In the Caribbean region, HIV prevalence is high among key population (KP) groups, such as sex workers and men who have sex with men. However, there is a lack of high-quality, population-level data estimating HIV prevalence and population sizes of KPs. The President's Emergency Plan for AIDS Relief has funded and completed five bio-behavioral surveillance (BBS) surveys using respondent-driven sampling methodology to target KP in the English-speaking Caribbean region. We describe the experience of implementing bio-behavioral surveys in the Caribbean region and document the context, processes, successes, and challenges, and make recommendations for future survey implementation. Successes include the provision of estimates of nationally representative HIV data and KP size estimates to improve HIV programming and provision of tools for routinization of BBS. Challenges include small KP sizes, the legal context, and the cost and speed of implementation. Future bio-behavioral surveys should include well-planned formative assessments and stakeholder involvement.

中文翻译：

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从加勒比主要人群的艾滋病毒生物行为调查的实施中吸取的教训

在加勒比地区，性工作者和与男性发生性关系的男性等关键人群（KP）中的艾滋病毒感染率很高。但是，缺乏高质量的人口水平数据来估计艾滋病毒的流行率和KP人群的规模。总统的《艾滋病紧急救援计划》已经资助并完成了五次生物行为监测（BBS）调查，使用受访者驱动的抽样方法，以讲英语的加勒比地区为目标。我们描述了在加勒比地区实施生物行为调查的经验，并记录了背景，过程，成功和挑战，并为以后的调查实施提供了建议。成功的例子包括提供全国代表性的HIV数据的估算值和KP规模估算值，以改进HIV编程，并提供用于BBS常规化的工具。挑战包括KP规模小，法律环境以及实施的成本和速度。未来的生物行为调查应包括计划周密的形成性评估和利益相关者的参与。