The Forum of "Key Stakeholders on NCDs: Advancing the NCD Agenda in the Caribbean" was a high level meeting were health leaders from throughout the Caribbean convened to discuss actions to intensify efforts to tackle chronic diseases and their risk factors.
The meeting concluded with Caribbean leaders renewing their commitment to the principles set out in CARICOM's 2007 Port of Spain Declaration as well as in the 2011 political declaration of the United Nations' High-level Meeting on the Prevention and Control of NCDs and the formal 2014 U.N. review of progress on NCDs.
They urged stepped-up efforts using all-of-government and all-of-society approaches to tackle NCDs and called for greater investments in health systems to reverse what they termed a "tsunami" that threatens economic and social development throughout the subregion. According to the current trends, and despite the efforts implemented to reduce the impact of NCDs and address their risk factors, the Caribbean countries will not meet the goal of educing NCD deaths by 25% by 2025.
The Forum aimed to discuss the route to intensify these efforts in three main areas:
- Cost effective measures to address NCDs main risk factors,
- How to strengthen health systems and improve care for NCDs
- How to engage sectors beyond health to support and participate in efforts to reduce the impact of NCDs.
The discussions were organized in a double perspective, technical and political, and included the participation of representatives of UN agencies, collaborating agencies from Canada and the United States, development banks, academia and civil society. The Forum of Key Stakeholders on NCDs was held on 8-9 June in Bridgetown, Barbados.
Specific measures discussed
- The role of legislation and regulations in modifying unhealthy environments and reducing exposure to tobacco, harmful use of alcohol, unhealthy diet and physical inactivity (the top four NCD risk factors) .
- Multisectoral action, with whole-of-government and whole-of-society approaches that place health as an economic asset, required for economic development and to create supportive environments for health and well-being.
- A comprehensive health-system response to NCDs that includes prevention and affordable access to health care, in the context of universal access and universal health coverage.
- Stronger surveillance and improved monitoring systems to measure countries' progress in tackling NCDs and risk factors.
- Innovative ways to efficiently and sustainably finance health systems and especially their response to NCDs and related risk factors, given the rising costs of care.
- Strategies for ensuring that NCDs remain a high priority on the Caribbean political agenda.
Caribbean leadership in NCDs
Caribbean countries have shown considerable leadership on NCDs at the political level. In addition to CARICOM's 2007 Port of Spain Declaration, which set out 27 commitments for addressing NCDs, Caribbean leaders provided the main impetus for the 2011 United Nations High Level Meeting on Prevention and Control of NCDs. The Caribbean leaders fully endorsed the PAHO Regional Paln of Action on the Prevention and Control of Noncommunicable Diseases, 2013-2019 which defines the multi-sector policies, health service and surveillance actions needed to achieve the reductions in NCD mortality.
Presentations and technical documents
pdf Technical remarks - Impact of NCDs in the Caribbean Dr. Anselm Hennis, Director, Department of Noncommunicable Diseases and Mental Health, PAHO/WHO
PANEL 1: NCDs IN THE CARIBBEAN - CHALLENGES AND OPPORTUNITIES
- Key messages: pdf Challenges and Goals 2025
- pdf GMF Gap Data Analysis Scorecard
- NCDs Key narrative for public policy makers
Assessing progress in the Caribbean since the Port of Spain Declaration
. Dr. Nigel Unwin, Chair of Population Health Sciences, Chronic Disease Research Centre, Tropical Medicine Research Institute, University of the West Indies.
- pdf Overview of the NCD global commitments Dr. Bente Mikkelsen, Senior Advisor, Global Coordination Mechanism Secretariat for NCDs, World Health Organization
- pdf Challenges and goals for 2025 achieving the NCD targets in the Caribbean . Dr. Anselm Hennis, Director, Department of Noncommunicable Diseases and Mental Health, PAHO/WHO
- pdf Decisive action on prevention - Suriname sets a regulatory framework for effectively reducing tobacco use and increasing alcohol taxes . Dr. Marthelise Eersel on behalf of the Hon. Dr. Michel Blokland, Minister of Health, Suriname
PANEL 2: HEALTH SYSTEMS' RESPONSE TO NCDs TO ADVANCE TOWARDS UNIVERSAL ACCESS TO HEALTH AND UNIVERSAL HEALTH COVERAGE
- Key Messages: pdf Health Systems Response to NCDs under UAUHC .
- pdf Universal access to health and universal health coverage: an opportunity to strengthen health systems' response to NCDs .Dr. James Fitzgerald, Director, Department of Health Systems and Services, PAHO/WHO
- pdf Innovative Funding Strategies for NCDs and Risk Factors Dr. Karl Theodore, Director, Centre for Health Economics, Faculty of Social Sciences, University of the West Indies
- pdf Jamaica: Country experience in advancing universal health coverage. Dr. Marion Bullock DuCasse, Chief Medical Officer, Jamaica
PANEL 3: KEEPING NCDs AS A POLITICAL PRIORITY IN THE CARIBBEAN
- Background paper: pdf Economic and political context of NCD policy making . Prof. Andy Knight and Dinah Hippolyte.
- pdf Political Economy of Noncommunicable Disease Policy in the Caribbean. Prof. Andy Knight.
- pdf Declaration of Port of Spain: Uniting to stop the epidemic of chronic NCDs
- Global Action Plan for the prevention and control of NCDs 2013-2020 (WHO)
- Plan of action for the prevention and control of NCDs in the Americas 2013-2020 (PAHO)
- Noncommunicable Diseases Global Monitoring Framework: Indicator Definitions and Specifications
Post Meeting Documents
- pdf Comprehensive Meeting Report. Forum of Key Stakeholders on NCDs: Advancing the NCD Agenda in the Caribbean . pdf Fact-sheet: NCDs in the Caribbean
- pdf Fact-sheet: NCDs in the Caribbean
- Caribbean Unity in Health "Love that body" (Evaluation of Port of Spain Declaration)