As the world pauses to reflect on World AIDS Day, the Caribbean once again finds itself at the crossroads of challenge and opportunity. This year’s global theme, “Overcoming disruption, transforming the AIDS response,” resonates deeply within our region — not as an abstract aspiration, but as a living truth we have embodied time and again.

The Caribbean has weathered storms far greater than fiscal constraints. Yet, the tightening of international funding now tests the durability of our health systems, community networks, and political resolve. These are not mere financial hurdles; they strike at the very heart of programmes that sustain lives, protect youth, and preserve decades of progress.

But resilience has always been our inheritance. From small islands to sprawling territories, our nations have learned to adapt — to do more with less, to innovate when options seem exhausted, and to stand shoulder to shoulder when the winds grow fierce. That same spirit now drives our response.

The journey toward ending AIDS by 2030 remains a shared mission. Across the region, countries continue to make strides toward the 95-95-95 targets — ensuring that 95% of people living with HIV know their status, 95% of those diagnosed receive sustained treatment, and 95% of those on treatment achieve viral suppression. These milestones are not statistics; they are stories of courage, systems of care, and communities refusing to yield.

The Caribbean’s response is evolving. We are building leaner, more agile frameworks — integrating digital systems for faster diagnostics, strengthening local supply networks to withstand global disruptions, and empowering grassroots organizations to lead from within. The result is not only survival, but transformation.

To our regional partners, your collaboration remains our lifeline. To the health professionals who continue to serve under extraordinary pressures, your persistence anchors our progress. And to every person living with or affected by HIV — your strength is the pulse that keeps this movement alive.

The road ahead will not be smooth. But retreat is not in our nature. As a people defined by resilience, we will continue to adapt, innovate, and unite — until the Caribbean becomes a model not only for overcoming disruption, but for redefining what victory looks like in global health.

Because for us, this is more than a campaign. It is a covenant — to protect, to persevere, and to prevail.

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