A review of the response to HIV/AIDS in Trinidad and Tobago: 1983-2010
This paper examines the character of the response to HIV/AIDS in Trinidad and Tobago and assesses the impact of the response on reducing the spread of the epidemic. The launch of the National HIV/AIDS Strategic Plan in 2004 signalled the intent of the government to take the response to HIV/AIDS to a...
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Veröffentlicht in: | SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance 2013-06, Vol.10 (2), p.72-82 |
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description | This paper examines the character of the response to HIV/AIDS in Trinidad and Tobago and assesses the impact of the response on reducing the spread of the epidemic. The launch of the National HIV/AIDS Strategic Plan in 2004 signalled the intent of the government to take the response to HIV/AIDS to a different level. This is seen by the sheer increase in the volume of resources allocated to the response from the levels of the 1980s and 1990s. The expectation was that there would be increased cohesiveness, which would allow for targeted interventions to be more effective. Though in 2009, there was a slight increase in the HIV prevalence rate to 1.5%, this was due mainly to improvements in access to antiretrovirals and same-day testing as well as improvements in data collection and analysis. The annual number of new infections fell from a high of 1709 in 2003 to 1154 in 2010. Additionally, great strides have been made in the prevention of mother-to-child transmission programme with some regions reporting 100% coverage of antenatal attendees. The study indicates that the country has responded relatively well in the areas of Strategic Planning, Care and Support, and Prevention and there has been involvement by both the public and private sector (NGOs in particular), in the response. However, there are gaps in the provision of social services and the implementing legislation to protect the rights of persons living with HIV/AIDS. Of note is the fact that a successful response to the HIV/AIDS epidemic is one that embraces all social groups, all spheres of activity and all areas of the country. |
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The launch of the National HIV/AIDS Strategic Plan in 2004 signalled the intent of the government to take the response to HIV/AIDS to a different level. This is seen by the sheer increase in the volume of resources allocated to the response from the levels of the 1980s and 1990s. The expectation was that there would be increased cohesiveness, which would allow for targeted interventions to be more effective. Though in 2009, there was a slight increase in the HIV prevalence rate to 1.5%, this was due mainly to improvements in access to antiretrovirals and same-day testing as well as improvements in data collection and analysis. The annual number of new infections fell from a high of 1709 in 2003 to 1154 in 2010. Additionally, great strides have been made in the prevention of mother-to-child transmission programme with some regions reporting 100% coverage of antenatal attendees. The study indicates that the country has responded relatively well in the areas of Strategic Planning, Care and Support, and Prevention and there has been involvement by both the public and private sector (NGOs in particular), in the response. However, there are gaps in the provision of social services and the implementing legislation to protect the rights of persons living with HIV/AIDS. Of note is the fact that a successful response to the HIV/AIDS epidemic is one that embraces all social groups, all spheres of activity and all areas of the country.