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Country progress report - Antigua and Barbuda Global AIDS Monitoring 2018 Contents Overall - Fast-track targets HIV testing and treatment cascade - Ensure that 30 million people living with HIV have access to treatment through meeting the 90-90-90 targets by 2020 Prevention of mother-to-child transmission - Eliminate new HIV infections among children by 2020 while ensuring that 1.6 million children have access to HIV treatment by 2018 HIV prevention; Key populations - Ensure access to combination prevention options, including pre-exposure prophylaxis, voluntary medical male circumcision, harm reduction and condoms, to at least 90%% of people by 2020, especially young women and adolescent girls in high-prevalence countries and key populations—gay men and other men who have sex with men, transgender people, sex workers and their clients, people who inject drugs and prisoners Gender; Stigma and discrimination - Eliminate gender inequalities and end all forms of violence and discrimination against women and girls, people living with HIV and key populations by 2020 Knowledge of HIV and access to sexual reproductive health services - Ensure that 90%% of young people have the skills, knowledge and capacity to protect themselves from HIV and have access to sexual and reproductive health services by 2020, in order to reduce the number of new HIV infections among adolescent girls and young women to below 100 000 per year Social protection - Ensure that 75%% of people living with, at risk of and affected by HIV benefit | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
with, at risk of and affected by HIV benefit from HIV-sensitive social protection by 2020 Community-led service delivery - Ensure that at least 30%% of all service delivery is community-led by 2020 HIV expenditure - Ensure that HIV investments increase to US$ 26 billion by 2020, including a quarter for HIV prevention and 6%% for social enablers Empowerment and access to justice - Empower people living with, at risk of and affected by HIV to know their rights and to access justice and legal services to prevent and challenge violations of human rights AIDS out of isolation - Commit to taking AIDS out of isolation through people-centred systems to improve universal health coverage, including treatment for tuberculosis, cervical cancer and hepatitis B and C Overall Fast-track targets Progress summary Antigua and Barbuda continues to strive toward the achievement of the 90/90/90 targets set by UNAIDS and adopted by the Organisation of the Eastern Caribbean States (OECS) and success toward reaching the Sustainable Development Goals. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
The process to decentralise HIV care and treatment into Primary Health care continues in an effort to help the country augment the HIV intervention with strengthening of the prevention initiatives.
In addition to routine HIV-related activities, a number of Cross-cutting measured have been taken to increase the intensity of the HIV response in the country. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
The interventions included activities that were carried out to mitigate the transmission of HIV through Community Mobilisation and partnership between government and non-governmental Organisations as well as a wide cross-section of individuals and agencies, inclusive of organisations reaching key populations with HIV prevention services. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
This narrative will show some of the innovative measures that have been used to ensure that HIV-related service reach key population as well as people in the general population that may have unrealised risk of contracting HIV with HIV prevention knowledge and skills and other relevant services. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
HIV testing and treatment cascade Ensure that 30 million people living with HIV have access to treatment through meeting the 90-90-90 targets by 2020 Progress summary ARVs are available in the country, free of charge and are accessible at the Mount St. John Medical Centre Pharmacy.
Antigua & Barbuda has commenced the Treat ALL Initiative and is working feverishly with Key Civil Society Organizations to ensure the achievement of the 90 90 90 targets. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
This partnership is critical and building the capacity of CSOs in the Clinical Management of PLHIV with emphasis on Adherence is priority as their role in not only reaching Key populations and initiate them into care but sustainability of their efforts to ensure retention in Care of persons within their scope of influence. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
Policy questions (2017) Is there a law, regulation or policy specifying that HIV testing: a) Is solely performed based on voluntary and informed consent Yes b) Is mandatory before marriage No c) Is mandatory to obtain a work or residence permit No d) Is mandatory for certain groups No What is the recommended CD4 threshold for initiating antiretroviral therapy in adults and adolescents who are asymptomatic, as per MoH guidelines or directive, and what it the implementation status? | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
No threshold; TREAT ALL regardless of CD4 count; Implemented countrywide Does your country have a current national policy on routine viral load testing for monitoring antiretroviral therapy and to what extent is it implemented? | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
a) For adults and adolescents Yes, fully implemented b) For children Yes, fully implemented Prevention of mother-to- child transmission Eliminate new HIV infections among children by 2020 while ensuring that 1.6 million children have access to HIV treatment by 2018 Progress summary All pregnant women are offered an HIV test, free of charge during their pregnancy with the emphasis on 1st trimester or initial visit and repeat testing in the 3rd Trimester. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
All pregnant mothers tested positive for HIV are treated following the National HIV and AIDS care, Treatment and Prevention Guidelines (Option B+).
ALL HIV diagnosed and exposed babies are monitored at the Medical Outpatient Paediatric Clinic and treated according to the National HIV and AIDS Care, Treatment and Prevention Guidelines, free of charge. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
All children diagnosed with HIV attend the Medical Outpatient Paediatric HIV Clinic and are monitored and treated until the age of 18yrs, while All exposed babies are monitored until they are cleared (Negative ELIZA by 24mths).
The Government of Antigua & Barbuda continues to provide Free Formula for all exposed and confirmed cases for a period of 6 months with possibility for continuation of supply due to economic situation.
