Caribbean Cooperation in Health Phase IV (CCH IV)
Summary of the Regional Health Framework 2016 – 2025
Regional Public Goods for Sustainable Health Development
Caribbean Cooperation in Health Phase IV (CCHIV)
Summary of the Regional Health Framework 2016 – 2025 “Regional Public Goods for Sustainable Health Development”
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“....CCH IV emphasizes multi-sectoral action and regional public goods (RPGs) to address common challenges in areas where a regional approach holds the best potential to add value to national efforts.” Caribbean Cooperation in Health Phase IV (CCHIV) 2
Summary of the Regional Health Framework 2016 – 2025 “Regional Public Goods for Sustainable Health Development”
CONTENTS Introduction.................................................................................................... 5 History of Caribbean Cooperation in Health..................................... 7 Consultative Approach to the Development of the CCH IV........ 8 International and Regional Context.................................................... 10 Regional Public Goods as a Strategic Approach............................12 The CCH IV Framework............................................................................15 Implementation through CCH Action Plans......................................17 Governance arrangements for the CCH IV....................................... 18
The CARICOM Secretariat wishes to acknowledge PAHO for its technical cooperation in the evaluation of CCH III and the development of CCH IV.
Caribbean Cooperation in Health Phase IV (CCHIV)
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“....CCH providing a framework for CARICOM Member States to efficiently and effectively address common health and development challenges”
Caribbean Cooperation in Health Phase IV (CCHIV) 4
Summary of the Regional Health Framework 2016 – 2025 “Regional Public Goods for Sustainable Health Development”
Caribbean Cooperation in Health Phase IV (CCH IV) Summary of the Regional Health Framework 2016 – 2025 Introduction The Caribbean Cooperation in Health
joint action. The intention is to build
(CCH) advances the Caribbean
the capacity of Member States to
Community (CARICOM) objective
improve the conditions for health for all
of enhanced functional cooperation
by developing and maintaining cost-
found in Article 6 of the Revised
effective and efficient health systems.
Treaty of Chaguaramas, with the aim to achieve more efficient operation
Over the years, the focus of the CCH
of common services and activities; to
has evolved in line with the changing
promote greater understanding among
international and regional context
its peoples and the advancement of
and to meet the needs of CARICOM
their social, cultural and technological
Member States. Each iteration of
development; and to intensify joint
the CCH framework has delivered
activities in areas such as health,
significant health gains. In 1984, CCH
education, transportation, and
I sought to optimize resources by
telecommunications.
promoting technical cooperation among countries and securing funding
Functional cooperation in health
for priority health areas. During this
has been a long-standing successful
period, the Region achieved the historic
feature of cooperation in the Region.
elimination of indigenous measles in
The CCH IV provides a framework for
1991 and in 2002, the elimination of
CARICOM Member States to efficiently
rubella.
and effectively address common health and development challenges
CCH II, covering the period 1999-2005,
through functional cooperation and
saw massive scaling up of the regional
Caribbean Cooperation in Health Phase IV (CCHIV)
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response to HIV. through PANCAP, an
States towards sustainable health
acknowledged global best practice.
development.
CCH III, 2006-2015, advanced regional cooperation for health, including
•
1984 - the CARICOM Conference
through the landmark Port of Spain
of Ministers Responsible for Health
Declaration on NCDs in 2007 and the
(CMH) accepted the need for a
establishment of the Caribbean Public
mechanism for health development
Health Agency (CARPHA) and on-going
through increasing collaboration
work of the Pan Caribbean Partnership
and promoting technical
Against HIV (PANCAP). Other
cooperation among countries in the
significant outcomes include regional
Caribbean. The work developing this
cooperation around the implementation
mechanism was fostered by PAHO
and evaluation of the 2007 Port-
in support of the Regional Health
of-Spain Declaration; enhanced
Officials. It was adopted in 1986: It
surveillance, laboratory and risk
certainly has become the umbrella
communication; and near elimination of
under which Regional Health
mother-to-child transmission (MTCT) of
Development is sheltered
HIV and Syphilis.
