INTERESTING LINKS & ARTICLES
FaN-slider-2

The overall goal of the project is to build a shared understanding amongst stakeholders of the complex adaptive systems driving local food production and consumption in English-speaking CARICOM states; and implement coordinated packages of interventions within national food systems that promote sustainable livelihoods of vulnerable groups, and combat obesity and diet-related NCDs.

Fan_researchers-partners

The researchers, major collaborators and stakeholders of FaN who attended the Inception Workshop

local-to-global

The Port of Spain evaluation on NCDs contains a wealth of detail and recommendations on the way forward in the multisectoral challenge to the epidemic of chronic diseases in the Caribbean. Here is a wide-ranging but easily digestible look at the situation in a number of critical areas and what can and should be done next.

pos-dec-1

In 2007 CARICOM Heads of State signed a landmark Declaration to tackle the epidemic of NCDs

slider-4

The Port of Spain Declaration promotes policies and behaviours that encourage the pursuit of better health on an individual, community, national and regional level

© PAHO-WHO/David Spitz

CARICOM pledges stronger action on NCDs

In July 2016 CARICOM Heads of Government pledged to address:
banning of smoking in public places;
banning advertisement of potentially harmful foods which specifically target children;
raising taxes on foods high in sugar, salt and trans fats

slider-1

NCDs pose a major threat to both the health and future of the region and could seriously effect hard-won development gains

© PAHO-WHO/David Spitz

fast-food-obesity

Childhood obesity exceeds 10% in most countries,
driven by consuming high-fat, high sugar food and drink,
Less than 1/3 of school children, 13-15, get the recommended level of physical activity

© fotolia/rubberball/igp

shari-john-older-men-playing-chess

NCD mortality in the Caribbean is the highest in the Americas.
40% of NCD deaths occur in those under 70 and are potentially preventable

Photo Credit: Shari John

slider-2

Heart attacks, stroke, diabetes and cancers are the leading causes of premature death in the region. Hypertension is the leading risk factor for death

© PAHO-WHO/David Spitz

slider-3

Diabetes prevalence is double global rates. Up to 25% of adults in some countries have diabetes

© PAHO-WHO/David Spitz

Introduction

 

Improving Household Nutrition Security and Public Health in the CARICOM (FaN- Food and Nutrition):

The project builds on the lessons and outcomes from the “Farm to Fork” project and the findings and recommendations of the Evaluation of the POS Declaration, and seeks to determine how previous and proposed research can best be scaled up and incorporated into more nutrition-sensitive, gender-responsive food systems for CARICOM.”

Read more

FaN Featured Articles

  • FaN-apr-video

    Drivers for Childhood Obesity in the Caribbean

    Principal Investigator of the “Household Nutrition Security in CARICOM” (FaN) project, Prof. Alafia Samuels, talks about the drivers for childhood obesity in the Caribbean with secondary school-aged children in Barbados recently.  

  • policy-entrepreneur-sml

    Jamaica’s Minister of Health Designated As FaN Policy Entrepreneur

    Household Nutrition Security Project designates Minister Tufton as Policy Entrepreneur; Collaborates on Jamaican Moves The “Household Nutrition Security in CARICOM” (FaN) project recently met with newly designated “Policy Entrepreneur”, Dr. the Hon. Christopher Tufton, Jamaica’s Minister of Health and has agreed to collaborate with the Ministry on Jamaica Moves initiatives. During the meeting, Minister Tufton […]

  • FaN-cxc

    CXC Progress, New Research Prompts Changes to Curriculum

    CXC Progress – New research from the George Alleyne Chronic Disease Research Centre has resulted in changes being made to the Caribbean Examination Council’s curriculum for children of two age groups.

  • ronald-banky-king-3

    St Kitts and Nevis Safe, Local Food Supplementing School Meals

    St Kitts and Nevis is supplementing its school meals programme with safe, local food. Hear more from Ronald ‘Banky’ King, an Extension Officer with the Department of Agriculture in Nevis.

