The Alliance Think Safe, Act Smart! campaign at the Antigua carnival © Alliance IEC materials produced by Alliance Caribbean © Alliance

The Caribbean

The Caribbean has the second highest rate of HIV infection in the world after sub-Saharan Africa. Under-diagnosis, under-reporting and delayed reporting are recognised problems.

While heterosexual contact is reported to be the main method of transmission in the Caribbean, there is evidence that gay men and other men who have sex with men account for a significant number of cases.

HIV prevalence among transgender people is 35-45% and life expectancy is 35 years. Male sex work is common in tourist areas such as Caribbean beach resorts, but there is hardly any statistical data on this issue.

What we do

The Alliance concentrates on working with key populations – the communities most at risk from HIV, and whose involvement is most essential for a successful response. These are transgender people, sex workers, people living with HIV, injecting drug users, gay men and other men who have sex with men.

These populations suffer high levels of stigma and discrimination. At best, they are ignored and neglected by governments and official institutions. At worst, they are repressed and driven underground by institutional or societal violence.

Negative attitudes increase the likelihood of individuals engaging in high-risk behaviour and can stop people from coming forward for early diagnosis or regular health care.

The Alliance works with key populations through programmes in the East Caribbean. We also run a Latin America and Caribbean Regional Programme that covers most countries in the region, in partnership with major regional community networks.

In 2008 the Alliance launched Portal SIDA, a Spanish-language website that collects AIDS-related knowledge, news, events and information about organisations and people responding to HIV.


    The Caribbean has the second highest rate of infection in the world