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CARPHA and IDB Sign Landmark Pandemic Fund Technical Cooperation Agreement for Reducing the Public Health Impact of Pandemics in the Caribbean

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#Trinidad, December 15, 2023 – The Caribbean Public Health Agency (CARPHA) and the Inter-American Development Bank (IDB) held a landmark Public Signing Ceremony for the Pandemic Fund (PF) Technical Cooperation (TC) Agreement (“Reducing the Public Health Impact of Pandemics in the Caribbean through Prevention, Preparedness, and Response” [RG-T4387] Project) on December 14, 2023, at the Scarlet Ibis Room, Hilton Trinidad and Conference Centre. The Agreement was signed by Dr. Joy St. John, Executive Director, CARPHA and Ms. Carina Cockburn, IDB Country Representative for Trinidad and Tobago.

The Pandemic Fund (PF) is the first multilateral financing mechanism dedicated to providing multiyear grants to help low- and middle-income countries become better prepared for future pandemics. The PF’s first Call for Proposals provides additional financing to strengthen prevention, preparedness and response (PPR) capabilities, and address critical gaps in countries through investments and technical support at the national, regional and global levels. It is also expected to support and reinforce capacity building and implementation of PPR under the IHR (2005) and other frameworks, consistent with the One Health approach. [Pandemic Fund Allocates First Grants to Help Countries Be Better Prepared for Future Pandemics (worldbank.org)]

CARPHA’s regional entity proposal was successfully selected in July 2023 for the first round of PF financing, with CARPHA as the Executing Agency and IDB as the Implementing Entity.  It was one of only 19 proposals selected from over 300 submissions and the only regional project. This regional project, with CARPHA as beneficiary and CARPHA Member States as the participants, serves to support CARPHA in reducing the public health impact of pandemics in the Caribbean region, whilst building pandemic prevention, preparedness and response (PPR) through strengthening i) disease surveillance and early warning systems (EWS), ii) laboratory systems and iii) workforce capacity, regionally at CARPHA and at country levels.  Dr. Lisa Indar, Director, Surveillance, Disease Prevention and Control Division is the Project lead at CARPHA and Mr. Ramiro Guerrero, Principal Sector Specialist of IDB Headquarters and Mr. Ian Ho-a-Shu, Senior Health Specialist of IDB Country Office, Trinidad and Tobago, are the leads from the IDB.

In recent years, the Caribbean region has experienced many infectious disease outbreaks, including COVID-19, Cholera, Chikungunya, Dengue, Norovirus, H1N1, Mpox, SARS and Zika, which have had profound human, economic and social impacts. Pandemic PPR needs to be improved not only at the national levels, but at the regional level, as functional regional capacities can achieve the economies of scale and necessary coordination/integration that small territories cannot achieve on their own.

The Agreement signing in December is, as a result of rigorous preparation activities by CARPHA and IDB, culminating with the IDB Board of Directors’ approval in just three months on November 15th, 2023. Remarks for this milestone event were delivered by Mr. Cassanni Laville, Chairman of the CARPHA Executive Board, and Council for Human and Social Development (COHSOD), the Honourable Minister of Health, Wellness and Social Services, Dominica, Mr. Terrence Deyalsingh, Honourable Minister of Health, Trinidad and Tobago, Ms. Carina Cockburn, IDB Country Representative for Trinidad and Tobago, Dr. Joy St. John, Executive Director, CARPHA, Dr. Lisa Indar, Pandemic Fund Project Director, CARPHA, Dr. Mark Sami, Director, Corporate Services and Dr. Priya Basu, Executive Head of the Pandemic Fund, with Ministers of Health, Chief Medical Officers, the Pandemic Fund Secretariat, CARPHA partners and CARPHA Divisional Management Team in attendance.

In his welcome remarks, Dr. Mark Sami, Director, Corporate Services, CARPHA, stated “The signing of this Pandemic Fund Technical Cooperation Agreement between CARPHA and the IDB represents a great milestone for this Region, as we prepare to successfully respond to public health emergencies”.