  • FaN-project-update-sml

    Household Nutrition Project to Enter New Phase

    With stakeholder meetings in the three project countries of Jamaica, St. Kitts and Nevis and St. Vincent and the Grenadines now complete, the project team, recently briefed   the Project Advisory Committee (PAC) of suggested interventions to improve the dietary patterns of regional consumers. Principal Investigator, Prof. Alafia Samuels, told PAC members, Director Emeritus, PAHO, Sir George […]

  • ronald-banky-king-2

    Caribbean People Should Grow More of Their Own Food

    Ronald ‘Banky’ King is an Extension Officer with the Department of Agriculture in Nevis. He shares the Ministry’s efforts to supplement the school feeding programme with safe, local food. Mr. King encourages Caribbean people to grow more of their own food to ensure that we lower our food import bill and to ensure that you […]

  • ronald-banky-king-1

    Farmers Experience Some Challenges in Nevis

    Ronald ‘Banky’ King is an Extension Officer with the Department of Agriculture in Nevis. These officers assist homeowners, school children, teachers and farmers. Although farmers experience some challenges in Nevis, agriculture is still a lucrative way to make a living.

  • Leonor-Guariguata

    Making Sense of the Information Gathered from the FaN Project

    The research team from the Household Nutrition Security Project is gathering information on the food system, from people at various stages of the food chain, in St. Kitts and Nevis, Jamaica and St, Vincent and the Grenadines. Researcher, Leonor Guariguata, explains how the team is making sense of all the information gathered from the Household […]

  • dr-maddy

    When You Eat Local Does it Automatically Mean it’s Healthy?

    When you eat local does it automatically mean it’s healthy? What drives food choices in the region? These are some of the questions the new Food and Nutrition project is structured to investigate in Jamaica, St. Kitts and Nevis and St. Vincent. Dr. Madhuvanti “Maddy” Murphy is the Qualitative Lead for the Food and Nutrition […]

  • FaN-dec-video-3

    CXC Looking to Include Curriculum Content on NCDs

    The Caribbean Examinations Council (CXC), supported by the new IDRC funded, UWI led project, Household Nutrition Security project, is looking at the revision of the curriculum of some subjects to include more content about Non-Communicable Diseases (NCDs) and their risk factors. Learn more from the principal investigator with the Improving Household Nutrition Security and Public Health […]

  • FaN-dec-video-2

    What is the Impact of Marketing of Unhealthy Food to Children?

    Hear a perspective on the impact of marketing of unhealthy food to children from principal investigator with the Improving Household Nutrition Security and Public Health in CARICOM (FaN) project, Professor Alafia Samuels.

  • FaN-dec-video-1

    Regional Food Import Bills and the Cost of Inputs in Agriculture are Skyrocketing

    Regional food import bills and the cost of inputs in agriculture are skyrocketing and there is a shift from local food production to growing for export. This from Principal Investigator with the Improving Household Nutrition Security and Public Health in CARICOM (FaN) project, Professor Alafia Samuels, who also recently spoke to regional agriculture policy makers and technocrats […]

  • CCSLC-participants-CXC-thumb

    CXC Planning to Include NCDs in their Curriculum

    The Caribbean Examinations Council (CXC), supported by the new IDRC funded, UWI led project, Improving Household Nutrition Security and Public Health in CARICOM (FaN), is in the process of revising the curriculum of some subjects to include more content about Non-Communicable Disease (NCD) and their risk factors. According to Principal Investigator of the project, Prof. […]

  • agricultural-heads-keen-to-help-in-health-thumb

    Despite Challenges, Regional Agriculture Heads Keen to Help in Health

    With regional food import bills and the cost of inputs in agriculture skyrocketing and a shift from local food production to growing for export, it is difficult to say if progress has been made in agriculture over the past ten years. This from Principal Investigator with the Improving Household Nutrition Security and Public Health in […]

  • Professor Alafia Samuels

    FaN on St. Kitts Local Radio Show

    As featured in the June FaN bulletin, the project was discussed by Prof T. Alafia Samuels, Mrs. Latoya M. Duncan and Dr. Waneisha Jones on a local radio station in St. Kitts – ZIZ Broadcasting Corporation. On the radio show ‘Working for You’, hosted by Mr. Lesroy Williams, they discussed NCDs, their varied impacts, strategies […]

  • sprint-not-marathon

    Obesity fight: Marathon not a sprint

    Jamaica Observer – June 10, 2018. “Pork is red meat, people!” That was the message from Professor Alafia Samuels, director, George Alleyne Chronic Disease Research Centre at The University of the West Indies in Barbados, as she warned those in attendance at the opening ceremony for the Medical Association of Jamaica’s 2018 Symposium Jamaica Pegasus […]

