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PHA CELEBRATES 25 YEARS OF HEALTHCARE PROGRESS

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#TheBahamas, July 2, 2024 – The establishment of the Public Hospitals Authority in 1999, following an act of Parliament one year earlier, represented a revolutionary milestone in the delivery of healthcare for The Bahamas.  Today, the Public Hospitals Authority (PHA) looks noticeably different than the Authority of 1999, when we were first established. Our hospital facilities are more modern; with 21st century medical technology accessible to every patient across our network of hospitals and agencies, and a cadre of clinical and allied health staff who are better trained and equipped.

We credit our exponential growth to a management philosophy that balances productivity, efficiency and accountability with prudent growth strategies that have allowed us to remain at the forefront of healthcare not only in The Bahamas, but in the region. As the Public Hospitals Authority in The Bahamas marks its 25th anniversary, it’s a time to reflect on the remarkable journey of progress and development in the healthcare sector over the past quarter-century. Established with a mission to enhance healthcare services and improve public health outcomes, the Authority has overcome numerous challenges and achieved significant milestones in its pursuit of excellence.

Challenges and Milestones

Ground Breaking Ceremony Freeport Health Campus May 2023

In its inaugural year, the Public Hospitals Authority faced a myriad of challenges, including the development and strengthening of clinical services aligned with national health programs, resolving administrative dilemmas, establishing itself as a corporate entity, and enhancing its operational procedures and policies. Identifying key areas of concern such as the shortage of qualified personnel, inadequacies in infrastructure, technology, and equipment, the Authority embarked on a journey of transformation and innovation.

Over the years the PHA has weather significant challenges including the global economic downturn and its impacts beginning in 2008, the historic destruction of hurricane Dorian and most recently the COVID-19 worldwide pandemic, one of the most complex health challenges the world has ever faced.  These historic challenges were experienced by our public hospital institutions against a backdrop of longstanding constraints in resources, manpower and mitigating against aging health infrastructure and shortages in equipment.

We have emerged from these crises stronger and more responsive with lessons learned.

Strategic Initiatives

Over the years, strategic initiatives have been implemented to address these challenges and drive progress in healthcare delivery. These initiatives include enhancing planning mechanisms, strengthening information systems, improving management functions, financial systems, allied health skills, patient experience and quality improvement programs and strengthening security measures to ensure a safe and secure environment for patients and staff.

Advancements in Patient Care

Significant advancements have been made in patient care, across all our public hospitals. 25 years of PHA management has seen advances in Health Information Systems to support hospital services and patient care, new outpatient ophthalmology, family medicine, rehabilitation therapy, and Blood Bank services for PMH, extensive upgrades to the Pharmacies, Morgues, Operating Theatres and Emergency Departments at Princess Margaret Hospital and the Rand Memorial Hospital, including the most recent capital project to modernize and expand PMH emergency rooms for paediatric and adult patients and the trauma bay.

Major advances have been made in the expansion of Intensive Care services at PMH and the Rand including the PMH Neo-Natal Intensive Care Unit (NICU) and its step-down Unit, the Special Care Baby Unit providing specialized care for newborns.

The millennium saw the introduction of neurodevelopment services, complemented by services within the NICU which has helped reduce risk factors for neurodevelopmental delays in low-birthweight infants.

The PHA prioritised the introduction of a Patient Relations program in 1997 at the Princess Margaret Hospital.  This program has been expanded with a cohort of newly engaged Patient Relations Officers graduating from a specially developed training program in 2022.

In recognition of the longstanding dearth of healthcare professionals within our system, further exacerbated by the pandemic, the Authority maintains a mutually beneficial recruitment arrangement with global health partners, most notably, the Republic of Cuba.

Enhancing Emergency Medical Services

Improvements in emergency medical services have been a priority, with the development of criteria for the registration and licensing of Emergency Medical Technicians. The National Emergency Medical Services has focused on training personnel in advanced cardiac life support and prehospital care to meet international standards.

With the establishment of the PHA Academy in 2022, the training of EMTs to be deployed in New Providence and across the Family Islands has been accelerated. The PHA continues to work with the Ministry of Health & Wellness to ensure the recruitment, training and equipping of EMTs and paramedics to meet the needs of all Bahamians.

