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Acknowledgments | ||
Acronyms and Abbreviations | ||
Executive Summary | ||
I | Introduction | 1 |
The HIV/AIDS Global Epidemic | 1 | |
The Challenge of Responding to HIV/AIDS | 5 | |
Report Objectives | 7 | |
II | The Spread of HIV/AIDS in the Caribbean | 9 |
The Caribbean: A Heterogeneous Region | 9 | |
HIV/AIDS Epidemiological Patterns and Trends in the Caribbean | 11 | |
Modes of HIV Transmission in the Caribbean | 15 | |
Populations at High Risk of HIV Infection in the Caribbean | 17 | |
Mortality Due to AIDS in the Caribbean | 18 | |
Socioeconomic Impacts of AIDS in the Caribbean | 20 | |
The Task Ahead | 21 | |
III | Intensifying Action Against HIV/AIDS: Key Challenges for Caribbean Countries | 23 |
How Have Caribbean Countries Responded to the HIV/AIDS Epidemic? | 23 | |
Stopping the Spread of HIV/AIDS - What Works? | 24 | |
Prevention of HIV/AIDS in Caribbean Countries | 25 | |
Diagnosis of HIV/AIDS in Caribbean Countries | 31 | |
Care and Treatment of People with HIV/AIDS in Caribbean Countries | 32 | |
Prospects for the Development of an AIDS Vaccine | 35 | |
Intensifying National Responses to HIV/AIDS in the Caribbean: Five Key Steps | 35 | |
IV | Regional Responses to HIV/AIDS in the Caribbean | 39 |
Rationale for a Regional Response to HIV/AIDS in the Caribbean | 39 | |
International Donors' Activities Related to HIV/AIDS in the Caribbean | 40 | |
Caribbean Regional Organizations' HIV/AIDS-Related Initiatives | 43 | |
The Caribbean Regional Strategic Plan of Action for HIV/AIDS, 1999-2004 A Regional Framework for Collaboration | 44 | |
V | The World Bank's Role | 47 |
What Has Been Done by the World Bank? | 47 | |
What Could Be Done by the World Bank in the Caribbean? | 49 | |
Operationalizing an HIV/AIDS Prevention and Control Strategy in the Caribbean | 50 | |
Cost Simulations for HIV/AIDS Programs in the Caribbean: Main Assumptions and Results | 56 | |
Annex 1 | Caribbean Conference on HIV/AIDS Barbados, 11 and 12 September 2000, Summary Statement | 61 |
References | 65 |
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