CARLI Caribbean Lifestyle Initiative

1
CARLI Caribbean Lifestyle Initiative
Pan American Health Organization Office of
Caribbean Program Coordination Barbados
July, 2003

• Presented by
• Glenda Maynard
• Chronic Disease and Mental Health Advisor

2
The Caribbean

• 19 countries
• Predominantly English-speaking
• Population
• 8,000 to 2.6 million
• Similar but not the same

3
The Caribbean

• High levels of morbidity and mortality from
  Non-Communicable Diseases
• Main causes of death
• cardiovascular diseases
• malignant neoplasms
• diabetes
• hypertension

4
The Caribbean

• History of working together
• Caribbean Cooperation in Health Initiative Phase
  II
• Health Promotion Charter
• Communicating Health in the Caribbean a manual
  for action

5
Goal of CARLI

• To improve the health status of the
• population by reducing the prevalence of the
• risk factors associated with non-
• communicable diseases.

6
Main objective

• To reduce simultaneously the common risk factors
  of major NCDs such as smoking, unhealthy
  nutrition, alcohol abuse, physical inactivity and
  psychosocial stress.

7
Preparatory Period

• November 2000- blueprint for CARLI
• February 2001- stakeholders agreed to a CARMEN-
  like initiative in the Caribbean
• Mid 2001- Blueprint finalized and disseminated
• Sept 2001- CARLI endorsed by the Caucus of
  CARICOM Ministers responsible for Health

8
Preparatory Period

• October 2002
• Workshop to develop model protocol for CARLI
• Early 2003
• Dissemination of workshop report and CARLI
  Protocol and Application Form
• Meeting of PAHO NCD Focal points in Jamaica

9
CARLI Development- What needs to be done?

• Establishment of CARLI management and
  organizational structures at regional and
  national levels
• Communication/marketing strategy

10
Issues

• Unclear understanding of what is CARLI
• Is it an additional burden?
• How does it link with CCH, Health Promotion
  Strategy, etc

11
Issues

• Complicated application process
• What resources are available?
• How to improve communication among countries e.g
  sharing experiences
• How to incorporate activities into CARLI

12
Facilitating Factors

• Development of Strategic Plan for the Prevention
  and Control of NCDs in the Caribbean
• Approval of the Strategic Plan by the Ministers
  responsible for Health
• Planned greater involvement of Chief Medical
  Officers

13
Facilitating Factors

• Heads of Government- Nassau Declaration
• The health of the region is the wealth of the
  region
• Priorities identified by Heads of Govt
• Non-communicable diseases
• Mental Health
• HIV/AIDS

14
Facilitating factors

• Involvement of the Universities
• Health Sector Reform
• Increased awareness among population

15
Facilitating factors

• Increased strength and capacity of NGOs
• PAHO focal points working together
• Roles being played by the private sector, media
• Resources of CINDI/CARMEN network

16
Implementation Period

• Meeting with PAHO and some national focal points-
  July 2003
• Communication and marketing
• Launch of CARLI