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New Agenda for the Americas in Mental Health Announced by PAHO 

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By Rashaed Esson

Staff writer

 

June 18, 2023 – As mental health continue to experience an elevated profile as a global health priority, PAHO reports, “A New Agenda for Mental Health in the Region of the Americas,” was launched on June 9th, 2023, and it highlights recommendations to better address mental health in the Americas following the COVID-19 pandemic which has worsened mental health issues.

The report comes following the establishment of the High-Level Commission on Mental Health and COVID-19, in May of 2022, which comprised 17 experts from Government, civil society, academia as well as those with lived experience of mental health conditions.

Their job was to give guidance to PAHO and its Member States on how to advance mental health in the Region during and after the pandemic.

The report provides countries with ten recommendations to improve mental health care and they are:

  • Elevate mental health at the national and supranational levels.
  • Integrate mental health into all policies.
  • Increase the quantity and improve the quality of financing for mental health.
  • Ensure the human rights of people living with mental health conditions.
  • Promote and protect mental health across the life course.
  • Improve and expand community-based mental health services and care.
  • Strengthen suicide prevention.
  • Adopt a gender transformative approach to mental health.
  • Address racism and racial discrimination as a key determinant of mental health.
  • Improve mental health data and research.

In light of this, Dr. Jarbas Barbosa  Director of the PAN American Health Organization (PAHO) called leaders and decision makers to take action, making sure mental health is placed at the top of political agendas and woven into all sectors and policies to better address the growing issue especially after the pandemic.

PAHO expressed that even though mental health has historically been a significant source of disability and mortality in the Americas, responsible for almost one-third of all years lived with a disability, the pandemic increased the risk factors including, grief and loss, unemployment and financial insecurity, and this was emphasized by Barbosa speaking at the launch. He maintained that COVID-19 severely impacted the mental health of the population of the Americas; hence the importance of the recommendations in the report.

In addition to the increase in mental health issues, the preponderance of those with a condition do not receive the necessary care whether that be therapy or medication.

PAHO reports that in 2020 more than 80 percent of those with a severe mental health condition, psychosis included, did not receive treatment.

This partly due to a lack of access to services to help with mental health and Barbosa expressed this is due to a variety of factors before the pandemic including: “low investment, only 3% of countries’ health budgets are allocated to mental health; a reliance on long-stay hospitalization when the majority of mental health problems can be resolved in the community; a chronic shortage of trained mental health personnel; and reduced access to services for those living in vulnerable situations.”

Considering the report as well as the facts highlighted, investing in mental health is key to bring about the best result in mitigating its impact on people of the Americas, and Dr. Epsy Campbell Barr, Chair of the Commission and former Vice-President of Costa Rica, spoke to this saying, “Investing in mental health is crucial to promote equitable and sustainable human development for all to live with well-being and dignity,” further fingering that mental health is a public issue, not private, which requires urgent and immediate attention.

In continuation, Dr. Nestor Mendez, Co-Chair of the Commission and Assistant Director General of the Organization of American States, expressed that mental health is now in their hands, that is the leaders in the region, to change how they approach handling it.

PAHO made reference to mental health statistics throughout the Americas, further highlighting the importance of addressing it in the best way possible.

Some of the statistics say:

  • In 2020, during the COVID-19 pandemic, major depressive disorders increased by 35 percent  and anxiety disorders by 32 percent .
  • 65 percent of countries reported disruptions to essential mental health and substance use services in 2020. This number has decreased to 14 percent  in early 2023.
  • 8 our of 10 individuals with a severe mental health condition do not receive treatment
  • Suicide claims the lives of nearly 100,000 people each year.
  • The regional age-adjusted suicide rate increased by 17 percent between 2000 – 2019.
  • Depressive and anxiety disorders are the third and fourth leading causes of disability.

Mental health should not be taken lightly and should be treated like any other illness as it is in fact an illness and is just as dangerous as visually physically conditions.

Caribbean News

Pres Ali declares three days of national mourning following MV Barima tragedy July 21, 2026

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His Excellency Dr Mohamed Irfaan Ali has declared three days of national mourning following the tragic loss of lives in the M.V. Barima incident, as the nation continues to grieve alongside the families and communities affected.