This program is closely monitored by the EMTCT Coordinator. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
In order to meet this Commitment a partnership was established and sustained between the Maternal and Child Health Nurses and the EMTCT Coordinator.
Policy questions (2016) Does your country have a national plan for the elimination of mother-to-child transmission of HIV?
No Do the national guidelines recommend treating all infants and children living with HIV irrespective of symptoms and if so, what is the implementation status of the cut-off? | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
Treat All; Implemented countrywide HIV prevention; Key populations Ensure access to combination prevention options, including pre-exposure prophylaxis, voluntary medical male circumcision, harm reduction and condoms, to at least 90%% of people by 2020, especially young women and adolescent girls in high-prevalence countries and key populations—gay men and other men who have sex with men, transgender people, sex workers and their clients, people who inject drugs and prisoners Progress summary Post exposure prophylaxis, male and female condoms and others HIV prevention commodities are offered to the public, inclusive of key population, free of charge. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
Key population are reached in collaboration with civil society.
Strategic interventions geared towards target populations are executed by Civil Society Organizations with support by the National AIDS Secretariat.
These targeted interventions roll out at community levels have proven to be impactful and include persons from key population in their prevention team from design to execution. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
Policy questions: Key populations (2016) Criminalization and/or prosecution of key populations Transgender people Neither criminalized nor prosecuted Sex workers Selling sexual services is criminalized Men who have sex with men Yes, imprisonment (14 years - life) Is drug use or possession for personal use an offence in your country? | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
Possession of drugs for personal use is specified as a criminal offence Legal protections for key populations Transgender people No Sex workers No Men who have sex with men - People who inject drugs No Policy questions: PrEP (2017) Has the WHO recommendation on oral PrEP been adopted in your country's national guidelines? | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
No, guidelines have not been developed Gender; Stigma and discrimination Eliminate gender inequalities and end all forms of violence and discrimination against women and girls, people living with HIV and key populations by 2020 Progress summary The elimination of violence and discrimination against women and girls are mainly addressed through the efforts of the Directorate of Gender Affairs while key population are reach in partnership with civil society. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
Therefore, the government through the Directorate of Gender Affairs and Civil Society continue to advocate for the elimination of all forms of violence and discrimination against women and girls, people living with HIV and key population.
One of the greatest accomplishment for 2017 was the opening of the Support and Referral Centre (SARC).
The unit is committed to effectively responding to various types of gender inequality through education, advocacy, and the provision of quality care and services. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
The programme offers a range of prevention, intervention, and responsive services that will encourage and promote a holistic approach to treatment, healing and an individual’s overall mental and physical health.
All the services are available to individuals directly affected by gender-based violence (GBV) and trafficking, their families, and the community. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
Policy questions (2016) Does your country have a national plan or strategy to address gender-based violence and violence against women that includes HIV No Does your country have legislation on domestic violence*?
Yes What protections, if any, does your country have for key populations and people living with HIV from violence? | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
General criminal laws prohibiting violence Programmes to address intimate partner violence* Interventions to address police abuse Interventions to address torture and ill-treatment in prisons Does your country have policies in place requiring healthcare settings to provide timely and quality health care regardless of gender, nationality, age, disability, ethnic origin, sexual orientation, religion, language, socio-economic status, HIV or other health status, or because of selling sex, using drugs, living in prison or any other grounds? | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
Yes, policies exists and are consistently implemented Knowledge of HIV and access to sexual reproductive health services Ensure that 90%% of young people have the skills, knowledge and capacity to protect themselves from HIV and have access to sexual and reproductive health services by 2020, in order to reduce the number of new HIV infections among adolescent girls and young women to below 100 000 per year Progress summary HIV Prevention Education activities are held in schools in collaboration with the Ministry of Education, Youth and Sports and the Barbuda Council. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
These activities are conducted in varying primary and secondary schools.
The students are informed about HIV and strategies to prevent transmission in appropriate language.
Additionally, education sessions are held in collaboration with government and non- governmental organisation in an effort to continue to raise HIV awareness throughout Antigua and Barbuda. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
Policy questions (2016) Does your country have education policies that guide the delivery of life skills-based HIV and sexuality education, according to international standards, in: a) Primary school Yes b) Secondary school Yes c) Teacher training Yes Social protection Ensure that 75%% of people living with, at risk of and affected by HIV benefit from HIV-sensitive social protection by 2020 Progress summary A government funded subsistence programme is available through AIDS Secretariat and all PLHIV are referred to others social programmes as the need arises. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
The government has in place a Clinical Care Team, which comprises of a HIV Case Manager with responsibilities of ensuring the social protection of All clients are realized and attached to the National AIDS Secretariat is the Human Rights Desk for PLHIV and social protection is one of its mandate.
The National Program also engages in the planning, development and policing of the Nations’ Social Protection Policy. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
Additionally, the National AIDS Secretariat provides a monthly food package for all deserving PLHIV, free formula for babies diagnosed with HIV or babies of supposedly exposed mothers until confirmed Negative ELIZA test, assistance with purchasing gas, medication and needed specialised medical services.
This program is made possible by an annual budgeted subsidy by the Government of Antigua & Barbuda.
Policy questions (2016/2017) Yes and it is being implemented a) Does it refer to HIV? | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
Yes b) Does it recognize people living with HIV as key beneficiaries?