•
CCH I 1986 – 1995
•
CCH II 1997 -2005
•
CCH III 2007 – 2015
•
CCH IV 2016 - 2025
Developed through a lengthy and widespread consultative process, the CCH IV seeks to advance regional cooperation in health through the provision of regional public goods (RPGS) that enable, complement and add value to the efforts of Member
Caribbean Cooperation in Health Phase IV (CCHIV) 6
Summary of the Regional Health Framework 2016 – 2025 “Regional Public Goods for Sustainable Health Development”
History of Caribbean Cooperation in Health CCH I saw achievement of Universal
CCH II saw in the Nassau Declaration a
Childhood Immunisation by 1990 and
definition of Regional Super Priorities
facilitated the Certification of the
in Health and the production of the
Region as Polio-free in 1994. During that
Report of the Caribbean Commission on
period the efforts to Eliminate Measles
Health and Development, which gave
and Rubella commenced with the “Big
NCDs the highest ranking for attention.
Bang” in 1991. Intense work by CFNI
PANCAP the Regional Mechanism, a
to use Growth Charts and individual
Global Best Practice evolved to address
efforts at the Member State level to
the HIV threat in
provide infant food to under-5s almost
the Region.
eliminated severe malnutrition. Over the period The first iteration of the CCH, adopted
2006-2015, the
in 1984, focused on optimizing resource
CCH III advanced
use, promoting technical cooperation
regional
among countries, and mobilizing
cooperation
resources for priority health areas. This
for health in
approach delivered significant health
five functional
gains, including the eradication of the
cooperation
indigenous transmission of measles and
areas:
the elimination of rubella.
•
A healthy
The CCH II, A New Vision for Caribbean
Caribbean
Health, covered the period 1999-
environment
2005 and reflected a stronger focus
conducive to
on the intrinsic value of health for
promoting
human development. Joint action was
the health
promoted in eight priority areas: health
of its people
systems development, human resource
and visitors.
development, family health, food and
•
Improved
nutrition, chronic non-communicable
health and quality of life for
diseases, communicable diseases,
Caribbean people throughout the
mental health and environmental health.
life cycle.
Caribbean Cooperation in Health Phase IV (CCHIV)
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•
•
•
Health services that respond
Ebola; near elimination of mother-
effectively to the needs of the
to-child transmission (MTCT) of HIV;
Caribbean people.
and improved Regional Registration
Adequate human resource
Processes for Health Professionals in
capacity to support health
keeping with the aims of the Single
development in the Region.
Market and Economy.
Evidence-based decision making as the mainstay of policy
Building on these advances, and in line
development in the Region.
with the original intent of CCH, the fourth iteration does not attempt to
CCH III built on the eight priority
address all health issues nor to define
areas established under CCH II to
all actions required to improve health
emphasize actions at the regional
in countries throughout the Region.
level that were crosscutting, multi-
Rather, the CCH IV emphasizes multi-
sectoral, people-centered, enabling
sectoral action and Regional Public
and focused on social determinants
Goods (RPGs) to address common
of health. Key outcomes have been
challenges in areas where a regional
the establishment of the Caribbean
approach holds the best potential to
Public Health Agency (CARPHA); the
add value to national efforts. It further
on-going work of PANCAP; regional
reflects a greater understanding of the
cooperation for implementation
need for a whole-of-society approach
and evaluation of the 2007 Port-of-
that harnesses the capacities of a
Spain Declaration on the prevention
range of stakeholders across sectors
and control of NCDs; enhanced
and at all levels, to tackle the complex
surveillance, lab services and risk
health and development challenges
communication to mitigate the risks
facing Caribbean countries.