The period of national mourning will be observed from Wednesday, July 22, through Friday, July 24, 2026, in honour of the victims of the tragedy. During this time, the National Flag will be flown at half-mast on all Government buildings and other appropriate locations across the country.

As part of the observances, Wednesday, July 22, has been designated a National Day of Prayer. A National Day of Prayer and Remembrance will be held at the Kingston Seawall in Georgetown, bringing together citizens in solidarity to honour the lives lost and offer support to grieving families.

The programme of remembrance will continue with a Night of Reflection and Prayer in Port Kaituma on Thursday, July 23, followed by another observance in Mabaruma on Friday, July 24.

The government is also encouraging religious organisations, civic groups and citizens throughout Guyana to organise candlelight vigils and moments of prayer during the three days as the nation collectively reflects on the tragedy and pays tribute to the victims. The declaration of national mourning underscores the government’s commitment to standing with the bereaved families and affected communities as Guyana mourns one of the country’s most heartbreaking maritime tragedies.

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Bahamas News

CARICOM Targets Affordability as Bahamas, TCI Continue to Feel the Pinch  

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By Deandrea Hamilton

 

Cheaper shipping. Lower energy costs. Better access to healthcare. Stronger consumer protections.

Those are among the measures CARICOM Heads of Government believe could finally begin reducing the stubbornly high cost of living for millions of people across the Caribbean.

Meeting in Saint Lucia, regional leaders agreed that making life more affordable must become one of the Community’s highest priorities. Their emerging strategy includes reducing freight costs through a regional ferry service, accelerating renewable energy projects to lessen dependence on imported fuel, expanding regional healthcare partnerships, strengthening consumer protection, and encouraging governments to adopt successful cost-of-living measures already being implemented across the Caribbean.

“Our discussions over the past four days were guided by one central objective – ensuring that CARICOM delivers results that people can see and feel in their everyday lives,” CARICOM Chairman and Saint Lucia Prime Minister Philip J. Pierre said.

Few places may welcome that relief more than The Bahamas and the Turks and Caicos Islands.

Although inflation has moderated in both countries from the sharp increases experienced following the pandemic, the cost of living remains stubbornly high. Families continue to complain about grocery bills that stretch household budgets, rising housing costs, expensive electricity, healthcare expenses and fuel prices that remain among the highest in the region.

Governments have responded.

In The Bahamas, successive reductions in Value Added Tax on selected goods and other targeted tax measures have sought to ease pressure on consumers. In the Turks and Caicos Islands, the Government this weekend opens applications for its $500 Cost of Living Relief Programme, acknowledging that many households continue to struggle despite the country’s economic success.

Yet affordability remains elusive.

The contradiction is difficult to ignore.

The Turks and Caicos Islands continues to post one of the region’s strongest tourism-driven economies, with robust investment, record visitor spending and sustained construction activity. The Bahamas has also strengthened its economic position, earning improved sovereign credit ratings as tourism, government revenues and fiscal performance continue to recover.

Yet those encouraging economic indicators have not translated into noticeably lower household expenses.

The reason is largely structural.

Both The Bahamas and the Turks and Caicos Islands produce relatively little of what they consume. Food, fuel, medicines, vehicles, building materials and countless household essentials are imported. Both countries also record significant trade deficits, illustrating their dependence on overseas suppliers. Every increase in global shipping costs, fuel prices or supply chain disruptions is eventually reflected in supermarket prices, utility bills and the cost of everyday living.

That is why CARICOM’s agenda matters.

If regional leaders succeed in lowering freight costs through an inter-island ferry network, expanding renewable energy, improving regional cargo movement, strengthening consumer protections and making healthcare more accessible through cooperation, the benefits could extend far beyond government balance sheets.

For Bahamians and Turks and Caicos Islanders, success will not be measured by another tourism record or another credit rating upgrade. It will be measured at the supermarket checkout, on the monthly electricity bill, at the gas pump and in the simple ability to afford a better quality of life.

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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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