the global fund and the world bank are the major international investors in hivaids in the caribbean and along with the european union these loans and grants affect the relative significance of national expenditures reported under this indicator support is also received from the united states agency for international development usaid and the interamerican development bank idb in june the bank approved a us million lending programme for the caribbean to help countries finance their national hivaids prevention and control projects under this programme the bank has approved loans to barbados the dominican republic jamaica grenada st kitts and nevis trinidad and tobago the caribbean communitys caricom pan caribbean partnership against hivaids pancap guyana st lucia and st vincent as of december all countries reporting to ungass for the review receive assistance from the world bank in support of national aids responses except antigua and barbuda the bahamas cuba dominica and suriname