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National Health Sector Strategic Plan Consultation Exercise Commences in TCI

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#TurksandCaicos, October 26, 2021 – The Ministry of Health and Human Services along with its wider stakeholders on Monday, October 18, commenced a 3-day consultation and think tank exercise aimed at formulating a 4-year National Strategic Health Plan for the Turks and Caicos Islands.

This plan is expected to ensure that all residents have access to sustainable, comprehensive, high quality and affordable health services and programmes.

TCI Minister of Health and Human Services, the Honourable Jamell Robinson in his welcome remarks, commenced with thanks to the assembled team for both their presence and support in what he described as a multisector initiative targeted at developing a national health sector strategic plan.

Hon Robinson said, “I look forward to seeing this type of support continue throughout the entire process as we focus on achieving one common goal. If we are to succeed, it will be together, as a network of partners recognizing that each sector of society has a role to play in influencing population health.”

Hon. Robinson went on to state his and his government’s commitment to the attainment of the sustainable development goals and universal health care through collaboration, a resetting of health strategies and programming which will undoubtedly strengthen our health system. The Health Minister said, “The next four years will offer us significant challenges, but there has never been a greater opportunity to improve the health and wellbeing of the TCI residents than now. There must be that renewed commitment to tackle the wider determinants of health by adopting the Health in All Policies (HiAPs) approach across all sectors. We have the opportunity to make improving the public’s health a top priority by strengthening the collaborative approach between stakeholders to better use resources and information in order to build a more resilient health system.”

Also addressing the group comprising Ministry of Health personnel, wider government partners, stakeholders, NGO’s and private health care facilities was Permanent Secretary in the Ministry of Health and Human Services, Mrs. Desiree Lewis. Mrs. Lewis said that her aim is to see the production of a continuously edited and updated dynamic paper, which she referred to as a living document. She also commented, “It is my desire to have a living document that provides a strategic roadmap for HealthCare services within the Turks and Caicos that incorporates lessons learned particularly from Public Health diseases such as COVID-19. As a country, we have to continue to think outside the box and utilize modern technologies in HealthCare.”

TCI’s strategic planning exercise is being supported by its key regional partner the Pan American Health Organization (PAHO) Bahamas and Turks and Caicos Office. The PAHO/WHO representative (PWR) Dr. Eldonna Boisson commented on the exercise stating, “The National Turks and Caicos Islands Strategic Plan for Health is essential to give direction to all health-related work, that of the health sector, as well as that of other sectors and partners. This COVID-19 pandemic has taught us the importance of partnership and a whole of government approach to tackling health and health-related issues. This plan will specify the public health results to be achieved during the period of the plan, The plan will also define concrete health outputs and outcomes, keeping in mind national, regional and global commitments, that will directly measure the health sector’s progress in delivering quality healthcare to the people of Turks and Caicos Islands. The Pan American Health Organization/World Health Organization (PAHO/WHO) is pleased to be collaborating with the Ministry and partners on the development of this new national strategic plan.”

Hon. Robinson recognised the many past accomplishments made in the health sector which he attributed to the shaping of government’s primary objectives as well as the health sector. Minister of Health Robinson in closing said, “This plan once finalised must align with the overall strategic direction of the government and respond to the challenges facing our health and community service systems and our residents. Our health system is extremely important and must realise the health development of the individual, the family and the society throughout our beloved Turks and Caicos Islands.”

The Ministry wishes to thank all of the participants for their commitment and support in this exercise as well as PAHO for their ongoing support and guidance.

 

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Bahamas News

More Bahamians Accessing HIV, STI Care Through NHI

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NASSAU, Bahamas — More Bahamians are accessing HIV and sexually transmitted infection-related healthcare through National Health Insurance, a trend the NHI Authority says should be viewed positively.

NHIA stressed in an August 6 statement that its 2025 figures measure healthcare utilisation, not newly diagnosed infections. They include beneficiaries screened, treated, monitored or receiving follow-up care, including people diagnosed previously.

“Increased utilisation of these services should be viewed as a positive development,” NHIA said.

The Authority pointed to “greater enrolment and use of NHI, improved access to screening and testing, continued treatment and monitoring of existing conditions, and increased willingness to seek medical care.”

The development comes amid a mixed three-year HIV picture. New diagnoses rose from 130 in 2023 to 156 in 2024, before declining to 142 in 2025.

NHIA said increased utilisation demonstrates that more beneficiaries are accessing needed healthcare and actively managing their health, reinforcing the importance of screening, early diagnosis and continued treatment.

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Health

47,459 MEASLES CASES, 44 DEATHS ACROSS AMERICAS  

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WASHINGTON, D.C. — The Americas has recorded 47,459 confirmed measles cases and 44 deaths in 2026, the region’s highest case count in 22 years, prompting the Pan American Health Organization (PAHO) to urge stronger vaccination, surveillance and rapid outbreak response.