of global outbreaks such as SARS and
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Summary of the Regional Health Framework 2016 – 2025 “Regional Public Goods for Sustainable Health Development”
Consultative Approach to the Development of the CCH IV The development of the CCH IV Framework was coordinated by a Steering Committee led by the
Advancing the CCH
CARICOM Secretariat, CARPHA, and
IV, Caribbean Regional
the Pan American Health Organization/
Strategic Planning Consultation 22-23 February 2016, Port of Spain, Trinidad
World Health Organization (PAHO/
The Framework builds on an
WHO). The involvement of Chief
independent evaluation of the CCH
Medical Officers and technical experts
III and a regional consultation on
ensured relevance to the needs of
“Advancing the Caribbean Cooperation
Member States, integration of on-going
in Health to Benefit the Regional
activities, and attention to compliance
Public Good: Review of the CCH III and
with international obligations and to
Strategic Planning for CCH IV” that
meeting emerging challenges.
was held in Port of Spain, Trinidad in
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February 2016. Over 50 regional and
•
Strengthen governance and
national stakeholders representing
accountability systems, including
Member States, regional technical
monitoring and evaluation and
agencies, development partners,
reporting.
academia and civil society participated.
•
Align with global and regional
Further consultations took place at
priorities, including PAHO/
the 24th and 25th Meetings of the
WHO indicators and Sustainable
Chief Medical Officers (CMOs), in June
Development Goals (SDG) targets.
2016 and April 2017 respectively, and
•
Develop and execute a multi-year
directly with Ministries of Health, other
communication and dissemination
sector ministries, CARICOM Regional
strategy for CCH IV.
Institutions, Non-Governmental
•
Utilize a longer timeframe to align
Organizations (NGOs), the United
with global commitments such as
Nations System and other international
the SDGs, and to better achieve and
partners.
sustain regional goals and objectives •
Re-organize priority areas and
Important recommendations arising
consider the inclusion of new
from the evaluation of the CCH III were
issues such as health financing and
considered in the development of the
accountability.
CCH IV:
Fltr: Virginia Asin (St. Maarten), Roger McLean (UWI), Vincent Atkins (CARICOM) Trevor Hassell (Health Caribbean Coalition)
Caribbean Cooperation in Health Phase IV (CCHIV) 10
Summary of the Regional Health Framework 2016 – 2025 “Regional Public Goods for Sustainable Health Development”
International and Regional The CCH IV is framed within the
IV through an
context of current global and regional
upgraded Port of
development and health agendas.
Spain Declaration. Other issues such
The Sustainable Development Goals
as Caribbean Health
(SDGs) and the Samoa Pathway provide
Security have emerged.
excellent frameworks for the CCH IV,
The Global Health Security Agenda
with both health-specific goal and
is seen as an appropriate vehicle to
targets and several others that address
advance CARICOM MS attainment
such related priorities such as food and
of International Health Regulations
nutrition security, water and sanitation,
compliance. A Roadmap for the roll-
climate change, violence prevention.
out of the Regional Strategy on Health Security provides opportunities for
The CARICOM Strategic Plan 2014-
further development of Identified Public
2019 seeks to ensure economic, social,
Goods. It will also provide excellent
environmental and technological
opportunities for national and Regional
resilience within the Region. Critical
level multisector engagement in
health issues are included in the priority
meeting IHR compliance.
area of Building Social Resilience. The persistent economic challenges COHSOD’s embrace of a Caribbean
facing MS threaten to erode the health
One Health Policy in 2014 adds a multi
gains since independence. This constant
sector dimension to communicable
stress severely affects the ability
disease health acknowledging Human,
of MS to make coherent long-term
Veterinary and Ecological factors in
investments in Health. Decisions are
communicable disease epidemiology.
often driven by the need to interdict
The Health Caribbean Coalition HCC has
illness than to promote wellness. As a
added a needed dimension to disease
result the mitigation measures needed
control particularly NCDs. Their ability
to address NCDs, Violence and Mental
to create public awareness creates
Health including substance abuse are
additional support for the societal
woefully inadequate and lag behind
penetration of health policy.
