HIV in the Caribbean : A Systematic Data Review, 2003-2008
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Washington, DC
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This report is the result of a
comprehensive, regional, data-driven review of the HIV
epidemic in the Caribbean. Several reports have been
published about the Caribbean but none have specifically
focused on a thorough review of data sources, data
collection strategies and detailed epidemiology of the HIV
epidemic. In the past, the Caribbean epidemic has largely
been characterized as a generalized, heterosexual epidemic
on the verge of explosion. The purpose of an HIV
epidemiological synthesis is to assess and analyze new or
recent data to provide strategic direction for the program
development and implementation. New data sources include any
unpublished, unexplored or unanalyzed data, the latest
surveillance data, as well as, biological and behavioral
surveys, STI data, program monitoring data and quantitative
or qualitative research data. The synthesis also tests and
explores an existing hypothesis about the epidemic and
discusses relevant data-based policy implications. For the
Caribbean synthesis, aimed to: 1) analyze HIV transmission
patterns; 2) determine epidemiological and behavioral
drivers in the Caribbean; and 3) analyze the national and
regional responses relative to findings from the analysis.
Palabras clave
ACQUIRED IMMUNE DEFICIENCY SYNDROME, ADULT PREVALENCE, AGE GROUPS, AGED, AGGRESSIVE, AIDS CASE, AIDS CASES, AIDS RELIEF, ALLOCATION OF RESOURCES, ANTENATAL CLINIC, BEHAVIOR CHANGE, BEHAVIORAL CHANGES, BEHAVIORAL RISK, BEHAVIORAL SURVEILLANCE, BEHAVIOUR CHANGE, BLOOD SAFETY, BURDEN OF DISEASE, CASUAL PARTNERS, CASUAL SEX, CHILDBEARING, CITIZENSHIP, CLINICS, COMMERCIAL SEX, COMMERCIAL SEX WORKERS, CONDOM, CONDOM USE, CONDOMS, CRACK, CRACK COCAINE, CULTURAL PRACTICE, DEATHS, DISCRIMINATION, DISEASE BURDEN, DISEASE PREVALENCE, DRUG USERS, ECONOMIC STATUS, EMERGENCY PLAN, EPIDEMIC, EPIDEMICS, EPIDEMIOLOGIC DATA, EPIDEMIOLOGICAL DATA, EPIDEMIOLOGISTS, EPIDEMIOLOGY, EXERCISES, FEMALE, FEMALE SEX WORKERS, FEMALES, GENDER, GENDER BALANCE, GENERAL PRACTITIONERS, HEALTH CARE SERVICES, HEALTH POLICY, HEALTH SECTOR, HEALTH SURVEYS, HIDDEN EPIDEMIC, HIGH DISEASE BURDEN, HIV, HIV DATA, HIV INFECTION, HIV INFECTION RATES, HIV INFECTIONS, HIV POSITIVE, HIV PREVENTION, HIV TESTING, HIV TRANSMISSION, HIV/AIDS, HOMELESSNESS, HOMOSEXUALITY, HOMOSEXUALS, HOSPITAL, HOUSEHOLD SURVEYS, HUMAN RIGHTS, IMMIGRANTS, IMMUNE DEFICIENCY, IMMUNODEFICIENCY, IMMUNODEFICIENCY VIRUS, INFECTION RATE, INFECTION RATES, INTERNATIONAL ORGANIZATION FOR MIGRATION, INTERVENTION, IV DRUG USE, LAWS, LEADING CAUSES, LEADING CAUSES OF DEATH, LOCAL CAPACITY, MALARIA, MALE HOMOSEXUALITY, MARITAL PARTNERS, MARITAL STATUS, MARKETING, MASCULINITY, MEDICAL COMMUNITY, MEDICINE, MEN'S HEALTH, MIGRANT, MIGRANT WORKERS, MINISTRIES OF HEALTH, MINISTRY OF HEALTH, MONOGAMY, MORBIDITY, MORTALITY, MORTALITY RATES, MOTHER, MOTHER TO CHILD, MOTHER TO CHILD TRANSMISSION, MOTHER-TO-CHILD, MOTHER-TO-CHILD TRANSMISSION, MULTIPLE PARTNERS, MULTIPLE SEX PARTNERS, MULTIPLE SEXUAL PARTNERS, NATIONAL GOALS, NATIONAL POPULATION, NATIONAL PRIORITIES, NATIONAL SURVEILLANCE, NEW INFECTIONS, NUMBER OF NEW CASES, NUMBER OF PEOPLE, ORPHANS, PATIENTS, PHYSICAL VIOLENCE, POLICY IMPLICATIONS, POLITICAL LEADERSHIP, POPULATION DISTRIBUTION, PRACTITIONERS, PREGNANT WOMEN, PREVALENCE, PREVALENCE OF INFECTION, PREVALENCE RATE, PREVALENCE RATES, PREVENTION EFFORTS, PREVENTION INTERVENTIONS, PREVENTION STRATEGIES, PRIMARY HEALTH CARE, PRIMARY SCHOOL, PUBLIC HEALTH, PUBLIC HEALTH OFFICIALS, RATES OF INFECTION, REGIONAL STRATEGY, RESOURCE ALLOCATION, RESOURCE ALLOCATIONS, RESOURCE PROJECTIONS, RISK BEHAVIOR, RISK BEHAVIORS, RISK FACTORS, RISK GROUPS, RISK POPULATIONS, RISK REDUCTION, RISKY SEXUAL BEHAVIORS, RURAL AREAS, SCHOOL YOUTH, SCREENING, SEX PARTNERS, SEX WITH MEN, SEX WORKER, SEXUAL ACTIVITY, SEXUAL BEHAVIOR, SEXUAL BEHAVIOUR, SEXUAL INTERCOURSE, SEXUAL PARTNER, SEXUAL PARTNERS, SEXUAL PRACTICES, SEXUAL RELATIONSHIPS, SEXUAL RISK, SEXUAL RISK BEHAVIOR, SEXUALITY, SEXUALLY ACTIVE, SEXUALLY TRANSMITTED INFECTION, SEXUALLY TRANSMITTED INFECTIONS, SMALL COUNTRIES, SOCIAL FACTORS, SOCIAL VULNERABILITY, SPATIAL DISTRIBUTION, STD, STDS, STIS, SUBSTANCE ABUSE, SUBSTANCE ABUSERS, SURVEILLANCE DATA, THERAPY, TUBERCULOSIS, UNAIDS, UNIONS, UNIVERSAL ACCESS, UNIVERSAL ACCESS TO TREATMENT, UNIVERSITY EDUCATION, UNPROTECTED SEX, VIOLENCE, VIRGIN, VIRUS, VOLUNTARY COUNSELING, VULNERABLE CHILDREN, VULNERABLE GROUPS, WOMAN, WOMEN OF CHILDBEARING AGE, WORKFORCE, YOUNG ADULTS, YOUNG PEOPLE