Yes c) Does it recognize key populations (sex workers, gay men and other men who have sex with men, people who inject drugs, transgender people, prisoners) as key beneficiaries?
Yes d) Does it recognize adolescent girls and young women as key beneficiaries?
Yes e) Does it recognize people affected by HIV (children and families) as key beneficiaries?
Yes f) Does it address the issue of unpaid care work in the context of HIV? | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
Yes What barriers, if any, limit access to social protection programmes in your country?
Social protection programmes do not include people living with HIV, key populations and/or people affected by HIVComplicated proceduresFear of stigma and discriminationLack of documentation that confers eligibility, such as national identity cardsHigh out-of-pocket expensesAll laws are general regarding access to social protection. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
Community-led service delivery Ensure that at least 30%% of all service delivery is community-led by 2020 Progress summary Through partnership with community groups, civil society and others agencies, HIV prevention activities are offered.
The government is currently working towards the de- centralisation of HIV treatment and care services into primary health care. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
This initiative is being strengthen under the present Global Fund Grant as CSOs are being equipped to take ownership and a decisive role in the national response.
The strengthening of CSOs in the areas of legal literacy, advocacy and development and implementation of service delivery directory for key populations under this Global Fund Grant is well-timed and CSOs are engaged in the creation of a sustainability plan. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
To further strengthen this commitment, a renewed partnership now exist between the National AIDS Secretariat and CSOs as CSOs are now poised to offer HIV Rapid Testing at their sites and participate in HIV Care and Treatment Services.
To ensure that HIV Rapid Testing is accessible by key population CSOs have been offering HIV Rapid Testing in the brothels, clubs and private homes for the FSW at a time convenient to them. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
Policy questions (2017) Does your country have a national policy promoting community delivery of antiretroviral therapy?
Yes What safeguards in laws, regulations and policies, if any, provide for the operation of CSOs/CBOs in your country? | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
Services to key populations can be provided by CSOs/CBOs Reporting requirements for CSOs/CBOs delivering HIV services are streamlined Number of condoms and lubricants distributed by NGOs in the previous year a) Male condoms: - b) Female condoms: - c) Lubricants: - HIV expenditure Ensure that HIV investments increase to US$ 26 billion by 2020, including a quarter for HIV prevention and 6%% for social enablers Progress summary The Government of Antigua and Barbuda had invested 1.3 M ECD in HIV Treatment, Care and Support. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
The Pam American Health Organisation (PAHO) provided Antigua and Barbuda HIV related activities with financial support, as follows: 1.Integration of HIV into PHC US$5,193.87 (Jan 18-20,2017) 2.HIV Testing Equipment/Supplies 6 Nov 2017 (arrived Dec 2017) US$7,780.00 Empowerment and access to justice Empower people living with, at risk of and affected by HIV to know their rights and to access justice and legal services to prevent and challenge violations of human rights Progress summary There is a human rights desk attached to the AIDS Secretariat, Ministry of Health, Wellness and the Environment. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
The HR Desks serves as the focal point on all aspects of Human Rights violations relevant to Persons Living with HIV and performs the following functions: a. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
Oversee the implementation of human rights program and Initiate various human rights projects and activities c. Monitor and maintain records/files of cases involving violation of human rights allegedly committed by State and non-State actors, as reported by PLH groups and individuals through any means (news reports, walk-in complaints, electronic communications, etc.) | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
d. Receive and consolidate reports/complaints on violation of human rights allegedly committed and assist in the referral of complaints to appropriate investigating offices/bodies; e. Enhance partnerships and cooperation with concerned government entities, local community organizations, NGOs, and private and or civic oriented groups towards advancing the cause of human rights; f. Represent the MoH in dialogues, meetings, conferences, consultations and the like, on human rights concerns; g. Work in collaboration with other Human Rights organizations locally, regionally and internationally h. Serve as focal person in the implementation, monitoring and accomplishment of plans and activities on the promotion and protection of human rights; i. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
Receive complaints on violation of human rights and make all necessary referrals j.
Maintain records/data/statistics of HR violation/s within area of responsibility Reports of Human Rights Violations can be made to the Human Rights Desk for the purpose of reporting a complaint of HIV–related Stigma and Discrimination for the purpose of information or seeking redress for the act of Discrimination.
Complaints may remain anonymous for information if so desired by the client. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
The process entails the completion of an Initial Human Rights Complaint Form followed by a Detailed Complaint Form.
Clients or anyone witnessing an act of discrimination can contact the HR Office and file a complaint.
Additionally, clients or persons witnessing an act of discrimination can send text advising of complaint and request an in-person interview to have complaint process. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
Following Case submission to the Human Rights Desk all relevant persons, institutions or organizations are contacted within 14 working days. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
All Human Rights Complaints are examined under a three-step process of mediation, investigation and adjudication under strict privacy and confidentiality Policy questions (2016) In the past two years have there been training and/or capacity building programmes for people living with HIV and key populations to educate them and raise their awareness concerning their rights (in the context of HIV) in your country? | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
Yes, one-off activities Are there mechanisms in place to record and address cases of HIV-related discrimination (based on perceived HIV status and/or belonging to any key population)?
Reports of Human Rights Violations can be made to the Human Rights Desk for the purpose of reporting a complaint of HIV–related Stigma and Discrimination for the purpose of information or seeking redress for the act of Discrimination.
