Belize, Country Annual Report 2025

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Photograph: © Estefanía Bravo/UN Foundation
 

Annual report 
2025
Belize

Pan American 
Health Organization

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Message from the PAHO/WHO Representative in Belize

2025 was a year of strong PAHO/WHO technical support to the Ministry of Health & Wellness and partners to improve the governance, resilience, and preparedness of the health system in Belize. With continued prioritization on implementing the Country Cooperation Strategy 2023–2027 and advancing PAHO’s and the government’s strategic objectives, together we achieved much.

The European Union-funded Health Sector Support Programme was successfully completed, retrofitting six health facilities to make them greener, climate resilient, and with energy sustainability. Tobacco control and mental health services were enhanced through the advancement of the legislative processes, capacity-building, and strengthened public awareness targeting key stakeholders. Technical cooperation also focused on PAHO’s Better Care for NCDs and Disease Elimination initiatives through the advancement of the HEARTS initiative and building capacity for 11 multidisciplinary healthcare workers in intermediate field epidemiology for timely detection, investigation, and response to public health threats. 

The operationalization of the Belize Health Sector Strategic Plan 2025–2034 using a results-based management approach was supported, and interoperability of health information for evidence-based policy and planning was strengthened with capacity-building on International Classification of Diseases 11th Revision coding and the development of a dashboard for mental health indicators. 

Thanks to our PAHO team and national counterparts for their collaboration, and we look forward to even greater achievements in 2026.

Karen Lewis-Bell 
PAHO/WHO Representative in Belize

Highlights in 2025

Scroll your cursor over the points for more information.

MAR
 
solar panels
MAY
 
mental health
JUN
 
health system
SEP
 
tobacco
DIC
 
preparedness

RENEWABLE ENERGY INTEGRATION

Over 1000 solar panels installed at six health facilities to reduce carbon emissions, cut reliance on fossil fuels, and lower ongoing energy costs. 

ADVANCING MENTAL HEALTH CARE AND SERVICES

Significant progress made in updating mental health laws, strengthening crisis intervention, improving surveillance, and advancing suicide prevention and control efforts.

STRENGTHENING HEALTH SECTOR GOVERNANCE

New Belize Health Sector Strategic Plan and results-based biennial operational plan enhanced stewardship, accountability, and performance across the health system.

ADVANCED TOBACCO CONTROL

Acceleration of WHO Framework Convention on Tobacco Control and MPOWER implementation through advanced tobacco control legislation and strengthened cessation training.

ENHANCED PUBLIC HEALTH PREPAREDNESS

National preparedness and response to public health threats enhanced through field epidemiology training.

Achievements in Belize

 

Integrating renewable energy into health facilities for climate resilience

Belize took a major step toward a greener, more climate-resilient health system  with the integration of grid-tied solar systems across six public health facilities countrywide. PAHO, in partnership with the European Union and the Ministry of Health & Wellness, designed, installed, and commissioned over 1000 solar panels and battery storage systems, which generate an estimated 1800–2000 kWh per day, reducing carbon emissions by over 300 tons annually, providing excess power to the national grid, and saving costs. Advanced battery backup systems ensure uninterrupted electricity for critical services such as labor and delivery, emergency care, operating theaters, and life-saving equipment during grid outages, ensuring service continuity. Capacity-building for local staff with real-time monitoring through an app further enhances system performance. This initiative reduces fossil fuel dependence, lowers operational costs, and accelerates the transition to climate-smart health care in Belize. 

Accelerated implementation of the WHO Framework Convention on Tobacco Control and MPOWER strategies

PAHO provided technical cooperation to Belize for finalizing and tabling the National Tobacco Control Bill in the House of Representatives to accelerate implementation of the WHO Framework Convention on Tobacco Control and MPOWER strategies. Through wide consultations, stakeholders were given the opportunity to provide input and indicate support. Capacity-building on treating tobacco dependence was conducted for 37 healthcare providers to equip them with knowledge and skills to treat tobacco dependence, introduce tobacco cessation services at the primary health care level, and strengthen implementation of control measures at the district level. In collaboration with the U.S. Centers for Disease Control and Prevention, data from the Global Youth Tobacco Survey 2024 were analyzed to help inform interventions to reduce tobacco use among young people. These initiatives demonstrate the importance of sustained political will for the advancement of tobacco control measures at the country level, and the successful passing of the legislation will make Belize the country with the most comprehensive tobacco control legislation in the Caribbean.

    The Belize Health Sector Strategic Plan will advance the people-centered integrated approach to health care for the achievement of universal access.

 

Governance and stewardship in the health sector strengthened through development of the Belize Health Sector Strategic Plan

PAHO supported the Ministry of Health & Wellness to develop the new 10-year Belize Health Sector Strategic Plan 2025–2034 and the first two-year operational plan (2025–2026). This initiative is closely aligned with the PAHO Strategic Plan 2026–2031 and focuses on integration of programs around shared priorities guided by a results-based framework. The Belize Health Sector Strategic Plan will advance the people-centered integrated approach to health care for the achievement of universal access. The process strengthened internal coordination and created a practical management tool for monitoring implementation and accountability. Through collaboration with development partners and other national stakeholders, this ensures coherence with ongoing reforms and available resources. Beyond producing a plan, the process embedded a stronger culture of accountability.

