Strategic plan for health 2016-2025

Government has accepted the fact that HEALTH is much more than the prevention or reduction of disease, but is a resource for national productivity and development. As such investments in ensuring, a healthy population is an asset for national development. It is for this reason that Government re-affirms its strong commitment to providing better health care to all Grenadians. The National Strategic Plan for Health 2016-2025 provides the framework that will guide the efforts of the Ministry of Health and Social Security (MOHSSSSSS) and its partners over the next ten years. It reflects the Ministry's fundamental belief that health is a basic human right and as a result no one should be denied access to health care. Consequently, one of the overarching goals of this strategic plan is ensure that health services are made available, accessible and affordable to all people without discrimination. Like many other developing countries, Grenada continues to be challenged by meeting the demands for health care services to its citizens. Chronic non-communicable diseases are the leading cause of morbidity and mortality. Life style and food choices are the main contributing factors of the disease profile and pose a significant challenge to the delivery of secondary care due to the escalating cost associated with the management of these diseases. This requires the Ministry of Health to place greater emphasis on prevention and health promotion. Notwithstanding the fact, every citizen must however accept responsibility for his/her individual health outcomes. Recently, Grenada has also been experiencing the outbreaks of new and re-emerging communicable diseases, which have been linked to climate change factors. It behooves us therefore to take necessary steps to protect and maintain our environment for our future generations. The Plan further reflects the belief that health fundamentally affects individual productivity and is therefore a critical input for long-term development of the country. To this end, we have set out our major priorities and therefore in concert with the private sector, we will heighten our focus and continue to promote health and wellness among our citizens.

National Sustainable Develpment Plan 2020-2035

Sincerest and deepest gratitude is expressed to all the individuals and institutions that were involved in the preparation of Grenada's National Sustainable Development Plan 2020-2035. Specifically, we thank the members of the Technical Working Group (TWG) who contributed their time and intellect in writing the document. The TWG comprised Dr. Kari Grenade (Chair), Dr. Spencer Thomas, Dr. John Telesford, Dr. Lindonne Glasgow, Mrs. Pauleen Finlay, Mr. Fitzroy James, and Dr. Nicole Phillip-Dowe. Mrs. Elaine Henry-McQueen provided invaluable technical support to the TWG on gender issues. We also thank Dr. Clement Jackson, as well as Dr. Patrick Antoine who were Chairs of the TWG at different periods during the early stages of the Plan's preparation. We also recognise the contribution of Mr. Michael Baptiste, a former TWG Member. Special thanks also to the members of the Steering Committee (SC) who gave their time, ideas, and unique perspectives from their different interests and fields to ably guide the entire preparation process. The SC included: Mr. Michael Stephen (Chair, and representative of the Public Sector); Mr. William Joseph (representative of the Conference of Churches); Reverend Joachim Phillip (representative of the Evangelical Association); Ms. Petipha Lewis (representative of the Private Sector); Senator Judd Cadet and Mr. Johnny Calliste (Youth representatives); Senator Dr. Dunstan Campbell (Farmers' representative); Ms. Sandra Ferguson (Civil Society representative); Mr. Andre Lewis (Trade Unions' representative); Mr. Ferron Lowe (representative of the National United Front Political Organisation); Mr. Kennedy Roberts (representative of the National Democratic Congress Political Organisation); and Mr. Carlton Frederick (representative of the New National Party Political Organisation). We also recognise Mr. Timothy Antoine, former Chair of the SC and former members Mrs. Joan Purcell, Mr. Terrance Moore, and Mr. Vincent Roberts for their contributions during the early preparation stages. The TWG and SC were ably supported by the hardworking team of the National Plan Secretariat, headed by Ms. Peron Johnson and assisted by Mrs. Karen Noel, and Mr. Keri Wilson. We also recognise the contributions of Mr. Raphael Joseph, Mrs. Michelle Julien, and Mrs. Kemmecia Charles who worked with the Secretariat during the early preparation stages of the Plan. Special thanks to the Media for supporting the public outreach; the Government Information Service is specifically recognised for its tremendous assistance throughout the process. We also thank the staff of the Government Printery for their support. We are also grateful to the Economic Commission for Latin America and the Caribbean (ECLAC) for its technical and financial assistance. Special thanks to the external and local reviewers of earlier versions of this document. Written comments were received from the Eastern Caribbean Central Bank, Caribbean Development Bank, International Monetary Fund, St. George's University, members of the TWG of the National Sustainable Development Plan, members of the SC of the National Sustainable Development Plan, members of the Grouping of Civil Society Organisations, members of Grenada Green Group, members of the SC of the National Quality Policy, Elaine Henry-McQueen, Nicole Garraway-Forsyth, Tonya Adams, and Peron Johnson.

