The current epidemiological situation for HIV and TB in Belize is challenging and largely in the shadows. Since 2012, Belize has had the highest HIV prevalence rate in Central America and the second highest in the Caribbean. 2016 and 2017 data indicated an estimated 1.5% HIV prevalence rate in the general population, with highest rates showing in men who have sex with men (MSM). In 2017, Belize had 4,300 people living with HIV (Ministry of Health Annual HIV Surveillance Report). The estimated TB prevalence is 51 per 100,000, while the incidence is 38 per 100,000. Epidemiological data from the Ministry of Health consistently reveal that the Belize, Cayo and Stann Creek districts have the highest burdens of TB and HIV.

HIV and TB affect not only the productive sectors of the country in terms of age groups but infect and affect any - and everyone- who displays risky sexual behaviours. The developmental challenge of losing the resources of Belize’s productive sector due to spread, while remaining hidden, is realistically affecting the livelihoods of many known and unknown citizens of Belize. Add to this, the prevalent internal and external discrimination faced by those affected by the two diseases continue to stymie the country’s best efforts at halting and preventing their transmission.

This project, funded by the GFATM, sets up a plan for countering the HIV and TB diseases in Belize over the 2019-2021 period, focusing on vulnerable populations, primarily:  MSMs and transgender women, people living with HIV (PLHIV), including vulnerable children and orphans, and TB patients. The project will support prevention, treatment and adherence of PLHIV and TB treatment. To do so, it will seek to advance a human rights framework for key populations and will contribute to the strengthening of national institutions called to support these populations, in collaboration with civil society organizations and other partners. While the country may still be eligible for GF funds for HIV, beyond 2021, this is the final period for which Belize will be eligible for funds to combat TB.

The purpose of the grant is to support and strengthen the capacity of CSOs/NGOs with the objective of enhancing the interest of key populations at the community level buy in to the public health system through engagement of the key populations and at-risk groups. 

The intervention strategy we are focusing on is strengthening of community systems and human rights components. The overarching element of the grant is the attention to the respect and dignity of Human Rights for all populations, including key populations made vulnerable by socio-economic and political predispositions.