Complaints may remain anonymous for information if so desired by the client. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
The process entails the completion of an Initial Human Rights Complaint Form followed by a Detailed Complaint Form.
Clients or anyone witnessing an act of discrimination can contact the HR Office and file a complaint.
Additionally, clients or persons witnessing an act of discrimination can send text advising of complaint and request an in-person interview to have complaint process. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
Following Case submission to the Human Rights Desk all relevant persons, institutions or organizations are contacted within 14 working days.
All Human Rights Complaints are examined under a three- step process of mediation, investigation and adjudication under strict privacy and confidentiality.
What accountability mechanisms in relation to discrimination and violations of human rights in healthcare settings does your country have, if any? | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
Complaints procedure Procedures or systems to protect and respect patient privacy or confidentiality What barriers in accessing accountability mechanisms does your country have, if any? | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
Mechanisms do not function Affordability constraints for people from marginalized and affected groups Awareness or knowledge of how to use such mechanisms is limited AIDS out of isolation Commit to taking AIDS out of isolation through people- centred systems to improve universal health coverage, including treatment for tuberculosis, cervical cancer and hepatitis B and C Progress summary The process of integrating HIV services into primary health care has commenced. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
Through support from PAHO and the Global fund we have completed the training of health care providers and CSO in HIV Care and treatment, HIV counselling and Rapid testing for HIV and Syphilis. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
The training of Midwives in the offering of services to ensure all pregnant women are tested for HIV, STI and Hepatitis B. Additionally, we are working with three Civil Society organisation Antigua Planned Parenthood Association, Women Against Rape and Health, Hope and HIV Network to offer HIV Care and treatment as a part of their baskets of services All PLHIV are tested for TB, Hepatitis B as well as cervical cancer among women as part of our baseline testing. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
Efforts to increase representation of the affected population in decision making continues as Key populations are given every opportunity to express their thoughts on matters specific to theirs and also at national and policy levels. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
Policy questions (2016) Is cervical cancer screening and treatment for women living with HIV recommended in: a) The national strategy, policy, plan or guidelines for cancer, cervical cancer or the broader response to non-communicable diseases (NCDs) No b) The national strategic plan governing the AIDS response Yes c) National HIV-treatment guidelines Yes What coinfection policies are in place in the country for adults, adolescents and children? | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
Intensified TB case finding among people living with HIV TB infection control in HIV health-care settings Co-trimoxazole prophylaxis Hepatitis B screening and management in antiretroviral therapy clinics | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573147424.pdf | https://health.gov.ag/wp-content/uploads/2020/12/Antigua-and-barbuda-global-aids-_2018_countryreport-1.pdf |
PAHO and partners launch campaign to reduce maternal mortality in Latin America and the Caribbean Every hour, a woman loses her life in the region due to complications in pregnancy, childbirth or postpartum, the vast majority of which are preventable. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573149808.pdf | https://ab.gov.ag/pdf/PAHO_to_reduce_maternal_mortality.pdf |
Washington DC, March 8, 2023 (PAHO/WHO) - The Pan American Health Organization (PAHO) together with other United Nations agencies and partners, today launched a campaign to encourage countries in Latin American and the Caribbean to reduce maternal mortality, which increased by 15% between 2016 and 2020.
Around 8,400 women die each year in the region from complications in pregnancy, childbirth and postpartum. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573149808.pdf | https://ab.gov.ag/pdf/PAHO_to_reduce_maternal_mortality.pdf |
High blood pressure, severe bleeding, and complications from unsafe abortion are the most common causes.
However, nine out of ten of these deaths are preventable through quality care, access to contraception and by reducing inequities in access to care. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573149808.pdf | https://ab.gov.ag/pdf/PAHO_to_reduce_maternal_mortality.pdf |
"Too many women, particularly indigenous, Afro-descendant, migrant, low-income and less educated women, continue to die during pregnancy and childbirth," Dr. Jarbas Barbosa, PAHO Director, said during the launch of the campaign on International Women's Day.
"It is time to urgently invest in maternal health and change this unacceptable reality."
Zero Maternal Deaths. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573149808.pdf | https://ab.gov.ag/pdf/PAHO_to_reduce_maternal_mortality.pdf |
Zero Maternal Deaths.
Prevent the Preventable seeks to accelerate progress towards the regional goal of less than 30 maternal deaths per 100,000 live births outlined in PAHO's Sustainable Health Agenda for the Americas.
Last year, the maternal mortality ratio (i. e., the number of maternal deaths per 100,000 live births) in Latin America and the Caribbean was 68 per 100,000 live births. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573149808.pdf | https://ab.gov.ag/pdf/PAHO_to_reduce_maternal_mortality.pdf |
The COVID-19 pandemic caused a 20-year setback in maternal health in the region, with a 15% increase in maternal mortality between 2016 and 2020, following a 16.4% reduction between 1990 and 2015. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573149808.pdf | https://ab.gov.ag/pdf/PAHO_to_reduce_maternal_mortality.pdf |
"If we want to get back on track with reducing maternal mortality we must address the socioeconomic, gender, ethnicity, education and geographical inequities that lead to the death of so many women," Suzanne Serruya, Director of PAHO's Latin American Center of Perinatology, Women and Reproductive Health (CLAP) said.