  • fight-obesity-300x200

    Let’s unite to fight the obesity plague

    Jamaica Observer – June 08, 2018. The Government has taken the sensible approach in giving at least six months’ notice that it will, starting in January 2019, enforce restrictions on the use of sugary drinks in the diets of students and public health patients as part of efforts to combat growing obesity in the country. Health […]

  • dr-tufton

    When the sugar too sweet

    Jamaica Observer – June 08, 2018. Member of Parliament Dr Christopher Tufton, minister of health, is not a “joke man” when he says that schoolchildren have to give up on the sweet drinks and do the right thing — drink nice, fresh water, and keep their young bodies healthy and pure, yuh nuh! All right, […]

  • symposium-doctors-300x200

    Doctors to focus on obesity at three-day symposium

    Jamaica Observer – June 05, 2018. The spotlight will be on obesity at this year’s staging of Medical Association of Jamaica’s (MAJ’s) three-day symposium, which starts on Thursday at the Jamaica Pegasus hotel in Kingston. The symposium will be held under the distinguished patronage of Governor General Sir Patrick Allen and under the theme ‘Obesity: […]

The Port of Spain Declaration Evaluation (POSDEVAL)

The Port of Spain Declaration on Non-communicable Diseases: the path to a healthier Caribbean

In 2007, CARICOM leaders signed the ground-breaking Port of Spain Declaration aimed at uniting to stop the epidemic of NCDs. Now this Declaration is being evaluated by a team of top experts.

Are these ambitious commitments being met? What are the successes and challenges?

The evaluation answers these critical questions.

Read more

POSDEVAL

  • pos-at-10

    POS @ 10 ‘Time to Step It Up’

    The 3rd UN High-level Meeting on NCDs was held on Thursday, 27th September 2018, during the high-level week of the UN General Assembly under the theme: Scaling up multi-stakeholder and multi-sectoral responses to the prevention and control of NCDs in the context of the 2030 Agenda for Sustainable Development. A CARICOM High-Level Breakfast event entitled […]

  • Vice Chancellors Award for Excellence 2016/17

    Vice Chancellors Award for Excellence 2016/17

    The POS Evaluation Project was presented with the Vice Chancellors award for Excellence 2016/17 – Multi-Campus Research Collaboration: One UWI Award. Professor Alafia Samuels Principal Investigator, The George Alleyne Chronic Disease Research Centre, Cave Hill Campus collected the award. This research project 2014-2017 was characterised by its multi-campus, multi-agency research team. The project’s objective was […]

  • facts-figures

    More facts, more figures, more implementation ideas

    The Port of Spain evaluation on NCDs contains a wealth of detail and recommendations on the way forward in the multisectoral challenge to the epidemic of chronic diseases in the Caribbean. Here is a wide-ranging but easily digestible look at the situation in a number of critical areas and what can and should be done […]

  • CARICOM Heads of Government 2017

    CARICOM leaders: Breakthrough in the fight against NCDs in the region

    The push for a healthier Caribbean received a considerable boost when the leaders at the 38th CARICOM Heads of Government Conference in Grenada made new commitments to tackle the epidemic of chronic diseases which is costing the region dear in terms of health and development. In a session devoted to action against NCDs (non-communicable diseases), […]

  • CDRC Sugar Display

    Sugar Shocker

    At the 38th CARICOM Heads of Government Conference one of the main attractions in the meeting area was a ‘sugar display’ constructed by the George Alleyne Chronic Disease Research Centre . A number of people who saw the display expressed real surprise and concern about the amount of sugar we’re consuming. They included the Prime […]

  • A CARICOM Minister Reflects

    A CARICOM Head of Government reflects….

    H.E. Ralph Gonsalves, Prime Minister of St Vincent and the Grenadines, was one of the original signatories of the Port of Spain Declaration on chronic non-communicable diseases and is attending the 38th CARICOM Heads of Government Conference which is marking the 10th Anniversary of the signing of this landmark declaration. Here are his thoughts on […]

  • POSD 10th Anniversary

    10 years after the Port of Spain Declaration: what’s the score?

