Lessons from the Caribbean Region’s Global Health Security Agenda RoadmapGlobal Health Mini-University, September 2017Gavin Macgregor-SkinnerLisa TarantinoLauren Hartel

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What is it?

Why do we care?

Global Health

Security

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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

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Global Health Security Agenda

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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

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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

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ObjectiveTo validate assessment and draft the Roadmap to strengthen health security

Multi-stakeholder engagement with more than:- 70 participants- 13 nations- 30 organizations

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GHSA Caribbean Roadmap Workshop

What does th is number represent

Workshop Participants

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

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Workforce Development• Group #2

Top priorities

Key stakeholders

Anticipated challenges

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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?

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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.