"Doing so requires the involvement of all sectors of government and society." | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573149808.pdf | https://ab.gov.ag/pdf/PAHO_to_reduce_maternal_mortality.pdf |
Accessible maternal health services, as well as professionals who are available, trained, equipped and respectful of the rights and particularities of expectant mothers is also key to reducing maternal mortality.
"The reversal in the pace of maternal mortality reduction is a harsh and unfortunate reality in Latin America and the Caribbean," Susana Sottoli, Regional Director for Latin America and the Caribbean of the United Nations Population Fund (UNFPA) said. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573149808.pdf | https://ab.gov.ag/pdf/PAHO_to_reduce_maternal_mortality.pdf |
"We call on governments, civil society, the private sector and communities to put an end to the situation of thousands of women for whom the miracle of giving birth becomes a tragic reality."
Zero Maternal Deaths.
Preventing the Preventable is an initiative of the Regional Task Force for the Reduction of Maternal Mortality (GTR).
The campaign will focus on the dissemination of social media messages and country-specific actions throughout May. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573149808.pdf | https://ab.gov.ag/pdf/PAHO_to_reduce_maternal_mortality.pdf |
It also includes a call for action to all of society to protect women and newborns.
The campaign launch ended with the signing of a joint declaration to reduce maternal mortality. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573149808.pdf | https://ab.gov.ag/pdf/PAHO_to_reduce_maternal_mortality.pdf |
Other participants at the event included Nayeline Medina, from the Network of Afro-Latin American, Afro-Caribbean and Diaspora Women; Debora Bossemeyer, Vice President of Global Programs and Operations of Jhpiego; Frank Anthony, Minister of Health of Guyana; José Manuel Matheu, Secretary of Health of Honduras; Julio Borba, Minister of Public Health and Social Welfare of Paraguay; and Lida Sosa Arguello, Vice Minister of Health and Health Surveillance of the Ministry of Public Health of Paraguay. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573149808.pdf | https://ab.gov.ag/pdf/PAHO_to_reduce_maternal_mortality.pdf |
Maternal mortality in Latin America and the Caribbean, 2020* Approximately 8,400 women -almost 3% of the global total - died from causes related to pregnancy and childbirth in Latin America and the Caribbean.
Of those, 1,300 were in the Caribbean.
Between 1990 and 2015, maternal mortality in Latin America decreased by 16.4%, but increased by 15% between 2016 and 2020. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573149808.pdf | https://ab.gov.ag/pdf/PAHO_to_reduce_maternal_mortality.pdf |
13 countries had a very low maternal mortality rate (20 or less maternal deaths per 100,000 live births); 26 reported a low rate (less than 100), and 6 had a high or moderate rate (between 100 and 499).
In PAHO's Sustainable Health Agenda, countries of the region have committed to achieve a maternal mortality ratio of less than 30 maternal deaths per 100,000 live births. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573149808.pdf | https://ab.gov.ag/pdf/PAHO_to_reduce_maternal_mortality.pdf |
*Source: Trends in Maternal Mortality (WHO) https://www.who.int/publications/i/item/9789240068759 About GTR The Regional Task Force for the Reduction of Maternal Mortality is an inter-agency mechanism formed by United Nations agencies, bilateral and multilateral cooperation organizations, non-governmental organizations and professional networks in the region. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573149808.pdf | https://ab.gov.ag/pdf/PAHO_to_reduce_maternal_mortality.pdf |
Since its creation in 1998, it has promoted collaboration and synergy among different regional actors to implement policies and programs to reduce maternal morbidity and mortality in Latin America and the Caribbean. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573149808.pdf | https://ab.gov.ag/pdf/PAHO_to_reduce_maternal_mortality.pdf |
GTR members are PAHO/WHO, UNFPA, UNICEF, the Inter-American Development Bank (IDB), the World Bank (WB), the United States Agency for International Development (USAID), the International Confederation of Midwives (ICM), the Latin American Federation of Obstetrics and Gynecology Societies, Management Sciences for Health (MSH), MOMENTUM Country and Global Leadership and Fòs Feminista.
Links Zero Maternal Deaths. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573149808.pdf | https://ab.gov.ag/pdf/PAHO_to_reduce_maternal_mortality.pdf |
Links Zero Maternal Deaths.
Prevent the preventable - PAHO/WHO | Pan American Health Organization Maternal Health - PAHO Sustainable Health Agenda for the Americas 2018-2030 MEDIA CONTACTS Luciana Viegas: + 1 202 981-8455 Ashley Baldwin: + 1 202 340-4025 Sebastian Oliel: +1 202 316-5679 mediateam@paho.org www.paho.org The Pan American Health Organization (PAHO) works with the countries of the Americas to improve the health and quality of life of its population. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573149808.pdf | https://ab.gov.ag/pdf/PAHO_to_reduce_maternal_mortality.pdf |
Founded in 1902, it is the world’s oldest international public health agency.
It serves as the Regional Office of WHO for the Americas and is the specialized health agency of the Inter-American system. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573149808.pdf | https://ab.gov.ag/pdf/PAHO_to_reduce_maternal_mortality.pdf |
TABLE OF CONTENTS Page CENTRAL GOVERNMENT MINISTRIES 01 OFFICE OF THE GOVERNOR GENERAL 02 LEGISLATURE 03 CABINET 04 JUDICIAL 05 SERVICE COMMISSIONS 0501.
