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Improving Access to HIV Services for Mobile and Migrant ...

Improving Access to HIV Services for Mobile and Migrant ...

male to

male to female ratio of 1:1. The data for the reporting period indicate that the major mode of HIV transmission is through heterosexual contact and that the economically active populations as well as persons in the reproductive age group are most affected. A review of the HIV notification by age clearly indicates that the epidemic is concentrated within the age group 15- 49 years. Women outnumber males in the age group 15 – 34years. Report from the Clinical Care Coordinator office the one facility that offers ART records indicate that in 2008, there were one hundred and five persons with advance HIV, who started taking ART. Fifty-six (56) clients completely adhere to their medication. The number of people who died, stopped treatment or was lost to follow up in 2008 is forty-nine (49). In 2009, there were one hundred and twenty-six (126) adults and children with advance HIV. The number of adults and children with HIV who received and continued ARV’s is ninety eight. The number of people who died, stopped treatment or was lost to follow up is twenty eight (28). Deaths from HIV-related causes are among the eight (8) leading causes of deaths in the age group 20-59 years. The factors that are driving the spread of the epidemic include the following: movement of people because of immigration and migration, sex tourism, commercial sex worker, unprotected sex, gender inequality and transactional sex among the youth seeking additional money because of poverty or the pressure for a fashionable consumer lifestyle. a. HIV Policy Response. The national response to HIV is under the direction of the Chief Medical Officer and the Permanent Secretary in the Ministry of Health through the functioning of the AIDS Secretariat headed by an AIDS Programme Manager and operates as a unit within the Ministry of Health. The AIDS Secretariat is the coordinating body for all HIV and AIDS efforts and works closely with other government ministries, PLHIV and civil society to implement HIV/AIDS strategies and programmes. It also serves as the focal point for the collection and dissemination of information about HIV and AIDS, other STI and related issues. In keeping with the Strategic Plan for the National Response to HIV/AIDS 2001-2005 and the Business Plan for the Ministry of Health 2008- 2010, the National AIDS Programme has been incorporated into the existing public health infrastructure. Several policies and procedural manuals have been developed to guide the operations of the NAP. Provision has been made for the establishment of the Office of an Ombudsman to deal with issues pertaining to workers rights including those associated with HIV and AIDS. 22

. HIV Expenditure. As reported in the 2010 UNGASS report Government expenditure was EC$702,000 (USD260,000) in 2008 and EC$700,000 (USD2590,000) in 2009. Global Fund Expenditure between the two calendar years 2008 and 2009 was EC$355,053 (USD131,000). 23

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