the brilliant advocacy demonstrated by Heads of Government in the 2007
Whilst Non-Communicable Diseases
Port of Spain Declaration. The looming
remain the important priority for CCH
problems of an ageing population
Caribbean Cooperation in Health Phase IV (CCHIV)
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in some MS will ultimately affect
CCH IV will begin to address the
investments in Health. The effect of
health systems improvements required
climate change can be seen in the
to satisfy the needs of Universal
growing severity of hurricanes and
Health coverage. These will touch the
the attendant disasters of increasing
Health Information systems; Humans
magnitude, which they cause to the
Resources diversity required; Policies on
physical health infrastructure and
commodities and Regulatory Systems
increase in insect vector borne diseases.
to enhance quality.
Health and Economic Challenges Facing Member States • higher dependency ratios with fewer people paying NIS contributions, • high levels of chronic disease and increasing dementia in the elderly, • increasingly severe and frequent natural disasters, • mosquito-borne viral diseases, and • increasing prevalence of violence and injuries. 1
Abdukadri A, Cunningham-Myrie C, Forrester T. Economic burden of diabetes and hypertension in CARICOM States. 2009 Sept. Available from: https://www.researchgate.net/publication/269990209_Economic_burden_of_diabetes_and_hypertension_in_CARICOM_states)
Caribbean Cooperation in Health Phase IV (CCHIV) 12
Summary of the Regional Health Framework 2016 – 2025 “Regional Public Goods for Sustainable Health Development”
Regional Public Goods as a Strategic Approach CCH IV will have as its main deliverable
on the Prevention
regional public goods. These goods
and Control of NCDs,
are intended for enhancement of
Caribbean Wellness
collective approaches to health policy
Day, the Plan of Action
formulation in particular the support of
for Prevention and
a strengthened enabling environment
Control of Childhood Obesity,
for their development in particular in
2014-2019 and the State of Public
MS capacity against constraints for
Health in the Caribbean Report that
policy formulation. These goods will not
reviews the public health situation in
constrain individual effort in any MS to
the Region and provides statistical and
address specific national needs.
technical information to aid decisionmaking.
The Region has benefited from knowledge generation and sharing
In CCH IV, RPGs include, but are not
through 61 years of the Annual
limited to, shared legislative and policy
Caribbean Health Research
frameworks, standards, regulations and
Conference.
guidelines; shared capacity through regional technical agencies and
Regional health policies have included
common training programs; shared
the 2007 Port-of-Spain Declaration
quality assurance mechanisms; common
The OECS Pharmaceutical Procurement Service (PPS) is an example of how pooled procurement can reduce costs and enhance the efficiency of health service delivery. Since its implementation in 1986, the OECS PPS has been able to reduce the market cost of medicines in the region by 20 percent and in so doing, collectively saves regional governments an average of USD $4 million a year (OECS PPS).
Caribbean Cooperation in Health Phase IV (CCHIV)
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“...focus on shared challenges that can be addressed more effectively through regional action.”
approaches to addressing shared
•
regional and international challenges to public health; shared research
tourism •
to identify effective and replicable practices; shared financing approaches,
Regional partnership of health and Caribbean guaranteed minimum package of health services
•
including pooled procurement.
Common health promotion campaigns
•
Common training programs
At the 25th Meeting of Chief Medical
for health and other personnel,
Officers in April 2017, CMOs identified
including in partnerships and
the following priority RPGs to guide the
negotiation
implementation of CCHIV:
•
Common clinical guidelines and auditing tools for national NCD
•
Strengthened legislative framework for health, including legal briefs and
programs •
model legislation •
Regional legislation for nutritional
policy •
labelling •
Regional health information systems policy
Regional approach to trade
•
legislation and regulation in support of reducing childhood obesity •
Regional data sharing and ethics
Caribbean Regulatory System for
Regional strategy to stimulate private sector partnerships
•
Resource mobilization strategies for reaching non-traditional funders.
