An overview of HIV/AIDS in Jamaica: strengthening the response

The global HIV/AIDS epidemic continues to grow at an alarming rate. The Caribbean has the second highest HIV prevalence rates after sub-Saharan Africa. In Jamaica, annual AIDS case rates continue to increase, especially in St James. The epidemic is predominantly heterosexual with an estimated HIV prevalence of 1.5% among adults. A comprehensive HIV/STI control programme has resulted in a safe blood supply, high awareness of HIV/AIDS and how to prevent it, increased condom use and a significant decline in syphilis rates. However, a number of social factors, including the strong stigma associated with AIDS, facilitate continued HIV spread and impede effective control. The national response must be significantly strengthened by ensuring appropriate social policies, combating stigma, scaling up prevention, providing antiretroviral treatment and developing a timely multi-sectoral response.