Public Service Commission 0502. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573158474.pdf | https://health.gov.ag/wp-content/uploads/2020/10/Budget-Summary-2019.pdf |
Police Service Commission 06 AUDIT 07 PENSIONS AND GRATUITIES 08 PUBLIC DEBT 09 ELECTORAL COMMISSION 10 OFFICE OF THE PRIME MINISTER AND MINISTER'S MINISTRY 11 MINISTRY OF FOREIGN AFFAIRS, INTERNATIONAL TRADE AND IMMIGRATION 12 MINISTRY OF HOUSING, LANDS AND URBAN RENEWAL 15 MINISTRY OF FINANCE, CORPORATE GOVERNANCE AND PUBLIC PRIVATE PARTNERSHIPS 20 MINISTRY OF AGRICULTURE, FISHERIES AND BARBUDA AFFAIRS 25 MINISTRY OF HEALTH, WELLNESS AND THE ENVIRONMENT 30 MINISTRY OF EDUCATION,SCIENCE AND TECHNOLOGY 35 MINISTRY OF ENERGY, CIVIL AVIATION AND TRANSPORTATION 40 MINISTRY OF WORKS 45 MINISTRY OF SOCIAL TRANSFORMATION, HUMAN RESOURCE DEVELOPMENT AND YOUTH AND GENDER AFFAIRS 55 ATTORNEY GENERAL'S OFFICE AND MINISTRY OF LEGAL AFFAIRS, PUBLIC SAFETY, & LABOUR 60 OFFICE OF THE OMBUDSMAN 80 MINISTRY OF TOURISM AND ECONOMIC DEVELOPMENT 85 MINISTRY OF SPORTS, CULTURE, NATIONAL FESTIVALS AND THE ARTS 95 MINISTRY OF INFORMATION, BROADCASTING, TELECOMMUNICATION AND INFORMATION TECHNOLOGY STATUTORY BODIES ANTIGUA AND BARBUDA DEPARTMENT OF MARITIME SERVICES AND SHIPPING ANTIGUA AND BARBUDA INVESTMENT AUTHORITY ANTIGUA AND BARBUDA PUBLIC UTILITIES AUTHORITY BOARD OF EDUCATION FINANCIAL SERVICES REGULATORY COMMISSION MEDICAL BENEFITS SCHEME MOUNT ST JOHN'S MEDICAL CENTRE NATIONAL PARKS AUTHORITY PDV CARIBE ANTIGUA AND BARBUDA LIMITED ANTIGUA & BARBUDA SOCIAL SECURITY BOARD OF CONTROL STATE INSURANCE CORPORATION ANTIGUA AND BARBUDA TOURISM AUTHORITY 03 17 23 39 41 42 48 55 59 61 97 105 127 169 185 205 235 286 341 353 382 408 440 | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573158474.pdf | https://health.gov.ag/wp-content/uploads/2020/10/Budget-Summary-2019.pdf |
105 127 169 185 205 235 286 341 353 382 408 440 448 460 476 487 491 503 545 565 601 613 627 653 665 679 705 ANTIGUA ESTIMATES 2019 CENTRAL GOVERNMENT MINISTRIES’ BUSINESS PLANS BUSINESS PLAN FOR THE YEAR 2019 AS SUBMITTED BY GOVERNMENT MINISTRIES Governor General Budget Plan For the FY 2019 - 3 - Overview – Office of the Governor General The nation of Antigua and Barbuda is a unitary, constitutional monarchy with parliamentary democracy. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573158474.pdf | https://health.gov.ag/wp-content/uploads/2020/10/Budget-Summary-2019.pdf |
As such, Her Majesty Queen Elizabeth II is Antigua and Barbuda’s Head of State.
The Governor-General is Her Majesty's representative or viceroy in Antigua and Barbuda and is appointed on the recommendation of the Prime Minister of Antigua and Barbuda.
The Governor- General's formal title includes the phrase "Commander-in-Chief, Antigua and Barbuda Defence Force" but he does not play an active role in military matters. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573158474.pdf | https://health.gov.ag/wp-content/uploads/2020/10/Budget-Summary-2019.pdf |
The most significant role demonstrated in this capacity is the Governor General’s leadership at the annual national military parade marking the anniversary of Independence Day.
The Governor General’s spouse (or vicereine) provides support through leadership in charitable work, designed to assist those in need, to promote national values and to strengthen the bonds of social cohesion.
Support for the charities under Their Excellencies’ patronage may be in the form of technical and financial assistance. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573158474.pdf | https://health.gov.ag/wp-content/uploads/2020/10/Budget-Summary-2019.pdf |
The Governor General’s spouse, H.E Lady Williams provides this leadership responsibility on a complimentary basis in her capacity as the Governor General’s Goodwill Emissary.
Presently, there are thirty-two organizations under Their Excellencies’ patronage.
Antigua and Barbuda’s Head of State is non-partisan and is not involved in the "business" of government, which is the responsibility of the Prime Minister and the Cabinet. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573158474.pdf | https://health.gov.ag/wp-content/uploads/2020/10/Budget-Summary-2019.pdf |
This arrangement is best described by the saying that "while the Sovereign reigns, the Government rules."
The Governor-General is expected to provide stability or act as a symbol of the state or nation.