Significant advancements achieved in strengthening mental health laws, services, and suicide reporting

In collaboration with the Ministry of Health & Wellness, PAHO provided technical cooperation to advance the updating of mental health laws, in alignment with international human rights treaties. Through capacity-building for police officers, revision of the crisis intervention training manual, and enhanced implementation of the Mental Health Gap Action Programme, community interventions for acute mental health crises were improved. Strengthening of surveillance was achieved through training on International Classification of Diseases 11th Revision coding and the development of a mental health dashboard to improve the accuracy of data quality and standardized methodologies for evidence-based decision-making. Through capacity-building for media operatives, responsible reporting on suicide and self-harm was strengthened and is being implemented and supported by a monitoring and evaluation framework for suicide reporting. These initiatives reflect Belize’s commitment to comprehensively address mental health issues and improve mental health care, including suicide prevention and control, with a focus on stakeholder collaboration and strengthened community involvement.

Stories from the field

 

 

Thinking beyond the inspection

For 13 years, Stephanie Castillo has thrived as a public health inspector, embracing work that shifts from port surveillance to water-testing. Thanks to PAHO’s support of the third cohort of the intermediate field epidemiology training program, her work has taken on a deeper purpose.

After completing the basic field epidemiology training program in 2015, Stephanie aimed to strengthen her use of data and epidemiology. Having missed the first two intermediate cohorts, she was especially grateful when PAHO made a third possible. The opportunity expanded her skills beyond enforcement into evidence-based action. “Because of this, our impact extends beyond the work,” Stephanie shared. “I stopped asking ‘What happened?’ I now ask, ‘What causes it?’ and ‘What can we do to prevent it?’”

Stephanie now uses data to spot patterns and assess risk. A national survey on the HEARTS initiative showed her how behaviors shape health trends. Even issues like improper apron use are now seen as critical for preventing cross-contamination and disease.

Finishing second in the program affirmed her perseverance. Today, she works more strategically and confidently, focused not just on compliance but on prevention, knowing everyone has a role in protecting public health.

 

Saving lives while supporting each other

At Belize’s National Police Training Academy, three officers shared how PAHO’s support in mental health and training on community first aid and response changed not just procedures but mindsets. For Assistant Superintendent Jermaine Hyde, Sergeant Leon Ferguson, and Corporal Evaristo Choc, the sessions opened conversations once considered taboo.“We were taught to ‘be a man’ and move on,” Leon admitted. “Now, we recognize stress early and create safe spaces to talk.”

The training helped them spot subtle signs such as withdrawal, aggression, and silence, and respond with support instead of punishment. Evaristo recalled helping a recruit struggling with grief and relationship issues. Because of the training, he was able to listen, connect him to professional help, and watch him graduate. “Without that training, I don’t think he would have made it,” he said.

Community first aid and response also built confidence beyond the classroom. Leon recently used the skills off duty to help a bleeding man until paramedics arrived. Jermaine shared the biggest takeaway was confidence: “We can go on a scene and know exactly what to do until help comes.” Because of PAHO’s support, the academy is even exploring a peer-support program. For these officers, the impact is clear: stronger police, saving lives, and supporting each other for safer communities.

A better lab for Belize

Reena Usher has worked at Belize’s Central Medical Laboratory for 13 years. Before retrofitting through PAHO and the European Union, the team worked in tight spaces with aging infrastructure. The upgrades changed that, with improved ventilation, modernized workspaces, and donated analyzers boosting morale and workflow.

“When they invest in the lab, it’s like they are investing in us and national health care,” said Reena.

Modern equipment eased workloads and improved turnaround time. Reena saw the lab’s strength during the COVID-19 pandemic, when the Central Medical Laboratory became the only testing site. Now, as it moves toward becoming a national influenza center, she sees a future of stronger surveillance and faster outbreak response.

“Behind every sample, a patient is waiting,” she shared.

Our partners

  • Attorney General’s Ministry of Belize
  • Belize Agricultural Health Authority
  • Belize Cancer Society
  • Belize Medical and Dental Association
  • Belize Police Department
  • Canadian Institute for Health Information
  • Caribbean Community Climate Change Centre
  • Caribbean Public Health Agency
  • Dalhousie University
  • European Union 
  • Executive Secretariat of the Council of Ministers of Health of Central America and the Dominican Republic
  • The Global Fund
  • Ministry of Economic Transformation
  • Ministry of Education, Culture, Science and Technology
  • Ministry of Foreign Affairs and Foreign Trade
  • Ministry of Health & Wellness
  • Ministry of Home Affairs and Enterprise
  • Ministry of Sustainable Development, Climate Change and Disaster Risk Management
  • National AIDS Commission
  • National Council on Ageing
  • National Drug Abuse Control Council 
  • National Health Insurance
  • National Meteorological Service of Belize
  • United Nations Country Team 
  • U.S. Centers for Disease Control and Prevention
  • University of Colorado
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