1 / 14

Accra Beach Resort, Christchurch ,Barbados, 19 – 20 March, 2012

High Level Meeting on Human Resources for Health in the Caribbean. Overview of the Health Situation in Caribbean Situation Rudolph Cummings, CARICOM. Accra Beach Resort, Christchurch ,Barbados, 19 – 20 March, 2012. Policy references.

dextra
Download Presentation

Accra Beach Resort, Christchurch ,Barbados, 19 – 20 March, 2012

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. High Level Meeting on Human Resources for Health in the Caribbean Overview of the Health Situation in Caribbean Situation Rudolph Cummings, CARICOM Accra Beach Resort, Christchurch ,Barbados, 19 – 20 March, 2012

  2. Policy references • Nassau Declaration of 2001 – “the Health of the Region is the Wealth of the Region” • Caribbean Cooperation in Health III (CCH III) • Report of the Caribbean Commission on Health and Development • Port of Spain Declaration on NCDs- Uniting to fight the scourge of NCDs

  3. CCH III – 8 Thematic priorities • - Communicable Disease • - Non-Communicable Disease • - Health Systems Strengthening • - Environmental Health • - Food and Nutrition • - Mental Health • - Family and Child Health • - Human Resource Development

  4. Five areas for functional cooperation • 1. Creation of a Healthy Caribbean environment conducive to promoting the health of its people and visitors • 2. Improved health and quality of life for Caribbean all people throughout the life cycle. Adding years to life and Life to Years • 3. Responsive Health Services - effectively meeting and adapting to the needs of the Caribbean people • 4. Human resource capacity developed to support infrastructure development in health in • the Region • 5. Evidence-based decision making to be the mainstay of policy development in the Region

  5. Caribbean Commission on Health and Development • Intended a Caribbean comparator to the Sachs Commission Report on Global Health and Development • Precursor to the Millennium Development Goals MDGS • Confirmed the high burden of Non-Communicable Diseases

  6. Caribbean Health Situation • High burden of NCDs – Obesity is critical risk factor • Heart Disease, Stroke, Cancer and Diabetes are among the first five leading causes of death • The Region has met global immunisation targets for coverage both in relation to traditional childhood vaccines and has pursued vigorously new and unused vaccines – Mumps, Rubella, Hep B, H.influenzae B. and now Rota V., Pneumo and HPV • Measles and Congenital Rubella Syndrome Elimination on track

  7. Caribbean Health Situation • The incidence of AIDS and AIDS related mortality has decreased significantly with advances in treatment penetration • HIV prevalence hovers around 1.1 percent with the Region striving for the Elimination of MTCT by 2015 • Four CARICOM Member States have endemic malaria in specific settings • Tb incidence is low but real issues with MDT especially related to AIDS • Dengue and Dengue Haemorrhagic are among new threats

  8. Challenges • Low IMR relative to the global trends in developing countries have presented a formidable challenge to achieve MDG related reductions – TT, Surinam and Guyana are outstanding. • Similarly for MMR reductions Surinam, Guyana and Jamaica are outstanding • Adjusted targets for HIV/AIDS are aggressively being pursued – treatment penetration increasing and an enhancement to prevention

  9. New Morbidities • Obesity • NCD burden • Violence and injuries • Rampant drug use • Suicide • An aging population

  10. Health systems needs • Pursuit of complementary inputs from non-health sector – multi-sector approaches needed • Health services integration of infectious diseases services – AIDs,Tb, Mental Health, • Solving health financing – Jamaica and TT models for NCDs • Strengthening Health Information Systems for planning – One of the Mandates of Nassau

  11. Social Settings • Growing inequity • Economic stagnation • Escalating unemployment • Migration • Criminalisation of the society – drugs and arms

  12. HR factoids • 3 countries are not yet at the WHO 25 Health Workers/10000 pop • 78% of health workers in Public Sector even though private care costs accounts for more that 50% of care costs • Out migration is pegged at 81% for Nurses • Nurse to Pop 12.5/10,000. 30% vacancy in Public Sector • Physician migration rate is also high 53% • Dentist to population ratio is relatively low.

  13. HR Challenges • Slow transition of training programs to academic settings • Further harmonisation of curricula required • Attrition and failure in Nurse programs high • Incentives in public sector a problem • Continuing education a challenge in small labor markets • Resistance to task shifting • Inequitable access in some environments to care

  14. CARICOM Initiatives • CSME provides an opportunity for harmonisation of qualifications and professional regulation. • CAAM-HP • RENR • CAMC • CPA Exam

More Related