Caribbean Region

Caribbean Map
6.8 million
HIV Prevalence

A priority area for all countries in the Caribbean Region is to better understand their HIV epidemic. There is great interest in understanding how key populations may drive national and regional epidemics, and what significance they have related to the whole epidemic.  These data are critical to planning and monitoring activities related to the prevention of HIV transmission and the treatment of people living with HIV (PLHIV).

NASTAD has been involved in biological and behavioral surveillance studies since 2002, when states in the U.S. began National HIV Behavioral Surveillance to monitor behaviors that put people at risk for HIV. NASTAD Global is applying this model in the Caribbean Region, supporting the surveys of different key population groups to assess trends, system development based on existing resources in each country and the triangulation of data with other, existing data sources.
In Trinidad and Tobago, NASTAD Global is supporting the development of HIV surveillance systems that provide data about key populations including rates of HIV, knowledge, attitudes, and behaviors related to HIV and its transmission, health seeking behavior, and size of the population. NASTAD is also supporting case-based surveillance of HIV in Trinidad and Tobago, to provide data on disease incidence nationally, and facilitate activities to improve the well-being of persons living with HIV (PLHIV) across the continuum of care.

In Guyana, NASTAD Global is supporting the Ministry of Health to reinforce and expand the country’s case-based HIV surveillance system. The case-based surveillance system captures incident HIV diagnoses, as well as prevalent cases and disease progression, as volunteer counseling and testing (VCT) sites, prevention of mother-to-child transmission (PMTCT) sites, and care and treatment (C&T) sites are reporting on key sentinel events. NASTAD Global is supporting activities to reinforce the quality of the data generated by this HIV surveillance system, and facilitate the triangulation and use of the data to effectively profile the epidemic in the general population and in key populations.

Activities & Projects