HIV/AIDS: HURDLES TO A SUSTAINABLE RESPONSE IN THE CARIBBEAN

In this paper we present empirical evidence on the extent of the HIV/AIDS epidemic, and the danger it poses in terms of projected cost imposition on the countries of the region. We highlight the elements of a regional response approach that is both comprehensive and sustainable and discuss options for mobilizing the resources necessary for effecting such a response. We show that even though a robust regional response in mitigating the threat of HIV/AIDS may be feasible and even not very costly, there remain significant hurdles to its implementation. In this regard, the paper limits itself to a focus on implications of chronic fiscal deficits facing a number of countries in the region. We conclude that the fight against HIV/AIDS is not insurmountable, but it requires strong doses of will to see the big picture, and innovative thinking to rise to the challenge