Government is comprised of a bi-cameral legislature and while the Sovereign and the House of Representatives together, make up the Parliament of Antigua and Barbuda, neither the Governor- General nor the Queen takes an active or initiating role in the executive functions of Government. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573158474.pdf | https://health.gov.ag/wp-content/uploads/2020/10/Budget-Summary-2019.pdf |
By convention the Head of State acts on the advice of Ministers of the Crown, except on rare occasions such as when appointing a Prime Minister after an election.
The Governor General is expected to have regular and confidential meetings with the Honourable Prime Minister on matters of concern to the state. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573158474.pdf | https://health.gov.ag/wp-content/uploads/2020/10/Budget-Summary-2019.pdf |
The Governor-General's role is an important one however includes several functions: • Constitutional o appointing the government after an election o giving Royal Assent to legislation o appointing key public officials, principals of statutory bodies and judges o accepting diplomatic credentials • Social Cohesion (Community leadership) o Promoting a strong sense of national pride in citizens of Antigua and Barbuda o supporting Vice-regal patronages o attending community events o visiting the inhabited islands within the nation of Antigua and Barbuda • Ceremonial - 4 - o Attendance at and/ or presiding over national events o Celebrating excellence through the awards of honours and hosting of investiture ceremonies o conferring honours • Regional and International o representing Antigua and Barbuda at important international ceremonies o undertaking state visits While the Office of the Governor General receives financial and other support from the Government, it is expected to operate as an independent office in accordance with the dictates of the Constitution and the laws of Antigua and Barbuda. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573158474.pdf | https://health.gov.ag/wp-content/uploads/2020/10/Budget-Summary-2019.pdf |
Vision To be the institution which inspires unity among citizens and residents of Antigua and Barbuda, engenders national pride, national stability, good governance and a full appreciation for the positive role of the Office of the Governor General and the Commonwealth in national development. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573158474.pdf | https://health.gov.ag/wp-content/uploads/2020/10/Budget-Summary-2019.pdf |
Mission To provide quality administrative services and to develop a harmonious relationship with stakeholders in order to enable the Governor General to perform the required constitutional, legislative, social and ceremonial responsibilities effectively, efficiently and with excellence. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573158474.pdf | https://health.gov.ag/wp-content/uploads/2020/10/Budget-Summary-2019.pdf |
Service Performance Review and Critical Issues The Office of the Governor General with the support of the Halo Foundation Inc., Founder and President Lady Williams, embarked on a number of initiatives, many of which were successfully implemented with support from public as well as private sector entities. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573158474.pdf | https://health.gov.ag/wp-content/uploads/2020/10/Budget-Summary-2019.pdf |
At the same time, a number of critical issues continued to affect the office, but every effort was made to reduce the negative impacts through creative mechanisms and close collaboration with stakeholders.
Service performance Achievements 1.
The Government House Restoration Initiative (GHRI) made significant advances in the pledges made towards the estimated US$7 million-dollar price tag on the restoration of the property.
The pledges now stand at US$ 3million. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573158474.pdf | https://health.gov.ag/wp-content/uploads/2020/10/Budget-Summary-2019.pdf |
The pledges now stand at US$ 3million.
The project manager is the Heritage Trust (Antigua and Barbuda) Inc. with technical services provided by Philip Logan Enterprises LLC and Preservation Green LLC.
The Project Supervisor is the Ministry of Public Works and Transportation.
The designs and drawings for the west wing buildings were completed, put out to bid and a local construction firm has been selected to carry out the work. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573158474.pdf | https://health.gov.ag/wp-content/uploads/2020/10/Budget-Summary-2019.pdf |
The west wing buildings restoration is expected to be completed in 12 months following commencement of the work.
- 5 - 2.
The GHRI has also benefited many tradespersons and professionals through training in traditional crafts such as brick masonry.
The GHRI inaugural annual training programme in February provided training for 27 persons in brick masonry and 10 persons in gardening. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573158474.pdf | https://health.gov.ag/wp-content/uploads/2020/10/Budget-Summary-2019.pdf |
The Prince’s Foundation supported by the Ayre Group and the Barbuda Research Complex non-profit entities provided two scholarships, valued at a total of EC$25,000, to enable successful participation a three-week Summer School in the UK.
The Prince’s Foundation Summer School enabled the two participants (one from Barbuda) to develop their knowledge of traditional architecture, design, building and repair techniques and how these can be applied in the 21st century.
3. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573158474.pdf | https://health.gov.ag/wp-content/uploads/2020/10/Budget-Summary-2019.pdf |
3.
The GHRI has achieved internationally acclaimed entry on the World Monuments Fund Watchlist for 2018.
The 2018 World Monuments Watch calls attention to 25 sites, their challenges, opportunities, and the communities that cherish them.
Since 1996, when the biennial Watch was founded with support from American Express, the programme has issued a call to action for 814 sites facing daunting threats or compelling opportunities for protection, conservation, and engagement. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573158474.pdf | https://health.gov.ag/wp-content/uploads/2020/10/Budget-Summary-2019.pdf |
Government House Antigua and Barbuda is the only Caribbean country on the present Watchlist.
4.
The Government House Restoration Initiative also has the distinction of being the first LEED (Leadership in Energy and Environmental Design) registered project in Antigua and Barbuda and the OECS (Organization of Eastern Caribbean States).
