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Access to HIV Services for Mobile and Migrant Populations in Antigua

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This review attempts <strong>to</strong> exam<strong>in</strong>e some of the research done or documents published <strong>to</strong> exam<strong>in</strong>e<br />

questions related <strong>to</strong> the migrant <strong>and</strong> mobile populations <strong>and</strong> their exposure <strong>to</strong> <strong>HIV</strong> <strong>and</strong> AIDS <strong>and</strong><br />

the services <strong>and</strong> agencies available <strong>to</strong> take care of them.<br />

Additionally CAREC/FHI (2007) adds that government officials from six OECS member states<br />

(<strong>in</strong>clud<strong>in</strong>g <strong>Antigua</strong> & Barbuda) have expressed concern about the <strong>in</strong>creas<strong>in</strong>g spread of <strong>HIV</strong><br />

<strong>in</strong>fection <strong>in</strong> their countries. None of the countries has had at this time reliable national data <strong>to</strong><br />

moni<strong>to</strong>r prevalence <strong>and</strong> behavioral trends.<br />

His<strong>to</strong>ry of Migration<br />

Roberts (1981) identifies three waves of migration extend<strong>in</strong>g from the fifteenth <strong>to</strong> the early<br />

twentieth century as follows:<br />

I. The <strong>in</strong>troduction of the Europeans;<br />

II. The slave trade which surpassed <strong>in</strong> scale all other movements <strong>in</strong><strong>to</strong> the isl<strong>and</strong> <strong>and</strong> which<br />

has provided the majority of its present population;<br />

III. The <strong>in</strong>troduction of <strong>in</strong>dentured workers which, although small <strong>in</strong> scale when compared <strong>to</strong><br />

the slave trade, had important cultural, social <strong>and</strong> economic consequences <strong>for</strong> the<br />

country.<br />

Dur<strong>in</strong>g the <strong>in</strong>dentured period (1835-1884) the isl<strong>and</strong> received very few workers. Records show<br />

that 100 Ch<strong>in</strong>ese <strong>and</strong> 2600 persons from Madeira, a <strong>to</strong>tal of 2700 persons, was the sum <strong>to</strong>tal of<br />

our <strong>in</strong>dentured population.<br />

Table 4 - Official population numbers over the years<br />

Census<br />

Year<br />

Total<br />

Population<br />

Male Female<br />

Sex Ratio<br />

Population Growth<br />

Total Average Annual<br />

Increase Rate of Growth (%)<br />

1871<br />

35,157<br />

15,998<br />

19,159<br />

83.50<br />

-<br />

-<br />

1881<br />

34,964<br />

16,147<br />

18,817<br />

85.81<br />

-193<br />

-0.06<br />

1891<br />

36,819<br />

17,242<br />

19,577<br />

88.07<br />

1,855<br />

0.52<br />

1911<br />

32,269<br />

13,989<br />

18,280<br />

76.53<br />

-4,550<br />

-0.66<br />

1921<br />

29,767<br />

12,542<br />

17,225<br />

72.81<br />

-2,502<br />

-0.81<br />

22

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