    2017 marks the 10th Anniversary of the signing of the landmark CARICOM Heads of Government Port of Spain Declaration on non-communicable diseases (NCDs). This year’s thirty-eighth CARICOM Conference of Heads (July 4-6) is expected to celebrate this momentous achievement. In 2007, the Caribbean led the world in convening the very first conference of Heads of […]

  • Dr Alafia Samuels

    How to live a longer, healthier life & avoid chronic illness

    For all you ever wanted to know about how to live a longer and healthier life and how to take steps to avoid chronic illness, listen to Dr Alafia Samuels, head of the Port of Spain NCD evaluation, being interviewed by Natasha Lettsome for the Government Information Service in BVI. No preaching, just lots of […]

  • Dr Alafia Samuels Video

    Dr Alafia Samuels discussing accelerating action on NCDs

    Join a lively Dr Alafia Samuels, head of the Port of Spain Evaluation project, discussing how to accelerate action on NCDs so we can all get to our “three score years and 10”. She’s chatting with Joan Tull, the project’s information and communications officer. Informative and not too heavy!    

Public perceptions of non-communicable diseases (NCDs)

What does the public understand about NCDs? Have they heard of them? What are their experiences of them and how do they feel they touch their lives?

This was the question that Dr Anique Atherley, a Junior Research Fellow at the University of the West Indies and a group of researchers set out to answer in a quick research project focusing on short street interviews with Barbadian men and women. They captured a variety of opinions in a variety of settings around the island.

Here is a selection of their voices.

Read more

Living with cancer: Michelle’s story

Michelle O'Kieffe

Michelle O’Kieffe was diagnosed with an aggressive form of breast cancer at the age of 32. Having been in remission for many years, she is determined to improve support for women living with cancer in Trinidad and Tobago. Here is her story.

My name is Michelle O’Kieffe and I live in Trinidad. I was diagnosed with breast cancer in February 2000 at the age of 32.

I discovered a small lump just below my right breast. When I went to get it checked out the doctors were more panicked than I was. I didn’t have a clue that it could be cancer. There was no history of it in my family and I was young, 121 pounds, I didn’t smoke, I was vegetarian, really active.

But when I got the diagnosis, that the cancer had already spread, I took it in my stride. I saw it as another challenge, another hurdle to get over. If anything it was harder on my mum who was alive at the time. She took all the worry, all the emotion, asked all the questions that I didn’t want to ask.

It was hard on my husband and kids as well. I had two sons Christopher aged 12 and Christian 6. I started preparing them for what might happen.

Read more

"We need to urgently tackle NCDs in our region and the 2007 Port of Spain Declaration helps us rise to the challenge. We are now evaluating the Declaration to find out where we have succeeded and where we can do better as we strive for a healthier Caribbean"
Dr Rudolph Cummings, Caribbean Community (CARICOM)

"The epidemic of non-communicable diseases is the pre-eminent public health challenge in the Caribbean. But the response goes far beyond health. That’s why we need a multisectoral approach that involves the whole-of-government and the whole-of-society. The Port of Spain Declaration evaluation helps guide us in what each sector should be doing to respond more effectively"
Dr C. James Hospedales, Executive Director, Caribbean Public Health Agency (CARPHA)

"There are those who can make lifestyle adjustments to challenge NCDs but there are other people who can’t do this on their own. We need government policy to address the realities of the typical man and woman in the Caribbean who has real difficulty making healthy choices because of the environment they live in"
Dr Patrick Martin, Chief Medical Officer, St Kitts and Nevis

"I often speak about the connection between spirituality and health, drawing attention to the theological notion that God Almighty cares about the whole person; about our immortal souls and our bodies. So we need to take care of them. We need to eat better, be active and reduce stress"
Canon Noel Burke, Rector of St David’s Church, Barbados

"The emotional impact of Trevor’s Illness is very profound, for example, the moments of sadness… especially when I think of the many things he was capable of and the many plans he had for the future. I miss our conversations too"
Beverley Redhead, commenting on life after husband Trevor’s stroke

"As a church elder, I preach that God wants us to look after ourselves not only spiritually but physically too. Our health is important to Him and it should be to us as well"
Priscilla Prevost, Health Coordinator for the East Caribbean Conference of Seventh - day Adventists

"As we approach the 10th anniversary of the Port of Spain Declaration in 2017, its evaluation allows us the opportunity to review the state of implementation of the 27 commitments and to reflect on the lessons learned, as we scale up our efforts to tackle the epidemic of non-communicable diseases in the Caribbean"
Dr. Carissa F. Etienne, Director, Pan American Health Organization (PAHO)