Seven countries and island states in the Caribbean have eliminated mother-to-child transmission of HIV: Anguilla, Antigua and Barbuda, Bermuda, the Cayman Islands, Cuba, Montserrat, and Saint Kitts and Nevis.
In 2018, 9,000 men who have sex with men, sex workers and transgender people are being offered PrEP free of change through Sistema Único de Saúde, Brazil’s national health service. Within five years, the programme hopes to reach 54,000 people from key populations.
Homophobia and the ‘machismo’ (strong/aggressive masculinity) culture are common throughout the region and sex between men is highly stigmatised. As a result, large numbers of men who have sex with men do not identify as homosexual (or bisexual) and have sex with women as well as men, forming a 'bridge' population.