Americas & Caribbean

© 2005 Helen Hawkings, Courtesy of Photoshare

The Caribbean has the second highest HIV prevalence in the world, after sub-Saharan Africa, with 1.1% of the region’s population living with HIV. Women account for more than half of those living with HIV in the Caribbean, where heterosexual sex is the main route of transmission.

While HIV prevalence in the rest of Latin America is relatively low, the number of people living with HIV in this region is predicted to grow. In the coming years, more attention must be paid to the epidemic in Latin America, where men who have sex with men account for the largest proportion of HIV infections. The extent of this problem is often downplayed in countries where homophobia and machismo are widespread and sex between men is stigmatized.

Comprehensive condom programming and supportive policy is essential to curbing the HIV epidemic in the Americas and the Caribbean. The materials in this section of the Condom Use Toolkit shed light on condom policies and programmatic experiences in Latin America and the Caribbean. These documents highlight:

  • Common barriers
  • Evidence-based approaches
  • Success stories
  • Lessons learned
  • Recommendations for building and strengthening condom policy, programs, and promotional efforts in this region