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2009 COAR submission in the i-Track Remote Data Entry Facilty (RDEF)

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The interactions between HIV/AIDS and SRH are acknowledged at varying levels.  Their commonalities include similar root causes, transmission and management techniques.  Therefore linkages between core HIV and SRH services have been shown not only to be economically feasible, but also associated with numerous public health benefits.  Recommendations are therefore postulated for each health level: policy, systems and service provider levels. 

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St. Vincent and the Grenadines has made remarkable achievement in health care over the past twenty years. Since the declaration of Health for all by the year 2000, at Alma Ata in 1978 the health indicators have shown significant improvement.  The natural growth rate of the population has fallen over this period from 2.8 to 2.4, the total fertility rate is 2.4 and the population grows at a rate of 0.13% per annum with a dependency ratio of 61%.  Life expectancy at birth has been estimated at 72 years and infant mortality rate is 16.3 percent per 1000 live births.

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The Caribbean is second only to sub-Saharan Africa in HIV & AIDS prevalence. Jamaica, the largest island in the English speaking Caribbean island has however been relentless in its efforts to stem the spread of the disease and in 2007 estimated that approximately 1.3% of the adult Jamaican population was infected with two-thirds being unaware of their status. Behavioural surveillance is part of the Ministry of Health’s ongoing efforts. This report documents the results of the 2008 National Knowledge, Attitude, Behavior and Practices (KABP) survey conducted among adults 15-49 years in the general public. This survey is conducted every 3-4 years as part of the behavioural surveillance conducted for HIV/AIDS in Jamaica in which global and country specific behavioural indicators and intervention efforts are monitored. This 2008 survey was commissioned under the Caribbean Social Marketing Programme for HIV & AIDS Prevention (CARISMA) programme funded by PANCAP and its partner, the German Development Bank (KfW).

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The meaning and definition of sexual and reproductive health has evolved throughout the years. Today it is defined as a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity in all matters relating to the reproductive system and to its functions and processes. Reproductive health therefore implies that people are able to have a satisfying and safe sex life and that they have the capability to reproduce and the freedom to decide if, when and how often to do so.

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The total population of St. Vincent and the Grenadines in 2001 was 106,253 with a urban rural ratio of 60:40. Women represented 49% to male 51% of the population.  In the year 2005 there were 26,966 women in the child- bearing age group (15 – 49), approximately 27% of the population.

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The Organization of Indigenous People of Suriname copped the top prize in the inaugural non-media category of the ninth staging of the United Nation’s Population Awards, for its efforts in monitoring the treatment of the Suriname indigenous community. 

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In Latin America and the Caribbean, maternal mortality has stagnated at approximately 190 per 100,000 live births with inter and intra-country disparities.  This occurs in an environment where an average 75%-80% of deliveries are attended by a skilled person implying poor access to or ineffective care (26th Pan American Sanitary Conference, 2002; Regional Interagency Task Force for the Reduction of Maternal Mortality).  Cost-effective interventions for the reduction of the incidence and severity of complications associated with pregnancy, childbirth and the postpartum period are known.  Research and experience in maternal health for more than a decade have demonstrated this and that the interventions are feasible even in poor countries. Such interventions are a supportive policy environment, basic and comprehensive Essential Obstetric Care (EOC), skilled attendance at birth, improved access to high quality maternal health services, safe motherhood health promotion, the monitoring and evaluation of progress and establishment of multi-sectoral linkages (26th Pan American Sanitary Conference, 2002). 

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Briefly analyze key trends and issues in the country related to three focus areas of the UNFPA Strategic Plan: population and development, reproductive health and rights, and gender equality.

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The UN System is committed to supporting the Government of Jamaica (GOJ) to advance the lives and well-being of all citizens through support to national priorities and goals as outlined in the Medium Term Socio-Economic Development Framework (MTF), the Millennium Development Goals and other internationally agreed commitments and obligations.

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