As of July 18, cases were already more than triple the 15,011 recorded during all of 2025. Guatemala, Mexico, the United States and Peru account for 95% of confirmed cases. Guatemala leads with 30,371 cases and 26 deaths, followed by Mexico with 12,255 cases and 17 deaths.

PAHO classifies the regional public health risk as very high, citing active outbreaks, immunity gaps, international travel and populations with inadequate vaccination coverage.

The organization says prevention starts with vaccination. Countries are being urged to achieve and maintain at least 95% coverage with two doses of measles-containing vaccine, particularly protecting children and under-vaccinated communities.

Measles spreads through the air when an infected person breathes, coughs or sneezes. Symptoms can include fever, cough, runny nose, red eyes and a rash.

PAHO is urging health authorities to detect suspected cases early and respond rapidly to stop transmission. Unvaccinated and under-vaccinated people, young children and communities with limited healthcare access face increased risk of severe illness and death.

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Caribbean News

From Pathways to Investment: Tackling the US $6 Billion Food Challenge for the Caribbean

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By Kenroy Roach

The Caribbean’s food systems challenge is fast evolving into a broader development challenge.

Despite decades of policy attention and investment, the region remains one of the most food import-dependent in the world, spending over US$6 billion annually. At the same time, countries continue to grapple with food insecurity, high rates of diet-related non-communicable diseases, climate vulnerability, and exposure to external shocks that can disrupt supply chains and drive up food prices almost overnight.

For Small Island Developing States (SIDS), food security has shifted from an agriculture focus alone, it’s about economic resilience, health, climate resilience and sustainable growth.

Recognizing this reality, Caribbean governments have elevated food systems transformation as a regional priority through the CARICOM 25 x 25 Plus Five Agenda, which seeks to reduce food import dependence while strengthening domestic production, regional trade, and resilience. Across Barbados and the Eastern Caribbean, governments have also developed National Food Systems Pathways that identify the investments, partnerships, and policy reforms needed to transform food systems and accelerate progress toward the Sustainable Development Goals (SDGs).

Yet one challenge has remained persistent: financing.

In the face of high levels of public debt and limited fiscal space, while public investment remains critical, Caribbean governments simply cannot shoulder the financing burden alone. Transforming food systems at scale requires mobilizing far greater private capital, alongside development finance and public resources.

This was the rationale behind the recent convened in Barbados.

The Forum brought together governments, investors, international financial institutions, private sector leaders, regional organizations, and the United Nations around a simple proposition: food systems should be viewed not only as a development priority, but also as an investable asset class.

A distinguishing feature of the innovative gathering was its focus on attracting private investment—particularly private equity, impact investment, and blended finance solutions capable of supporting businesses and infrastructure across food value chains. By helping enterprises access growth capital and connecting investors with scalable opportunities, the initiative sought to unlock financing that complements public investment rather than adding to already constrained public balance sheets.

A key outcome was the launch of a regional Deal Book comprising approximately US$320 million in investment opportunities across seven countries, spanning agriculture, fisheries, agro-processing, logistics, and strategic food systems infrastructure. The Deal Book created a practical bridge between capital seeking opportunities and opportunities seeking capital, while enabling direct engagement between governments, enterprises, and investors.

The results were encouraging.

Across four sector-focused deal rooms, participants explored investment-ready and near-investment-ready opportunities and discussed blended finance private equity, risk-sharing, and partnerships to advance projects toward implementation.

The Forum highlighted a shift in perspective: food systems are now seen as strategic drivers of economic diversification, resilience, competitiveness, and growth. Investments across production, processing, logistics, and distribution can strengthen regional supply chains, create new businesses, generate jobs, and reduce vulnerability to external shocks.

For the United Nations, this experience reinforced an important lesson.

Transforming food systems requires more than the technical expertise of individual agencies. It requires integrated solutions that connect agriculture, nutrition, health, climate resilience, trade, private sector development, and financing.

This is where the Resident Coordinator System plays a critical role.

Across Barbados and the Eastern Caribbean, the Resident Coordinator Office has united UN system capabilities around a common food systems agenda. Working with FAO, WFP, the UN Food Systems Coordination Hub, and other partners, the RCO has helped align policy support, technical expertise, partnerships, and financing with nationally identified priorities.

The Forum demonstrated this integrated approach by convening governments, investors, development finance institutions, private sector actors, and UN agencies around a common objective. It showcased the UN’s comparative advantage as a trusted broker capable of connecting development priorities with investment opportunities.

The Forum’s success will be measured not by dialogue generated, but by investments mobilized, businesses expanded, and progress made toward resilient, competitive Caribbean food systems across the Caribbean.

Its most important outcome may therefore be what comes next.

The work starts now.

Kenroy Roach is Head of the UN Resident Coordinator Office for Barbados and the Eastern Caribbean

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