3Understanding and responding to the epidemic of HIV in the Caribbean context requires a multidimensional approach. Drawing together and impressive array of academics, activist scholars, educations specialists and frontline service providers, Sexuality, Social Exclusion and Human Rights examines some of the key drivers of HIV and AIDS by exploring risk, vulnerability, power, culture, sexuality and gender. The primary challenge is first to recognise and come to grips with the circumstances in which HIV is transmitted in order to construct the policies and practices in response. Divided into four sections: Human Rights, Citizenship and Social Exclusion; Rethinking Communication; Reconceptualizing Sex; and Policy and Macro-Perspectives, the contributors to this volume raise controversial issues not formally discussed in the Caribbean context but which require confrontation to arrest the spread of HIV. This volume provides a unique perspective and analysis of the Caribbean response and how the inclusion of many different sectors in society and an interdisciplinary, rather than segregated multidisciplinary approach, can effectively address the spread of HIV and AIDS in the region.