HIV policy in Jamaica: good form and substance but inadequate application and accountability

Abstract

The HIV epidemic and response in Jamaica was reviewed in April–November 2019 as part of the preparation of a National Strategic Plan for 2020-25. The National HIV Programme, which includes multi-sectoral partners, has made substantial achievements in reducing the spread of HIV in the population. Mortality due to HIV in Jamaica has decreased from 25 deaths/100,000 population in 2004 to 13 deaths/100,000 population in 2016. Jamaica has committed to the UNAIDS fast track strategy for ending the AIDS epidemic, but HIV incidence rates remain too high, (1,600/100,000 in 2018). This paper reviews key national policies that have guided Jamaica’s HIV response. We discuss challenges and gaps in policy application and development that impede Jamaica’s efforts to achieve universal access to HIV prevention, treatment and care services.