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National Health Sector Strategic Plan Launched 

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Dana Malcolm 

Staff Writer 

 

#TurksandCaicos, May 20, 2024 – The Turks and Caicos is attempting to optimize the tens of millions it spends on healthcare each year with a new National Health Sector Strategic Plan to guide how money is allocated and increase efficiency in healthcare and increase health equity.

Shaun Malcolm, Minister of Health presented the theme ‘Building a Strong Resilient and Sustainable Healthcare System for Future Generations Brick by Brick’.

Desiree Lewis, Permanent Secretary of Health explained that the document “identifies and prioritizes key health issues and challenges facing the population allowing resources to be allocated efficiently to address those priorities.”

In doing so the plan is also supposed to promote collaboration between the various stakeholders in the Health industry including policy makers, legislators, doctors and other healthcare professionals on the ground; giving them an outlined set of objectives to work on in their various spheres, for a specific collective outcome.

”This will facilitate a more unified approach to addressing health challenges and leveraging resources effectively,” Lewis explains.

Modeled to achieve the UN Sustainable Development Goal number 3 which is to ensure healthy lives and promote well-being for all at all ages, the plan was developed during COVID-19 and presented by Lynrod Brooks, Director of Health Policy and Planning in the Ministry of Health and Human Services.

The plan maintains that in order to attain a healthier and empowered people there are three key actions necessary: protecting health gain, already achieved in the country; addressing past deficiencies; and identifying and implementing interventions to address new health challenges.

In order to achieve the goals set out, in addition to the three key actions there are six Strategic Directions that health stakeholders will follow

  • SD1 Strengthen Leadership, Governance and Administration: ‘Ensuring entities transform resources into results,’
  • SD2 Protect and Improve Universal Health Coverage (UHC): ‘Provide people of all ages and all health needs with health services.’
  • SD3 Address Health Security: ‘Identify outbreaks and other health threats.’
  • SD4 Promote Healthy Populations: ‘Support the creation of a conducive environment to support well-being, healthy living,’
  • SD5 Invest in Health: ‘Ensure appropriate resources are available and efficiently used.’
  • SD6 Improve Data for Impact: Increase the availability, quality and use of timely and accurate health information

Some of the priority areas under the health plan that these six Strategic Directions seek to address include, pandemic prevention; increased mental and behavioral healthcare; Strengthened national capacity against health emergencies and disasters; universal access to comprehensive, quality health services; reduced risk of non-communicable diseases; and Increased equitable access to essential medicines and vaccines.

The 3 year document will also make provisions for monitoring and evaluation so policy makers can assess if the plan is actually working. It’s billed to enhance accountability with a quarterly report to be presented for the 3-year period.

Attending the event were a myriad of professionals and policy makers indicative of the many areas of the healthcare industry which the plan will affect; attendees included: Dr Rufus Ewing, Former Premier and Minister of Health; Dr. Eldonna Boisson, the Pan American Health Organization representative for the Turks and Caicos and The Bahamas; Dr Ellis Webster, Premier of Anguilla; Washington Misick, TCI Premier; Dileeni Daniel Selvaratnam, TCI Governor and others.

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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