LEED is one of the most popular green building certification programmes used worldwide. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573158474.pdf | https://health.gov.ag/wp-content/uploads/2020/10/Budget-Summary-2019.pdf |
Developed by the non-profit U.S. Green Building Council (USGBC) it includes a set of rating systems for the design, construction, operation, and maintenance of green buildings, homes, and neighbourhoods that aims to help building owners and operators be environmentally responsible and use resources efficiently. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573158474.pdf | https://health.gov.ag/wp-content/uploads/2020/10/Budget-Summary-2019.pdf |
Although the project has a conservation focus, the intention is to ensure that while there is a respect for the heritage of the building, the project conforms as much as possible with environmentally sustainable methods that will provide reasonable protection from natural disasters.
5. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573158474.pdf | https://health.gov.ag/wp-content/uploads/2020/10/Budget-Summary-2019.pdf |
5.
The values of the Commonwealth of Nations, united by language, history, culture and their shared values of democracy, human rights and the rule of law, were once again brought to the attention of the general public in March 2018. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573158474.pdf | https://health.gov.ag/wp-content/uploads/2020/10/Budget-Summary-2019.pdf |
The Governor General, as the representative of HM Queen Elizabeth II, who is the head of the organization, officiated in a number of activities which were planned through a collaborative effort between the Office of the Governor General, the Ministry of Education, The Legislature and the Ex-Servicemen’s Association.
The following events which linked the role and work of the Commonwealth with national entities were organized: a. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573158474.pdf | https://health.gov.ag/wp-content/uploads/2020/10/Budget-Summary-2019.pdf |
A Commonwealth Church Service to give thanks for the member nations and peoples supporting the values of the Commonwealth.
The National Honourees of Antigua and Barbuda took centre stage for their contribution to nation building and the preservation of the values of the Nation and the Commonwealth alike.
b. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573158474.pdf | https://health.gov.ag/wp-content/uploads/2020/10/Budget-Summary-2019.pdf |
b.
A Commonwealth Day Parade for school students followed by the Commonwealth Day Message delivered by the Governor General to increase awareness of the values of the organization among the youth and the share the benefits to be derived from membership in the 53-nation organization. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573158474.pdf | https://health.gov.ag/wp-content/uploads/2020/10/Budget-Summary-2019.pdf |
- 6 - c. A flag raising Ceremony conducted by the Ex-Servicemen’s Association to bring attention to the organization’s stand for equality and peace and a reflection on the many struggles which have been necessary to bring about these conditions.
6. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573158474.pdf | https://health.gov.ag/wp-content/uploads/2020/10/Budget-Summary-2019.pdf |
6.
The Governor General recognized the contribution to national development by a number of citizens, residents and friends of Antigua and Barbuda who had been awarded with National Honours (announced on Independence Day), Academic Honours (announced at the Youth Rally), The Queen’s Realm Honours (announced on New Year’s Day and the Queen’s Official Birthday), the Governor General’s Faithful and Meritorious Service Honours (May and December 2018) and the Halo Humanitarian Award (May 2018) 7. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573158474.pdf | https://health.gov.ag/wp-content/uploads/2020/10/Budget-Summary-2019.pdf |
Their Excellencies celebrated centenarian citizens at programmes organized by the Community Development Division in the Ministry of Social Transformation and Human Resources and the families of the celebrants.
Their Excellencies, The Governor General and Goodwill Emissary also hosted the launch of a Community Development Division publication, recognizing centenarians in Antigua and Barbuda over the last decade.
The number of centenarians stands at just over 20.
8. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573158474.pdf | https://health.gov.ag/wp-content/uploads/2020/10/Budget-Summary-2019.pdf |
8.
The work of the Governor General in strengthening each citizen’s sense of national pride through the enhanced awareness of the nation’s heritage and artistic talents was realized during the year through support for a number of events.
These included: d. Participation in the 6-month long exhibition at the National Pavilion of Antigua and Barbuda at the Venice Biennale Architecture, held in Venice, Italy from May – November. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573158474.pdf | https://health.gov.ag/wp-content/uploads/2020/10/Budget-Summary-2019.pdf |
The three-part exhibit, titled ‘Environmental Justice as a Civil Right’, curated by Cultural Envoy, Dr. Barbara Paca OBE, featured the Barbuda Rebuilding Programme, the Government House Restoration Initiative and the Redevelopment of the Victoria Park Botanical Gardens.
The Exhibition which received an average of 1500 visitors per week has provided significant exposure for the nation as a small island developing state whose rich heritage could be negatively impacted by the effects of climate change. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573158474.pdf | https://health.gov.ag/wp-content/uploads/2020/10/Budget-Summary-2019.pdf |
Their Excellencies are patrons of the Antigua and Barbuda Venice Biennale 2017 Inc., which receives support from the Government of Antigua and Barbuda, through the Ministry with responsibility for Culture for the hosting of the exhibition.
e. Hosting of the National Archives Philatelic (Stamp and Postcard) Exhibition which was held in the month of June.
The exhibition was well received by the general public and visitors alike. | Maternal health care and reproductive rights | Reproductive health for mother and child | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573158474.pdf | https://health.gov.ag/wp-content/uploads/2020/10/Budget-Summary-2019.pdf |
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