essential medicines
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Summary of the Regional Health Framework 2016 – 2025 “Regional Public Goods for Sustainable Health Development”
Caribbean Cooperation in Health Phase IV (CCHIV)
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The CCH IV Framework The vision of the CCH IV is that Carib-
have less illness and disability through-
bean people will be happier, healthier
out their lives. The mission is to build
and more productive, each respected
the capacity of countries to improve
for their individuality and creativity, and
the conditions for health for all, espe-
living more harmoniously within cleaner,
cially among vulnerable groups, and to
greener environments. Its goal is for
develop and maintain cost-effective and
people to be resilient, live longer and
efficient health systems.
VISION. MISSION. GOAL
VISION
Caribbean people will be happier, healthier and more productive, each respected for their individuality and creativity, and living more harmoniously within cleaner, greener environments
MISSION
To build the capacity of countries to improve the conditions for health for all, especially among vulnerable groups, and to develop and maintain cost-effective and efficient health systems
GOAL
For people to be resilient, live longer and have less illness and disability throughout their lives. • By 2025, Life Expectancy for the total population in each Member State will be increased by 3 years • Disability Adjusted Life Years (DALYs) for all ages and both sexes will be reduced by 10% in 10 years.
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Summary of the Regional Health Framework 2016 – 2025 “Regional Public Goods for Sustainable Health Development”
A key focus is strengthening primary
The CCH IV Framework identifies five
health care and promoting health in
strategic priority areas, each with a key
all policies to address the social de-
expected outcome. The principal mode
terminants of health. This requires the
of implementation of CCH IV will be the
whole of society to engage for effective
production of Regional Public Goods
multi-sectoral, evidence-based interven-
(RPGs) (see section below on Regional
tions.
Public Goods (RPGs).
CCH IV Strategic Priorities and Outcomes
Strategic Priority Area
Strategic Outcome
Health Systems for universal access to health and universal health coverage2
Better quality services for health promotion, disease prevention and treatment provided to a larger proportion of the population at affordable costs so that no family is impoverished as a result of treatment of an illness.
Safe, resilient, healthy environments
Regional health security improved through actions to manage and mitigate the effects of climate change, reduce environmental and occupational threats and through building a disaster-resilient health sector, with emphasis on vulnerable populations.
Health and well-being of Caribbean people throughout the life course
Health and well-being of Caribbean people enhanced throughout all stages of their lives.
Data and evidence for decision making and accountability
Regional capacity enhanced to generate and use quality data and evidence for more effective policy, programs and monitoring.
Partnership and resource mobilization for health
Traditional and non-traditional partnerships increased for improved synergies in policy and strategy development and for mobilization of additional resources for health.
2 Strategy for Universal Access to Health and Universal Health Coverage. PAHO 53rd Directing Council; 66th Session of the Regional Committee of WHO for the Americas. Washington, DC 29 September – 3 October 2014. Available from: http://www.paho.org/uhexchange/index.php/en/uhexchange-docments/ technical-information/26-strategy-for-universal-access-to-health-and-universal-health-coverage/file
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Implementation through CCH Action Plans To guide implementation and resource
CCH IV into their program budgets,
mobilization, a series of three-year CCH
and with Member States monitoring
Action Plans (CCHAP) will be devel-
execution through routine reports.
oped to identify measurable results,
Lead organizations will coordinate
outputs, activities, responsible organi-
the achievement of the results for a
zations and budgets. These rolling plans
strategic priority and will implement
provide the opportunity for adjustments
key actions with support from other
in the CCH IV framework, if necessary,
organizations. The CCH Secretariat,
to meet changes in the regional context.
comprised of the CARICOM Secretariat (CCS) Health Desk, CARPHA
As far as possible, regional efforts will
and PAHO/WHO, is responsible
utilize existing institutional arrange-
for coordinating the production of
ments, with implementing partners
RPGs.
