PANCAP

Sustainable Development and HIV: the new Caribbean agenda

Juliette Bynoe-SutherlandDirector PANCAP

PANCAP

World Bank – Brazil meeting 2011 – a “lending” portfolio around health system strengthening

PEPFAR regional evaluation underway & partnership review -July 2012

Global Fund shifting to “Global Fund Africa” by eligibility criteria

Countries and Organizations demonstrating @20% counterpart financing

EU placed HIV resources into GFATM Bi-lateral opportunities do exist but are

limited by global economic crisis – Europe & US

LAC G20 – Mexico and Brazil being courted

Latin America AND the Caribbean

PANCAP

Bring HIV out of isolation

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PANCAP

We have been trying to reshape the development discourse for some time

“For countries like St. Kitts and Nevis, the MDG issue is not the progress to 2015 targets, the priority mission is to sustain the progress already made in reducing poverty and hunger; maintaining universal access to education and healthcare; and protecting the ecosystem. Development goals are met and surpassed by investment in the services people need to pursue happiness” Dr. Patrick Martin, Chief Medical Officer, St. Kitts & Nevis 2010

Sustainability – is not new

PANCAP

Economic Development The new Sir Arthur Lewis (?) This current reliance by WB, GFATM on GDP

per capita to measure the investment potential of a country is meaningless for states whose economy could be destroyed in a few seconds by an earthquake or by a major hurricane.

“Having to incur a high level of indebtedness because of high cost loans for human and infrastructure development and post-disaster reconstruction is iniquitous” said Dr. Patrick Martin (2010)

Keys to Sustainability:

PANCAP

Promote Human Rights and Equality for All

“Making St. Kitts a better place for all” – a series of national consultations

To combat HIV we need to get to the underlying causes of vulnerability and risk: Poverty, inequality and social exclusion.

Investments in social policy (e.g housing, crime and security) and social welfare/empowerment becomes investments in HIV elimination e.g

Keys to Sustainability

PANCAP

Rationalize the international development agenda: HIV & International Convention on Population and Development/ HIV & CEDAW

How? Integrate HIV into Sexual and Reproductive health

programmes (e.g Jamaica) partnering with the private sector and civil society (e.g family planning affiliates & gender advocates)

Keys to sustainabilityI

Migrant workers in Construction Sector in Trinidad & Tobago

PANCAP

Building Partnerships: Ending competition, territorialism and building coalitions to maximize impact

Keys to Sustainability

PANCAP

Integrate HIV into health and wellness/occupational health and safety for collective bargaining rights

The value chain – the right to work as a PLHIV

Keys to sustainability

ILO CCL Workshop for presentation of findings of 12-Country study and agreement on Curricula content held in Antigua & Barbuda on March 27-28, 2012

PANCAP

Forge new paths Youth (particularly adolescents) as a vulnerable group

(e.g Jamaica and Barbados “at risk youth” a category

Rio + 20 Conference Outcome Document: “We ( States) recognize that people are at the centre of sustainable development and in this regard we strive for a world that is just, equitable and inclusive, and we commit to work together to promote sustained and inclusive economic growth, social development and environmental protection and thereby to benefit all

Keys to Sustainability

PANCAP

Foster a non-partisan environment for HIV & human rights Hon. Mark Brantley, Leader of the Opposition, Nevis: “For

me and any politician interested in development - HIV is not to be made a political issue”

KKeKeys to Sustainability

PANCAP

PANCAP engages Ministers of Health (April 2012), Attorneys General (June 2012) and Youth Ministers ( July 2012) e.g PAHO, UNAIDS, CMLF

Support civil society engagements e.g CVC/COIN Partner and Donor Harmonization e.g PEPFAR & GFATM Prioritize regional Institutions e.g UWI, CARPHA

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