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Lessons from the Caribbean Region’s Global Health Security Agenda RoadmapGlobal Health Mini-University, September 2017Gavin Macgregor-SkinnerLisa TarantinoLauren Hartel
© 2004 Sushil Kanta Dasgupta, Courtesy of Photoshare
What is it?
Why do we care?
Global Health
Security
© 2005 Emmanuel Esaba Akpo, Courtesy of Photoshare
What does global health security mean in the Caribbean?
Small populations, small health systemsTourism is an economic driverSeparated by waterDiverse governments, incomes, & geographiesCross-border trafficNatural disastersChikungunya, Zika, Dengue
The good news:• History of successful regional cooperation• Regional institutions support health
security• Economies are growing
© 2012 Meagan Harrison, Courtesy of Photoshare
Global Health Security Agenda
© 2012 Rachel Witter/Johns Hopkins University School of Nursing, Courtesy of Photoshare
Growing partnership of over 50 nations, international organizations, and non-governmental stakeholders
GHSA Approach in the Caribbean: 1. Assess regional capabilities (first time ever)2. Develop five-year regional roadmap3. Add partners and implement roadmap
3 Steps for GHSA Planning1. Assess regional capabilities
Internal assessment of GHSA capabilities based on components in the WHO evaluation tool, the Joint External Evaluation (JEE)
2. Develop a 5-Year Regional GHSA “Roadmap”Work with CARICOM, CARPHA, PAHO, Caribbean nations, and other partners to develop a regional Roadmap with milestones to achieve the GHSA targets
3. Add partners and implement RoadmapCARICOM uses the regional Roadmap to coordinate its efforts and partners’ efforts to build capabilities in the region
How do we reach consensus on national and regional capabilities?
WHO’s JEE Tool• Voluntary
• Collaborative
• Multisectoral
• Inclusive of GHSA and IHR elements
© 2014 Megan Ivankovich/WI-HER LLC, Courtesy of Photoshare
Region leaders drive the process
•Governments endorse the endeavor: Committee on Health and Social Development (COHSOD)
• JEE self assessment
•Literature review
•Key Informant Interviews
•Donor Survey
•Multi-stakeholder workshop
© 2014 Megan Ivankovich/WI-HER LLC, Courtesy of Photoshare
ObjectiveTo validate assessment and draft the Roadmap to strengthen health security
Multi-stakeholder engagement with more than:- 70 participants- 13 nations- 30 organizations
© 2017 Brendan Bannon/USAID, Courtesy of Photoshare
GHSA Caribbean Roadmap Workshop
Now it’s your turn…
Imagine you are a stakeholder in the Caribbean. 1. What are your top priorities for your technical area?2. Who are the most important stakeholders
to make progress in this area?3. What challenges do you anticipate?
Antimicrobial ResistanceGroup #1
Top priorities
Key stakeholders
Anticipated challenges
© 2014 Gareth Bentley/SCMS, Courtesy of Photoshare
Workforce Development• Group #2
Top priorities
Key stakeholders
Anticipated challenges
© 2015 Northern Caribbean University. Courtesy of Flickr.
AccomplishmentsWorkshop fostered collaboration
Information sharingRelationship buildingIncluded a discussion of domestic and regional financing (not just donors)
First Regional JEE Assessment of health security capacity created
First Regional GHSA Roadmap developed & endorsedGuide to regional prioritiesAdvocacy tool for resourcesTool for monitoring and accountability
Reconstituted RCM-HS incorporated into its terms of reference
TitleAnother line for explanation if needed
Category
• Local leadership ensures ownership
• Multi-stakeholder engagement contributes to accuracy, information-sharing and (hopefully) implementation
• Involve non-health sectors early on in the process
• Relationships are crucial for collaboration
• Prioritize technical themes and milestones
At the end of the day,what did we learn?
Applying this to other contexts
Only 24% of countries are currently compliant with IHRS –how might this work in other regions?
What common ground is necessary?
Where else would this be successful?
© 2012 Meagan Harrison, Courtesy of Photoshare
Thank You!Follow usOn the web at www.HFGproject.orgOn Twitter at @HFGprojectOn Facebook at www.facebook.com/hfgproject
The HFG project is funded by the United States Agency for International Development (USAID) under cooperative agreement No. OAA-A-12-00080. The author's views expressed in this presentation do not necessarily reflect the views of USAID or the United States government.