integrating commitments specific to
Governance arrangements for the CCH IV
CARICOM Regional Institutions
Caribbean Community Secretariat
CARICOM Member States
Regional & International Development Partners
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Summary of the Regional Health Framework 2016 – 2025 “Regional Public Goods for Sustainable Health Development”
Strengthened governance of the CCH IV Governance arrangements for the
Effective multi-sectoral governance
CCH IV build on existing mechanisms
of the CCH will enable better
such as the Conference of Heads of
oversight, accountability and
Government, the Council on Health
alignment in all areas of health and
and Social Development (COHSOD),
development. The multi-sector
the Council for Trade and Economic
governance identified is reflective to
Development (COTED), the Meeting
the complexities of the current health
of the Chief Medical Officers and the
issues such as NCD prevention, IHR
CCH Secretariat to ensure leadership
and Health Systems Regulation.
by, and accountability to, Member
To this end, a Regional Steering
States. The modus operandi and lines
Committee will enable non-health,
of authority and accountability of
civil society, academia and private
these structures are well-established
sector partners to be engaged in
and will be maintained over the
implementation, decision-making and
lifetime of the CCH IV.
oversight of collaborative activities
Governance arrangements for the CCH IV CONFERENCE OF HEADS OF GOVERNMENT Lead Prime Minister on Health COHSOD Annual Meeting supported by CCS
Ministers of Health CCH STEERING COMMITTEE Selected CMOs from group of countries (X5)
Representatives Civil Society, Youth
Representatives of other selected sectors (Private Sector, Labour, Region Institutions)
CCH SECRETARIAT Body of CMOs
CARPHA
PAHO/WHO
CARICOM
M&E Working Group
Supported by CCS Meets twice a year
Monthly meetings convened by CCS
National and Regional Implementing Agencies (for each Strategic Priority)
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and approaches. Operationalizing
This innovative approach has
the Steering Committee will
been approved by the Ministers
require developing processes
of Health3, and represents a
and procedures to manage and
significant step forward for the
support a partnership framework
Region, with the potential to better
for engagement with non-health
align strategies and efforts across
and non-traditional partners with
multiple sectors and to strengthen
measures to manage conflict of
the CARICOM Secretariat and the
interest, as well as identifying
governance structure of CARPHA.
the resources and capacity for
It builds on lessons learned from
secretariat support and meetings.
PANCAP, a regional collaboration
Face-to-face Regional Steering
that has successfully harnessed the
Committee meetings may be built
contributions of more than sixty
on to existing annual meetings of
diverse partners, to achieve progress
the Chief Medical Officers and of
in the fight against HIV and AIDS.
Health Officials in Washington, DC in September.
3
Endorsed by Ministers at the 30th Meeting of the Council for Human and Social Development (COHSOD)- Health. September 2016
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Summary of the Regional Health Framework 2016 – 2025 “Regional Public Goods for Sustainable Health Development”
Strengthening multi-sectoral collaboration for health in the Caribbean
The Steering Committee for the CCH IV will enable: Opportunities and mechanisms for routine multi-sectoral collaboration Dedicated resources and time for effective multi-sectoral collaboration Open, inclusive, and informed discussion among key stakeholders A policy process and policies shaped and influenced by multi-sectoral inputs The monitoring and assessment of collaborative partnerships for learning and improvement Evidence generated and shared on the cross-sectoral benefits of achieving the stated health goal through a multi-sectoral response.4
4
Health Policy Project. 2014. Resource Guide on Multisectoral Coordination
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Monitoring and Evaluation Monitoring progress of CCH IV
and into a central repository managed
takes place at both the national and
by CARPHA, to facilitate tracking
regional levels. CMOs are responsible
of regional progress. Reporting will
for reporting country progress
be incorporated into annual reports
against agreed targets and lead
at the CMO’s Meeting and indicator
regional agencies are responsible for
dashboards will be disseminated to
monitoring and reporting progress in
Member States and key partners.
their assigned strategic priority areas.
