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CARPHA Partners with SE-COMISCA to Foster Deeper Health Synergies between Central America and the Caribbean

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Port of Spain, Trinidad and Tobagoa:  On 5 February 2025, the Caribbean Public Health Agency (CARPHA) has formalised a significant partnership with the Executive Secretariat of the Council of Ministers of Health of Central America and the Dominican Republic (SE-COMISCA) through the signing of a five -year Memorandum of Understanding (MOU).  This collaborative effort aims to foster deeper health synergies between Central America and the Caribbean.

The MOU was signed by Dr Lisa Indar, Executive Director of CARPHA and Dr. Alejandra Acuña Navarro, Executive Secretary of COMISCA, at the Courtyard Marriott in Trinidad.

Dr. Lisa Indar, Executive Director of CARPHA, stated  “The Memorandum of Agreement between CARPHA and SECOMSICA confirms our commitment to deepen solidarity to improve public health support, build stronger and closer relations, and coordinate on areas of mutual interest in advancing progress towards the achievement of tangible results of regional and international health agendas. This is important because the Caribbean faces a number of challenges, including climate change, chronic diseases, non-communicable diseases, and emerging and reemerging health emergencies that can impact health security. By working together, CARPHA and SE-COMISCA can better address the challenges facing our regions and improve the lives of our people.”

Dr. Alejandra Acuña, Executive Secretary of SE-COMISCA acknowledged “Today, we are witnessing the signing of a Memorandum of Understanding between the Council of Ministers of Health of Central America and the Dominican Republic (SE-COMISCA) and the Caribbean Public Health Agency (CARPHA). This strategic milestone in biregional cooperation will help to strengthen health systems in both regions. This agreement formalises the mutual commitment of both institutions to promote a comprehensive approach to public health. It also facilitates the implementation of joint initiatives in health surveillance, response to health emergencies, and the exchange of knowledge and best practices. In a global context where cooperation is key to facing emerging health challenges, this instrument establishes a framework for action that will favour the articulation of efforts, the optimisation of resources and the development of innovative projects and strategies that contribute to the well-being of the populations of both regions”.

In 2023, CARPHA led the launch of the Joint Sub-Regional Collaboration in Health with SE-COMISCA, to promote the exchange of knowledge, best practices and lessons learned to improve health. CARPHA facilitated a webinar series entitled ‘Sharing of Expertise, Experiences, and Lessons Learned to Improve Health Outcomes.’ The initiative was supported by the Spanish Agency for International Development (AECID) under the CARICOM Spain Project entitled ‘Health System Strengthening for CARICOM Member States to Respond to the COVID-19 Pandemic and other Emerging and Re-Emerging Threats’.

The purpose of this MOU is to improve collaboration and dialogue between CARPHA and SE-COMISCA on public health to advance the objectives of the Revised SICA-CARICOM Plan of Action 2022 and the Joint Declaration of San Pedro, IV Summit of Heads of State and Government of the Caribbean Community (CARICOM) and of the Central American Integration System (SICA).

Bringing remarks virtually Dr. Armstrong Alexis, Deputy Secretary-General, CARICOM stated “This symbolic ceremony signifies the commitment to enhance interagency partnerships for public health services delivery in the Caribbean.   Through the Agency’s dedicated efforts, citizens of this region have derived considerable benefits from interventions that have increased our stock of regional public goods.  Signing this MOU sets the basis for further solidifying the significant role that CARPHA plays in strengthening health systems across our interconnected yet vulnerable region.”

Delivering remarks, Her Excellency María Cristina Pérez Gutiérrez, Ambassador of the Kingdom of Spain to Trinidad and Tobago stated “Spain has made health a central pillar of our engagement with both the Caribbean and Central America, and we continue to work alongside our partners to ensure that no one is left behind. This initiative to link CARPHA and SE-COMISCA comes at a crucial time, as it creates an opportunity to exchange knowledge, share best practices, and enhance regional cooperation in public health.”

Under this agreement, CARPHA and SE-COMISCA are committed to collaborating on several key initiatives.  The organisations will seek to:

  • Strengthen immediate and long-term public health support for improved pandemic preparedness, response and disease prevention.
  • Enhance the benefits derived from the procurement of drugs and other sanitary technologies in the ministries and other institutions of health in the Member States of COMISCA and CARPHA. This will be achieved by promoting the use of pool procurement mechanisms with competitive pricing such as the “Negociación Conjunta COMISCA®”.
  • Dialogue and exchange of best practices on existential health threats such as AMR, non-communicable diseases (NCDs), especially heart disease, obesity, and cancer; Communicable diseases, especially HIV, Malaria and Tuberculosis; and the promotion of joint strategies for the development and strengthening of health sectors.
  • Support the results of the 2023 UN Declaration on Universal Health Coverage, to promote the fight against these diseases and seek support for actions aimed at achieving global consensus in this area, to attain tangible results by the international community.
  • Develop and disseminate a Technical Annual Report on the CARPHA and SE-COMISCA Joint Collaboration in Health.

The Honourable Kevin Bernard, Minister of Health and Wellness of Belize remarked “Today’s signing marks a pivotal step in regional collaboration.  By uniting the Caribbean and Central America, we enhance our collective ability to tackle public health challenges, ensure access to essential medicines and building resilient health systems.  Together, we are committed to advancing health equity, securing a healthier future for our regions.”

“The purpose of this MOU is to foster improved collaboration and dialogue between CARPHA and SE-COMISCA, advancing the objectives of the Revised SICA-COMISCA Plan of Action and the Joint Declaration of San Pedro. By working together, we aim to deepen solidarity for pandemic preparedness, enhance procurement mechanisms, and exchange best practices on critical health threats,” stated The Honourable Phillip Telesford, Chair of CARPHA’s Executive Board and Minister of Health, Wellness and Religious Affairs, Grenada.

In his closing remarks, Mr. Román Cordero Mojica, Project Portfolio Unit, SE-COMISCA stated, “I am confident that the work of both institutions will be strengthened by today’s definitions and that this will benefit the health and wellbeing of the people of Central America and the Caribbean.”

Ahead of the signing the SE-COMISCA team visited CARPHA’s Headquarters and met with CARPHA’s Executive Management and technical teams to discuss technical areas including Disease Risk Management, HIV, Research, and Laboratory. The visiting team also toured the CARPHA Medical Microbiology Laboratory.

Photo Caption: 

Standing left to right: Dr Horace Cox, Assistant Director of Surveillance, Disease Prevention and Control CARPHA; Dr. Mark Sami Corporate Services Director CARPHA; Her Excellency María Cristina Pérez Gutiérrez, Ambassador of the Kingdom of Spain to Trinidad and Tobago;   Ms.Ginnette Morales, Head of Cabinet, SR-COMISCA;  Mr. Román Cordero Mojica, Project Portfolio Unit, SE-COMISCA; Seated: left to right: Dr Lisa Indar, Executive Director CARPHA; Dr. Alejandra Acuña Navarro, Executive Secretary of COMISCA

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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