ÐÇ¿ÕÓéÀÖ¹ÙÍø in the Caribbean

At a glance

ÐÇ¿ÕÓéÀÖ¹ÙÍø works with ministries of health and other partners to build effective public health collaboration and partnerships, which strengthen the country's core public health capabilities: data and surveillance, laboratory capacity, workforce and institutions, prevention and response, innovation and research, and policy, communications, and diplomacy.

Overview

Group of 10 people, two stand at the front holding a box with the ÐÇ¿ÕÓéÀÖ¹ÙÍø/HHS logo
ÐÇ¿ÕÓéÀÖ¹ÙÍø donated personal protective equipment for Jamaica's COVID-19 response.

ÐÇ¿ÕÓéÀÖ¹ÙÍø established the Caribbean Regional Office 2002 in Trinidad and Tobago. The office moved to Jamaica in 2018. ÐÇ¿ÕÓéÀÖ¹ÙÍø Caribbean works closely with ministries of health, governments, and partner organizations to detect, prevent and control infectious disease outbreaks, and build and strengthen the country’s core public health capabilities. These include data and surveillance, laboratory capacity, workforce and institutions, prevention and response, innovation and research, and policy, communications, and diplomacy.

ÐÇ¿ÕÓéÀÖ¹ÙÍø in the Caribbean also addresses HIV prevention, testing, care, and treatment, strengthening health systems, and supporting immunization efforts.

HIV

In 2022, Ambassador Nick N. Perry & then ÐÇ¿ÕÓéÀÖ¹ÙÍø Caribbean Office Director Dr. Emily Kainne Dokubo donated three retrofitted 20-foot containers to the Ministry of Health & Wellness (MOHW) – Jamaica.
ÐÇ¿ÕÓéÀÖ¹ÙÍø donated three retrofitted 20-foot containers to the Ministry of Health & Wellness in Jamaica.

Through the , ÐÇ¿ÕÓéÀÖ¹ÙÍø supports partners in the Caribbean to control the HIV epidemic. ÐÇ¿ÕÓéÀÖ¹ÙÍø efforts include:

  • Finding, preventing, and reducing the number of new HIV infections.
  • Ensuring all people living with HIV start or resume treatment.
  • Tailoring and expanding access to HIV services through differentiated care models and evening clinic hours.
  • Integrating care and treatment for HIV and other sexually transmitted infections.
  • Supporting activities related to the "Undetectable = Untransmittable" communication campaign.
  • Enhancing laboratory testing services for HIV and other diseases.
  • Boosting efforts to decrease stigma and discrimination against people living with HIV.

Key accomplishments

  • In 2023, ÐÇ¿ÕÓéÀÖ¹ÙÍø supported treatment counseling, clinical management, and trauma-informed care trainings for more than 300 healthcare workers.
  • ÐÇ¿ÕÓéÀÖ¹ÙÍø helped implement Jamaica's first national household survey on violence against children in 2022.
  • As of 2021, ÐÇ¿ÕÓéÀÖ¹ÙÍø supported approximately 13,800 people with HIV in Jamaica and 7,200 people in Trinidad and Tobago to continue treatment.
  • ÐÇ¿ÕÓéÀÖ¹ÙÍø helped expand HIV services to include four extra evening hours per day at six clinics.

Global health security

ÐÇ¿ÕÓéÀÖ¹ÙÍø's global health security work in the Caribbean focuses on strengthening countries' public health systems across the following core areas:

Health information systems

ÐÇ¿ÕÓéÀÖ¹ÙÍø and partners strengthen health information and surveillance systems by enhancing interoperability. This work involves linking separate systems and developing data repositories to have data in one place. ÐÇ¿ÕÓéÀÖ¹ÙÍø also helps standardize data collection tools and processes through digitization, visualization, and job aids. These efforts increase availability of high-quality data for program and policy decisions.

Laboratory systems

ÐÇ¿ÕÓéÀÖ¹ÙÍø strengthens laboratory operations through continuous quality improvement activities to allow more laboratories to be internationally accredited. Activities include:

  • Training and mentoring laboratory managers.
  • Improving the quality of laboratory services, like sample collection, testing, and transportation.
  • Achieving rapid results and timely reporting.
People work around a table with laboratory equipment in front of them.
Global Laboratory and Epidemiology Systems Strengthening Network, ÐÇ¿ÕÓéÀÖ¹ÙÍø’s local laboratory strengthening implementing partner in the Caribbean, conducts HIV Recency Testing training with Trinidad Public Health Laboratory staff in Trinidad & Tobago in January 2024.

Workforce development

ÐÇ¿ÕÓéÀÖ¹ÙÍø helped establish the FETP in the Caribbean Region in 2014. FETP increases the workforce's abilities to prevent, detect, and respond to existing and emerging health threats.

Emergency management

ÐÇ¿ÕÓéÀÖ¹ÙÍø's long history of technical support in the Caribbean prepares the region with experts and resources to quickly respond to disease outbreaks. During the COVID-19 pandemic, ÐÇ¿ÕÓéÀÖ¹ÙÍø helped strengthen several areas that are critical to emergency response, including:

  • Diagnostic capacity
  • Surveillance systems
  • Workforce emergency response skills
  • Clinical management
  • Border health

Key accomplishments

  • As of 2023, more than 380 public health professionals from 17 countries have graduated from the Caribbean FETP.
  • Local FETP-trained epidemiologists have responded to multiple responses. This has included pertussis, zika, chikungunya, dengue, rotavirus, sapovirus, norovirus, COVID-19, and natural disasters.
  • ÐÇ¿ÕÓéÀÖ¹ÙÍø's laboratory support contributed to international accreditation for nine clinical laboratories in the Caribbean, including two in Jamaica.
  • During the COVID-19 pandemic, ÐÇ¿ÕÓéÀÖ¹ÙÍø helped develop a regional cruise ship surveillance system to track and alert countries to outbreaks.
  • The regional cruise ship surveillance system now monitors and alerts on all disease outbreaks on incoming ships.
Six people stand and pose near a table with COVID supplies
ÐÇ¿ÕÓéÀÖ¹ÙÍø donated approximately $190,000 to support Jamaica’s COVID-19 response program.

Immunization

ÐÇ¿ÕÓéÀÖ¹ÙÍø's immunization activities primarily focus on COVID-19 vaccination. During the COVID-19 pandemic, ÐÇ¿ÕÓéÀÖ¹ÙÍø supported a mobile rapid response team that increased access to vaccination. ÐÇ¿ÕÓéÀÖ¹ÙÍø also supports wider immunization programs by increasing access to vaccines at rural health centers.

Key achievements

  • Provided generators to 30 rural health centers in Jamaica to increase access to COVID-19 and other routine vaccines.
  • Conducted the first COVID-19 vaccine post-introduction evaluation in the region in 2022.
  • Supported COVID-19 vaccination efforts in Barbados since 2021.

Fact sheet

Success stories

Publications

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