In February 2016, the World Health Organization declared that clusters of Zikaassociated microcephaly and other neurological disorders detected in Brazil constituted a Public Health Emergency of International Concern. USAID Zika programming in the Agency’s Eastern and Southern Caribbean (ESC) region began in September 2016 through a community engagement partnership and has expanded to support regional and national public health institutions with targeted assistance. USAID’s ESC Zika program officially launched in Trinidad in December 2017 and is being implemented across 11 countries through September 2019, including Barbados, Antigua and Barbuda, the Bahamas, Dominica, Grenada, Guyana, St. Vincent and the Grenadines, St. Lucia, St. Kitts and Nevis, Trinidad and Tobago and Suriname.