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Psychologist’s Tips for Setting Achievable New Year’s Health Resolutions in 2024

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Expert from global health system Cleveland Clinic advises focusing on the motivation for change, and ensuring goals are ‘SMART’ to encourage long-term success

 

January 11, 2024, NASSAU, Bahamas: New Year’s resolutions are often abandoned almost as soon as they are made, but according to a psychologist from global health system Cleveland Clinic, the problem could lie in how the resolutions were formulated, rather than a perceived lack of willpower.

“To improve the chances of long-term success, individuals can carefully consider why they want to achieve a certain lifestyle goal, being as specific as possible, says David Creel PhD, a clinical psychologist, exercise physiologist and registered dietitian with Cleveland Clinic, “Regularly revisiting the ‘why’ behind the objective can help people keep up the momentum after the initial enthusiasm has worn off. Even if individuals have already broken their resolutions, they can reformulate these in a way that supports a successful outcome.”

Once clear on their motivation, individuals can improve their chances of success by reviewing their work-life balance and committing to prioritizing self-care in the same way they would do for work success, for example.

The next step, says Dr. Creel, would be to formulate the health objective using the concept of SMART goals, meaning goals that are Specific, Measurable, Action-oriented, Realistic and Time-bound. He gives the following example of goal that is SMART: “I am going to get up at 7am, four days a week, to take a 30-minute walk.”

Another useful approach, says Dr. Creel, could be to reframe outcome-oriented goals as behavior-oriented goals. “Sometimes people start out with an outcome goal such as wanting to lose 30 pounds, whereas it could be more effective to identify behaviors that need to change to achieve this goal. For example, they could aim to walk on the treadmill, rather than sitting on the couch, when watching a favorite TV show.”

Building in a timeframe for the regular reevaluation of goals is also important, especially when overarching goals have been broken down into short-term, measurable goals, says Dr. Creel. This reassessment can be done by the individual themselves, or with support from a loved one. Other options are to join a virtual or in-person group, program or app that holds them accountable or keeps them motivated.

“This has to be well thought out, so your choice of accountability partner is not counterproductive,” says Dr. Creel. “For example, if you are new to exercising and decide to work out with a friend who doesn’t enjoy exercising, you could easily end up talking each other out of any activity,”

Another helpful measure is the use of rewards. “In general, internal motivation is more powerful than external motivation,” Dr Creel says. “However, when it comes to starting something new, judicious use of rewards can be really helpful. A non-food reward, such as a massage, after a certain number of weeks can keep you motivated as you head towards achieving your overall goal.”

Setting some ‘one and done’ goals, such as signing up to complete a 5km walkathon, could also help support the achievement of a long-term goal, says Dr. Creel. He says that by achieving several smaller, realistic goals, the person can build their confidence and motivation.

To increase their chances of success, individuals can also prepare and rehearse for temptations and challenges. “For example, if you want to commit to taking an exercise class every second day, but have previously found that some days leave you too tired to exercise, you could decide beforehand that on days like these you will do at least 10 minutes of exercise, which you can easily fit in while watching a TV program,” says Dr. Creel.

Similarly, he says, a person can identify obstacles such as moods that interfere with good intentions and then think about what has helped to overcome this obstacle in the past, for example socializing might help if someone feels down. If people normally ‘stress-eat’, they could anticipate this by having a prepacked calorie-controlled treat at the back of the cupboard to reach for, which helps eliminate the ‘all or nothing’ feeling that could lead to overeating.

“If there are specific mood disorders that get in the way of success or a person is experiencing an ongoing struggle in an issue such as managing their weight, they could consider seeking support from a psychologist specialized in that area to help them to explore and manage the issue,” Dr. Creel concludes.

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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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