National School Nutrition Policy for Granada

The School Nutrition Policy for Grenada was deemed a necessary response to the ever growing burden of non-communicable diseases affecting the health of school aged children in Grenada, Carriacou and Petit Martinique. A coordinating committee comprising, persons from Grenada Food and Nutrition Council, Ministries of Education and Health initiated the development of the National School Nutrition Policy. Multisectoral involvement, from various other government sectors and civil society, was ensured, as the implementation requires their participation and the outcomes of a school nutrition policy will be of benefit to several sectors. A series of consultations and workshops were held to facilitate the process. Technical support was given by the Pan American Health Organization (PAHO/WHO) and Caribbean Public Health Agency (CARPHA). The Policy will embrace the goals, and programmes of the relevant stakeholders charged with ensuring that the children of Grenada, Carriacou and Petit Martinique embrace a healthy lifestyle that will empower them to develop values, attitude, life skills and behaviour that will contribute to sustaining a vibrant and healthy workforce.

Criterios técnicos para el fortalecimiento del Centro de Promoción y Vigilancia Comunal (CPVC) del cuidado integral de la madre y el niño, planificación y programación en el programa articulado nutricional (PAN) / Technical conditions for strengthening the Center for Promotion and Community Surveillance (CPVC) comprehensive care of mother and child, planning and programming in the nutritional articulated program (PAN)

La publicación describe los criterios técnicos e intervenciones dirigidas a promover los cuidados de la madre gestante, las niñas y niños menores de 36 meses, con controles de salud de manera periódica y oportuna; educación en salud, prácticas saludables y generar condiciones favorables en la comunidad para propiciar un adecuado crecimiento y oportuno desarrollo de los niños y niñas, con prioridad en las comunidades de municipalidades pobres y extremadamente pobres del país. Por ello, con la finalidad de fortalecer los Centros de Promoción y Vigilancia Comunal, para el año 2015, se ha considerado como una de las actividades de la meta la programación de recursos en el Programa Presupuestal Articulado Nutricional

Regional Evaluation Municipal Solid Waste Management Services. Country Analytical Report, Grenada. Evaluation 2002

[Introduction] The process of collecting and developing the data required for the production of Evaluation 2002 for Grenada was carried out by a PAHO representative in conjunction with the General Manager and the Operations Manager of the Grenada Solid Waste Management Authority. Additional assistance was given by other members of the Authority. The Chief Statistician of the Central Statistics Department of the Ministry of Finance and the Chief Environmental Health Officer also provided valuable information. The report makes specific references to the improved collection system, the improved disposal practices and particularly to the development of the excellent cost recovery system.

A site receptivity study to determine the threat of the re-introduction and re-establishment of malaria in Grenada

Malaria was eradicated from Grenada in 1962 and the island has since remained free of the disease. The resurgence of malaria in endemic areas, as well as in countries where it had been previously eradicated, provided the impetus for a study to assess the risk of the re-introduction and re-establishment of malaria in Grenada. This study surveyed the recorded historical breeding sites of Anopheles spp in Grenada between April 1996 and April 1997, thereby encompassing two dry seasons and one wet season. Although the threat of imported cases of malaria into Grenada has never been greater since the eradication of the disease, the results of this study indicate that the re-establishment of malaria as a serious public health problem is less likely. The unfamiliarity of diagnosis of malaria in this malaria free country, coupled with the presence of the vectors, however, mandates that malaria surveillance must be maintained, particularly since the government's spending on vector control activities has been reduced over the years

A site receptivity study to determine the threat of the re-introduction and re-establishment of malaria in Grenada

Malaria was eradicated from Grenada in 1962 and the island has since remained free of the disease. The resurgence of malaria in endemic areas, as well as in countries where it had been previously eradicated, provided the impetus for a study to assess the risk of the re-introduction and re-establishment of malaria in Grenada. This study surveyed the recorded historical breeding sites of Anopheles spp in Grenada between April 1996 and April 1997, thereby encompassing two dry seasons and one wet season. Although the threat of imported cases of malaria into Grenada has never been greater since the eradication of the disease, the results of this study indicate that the re-establishment of malaria as a serious public health problem is less likely. The unfamiliarity of diagnosis of malaria in this malaria free country, coupled with the presence of the vectors, however, mandates that malaria surveillance must be maintained, particularly since the government's spending on vector control activities has been reduced over the years