</description><identifier>ISSN: 1729-0376</identifier><identifier>EISSN: 1813-4424</identifier><identifier>DOI: 10.1080/17290376.2013.869406</identifier><identifier>PMID: 24405282</identifier><language>eng</language><publisher>South Africa: Routledge</publisher><subject><![CDATA[Acquired Immune Deficiency Syndrome ; AIDS ; AIDS/HIV ; Antiretroviral therapy ; Antiretroviral Therapy, Highly Active ; Attitude to Health ; Child care services ; Communicable Disease Control - organization & administration ; Communicable Disease Control - trends ; Data analysis ; Data collection ; Delivery of Health Care - organization & administration ; Delivery of Health Care - trends ; Disease Outbreaks - prevention & control ; Epidemics ; Female ; Government Programs ; Health Behavior ; Health Education - trends ; Health Priorities - trends ; health sector ; Health Services Accessibility - organization & administration ; Health Services Research - organization & administration ; Health Services Research - trends ; HIV ; HIV Infections - epidemiology ; HIV Infections - prevention & control ; HIV/AIDS ; Human immunodeficiency virus ; Humans ; International Agencies ; International Cooperation ; Intervention ; Legislation ; Male ; Mass Screening ; Medical research ; Medical treatment ; Medications ; Methodology (Data Collection) ; Mothers ; NGOs ; Nongovernmental organizations ; Original ; Population Surveillance ; Prenatal care ; Prevalence ; Prevention ; Prevention programs ; Private Sector ; Public health ; Resource allocation ; response ; Rights ; Social groups ; Social services ; Social services delivery ; Strategic planning ; treatment and care ; Trinidad and Tobago ; Trinidad and Tobago - epidemiology]]></subject><ispartof>SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance, 2013-06, Vol.10 (2), p.72-82</ispartof><rights>2013 The Author(s). 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The launch of the National HIV/AIDS Strategic Plan in 2004 signalled the intent of the government to take the response to HIV/AIDS to a different level. This is seen by the sheer increase in the volume of resources allocated to the response from the levels of the 1980s and 1990s. The expectation was that there would be increased cohesiveness, which would allow for targeted interventions to be more effective. Though in 2009, there was a slight increase in the HIV prevalence rate to 1.5%, this was due mainly to improvements in access to antiretrovirals and same-day testing as well as improvements in data collection and analysis. The annual number of new infections fell from a high of 1709 in 2003 to 1154 in 2010. Additionally, great strides have been made in the prevention of mother-to-child transmission programme with some regions reporting 100% coverage of antenatal attendees. The study indicates that the country has responded relatively well in the areas of Strategic Planning, Care and Support, and Prevention and there has been involvement by both the public and private sector (NGOs in particular), in the response. However, there are gaps in the provision of social services and the implementing legislation to protect the rights of persons living with HIV/AIDS. Of note is the fact that a successful response to the HIV/AIDS epidemic is one that embraces all social groups, all spheres of activity and all areas of the country.</description><subject>Acquired Immune Deficiency Syndrome</subject><subject>AIDS</subject><subject>AIDS/HIV</subject><subject>Antiretroviral therapy</subject><subject>Antiretroviral Therapy, Highly Active</subject><subject>Attitude to Health</subject><subject>Child care services</subject><subject>Communicable Disease Control - organization & administration</subject><subject>Communicable Disease Control - trends</subject><subject>Data analysis</subject><subject>Data collection</subject><subject>Delivery of Health Care - organization & administration</subject><subject>Delivery of Health Care - trends</subject><subject>Disease Outbreaks - prevention & control</subject><subject>Epidemics</subject><subject>Female</subject><subject>Government Programs</subject><subject>Health Behavior</subject><subject>Health Education - trends</subject><subject>Health Priorities - trends</subject><subject>health sector</subject><subject>Health Services Accessibility - organization & administration</subject><subject>Health Services Research - organization & administration</subject><subject>Health Services Research - trends</subject><subject>HIV</subject><subject>HIV Infections - epidemiology</subject><subject>HIV Infections - prevention & control</subject><subject>HIV/AIDS</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>International Agencies</subject><subject>International Cooperation</subject><subject>Intervention</subject><subject>Legislation</subject><subject>Male</subject><subject>Mass Screening</subject><subject>Medical research</subject><subject>Medical treatment</subject><subject>Medications</subject><subject>Methodology (Data