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the role of faith-based organisations in hiv prevention and services

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Foreword<br />

It is with pleasure that we present this report, “The Role <strong>of</strong> Faith Based Organisations <strong>in</strong> HIV Prevention<br />

<strong>and</strong> Services: A Situational Analysis <strong>in</strong> Barbados.” The study was undertaken by <strong>the</strong> International HIV/<br />

AIDS Alliance (IHAA)/Caribbean HIV&AIDS Alliance (CHAA) <strong>and</strong> <strong>the</strong> University <strong>of</strong> California at San<br />

Francisco (UCSF) with fund<strong>in</strong>g from <strong>the</strong> United States Agency for International Development (USAID).<br />

The goal <strong>of</strong> this situational analysis was to underst<strong>and</strong> Faith‐Based Organisations’ will<strong>in</strong>gness <strong>and</strong><br />

capacity to engage <strong>in</strong> HIV <strong>prevention</strong> <strong>and</strong> care <strong>services</strong>. The study also sought to underst<strong>and</strong> better<br />

<strong>the</strong> barriers <strong>and</strong> facilitators to design <strong>and</strong> implementation <strong>of</strong> HIV activities by FBOs.<br />

CHAA is <strong>the</strong> largest regional NGO work<strong>in</strong>g specifically to mobilise vulnerable communities to carry<br />

out HIV <strong>prevention</strong> <strong>and</strong> education activities, counsell<strong>in</strong>g <strong>and</strong> test<strong>in</strong>g <strong>and</strong> promot<strong>in</strong>g access to care<br />

<strong>and</strong> support. Three key populations provide <strong>the</strong> focus <strong>of</strong> CHAA activities: men who have sex with men<br />

(MSM), sex workers (SW) <strong>and</strong> people liv<strong>in</strong>g with HIV (PLHIV). The portfolio <strong>of</strong> <strong>the</strong> CHAA consists <strong>of</strong><br />

five ma<strong>in</strong> elements, as follows:<br />

1. Prevention;<br />

2. Promot<strong>in</strong>g <strong>and</strong> facilitat<strong>in</strong>g access to health <strong>services</strong>;<br />

3. Care, support <strong>and</strong> empowerment <strong>of</strong> PLHIV;<br />

4. Peer support; <strong>and</strong><br />

5. Acceleration <strong>of</strong> <strong>the</strong> private sector response to HIV <strong>and</strong> AIDS.<br />

The overall aim <strong>of</strong> <strong>the</strong> Eastern Caribbean Community Action Project (EC‐CAP) be<strong>in</strong>g carried out by <strong>the</strong><br />

CHAA is to work with key populations to <strong>in</strong>crease access to HIV <strong>and</strong> AIDS <strong>services</strong> <strong>in</strong> four countries<br />

<strong>of</strong> <strong>the</strong> Eastern Caribbean; Antigua <strong>and</strong> Barbuda, Barbados, St. Kitts <strong>and</strong> Nevis <strong>and</strong> St. V<strong>in</strong>cent <strong>and</strong> <strong>the</strong><br />

Grenad<strong>in</strong>es. The research carried out under this project assists <strong>in</strong> build<strong>in</strong>g programmes that are<br />

relevant, culturally appropriate <strong>and</strong> effective with<strong>in</strong> <strong>the</strong> countries, <strong>in</strong> partnership with National AIDS<br />

Programmes <strong>and</strong> civil society. The research will also <strong>in</strong>form behaviour change, counsell<strong>in</strong>g <strong>and</strong> test<strong>in</strong>g<br />

<strong>and</strong> palliative care/home <strong>based</strong> care projects or capture lessons learnt for application to future efforts.<br />

In keep<strong>in</strong>g with <strong>the</strong> philosophy that partnerships are a critical part <strong>of</strong> our strategic vision, this report<br />

was developed as a jo<strong>in</strong>t effort <strong>of</strong> a team <strong>of</strong> researchers from CHAA, UCSF, local researchers from<br />

Barbados <strong>and</strong> with <strong>the</strong> support <strong>of</strong> <strong>the</strong> Government <strong>of</strong> Barbados. It represents a strategic <strong>and</strong> proactive<br />

approach to HIV programm<strong>in</strong>g <strong>and</strong> demonstrates a model <strong>of</strong> systematic programme‐oriented research.<br />

This study builds on an effort <strong>in</strong>itiated by <strong>the</strong> Pan Caribbean Partnership Aga<strong>in</strong>st HIV/AIDS (PANCAP)<br />

when, <strong>in</strong> November 2005, it hosted <strong>the</strong> Champions for Change II Regional Conference <strong>of</strong> Faith‐<br />

Based Organisations to Reduce Stigma <strong>and</strong> Discrim<strong>in</strong>ation. One key result <strong>of</strong> this conference was <strong>the</strong><br />

Declaration <strong>of</strong> Commitment by Faith Based Organisations to reduce Stigma <strong>and</strong> Discrim<strong>in</strong>ation aga<strong>in</strong>st<br />

People Liv<strong>in</strong>g with, <strong>and</strong> affected by HIV <strong>and</strong> AIDS. This assessment extends <strong>the</strong> options for reach<strong>in</strong>g<br />

people at risk for HIV transmission <strong>and</strong> PLHIV through partnerships with <strong>faith</strong>‐ <strong>based</strong> <strong>organisations</strong>.<br />

CARIBBEAN HIV&AIDS ALLIANCE 3

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