Preventing disease, promoting and protecting health Introduction Zero Discrimination Target Setting Meeting July 2015 Hilton Hotel, Port of Spain

Preventing disease, promoting and protecting health CARPHA – The Agency Established in January 2013 An institution of CARICOM Merger of five (5) previous regional health institutions –Caribbean Environmental Health Institute (CEHI) –Caribbean Epidemiology Centre (CAREC) –Caribbean Food and Nutrition Institute (CFNI) –Caribbean Health Research Council (CHRC) –Caribbean Regional Drug Testing Laboratory (CRDTL) Headquartered in Trinidad & Tobago, with campuses in Jamaica and St. Lucia

Preventing disease, promoting and protecting health CARPHA’s 24 Member States

Preventing disease, promoting and protecting health Research, Training and Policy Development Unit (REPDU) Director Behavioral Scientist Ethicist Research Scientist Policy Analyst Training Specialist Head, M&E M&E Specialist M&E Officers (3) Admin. Assistant FELTP Coordinator Senior Project Officer Finance & M&E Officer Admin. Assistant Acronyms FELTP - Field Epidemiology and Laboratory Training Programme M&E - Monitoring and Evaluation

Preventing disease, promoting and protecting health REPDU Functions 1.Promote research for health, M&E and use of evidence to drive policy 2.Advise Governments and other stakeholders on research for health and on M&E matters 3.Strengthen national and regional health research systems 4.Develop mechanisms to support priority research 5.Build and strengthen national and regional M&E systems 6.Sharing of Region’s scientific outputs 7.Facilitate the development of evidence-based health policy 8.Facilitate evidence based practice 9.Develop national and regional capacity in health research and M&E 10.To collate and coordinate the training activities of CARPHA

Preventing disease, promoting and protecting health Regional Response to HIV Caribbean Regional Strategic Framework (CRSF) guides the regional HIV response –Proposes Strategic Priority Areas, Objectives and Expected Results to address opportunities and challenges –Developed through a lengthy consultative process (over 1 year of evaluations and consultations with civil society, Government and International Organizations)

Preventing disease, promoting and protecting health CRSF Vision: An AIDS-Free Caribbean Goal: To halt the spread and reduce the impact of HIV in the Caribbean, while promoting sustainable health and development. 6 Strategic Priority Areas: Enabling environment Shared responsibility Prevention Treatment, care and support Integration of HIV in health and social development Sustainability

Preventing disease, promoting and protecting health CRSF Implementation Operational plan, including M&E framework, developed – 12 Strategic Objectives, 25 Indicators Oversight by Priority Areas Coordinating Committee (PACC) Key (regional) implementation partners: PANCAP PAHO UNAIDS UWI CVC/COINCCS CRN+UNFPA CMLFUSG (CDC, USAID, PEPFAR) CARPHA

Preventing disease, promoting and protecting health AIDS Free Caribbean Justice for All Positive Social Norms & Behaviors Strong Country Ownership Accountabili ty & Transparenc y Policy, Planning & Evaluation Sustain Financing of National Responses HIV Prevention into Social developme nt HIV Services into National Health Systems Improved Linkage, Adherence & Retention Expanded High Quality Treatment Elimination of Mother to Child Transmissi on High Quality & Targeted Services Enabling Environment Shared Responsibility Prevention Care, Treatment & Support Integration Sustainability

Preventing disease, promoting and protecting health CRSF – Discrimination Related Priority & Indicators Strategy Priority Area 1 Strategic Objective 1.1 IndicatorsLead & Support Agencies Enabling Environm ent Increase access to justice for all in the Caribbean # of countries achieving legislative reform for modifying and repealing discriminatory laws that infringe on human rights PANCAP PCU UNAIDS, CRN+, CVC, UNDP, UWI % of women and men aged who report discriminatory attitudes towards people living with HIV

Preventing disease, promoting and protecting health CRSF – Discrimination Related Priority & Indicators Strategy Priority Area 1 Strategic Objective 1.2 IndicatorsLead & Support Agencies Enabling Environm ent Promote the development and acceptance of positive social norms and behaviors that support healthy and equitable societies Proportion of persons aged who experienced physical or sexual violence from an intimate partner in the last 12 months PANCAP PCU UNAIDS # of countries with established minimum package of SRH services for key populations

Preventing disease, promoting and protecting health CRSF – Going Forward Finalizing the M&E and Operational Plans with PANCAP and Lead/Support Agencies CARPHA’s role –Regional Surveillance –Technical support for Member Countries and Civil Society partners –Laboratory Services –Capacity Building of Partners – surveillance, M&E, behavioral sciences, research, laboratory services –M&E support for implementation of the CRSF