Collection)</subject><subject>Mothers</subject><subject>NGOs</subject><subject>Nongovernmental organizations</subject><subject>Original</subject><subject>Population Surveillance</subject><subject>Prenatal care</subject><subject>Prevalence</subject><subject>Prevention</subject><subject>Prevention programs</subject><subject>Private Sector</subject><subject>Public health</subject><subject>Resource allocation</subject><subject>response</subject><subject>Rights</subject><subject>Social groups</subject><subject>Social services</subject><subject>Social services delivery</subject><subject>Strategic planning</subject><subject>treatment and care</subject><subject>Trinidad and Tobago</subject><subject>Trinidad and Tobago - epidemiology</subject><issn>1729-0376</issn><issn>1813-4424</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>0YH</sourceid><sourceid>EIF</sourceid><sourceid>BHHNA</sourceid><recordid>eNqNkktvUzEQhS0EoiXwDxCyxIbNTf0Yv1iAokJppEosCGwtx9duXd1cF_umVf89jtJWwAK6si1_c45m5iD0mpI5JZocUcUM4UrOGaF8rqUBIp-gQ6op7wAYPG33hnQ75gC9qPWSEA5EkefogAEQwTQ7RCcLXMJ1Cjc4RzxdhPaqV3msAU8Zny5_HC2Wn77hNOJVSWPqXY_d2ONVXrvz_B5To3nX_MlL9Cy6oYZXd-cMfT_5vDo-7c6-flkeL846LwydOsEYBa818ySCWhsORikWAAz3AbQCJnQkLArfS9mD81FEqbVfeyBURcVn6MNe92q73oTeh3EqbrBXJW1cubXZJfvnz5gu7Hm-ttxQACGbwLs7gZJ_bkOd7CZVH4bBjSFvq6VCGEIEVfQxKJUAysAjUNb651SJ_6Ng2o6obMuaobd_oZd5W8Y2X8sYUUZoyXbesKd8ybWWEB-mQYndJcXeJ8XukmL3SWllb36f5EPRfTQa8HEPpDHmsnE3uQy9ndztkEssbvSpWv5Pi1_LXMaj</recordid><startdate>20130601</startdate><enddate>20130601</enddate><creator>Laptiste, Christine</creator><creator>Beharry, Vyjanti</creator><creator>Edwards-Wescott, Patricia</creator><general>Routledge</general><general>Taylor & Francis Ltd</general><general>Taylor & Francis</general><scope>0YH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U3</scope><scope>7U4</scope><scope>8BJ</scope><scope>BHHNA</scope><scope>DWI</scope><scope>FQK</scope><scope>JBE</scope><scope>WZK</scope><scope>7X8</scope><scope>7T2</scope><scope>7U2</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>5PM</scope></search><sort><creationdate>20130601</creationdate><title>A review of the response to HIV/AIDS in Trinidad and Tobago: 1983-2010</title><author>Laptiste, Christine ; Beharry, Vyjanti ; Edwards-Wescott, Patricia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c591t-52214c882c0f47b9349772e4493ce4874258f02f5cd66d4acf5f688cbc4017f73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Acquired Immune Deficiency Syndrome</topic><topic>AIDS</topic><topic>AIDS/HIV</topic><topic>Antiretroviral therapy</topic><topic>Antiretroviral Therapy, Highly Active</topic><topic>Attitude to Health</topic><topic>Child care services</topic><topic>Communicable Disease Control - organization & administration</topic><topic>Communicable Disease Control - trends</topic><topic>Data analysis</topic><topic>Data collection</topic><topic>Delivery of Health Care - organization & administration</topic><topic>Delivery of Health Care - trends</topic><topic>Disease Outbreaks - prevention & control</topic><topic>Epidemics</topic><topic>Female</topic><topic>Government Programs</topic><topic>Health Behavior</topic><topic>Health Education - trends</topic><topic>Health Priorities - trends</topic><topic>health sector</topic><topic>Health Services Accessibility - organization & administration</topic><topic>Health Services Research - organization & administration</topic><topic>Health Services Research - trends</topic><topic>HIV</topic><topic>HIV Infections - epidemiology</topic><topic>HIV Infections - prevention & control</topic><topic>HIV/AIDS</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>International Agencies</topic><topic>International Cooperation</topic><topic>Intervention</topic><topic>Legislation</topic><topic>Male</topic><topic>Mass Screening</topic><topic>Medical research</topic><topic>Medical treatment</topic><topic>Medications</topic><topic>Methodology (Data Collection)</topic><topic>Mothers</topic><topic>NGOs</topic><topic>Nongovernmental organizations</topic><topic>Original</topic><topic>Population Surveillance</topic><topic>Prenatal care</topic><topic>Prevalence</topic><topic>Prevention</topic><topic>Prevention programs</topic><topic>Private Sector</topic><topic>Public health</topic><topic>Resource allocation</topic><topic>response</topic><topic>Rights</topic><topic>Social groups</topic><topic>Social services</topic><topic>Social