This will assign CMOs greater accountability for CCH deliverables.
Within the CCH IV Steering
Regional data in the key priority areas
Committee, CARPHA is working
will be used to institutionalize data-
to design and operationalize an
informed decision making.
M&E Plan. The monitoring system builds and strengthens existing
CCH IV evaluations will be
surveillance and data collection
commissioned and managed by
protocols, to avoid duplication or
the University of the West Indies
the need for additional reporting.
(UWI) or PAHO with input from the
An indicator framework will include
Steering Committee, MOHs and
reference sheets outlining definitions,
other key stakeholders. The results
numerators and denominators,
of the triennial and final evaluations
planned data analysis and indicator
will be disseminated throughout the
limitations. Reporting templates will
Region on various media platforms
be developed for Ministries of Health
and as part of regional meetings.
at the Member State-level and at the
Findings and recommendations will
regional level, for the lead agency for
be used to generate an action plan
each strategic priority area. Data will
for continuous quality and program
be deposited in CMO Annual Reports
improvement.
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Summary of the Regional Health Framework 2016 – 2025 “Regional Public Goods for Sustainable Health Development”
Communicating for Caribbean Cooperation in Health The evaluation of the CCH III identified the lack of a
understanding of the CCH IV include: • A brief designed to be accessible
communication strategy as an
to a wide, non-technical target
important gap that contributed to
audience across sectors that will
a widespread lack of awareness
ensure that Member States and
among stakeholders. Effective
residents are aware of the regional
communication is recognized
public goods and services that are
to be critical for establishing
being made available to them, and
and sustaining multi-sectoral
•
A ‘quick reference’ version that
partnerships for advocacy,
highlights linkages to SDGs,
mobilizing resources, producing
CARICOM strategic goals, Regional
and utilising regional public goods,
Health Security and profiles
and engaging in governance
CCH IV to support multi-sectoral
for the CCH IV. Communication
engagement and investment by
products to promote awareness and
partners.
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Resourcing the Regional Public Goods Strategic Priority Area 5 of the
•
Regional clearinghouse of funding
CCH IV proposes the following
opportunities for health to share
collaborative approaches to resource
with Member States; •
mobilization:
Traditional and non-traditional partnerships;
•
Research to build business case for investment in health;
•
•
Regional policy for engagement of the private sector.
Applied training courses for health officials and professionals in
Three-year CCH Action Plans
partnerships and negotiation skills
(CCHAPs) and the monitoring and
to support resource mobilization;
evaluation framework are critical for
Caribbean Cooperation in Health Phase IV (CCHIV) 24
Summary of the Regional Health Framework 2016 – 2025 “Regional Public Goods for Sustainable Health Development”
International experience with funding public goods The main potential contributors to the resourcing of RPGs are: • • • •
National governments International agencies and bilateral partners Regional private sector International corporations, as developers and suppliers of relevant technologies.
The following mechanisms may be used to fund the production of regional public goods: • • • •
Voluntary contributions by States; Ear-marked national taxes coordinated between countries; Taxes imposed and collected at the regional level; Market-based mechanisms such as trading of emission rights.
understanding the resource needs
to diversify funding sources
associated with the provision of
and encourage multi-sectoral
priority RPGs, and for measuring the
collaboration. The whole-of-society
results of this investment. So too,
approach underlying the CCH IV
is operationalizing a governance
provides an opportunity and impetus
structure that can stimulate and
to leverage existing investments,
nurture new partnership approaches
including in non-health sectors.
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References Organisation of Eastern Caribbean States.
peoples and the advancement of their social,
2017. OECS Pharmaceutical Procurement Ser-
cultural and technological development; (iii)
vice (PPS) grows from strength to strength.
intensified activities in areas such as health,
https://pressroom.oecs.org/oecs-pharma-
education, transportation, telecommuni-
ceutical-procurement-service-grows-from-
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