Mr. Cassanni Laville, Chairman of CARPHA’s Executive Board and the Council for Human and Social Development (COHSOD), and Honourable Minister of Health, Wellness and Social Services, Dominica, said “This signing  signifies the start of a new phase for CARPHA, IDB and Member States as it commemorates regional collaboration and partnership as the firm foundation for the successful implementation of the Pandemic Fund grant which will support a significant body of  work over a three-year period, toward the goal of reducing the public health impact of pandemics in the Caribbean region”.

Mr. Terrence Deyalsingh, Honourable Minister of Health, Trinidad and Tobago, stated “We must ensure that decisive plans are laid for future generations, which will assist in the strengthening of capacity to prevent, detect and respond to public health emergencies.  Today’s historic public signing ceremony for the Pandemic Fund Technical Cooperation Agreement, is a major and fundamental step toward the attainment of these goals, as the formalisation of this agreement will allow countries in the Americas to adopt the necessary technological systems needed for emergency and early response warning systems.”

Dr. Joy St. John, Executive Director, CARPHA, shared “This signing is solidifying the formal agreement between the IDB and CARPHA, but it is only the start to what this landmark investment can do to foster sustained and effective pandemic preparedness and response in the region.  CARPHA will maintain its proud legacy of implementation through engagement with its key stakeholders in such a way that we build trust within our Member States (MS).  To do this, CARPHA is building a robust monitoring and evaluation framework, enforcing accountability and practicing ethically sound principles in the transparent execution of this project along with our MS and the IDB”.

Dr. Lisa Indar, Director, Surveillance, Disease Prevention and Control and Project Lead remarked “This Project is especially needed in the region, as the Caribbean is uniquely characterised by small, under-resourced populations and varying surveillance, laboratory and human resource capacities. It is also highly interconnected with porous borders, heavily reliant on tourism, and susceptible to climatic change and disasters. This combination of factors significantly increases the region’s exposure and vulnerability to pandemic risks, enabling rapid spread of highly transmissible communicable diseases. A regional approach is key, as when a public health emergency affects one of us, it affects all of us, as diseases know no boundaries”.

Ms. Carina Cockburn, IDB Country Representative for Trinidad and Tobago, noted “The IDB Country Strategy for Trinidad & Tobago (2021-2025) focuses on digital transformation, and it is fitting to see that CARPHA has prioritised the use of digital tools and technology in advancing digital health in the region.”  She added, “In a few years we can expect to see some really amazing results from this operation: Laboratory networks will expand; national biosafety, biosecurity, and lab quality management will improve; and workforce capacity will be strengthened.  We also look forward to seeing enhanced national and regional coordination, collaboration and information flow for detecting and managing outbreaks and regional public health emergencies across sectors and borders”.

Dr. Priya Basu, Executive Head of the Pandemic Fund at the World Bank, shared that “The Pandemic Fund is pleased to partner with CARPHA and the Inter-American Development Bank to support this important project, which holds the promise of building the Region’s resilience to future pandemicsToday’s signing marks a crucial step in our shared commitment towards global health security. “

This project is expected to begin implementation in January 2024 kicking off with a CARPHA-IDB mission and the fulfilment of the key positions in the Project Execution Unit.

 CARPHA remains committed to working together with the IDB, CARPHA Member States and the Pandemic Fund to successfully implement the regional proposal geared toward reducing the public health impact of pandemics in the Caribbean.

Captions for Attached Photos:

Header: From Left to Right: Dr. Mark Sami-Corporate Services Director, CARPHA; Dr. Joy St. John, Executive Director, CARPHA; Ms. Carina Cockburn-IDB Country Representative for Trinidad and Tobago; The Honourable Minister of Health, Trinidad and Tobago-Mr. Terrence Deyalsingh and Dr. Lisa Indar-Pandemic Fund Project Director and Director, Surveillance, Disease Prevention and Control, CARPHA

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  1. Dr. Joy St. John, Executive Director, CARPHA (Seated Left) and Ms. Carina Cockburn (Seated Right), IDB Country Representative for Trinidad and Tobago, sign the Pandemic Fund Technical Cooperation Agreement while Dr. Lisa Indar and Dr. Mark Sami – CARPHA Directors look on.