services delivery</topic><topic>Strategic planning</topic><topic>treatment and care</topic><topic>Trinidad and Tobago</topic><topic>Trinidad and Tobago - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Laptiste, Christine</creatorcontrib><creatorcontrib>Beharry, Vyjanti</creatorcontrib><creatorcontrib>Edwards-Wescott, Patricia</creatorcontrib><collection>Taylor & Francis Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>Sociological Abstracts (Ovid)</collection><collection>MEDLINE - Academic</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Safety Science and Risk</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Laptiste, Christine</au><au>Beharry, Vyjanti</au><au>Edwards-Wescott, Patricia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A review of the response to HIV/AIDS in Trinidad and Tobago: 1983-2010</atitle><jtitle>SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance</jtitle><addtitle>SAHARA J</addtitle><date>2013-06-01</date><risdate>2013</risdate><volume>10</volume><issue>2</issue><spage>72</spage><epage>82</epage><pages>72-82</pages><issn>1729-0376</issn><eissn>1813-4424</eissn><abstract>This paper examines the character of the response to HIV/AIDS in Trinidad and Tobago and assesses the impact of the response on reducing the spread of the epidemic. The launch of the National HIV/AIDS Strategic Plan in 2004 signalled the intent of the government to take the response to HIV/AIDS to a different level. This is seen by the sheer increase in the volume of resources allocated to the response from the levels of the 1980s and 1990s. The expectation was that there would be increased cohesiveness, which would allow for targeted interventions to be more effective. Though in 2009, there was a slight increase in the HIV prevalence rate to 1.5%, this was due mainly to improvements in access to antiretrovirals and same-day testing as well as improvements in data collection and analysis. The annual number of new infections fell from a high of 1709 in 2003 to 1154 in 2010. Additionally, great strides have been made in the prevention of mother-to-child transmission programme with some regions reporting 100% coverage of antenatal attendees. The study indicates that the country has responded relatively well in the areas of Strategic Planning, Care and Support, and Prevention and there has been involvement by both the public and private sector (NGOs in particular), in the response. However, there are gaps in the provision of social services and the implementing legislation to protect the rights of persons living with HIV/AIDS. Of note is the fact that a successful response to the HIV/AIDS epidemic is one that embraces all social groups, all spheres of activity and all areas of the country.</abstract><cop>South Africa</cop><pub>Routledge</pub><pmid>24405282</pmid><doi>10.1080/17290376.2013.869406</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Acquired Immune Deficiency Syndrome AIDS AIDS/HIV Antiretroviral therapy Antiretroviral Therapy, Highly Active Attitude to Health Child care services Communicable Disease Control - organization & administration Communicable Disease Control - trends Data analysis Data collection Delivery of Health Care - organization & administration Delivery of Health Care - trends Disease Outbreaks - prevention & control Epidemics Female Government Programs Health Behavior Health Education - trends Health Priorities - trends health sector Health Services Accessibility - organization & administration Health Services Research - organization & administration Health Services Research - trends HIV HIV Infections - epidemiology HIV Infections - prevention & control HIV/AIDS Human immunodeficiency virus Humans International Agencies International Cooperation Intervention Legislation Male Mass Screening Medical research Medical treatment Medications Methodology (Data Collection) Mothers NGOs Nongovernmental organizations Original Population Surveillance Prenatal care Prevalence Prevention Prevention programs Private Sector Public health Resource allocation response Rights Social groups Social services Social services delivery Strategic planning treatment and care Trinidad and Tobago Trinidad and Tobago - epidemiology |
title | A review of the response to HIV/AIDS in Trinidad and Tobago: 1983-2010 |
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