Trib photo Ribbon Cutting of Critical Care Block 2014

Pharmaceutical and Medical/Surgical Supplies

Under the management of the PHA, the Bahamas National Drug Agency made strides in automating pharmacy management systems and updating the drug formulary to include essential medications.  The Material Management Directorate also implemented modern information systems to manage the procurement and inventory of essential hospital and clinic supplies for the PHA and Department of Public Health.

In 2016 the PHA consolidated the Bahamas National Drug Agency and the Material Management Directorate into the PHA’s Supplies Management Agency with responsibility for supply chain management of pharmaceuticals and medical/surgical supplies.  The agency occupied a fully renovated building at 51 Shirley Street with modern office spaces and warehouse facilities.  In 2022, the PHA facilitated the procurement of a larger facility on Nassau Street which serves as the new home of the Supplies Management Agency positioning this essential agency to meet the needs of our public health system for decades to come.

Expanding Mental Health Services

Mental health care has also been a focal point, with the establishment of the Community Counselling and Assessment Centre and increased support for the Crisis Centre, offering a range of services from counselling to advocacy.

In 2013 the PHA took the lead in The Bahamas’ implementation of the innovative global initiative in mental health with the World Health Organisation’s mhGAP (Mental Health Gap Action Program). Eighty-three (83) primary care doctors, nurses, and mental health professionals from the Ministry of Health, the Department of Public Health and Public Hospitals Authority adapted the mhGAP guidelines to The Bahamas health system. Primary care physicians and nurses were then trained to use the adapted guidelines, facilitating increased access to mental health services for patients accessing primary care in community clinics.

The Community Counselling and Assessment Centre was eventually relocated from its Market Street location to a fully refurbished building on Collins Ave improving conditions for both patients and staff.

Infrastructure Development

Infrastructure enhancements at our facilities have been monumental, with a comprehensive infrastructural redevelopment study leading to the Master Site Development Plan(s) for our public hospitals.

Major renovations to critical areas like the Intensive Care Unit, Operating Theatres, Surgical Recovery Room, Morgues and Burns Unit have improved patient care and facility operations significantly at the Princess Margaret Hospital and Rand Memorial Hospital.

Highlights of major capital projects completed include the construction of the Child & Adolescent, Robert Smith Special Education Complex at Sandilands Rehabilitation Centre, which has expanded the institution’s footprint and allowed for the improvement and repurposing of decanted spaces.   The refurbishment of Wards at the Geriatric Hospital and Sandilands Hospital as well as at outbuildings utilized as clinical and therapeutic spaces have improved the conditions for clients and staff.

The construction of the Critical Care Block at Princess Margaret Hospital represented at that time the Government’s largest investment in health infrastructure in over half a century.  The initiative was born out of the realization that societal conditions and changing demographics required the PHA to respond to the growing need for additional surgical theatres and critical care beds. This state-ofthe-art facility boasts:

  • 6 Operating Rooms
  • 1 Endoscopy Procedure Room

-18 Pre Op/PACU Beds

-20 Intensive Care Unit Beds

-62 Bed Neonatal Intensive Care Unit (level IIl)

  • Central Sterile Supplies Department
  • Medical Surgical Supplies Department
  • Core Laboratory
  • Meditation Area and Healing Garden

In Grand Bahama, extensive restoration works were undertaken at the Rand Memorial Hospital following Hurricane Dorian which devastated health infrastructure on the island.  Working with local and international partners community clinics and the Rand Memorial Hospital underwent extensive capital projects culminating in the recommissioning of the hospital on 23rd April 2021 with the following new spaces:

  • Complete renovation of the Front Entry Space, Pharmacy Operations, and the Lula Knowles Pediatrics Ward
  • Construction of a New Corridor to access the Medical/Surgical Ward and Healing Garden Space, along with the restoration of other main arteries of the hospital

    Ribbon Cutting at SRC Child & Adolescent Robert Smith Complex

  • Restoration of the existing Operating Theatres
  • Construction of a new 40’ Container size modular Operating Theatre Pre-Op & Procedure Room incorporated into the footprint of The Rand hospital to meet the current service needs, while awaiting the construction of a new replacement facility
  • Restoration of Inpatient ICU, Medical and Surgical Bed Spaces in the Medical/Surgical and Critical Care blocks
  • Construction of new, fully commissioned, 2,800 sq. ft. Infectious Disease Unit with seven (7) isolation spaces in response to the existing COVID-19 Pandemic
  • Completion of an upgraded Commercial Kitchen/Cafeteria Facility with a dining area
  • Demolition of the Administration and Obstetrics & Maternity Wings

