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Problems in Health Care Delivery

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#TurksandCaicos, September 1, 2022 – I am very concerned about the lack of clinical services being made available to our citizens at both the Cockburn Town hospital, Grand Turk, and the Cheshire Hall Hospital, Providenciales. And when I investigated what clinical services are accessible in Grand Turk, it is extremely far less than being offered at Cheshire Hall.

A number of patients have brought to my attention the difficulty in getting an appointment to be seen, and many have expressed the feeling of being neglected. And as we all know that with health matters timing is everything. Early detection and early interventions almost always save lives and prevent future life-threatening complications.

During my time as Health Services Manager and before that as Laboratory Director, it had always been the target to have both Health Services locations properly equipped and staffed to tackle the citizens’ health needs. Both locations had identical equipment, and identical complement of staff, with a few variations in numbers. Grand Turk Location handled Salt Cay and South Caicos, and Providenciales location handled North and Middle Caicos.

When I was the Minister of Health, much progress was being made in the reestablishing of old community clinics, e.g.; the town clinic location in Grand Turk, and also returning Myrtle Rigby Health Complex location back to a health care facility for our people. The goal was, and still is, to have regular weekly specialist clinics with other needed services for all islands. Additionally, to have all community clinics equipped with basic laboratory testing abilities and imaging capabilities, i.e., blood electrolytes, red and white blood cell counts, glucose and cholesterol testing, blood nitrogen levels, urinalysis, and are equipped with portable x-ray abilities.  These technologies reveal extremely important and timely information on a person’s health status.

We all have to demand more from our health services providers, demand more accessibility, demand more diagnostic competency, demand more high dependency units, demand the availability of Intensive care capability (ICU), demand more attracting and retaining highly skilled personnel, demand increasing salaries of our health personnel. Hence, our people need to demand a high-performing health care system, “A Good Health System.”

A Peoples’ Democratic Movement government will recommence the work of enhancing our Health system to one that we all can be truly proud of, one which we have the most trust and assurance in.

So, what is the “good” health system that the PDM wants to develop for our people? A good system will be one that is organized in a way to ensure timely access to the highest attainable standard of care to all its citizens; one that has the right programs managed by competent well-paid professionals; one in which clinics provide constant preventive and curative care for the most common conditions, and primary health care in facilities or in the community where people live. A good health system under a PDM Government would ensure that our on-island hospitals deliver high-quality secondary or tertiary levels of care to increase the likelihood of desired health outcomes.

A PDM government is committed to continuing the work we started of ensuring our health services are:

  • Effective – providing evidence-based healthcare services to those who need them;
  • Safe – avoiding harm to people for whom the care is intended; and
  • People-centred – providing care that responds to individual preferences, needs and values.

To realize the benefits of quality health care, a PDM Government will also ensure that our health services are:

  • Timely – reducing waiting times and sometimes harmful delays;
  • Equitable – providing care that does not vary in quality on account of constituency/Island location, and socio-economic status, ethnicity;
  • Integrated – providing care that makes available the full range of health services throughout the life course, i.e. from newborn to old age.
  • Efficient – maximizing the benefit of available resources and avoiding waste.

From many personal testimonies from our citizens, it can be concluded that current health system is not serving our people well. We the PDM are confident that we can deliver the health care system that our citizens need and deserve.

 

Hon Edwin A. Astwood 

Leader of The Opposition

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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