World Bank2013-03-142013-03-142008https://hdl.handle.net/10986/12707This 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 New data sources include any unpublished, unexplored or unanalyzed data, the latest surveillance data, as well as, biological and behavioral surveys, STI data, program monitoring data and quantitative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.en-USCC BY 3.0 IGOACQUIRED IMMUNE DEFICIENCY SYNDROMEADULT PREVALENCEAGE GROUPSAGEDAGGRESSIVEAIDS CASEAIDS CASESAIDS RELIEFALLOCATION OF RESOURCESANTENATAL CLINICBEHAVIOR CHANGEBEHAVIORAL CHANGESBEHAVIORAL RISKBEHAVIORAL SURVEILLANCEBEHAVIOUR CHANGEBLOOD SAFETYBURDEN OF DISEASECASUAL PARTNERSCASUAL SEXCHILDBEARINGCITIZENSHIPCLINICSCOMMERCIAL SEXCOMMERCIAL SEX WORKERSCONDOMCONDOM USECONDOMSCRACKCRACK COCAINECULTURAL PRACTICEDEATHSDISCRIMINATIONDISEASE BURDENDISEASE PREVALENCEDRUG USERSECONOMIC STATUSEMERGENCY PLANEPIDEMICEPIDEMICSEPIDEMIOLOGIC DATAEPIDEMIOLOGICAL DATAEPIDEMIOLOGISTSEPIDEMIOLOGYEXERCISESFEMALEFEMALE SEX WORKERSFEMALESGENDERGENDER BALANCEGENERAL PRACTITIONERSHEALTH CARE SERVICESHEALTH POLICYHEALTH SECTORHEALTH SURVEYSHIDDEN EPIDEMICHIGH DISEASE BURDENHIVHIV DATAHIV INFECTIONHIV INFECTION RATESHIV INFECTIONSHIV POSITIVEHIV PREVENTIONHIV TESTINGHIV TRANSMISSIONHIV/AIDSHOMELESSNESSHOMOSEXUALITYHOMOSEXUALSHOSPITALHOUSEHOLD SURVEYSHUMAN RIGHTSIMMIGRANTSIMMUNE DEFICIENCYIMMUNODEFICIENCYIMMUNODEFICIENCY VIRUSINFECTION RATEINFECTION RATESINTERNATIONAL ORGANIZATION FOR MIGRATIONINTERVENTIONIV DRUG USELAWSLEADING CAUSESLEADING CAUSES OF DEATHLOCAL CAPACITYMALARIAMALE HOMOSEXUALITYMARITAL PARTNERSMARITAL STATUSMARKETINGMASCULINITYMEDICAL COMMUNITYMEDICINEMEN'S HEALTHMIGRANTMIGRANT WORKERSMINISTRIES OF HEALTHMINISTRY OF HEALTHMONOGAMYMORBIDITYMORTALITYMORTALITY RATESMOTHERMOTHER TO CHILDMOTHER TO CHILD TRANSMISSIONMOTHER-TO-CHILDMOTHER-TO-CHILD TRANSMISSIONMULTIPLE PARTNERSMULTIPLE SEX PARTNERSMULTIPLE SEXUAL PARTNERSNATIONAL GOALSNATIONAL POPULATIONNATIONAL PRIORITIESNATIONAL SURVEILLANCENEW INFECTIONSNUMBER OF NEW CASESNUMBER OF PEOPLEORPHANSPATIENTSPHYSICAL VIOLENCEPOLICY IMPLICATIONSPOLITICAL LEADERSHIPPOPULATION DISTRIBUTIONPRACTITIONERSPREGNANT WOMENPREVALENCEPREVALENCE OF INFECTIONPREVALENCE RATEPREVALENCE RATESPREVENTION EFFORTSPREVENTION INTERVENTIONSPREVENTION STRATEGIESPRIMARY HEALTH CAREPRIMARY SCHOOLPUBLIC HEALTHPUBLIC HEALTH OFFICIALSRATES OF INFECTIONREGIONAL STRATEGYRESOURCE ALLOCATIONRESOURCE ALLOCATIONSRESOURCE PROJECTIONSRISK BEHAVIORRISK BEHAVIORSRISK FACTORSRISK GROUPSRISK POPULATIONSRISK REDUCTIONRISKY SEXUAL BEHAVIORSRURAL AREASSCHOOL YOUTHSCREENINGSEX PARTNERSSEX WITH MENSEX WORKERSEXUAL ACTIVITYSEXUAL BEHAVIORSEXUAL BEHAVIOURSEXUAL INTERCOURSESEXUAL PARTNERSEXUAL PARTNERSSEXUAL PRACTICESSEXUAL RELATIONSHIPSSEXUAL RISKSEXUAL RISK BEHAVIORSEXUALITYSEXUALLY ACTIVESEXUALLY TRANSMITTED INFECTIONSEXUALLY TRANSMITTED INFECTIONSSMALL COUNTRIESSOCIAL FACTORSSOCIAL VULNERABILITYSPATIAL DISTRIBUTIONSTDSTDSSTISSUBSTANCE ABUSESUBSTANCE ABUSERSSURVEILLANCE DATATHERAPYTUBERCULOSISUNAIDSUNIONSUNIVERSAL ACCESSUNIVERSAL ACCESS TO TREATMENTUNIVERSITY EDUCATIONUNPROTECTED SEXVIOLENCEVIRGINVIRUSVOLUNTARY COUNSELINGVULNERABLE CHILDRENVULNERABLE GROUPSWOMANWOMEN OF CHILDBEARING AGEWORKFORCEYOUNG ADULTSYOUNG PEOPLEWorld Bank10.1596/12707