New Frontiers in Caribbean Regional Cooperation on HIV and AIDS Partners Caribbean Community of Nations (CARICOM) Pan-Caribbean Partnership against HIV and AIDS (PANCAP) Government of Federal Republic of Brazil New Frontiers in Caribbean Regional Cooperation on HIV and AIDS Background The Caribbean has the second highest HIV prevalence rate among the regions of the world. At the same time, Brazil has won acclaim for its success in mitigating the impact of HIV through the application of progressive social policies, innovative prevention strategies and distribution of free antiretroviral treatment. In 2005, the Caribbean Community and Brazil signed a landmark technical cooperation agreement to exchange expertise in the field of HIV. New Frontiers in Caribbean Regional Cooperation on HIV and AIDS Objectives Innovation Apply lessons learned from the Brazil experience to strengthen institutional and technical capacity of Caribbean countries in response to the HIV epidemic. The cooperation agreement resulted from by a high-level Caribbean mission to Brazil in 2005. Primarily, the focus was on strengthening the institutional capacity of 15 countries within the enabling environment of the PanCaribbean Partnership against HIV and AIDS. Greater involvement of NGOs, including networks of persons living with HIV, through cross-cultural exchanges. Enhanced capacity to track the HIV epidemic through effective monitoring and evaluation. The initiative was managed by a coordinating committee involving key representatives from the providing and receiving entities and all stakeholders were provided with quarterly updates on progress, issues and challenges. New Frontiers in Caribbean Regional Cooperation on HIV and AIDS Results Applicability After three years of active implementation, the following benefits were evident: 15 countries enhanced their national strategic planning processes, including the infusion of strong monitoring and evaluation components. Multi-country initiatives are inherently difficult to manage and require effective coordination, synergy of priorities, a clear results framework and the commitment to building on successes in order to be replicated successfully. Senior level professionals from 13 countries benefited from advanced training in monitoring and evaluation. 8 regional youth leaders participated in the Brazil Youth Congress on HIV. Brazilian experts enhanced their capacity to function in the geographically widespread and culturally diverse countries of the Caribbean.