Freeport Health Campus

More recently, the Ministry of Health & Wellness in collaboration with the Public Hospitals Authority held a Groundbreaking Ceremony on 16th May, 2023 for the new Freeport Health Campus in Grand Bahama. The $210 million Health Campus that will be constructed in three phases at the site off East Sunrise Highway near the Lucayan roundabout. The first phase is planned as a dedicated primary, outpatient, and urgent care centre.

The second phase will be an in-patient surgery and acute care facility providing quality care for patients with severe or urgent conditions or injuries, or patients recovering from surgery, and the final phase of the project will be the construction of medical/surgical clinical and support areas.

Future Directions

Looking ahead, the Public Hospitals Authority remains committed to advancing healthcare services in The Bahamas. With plans for new public hospital facilities in New Providence, ongoing infrastructural upgrades at existing facilities, and a continued focus on quality improvement and patient-centred care, the Authority is poised to build on its successes and further elevate the standard of healthcare delivery in the nation.  Corporate and individual citizens wishing to partner with us on this journey to improve healthcare with The Bahamas are invited to connect with our newly established PHA Foundation to learn more or get involved.

As the Public Hospitals Authority celebrates its 25th anniversary, it stands as a beacon of progress and innovation in the healthcare landscape of The Bahamas, embodying a legacy of excellence and dedication to serving the public health needs of the community.

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Groundbreaking for Grand Bahama Aquatic Centre

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PM: Project delivers on promise and invests in youth, sports and national development

 

GRAND BAHAMA, The Bahamas — Calling it the fulfillment of a major commitment to the island, Prime Minister Philip Davis led the official groundbreaking for the Grand Bahama Aquatic Centre, a facility the government says will transform sports development and create new opportunities for young athletes.

Speaking at the Grand Bahama Sports Complex on February 12, the Prime Minister said the project represents more than bricks and mortar — it is an investment in people, national pride and long-term economic activity.                                                                                                                                                    The planned complex will feature a modern 50-metre competition pool, designed to meet international standards for training and regional and global swim meets. Davis said the facility will give Bahamian swimmers a home capable of producing world-class performance while also providing a space for community recreation, learn-to-swim programmes and water safety training.

He noted that Grand Bahama has long produced outstanding athletes despite limited infrastructure and said the new centre is intended to correct that imbalance, positioning the island as a hub for aquatic sports and sports tourism.

The Prime Minister also linked the development to the broader national recovery and revitalisation of Grand Bahama, describing the project as part of a strategy to expand opportunities for young people, create jobs during construction and stimulate activity for small businesses once operational.

The Aquatic Centre, he said, stands as proof that promises made to Grand Bahama are being delivered.

The project is expected to support athlete development, attract competitions, and provide a safe, modern environment for residents to access swimming and water-based programmes for generations to come.

Angle by Deandrea Hamilton. Built with ChatGPT (AI). Magnetic Media — CAPTURING LIFE.

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Tens of Millions Announced – Where is the Development?

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The Bahamas, February 15, 2026 – For the better part of three years, Bahamians have been told that major Afreximbank financing would help transform access to capital, rebuild infrastructure and unlock economic growth across the islands. The headline figures are large. The signing ceremonies are high profile. The language is ambitious. What remains far harder to see is the measurable impact in the daily lives of the people those announcements are meant to serve.

The Government’s push to secure up to $100 million from Afreximbank for roughly 200 miles of Family Island roads dates back to 2025. In its February 11 disclosure, the bank outlined a receivables-discounting facility — a structure that allows a contractor to be paid early once work is completed, certified and invoiced, with the Government settling the bill later. It is not cash placed into the economy upfront. It does not, by itself, build a single mile of road. Every dollar depends on work first being delivered and approved.

The wider framework has been described as support for “climate-resilient and trade-enhancing infrastructure,” a phrase that, in practical terms, should mean projects that lower the cost of doing business, move people and goods faster, and keep the economy functioning. But for communities, that promise becomes real only when the projects are named, the standards are defined and a clear timeline is given for when work will begin — and when it will be finished.

