception Workshop in Trinidad and Tobago has reached the following results:
  • Invited countries and organisations and shared information on the project
  • Participants provided recommendations for each component
  • Each project indicator per component was revised
  • Definitions on mobile and migrant populations were specified
  • Five countries were selected: Antigua, Sint Maarten, Trinidad & Tobago, Guyana and Suriname
  • Situation analysis were conducted by consultants: reports are availablefor component 1, 2, 3 & 4
  • The governance structures of the project were established
    • A Focal point and a Technical Working Group were developed in each country
    • The Regional
    • The RAG was constituted and meetings weld for each component in order to advise the project decision maker’s. The group consist of 12 key stakeholders from Bahamas, Dominican Republic, Jamaica, IOM, UNAIDS, ILO, UWI/HEU, CVC, COIN, PHCO, PCU Policy diision.The RAG is subdivided in four components subgroups of three members each.
    • Regional Expert Group (REG) developed and provided support to the project.
    • The project was present at the 2011 HIV Conference in Bahamas, PANCAP AGM, and COHSOD.
    • Short term consultancies were hired and will conduct exploratory or need assessment studies

    Final Reports

    Sint Maarten Component 1 Final Report 806
    Suriname Component 1 Final Report 590
    Antigua Component 1 Final Report 585
    Trinidad Component 1 Final Report 467
    Trinidad Component 2 Final Report 542
    Suriname Component 2 Final Report 592
    Antigua Component 2 Final Report 549
    Antigua Draft Proposal 376
    Trinidad Project Implementation Report 416
    Sint Maarten Component 2 Final Report 416
    Sint Maarten Social mapping migrant popolation Final Report 840
    Antigua Final Report 1052
    Suriname Mapping Report 4014
    Trinidad Mapping Final Report 1619
    Suriname Component 4 - Making Services Migrant Friendly 475
    Sint Maarten Final Report 955
    Trinidad and Tobago Component 4 Recommendations 509
    Trinidad - Making Migrant Friendly Services Final Report 313
    Antigua Making Migrant Friendly Services Final Report 1313
    Trinidad and Tobago Component 4 Recommendations 427

    Next Steps for 2012

    The project is currently in phase two of its implementation phase the next steps outlined are the: •    Development of Regional and/or national policies and Legal Framework•    Development of Health financing instruments •    Development of tools for specific communication to migrants on HIV and for training organization supporting migrants•    Adaptation of selected services to migrant needs