1. The CAP/CHART connection 2004-2007 Bringing Caribbean Pharmacists into the HIV/AIDS care loop

2. ABOUT CAP ESTB 1976 Individual members 800 Pharmacists from the Caribbean National Associations & Councils Associate members Annual meeting in August each year Leadership elected every 2 years Regional and international linkages

3. Our vision Developing and Empowering the Pharmacists of the Caribbean toward excellence in the provision of all aspects of pharmacy practice

4. Broad aims of CAP/CHART initiatives Improved patient/client care Increased access and seamless care Achieving equity Initiate mainstreaming Integrate HIV/AIDS training into the Continuing Professional Development (CPD) framework Research outputs Health promotion and prevention initiatives Enhanced pre-service training Strengthen internal CPD structures Harmonization and Standardization

5. Selected findings CAP Baseline Survey 2002 Training required Knowledge levels unacceptable to pharmacists Pharmacists willing Pharmacists willing to expand access to ARTs Pharmacists willing to participate in the care process Attitude shift indicated Need for positive shifts in attitude identified Caribbean Association of Pharmacists KABP (2002)

6. Diffusion approach Diffusion A special type of communication process in which participants create and share information with one another to reach mutual understanding Everett, Rogers. Diffusion of Innovation (1995)

7. CAP May 2004 St. Vincent & the Grenadines Trainer of Trainers (Innovators & opinion leaders) The pharmacology of ARTs (basic) Adherence to treatment Treatment of HIV/AIDS 50 participants

8. CAP/CHART August 2004 Belize Early majority (peer respected) Treatment of HIV/AIDS Side effect management 200 participants

9. CAP/CHART May 2005 Nassau, Bahamas Trainer of Trainers (Innovators, opinion leaders) Antiretrovirals and Adverse Drug Interactions. Drug/Herbal interactions 50 participants

10. CAP/CHART August 2005 Guyana Early majority HIV/AIDS:Emerging co-infections and comorbidities Works shop (30 persons) Pharmacoeconomic considerations and rational drug procurement 250 participants

11. CAP/CHART December 2005 Tobago Nutritional aspects (CFNI) Orientation to laboratory values (CAREC) Communication for concordance 50 participants Sponsors: Tobago House of Assembly, Ministry of Health, Trinidad and Tobago

12. CAP/CHART March 20-April 1, 2006 Jamaica-Kingston and Montego Bay Trainer of trainers Basic pharmacoeconomics and rational drug procurement Caribbean drug treatment guidelines 45 participants Sponsors: National Health Fund (Jamaica): Ministries of Health- Trinidad and Tobago, St. Vincent, Guyana, St. Lucia, Bahamas. Corporate sponsors-CARIMED, Bayer pharmaceuticals, CARPIN

13. CAP/CHART May 2006 Suriname Trainer of trainers Mainstreaming Dialogue 1 Psychosocial aspects of HIV/AIDS care 30 participants

14. CAP/CHART August 2006 St. Kitts Nevis Early majority Mainstreaming Dialogue 2 Children and HIV/AIDS HIV/AIDS and Substance Abuse Taking care of PLWHAs (workshop )-PLWHA facilitated 200 participants

15. CAP December 2006 Dominica Early majority Basic pharmacoeconomics Advanced pharmacoeconomics ( 2 completing) Caribbean HIV/AIDS treatment guidelines 22 participants Partners: Pharmacists of Dominica and Trinidad and Tobago

16. Overview of country involvement Beneficiaries Jamaica, Trinidad and Tobago, St. Vincent & the Grenadines, St. Kitts Nevis, Turks and Caicos, Anguilla, Cuba, Belize, Bahamas, Dominica, Guyana, Suriname, Curacao, St. Lucia. Targetted: Barbados, Haiti, Cayman, Grenada, Antigua and Barbuda

17. Plans 2007 Pre-service training Lecturers and curricula June 2007, August 2007 Late majority Collaboration with PPS in St. Lucia Comprehensive HIV/AIDS training May 14-19, 2007 Workshop - Role of the Caribbean pharmacist in HIV/AIDS care Advanced pharmacoeconomics Pharmacology of ARTs August 2007 Cayman Islands KABP report 2007

18. Challenges Harmonization and standardization ARVs Regional cost reduction strategies for ARVs Improving and expanding service delivery Funding

19. Thank you www.cap.org.jm