 

  1. Minister of Health, Trinidad and Tobago, Mr. Terrence Deyalsingh attends (in person) the public signing ceremony of the Pandemic Fund Technical Cooperation Agreement between CARPHA and the IDB at the Hilton Trinidad and Conference Centre

 

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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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Caribbean News

Returning Haitians Could Be the Answer Haiti Has Been Praying For  

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Deandrea Hamilton | Editor

What if we rejected the notion that Haitians flourish best only when they are outside of Haiti? What if the next great Haitian success story is not another exodus, but a hearty homecoming? For years, the conversation has been steered toward ushering Haitians out of Haiti. Having witnessed the indomitability of the Haitian people, I feel compelled to point out that a U.S. Supreme Court decision may force us to see what has been staring us in the face all along: the solution may be hundreds of thousands of Haitians themselves.

As thousands of Haitians in the United States prepare for the end of Temporary Protected Status (TPS)—a humanitarian programme created under U.S. law as a temporary protection, not a permanent immigration pathway—the conversation should extend beyond American immigration policy. It should turn to Haiti’s future.

History offers perspective. An estimated 20,000 to 30,000 Haitian revolutionaries defeated Napoleon’s forces and secured independence in 1804, making Haiti the first Black republic and the second independent nation in the Western Hemisphere. Now imagine the force of more than 300,000 Haitians returning with skills, discipline and experience gained in the world’s largest economy.

Add to that, Haiti is itself sending a clear message: the country needs its people.

I found a report from the Armed Forces of Haiti (FAd’H) which recently announced that 17,722 applicants came forward in just 11 days during its latest recruitment campaign. A second recruitment phase is planned and will specifically target professionals in law, engineering, medicine and other technical fields, as the country works to strengthen institutions, restore security and prepare for the future.

Coincidentally—or perhaps providentially—many of the Haitians now facing the end of TPS are not returning empty-handed. They include thousands of nursing assistants, caregivers, mechanics, delivery drivers, warehouse workers, agricultural workers, hotel employees, cooks, retail workers, security officers, landscapers, school assistants and property managers. They are returning with years of experience gained inside the world’s largest economy. They have learned trades, embraced innovation, worked within structured systems, met professional standards and developed the practical skills every successful nation depends upon.

These are not simply returning migrants.  They may be the human capital Haiti needs most.

For generations, Haitians have become experts at surviving and thriving in other lands. They have endured political upheaval, natural disasters, poverty, insecurity and displacement with extraordinary resilience. But survival and escape  cannot build their nation. At some point, survival must give way to rebuilding. And hope for home must command action. It requires people willing to invest not only in their families, but in the future of the country itself.

For decades, the Haitian diaspora has faithfully sustained families through remittances. That generosity has been indispensable. But rebuilding Haiti will require something remittances alone cannot provide. It will require human capital—teachers in classrooms, nurses in clinics, engineers on construction sites, entrepreneurs creating jobs, police protecting communities, judges strengthening the rule of law, and citizens committed to rebuilding the institutions that hold a nation together.

Anyone who has spent time in Haiti knows it is far more than the headlines. It is a nation of breathtaking mountains, secret waterfalls, fertile valleys and rice paddies. It is a land of remarkable creativity, deep faith, natural entrepreneurs, rich culture and resilient people. It is the oldest republic in Latin America and the Caribbean and the first Black republic in the modern world. Above all, it is a country worth fighting for.

Perhaps the fight itself now needs to change.

For too long, the world has defined Haiti by its crises. Haitians know it by its promise. The next fight should not simply be to survive, but to rebuild—to inject a new generation of skilled workers, professionals and entrepreneurs into a nation that desperately needs their mental muscle, their experience and their vision.

Returning home will not be easy, but what if returning became rewarding and the contribution of these thousands of Haitians became the catalyst for transforming or reforming the nation they call home?

No country can export its builders forever and expect to become stronger. Haiti has spent decades sharing its greatest resource with the world—its people. Perhaps the next chapter in Haiti’s remarkable story is not another exodus, but this very homecoming.

The next chapter of Haiti’s story should not be written at an airport departure gate, nor should it be framed only as horror for those whose TPS protections are ending. The real test now is whether advocates, attorneys, governments and the wider Caribbean do more than wave goodbye. We must help more than 330,000 Haitians find their footing, settle back in, put their skills to work and build the Haiti that generations of Haitians have always deserved.

Research & Development supported by ChatGPT AI

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