Bahamians have seen this moment before.

In 2023, a $30 million Afreximbank facility for the Bahamas Development Bank was hailed as a breakthrough that would expand access to financing for local enterprise. It worked in one immediate and measurable way: it encouraged businesses to apply. Established, revenue-generating Bahamian companies responded to the call, prepared plans, and entered a process they believed had been capitalised to support growth. The unanswered question is how much of that capital has reached the private sector in a form that allowed those businesses to expand, hire and generate new economic activity.

Because development is not measured in the size of announcements.

It is measured in loans disbursed, projects completed and businesses expanded.

The pattern is becoming difficult to ignore. In June 2024, when Afreximbank held its inaugural Caribbean Annual Meetings in Nassau, Grand Bahama was presented as the future home of an Afro-Caribbean marketplace said to carry tens of millions of dollars in investment. What was confirmed at that stage was a $1.86 million project-preparation facility — funding for studies and planning to make the development bankable, not construction financing. The larger build-out remains dependent on additional approvals, land acquisition and further capital.

This distinction — between financing announced and financing that produces visible, measurable outcomes — is now at the centre of the national conversation.

Because while the numbers grow larger on paper, entrepreneurs still describe access to capital as out of reach, and communities across the Family Islands are still waiting to see where the work will start.

And in an economy where stalled growth translates into lost opportunity, rising frustration and real social consequences, the gap between promise and delivery is no longer a communications issue.

It is an inability to convert announcements into outcomes.

Angle by Deandrea Hamilton. Built with ChatGPT (AI). Magnetic Media — CAPTURING LIFE.  

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What Happens When Police Arrest 4,000+ Wanted Suspects and Tighten Bail

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A hardline strategy that reduced murders, gunfire, and collateral deaths

 

The Bahamas, February 8, 2026 – What happens when police stop routinely granting bail to high-risk suspects and aggressively execute outstanding warrants? In The Bahamas, the answer in 2025 was fewer murders, fewer gunshots, and safer communities.

The Royal Bahamas Police Force arrested 4,337 individuals on outstanding warrants last year, ensuring suspects were brought directly before the courts instead of being released back onto the streets. At the same time, police significantly curtailed the use of police bail for high-risk and repeat offenders, particularly those already entangled in violent disputes.

Police Commissioner Shanta Knowles said the shift was informed by hard lessons from previous years. Intelligence reviews showed that many homicide victims were not random targets, but men already wanted by law enforcement and — critically — by other criminals. When released on bail, those individuals often became targets themselves, triggering retaliatory shootings that spilled into neighbourhoods, roadways and public spaces.

By keeping high-risk suspects in custody pending court appearances, police say they disrupted that cycle — removing both potential offenders and potential victims from the streets.

The impact was stark. Murders declined by 31 percent in 2025, falling from 120 in 2024 to 83, the largest percentage decrease in homicides since national tracking began in 1963 and the lowest murder count in nearly two decades.

Police leaders say the strategy also reduced the collateral damage that had increasingly alarmed communities. Innocent residents had been caught in “sprays of gunfire” as targeted attacks unfolded in residential areas, at traffic stops, and in public settings.

Gun-violence indicators reflected the change. Gunshot reports fell by 35 percent, while incidents detected by ShotSpotter technology declined by 29 percent, confirming that fewer shots were being fired across the country.

“Gunshots ringing out and cutting through our peaceful paradise were down remarkably,” Commissioner Knowles said, attributing the improvement to decisive enforcement, tighter bail practices, and sustained pressure on offenders.

Police also intensified enforcement against breach of bail conditions, charging and detaining more suspects than in any previous reporting period. Officers say the approach removed the opportunity for repeat offending while matters were before the courts.

Police leadership said the results go beyond statistics. By limiting bail for high-risk suspects and executing warrants at scale, the strategy saved lives, protected bystanders, and restored confidence in public safety.

In 2025, fewer people were hunted, fewer bullets were fired, and fewer families were left grieving — a shift police say was no accident, but the result of deliberate, hardline choices.

Angle by Deandrea Hamilton. Built with ChatGPT (AI). Magnetic Media — CAPTURING LIFE.

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