Revised iron fortification project

Iron deficiency anaemia was found to be widespread among all age and gender groups and ranged from fourteen per cent among young men to seventy-four per cent in pregnant women. Details of a project to prevent iron deficiency anaemia involving the government and a private flour milling company are given. The project involves the fortification of wheat flour to reduce anaemia and the monitoring of this intervention

Grenada, Carriacou and Petite Martinique: country report

The report covers the activities of the Grenada Nursing Services for the period June 1994 to May 1995. States that the Nursing Services continue to provide quality care to patients/clients despite limited working conditions in relation to physical facilities, equipment, supplies and staff. An update is provided on human resource developments, nursing evaluation and statistical data on the nursing service island-wide

Report on the 4-H healthy lifestyle project

Provides details of a project aimed at determining the nature and causes of chronic non-communicable diseases in young people, and addressing the high unemployment. The activities developed to deal with these problems included workshops on food preservation and a survey to determine and promote healthy lifestyle practices

Princess Alice Hospital: disaster management plan 1994

The management plan to be implemented during a disaster at the Princess Alice Hospital is covered, including pre-disaster procedures and the procedures to be followed in the event of a disaster. Duties and responsibilities of persons involved in the management of the hospital during the period of a disaster are given

Implementation of AIDS/STD prevention and control programme in Grenada

Provides an overview of the status of sexually transmitted diseases (STD) in Grenada. Reports that as of September 1993, seventy-six AIDS cases were recorded, with gonorrhea being the most common STD. Details of the AIDS education programme are given and includes presentations to schools, prison, youth and community groups, workplaces and Parent Teacher Associations. The major lessons learnt from these programmes are enumerated. Highlights the need for staff training and external funding

Integrated vector control program: knowledge, attitudes and practices baseline survey

In recent years there has been an increase in the number of cases with clinical symptoms of dengue fever and a large and growing mosquito population. This study is aimed at providing valuable information on which to base community participation strategies for the control of aedes aegypti mosquito in order to avoid a serious outbreak of dengue fever and to prevent the occurrence of its more deadly form, dengue hemorrhagic fever. The survey examines two components: (a)knowledge, attitude and practice. Data was collected by personal interviews; (b)an entomology survey which was essentially a household inspection to measure observed practices. The entire survey for both components was conducted in two different rural areas (the villages of Crochu and Chantimelle) with a sample of 200. Results indicate a tremendous need for community education on all aspects of general sanitation, water storage management and pest control as they relate to the transmission and prevention of dengue fever

Grenada, Carriacou and Petit Martinique

Reports on the administrative aspects of the nursing service. Outlines local action on resolutions issued from the Thirteenth Meeting of the Conference of Ministers Responsible for Health. Technical assistance received from external agencies is summarised, followed by an update of development in nursing administration and training. Some of the current problems faced is as a result of inadequate trained staff, sub-standard working conditions and the absence of a hospital policy. There is need for improved top and middle management personnel and educational opportunities in the form of scholarships for nurses, among others

Grenada national population report

Presents an outline of the status of the population of Grenada, including the main population/development concerns, the institutional mechanisms in place, and plans and programmes to incorporate population into the development planning process. Population growth is identified as the main stimulus and at times, an obstacle to economic growth. However, it is widely agreed that policy decisions should reflect a pragmatic approach in dealing with population/development issues. It is also recognised that higher population growth increases pressure on the provision of basic services, the use of space and natural resources, and the environment. The quality of human resources for development, is of equal importance, but can be hindered by significant population increases

Breastfeeding policy and plan of action

The breastfeeding plan of action gives guidelines to antenatal and postnatal procedures for mothers. The plan of action covers hospital directives, antenatal care, postnatal care, a referral system after mothers give birth, breast milk substitutes and public health education on the issue

Community health services report: antenatal services

Presents statistical data on ante-natal services for the state. Areas covered include gravidity at first clinic visit; gestation at first clinic visit, immunization during pregnancy, and other ante-natal services to 1,863 pregnant women. This represents 81.7 percent of the 2,280 deliveries reported to the Ministry of Health in 1993