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Ministerials Paragraphs Related to the Theme Paragraphs VII Summit
Reports
Date:  12/18/2015 
The World Health Assembly resolution WHA62.14 identified the following three overarching recommendations of the Commission on Social Determinants of Health:
1) To improve daily living conditions
2) To tackle the inequitable distribution of power, money and resources; and
3) To measure and understand the problem and assess the impact of action
The Conference further reaffirmed the political will to make health equity a national, regional and global goal and to address current challenges including eradicating hunger and poverty; ensuring food and nutritional security, access to affordable, safe, efficacious and quality medicines as well as to safe drinking-water and sanitation, employment and decent work and social protection; and protecting environments and delivering equitable economic growth through resolute action on social determinants of health across all sectors and at all levels.
Specific commitment was made to:
- Adopt better governance for health and development
- Promote participation in implementation and development
- Further reorient the health sector towards reducing health inequities?
??Strengthen global governance and collaboration
- Monitor progress and increase accountability
These tenets agreed on at the 2011 World Conference on the Social Determinants of Health are being actively incorporated in policies, plans, programmes and services delivered by the Government of Barbados.
Paragraphs: 15 Paragraphs VII Summit: -

Date:  6/21/2011 
Other Programmes and Policy Initiatives
HIV/AIDS and Persons with Disabilities

Barbados continues to pursue an expanded response in the fight against HIV / AIDS. The
Ministry responsible for HIV / AIDS and its Agencies have been active both in the area of
prevention and care and support. In recent times, however, increased attention has been
paid to Persons with Disabilities who because of their disability are often excluded from
the messages coming out of the HIV / AIDS Programmes, especially those who are
intellectually challenged.

To this end, the Ministry through its HIV/AIDS Coordinator, the National Disabilities
Unit and the Ministry of Education, Special Education Unit has been working to develop
material to aid the communication process on behalf of such persons. To date a number
of posters have been produced and work continues on the production of a Manual for
teachers and parents.

For those who are visually impaired, existing literature is being translated into Braille.
Audio books are also being considered for both the hearing impaired and those who may
not be able to read.
Paragraphs: 35 Paragraphs VII Summit: -

Date:  6/21/2011 
Barbados has already approached the FAO for assistance with preparing its own National. FNS Policy and Plan which will be coordinated by the MAFFI in collaboration with the National Nutrition Centre of the Ministry of Health. This Policy will be multi-sectoral in nature and will therefore involve national consultations with the various government departments, stakeholders in the farming communities, NGOs, and other private sector organizations.
Paragraphs: 33 Paragraphs VII Summit: -

Date:  6/21/2011 
Access to comprehensive health care

Barbados' policies on health are predicated on the philosophy that health care is a
fundamental right of Barbadians. Consequently, Barbadian citizens and permanent
residents are guaranteed universal access to health services, including formulary drugs,
in the public sector, without requirement for co-payment or user fees.
Paragraphs: 26, 31 Paragraphs VII Summit: -

Date:  6/21/2011 
Barbados recognises the importance of implementing the Global Strategy on the
Prevention and Control of Non-communicable Diseases (NCDs) and has committed to
executing the components of the CARlCOM Regional Plan of Action on Noncommunicable
Diseases which was an outcome of the Declaration of the Heads of State and Governments of the Caribbean Community (CARl COM), Uniting to Stop the Epidemic of Chronic Non- Communicable Diseases, 2007.

In 2007, Barbados established a high-level National Chronic Diseases Commission to plan, guide, monitor and evaluate the national policy on NCDs. The Commission has developed a five-year plan for the prevention and control of non-communicable diseases. Consultations were held with stakeholders in the private and public health care sectors to chart the way forward in adopting the Chronic Care Model in the management of non-communicable diseases.

Initiatives to improve the surveillance of NCDs and their risk factors have commenced with the establishment of the Barbados National Registry for Chronic Diseases in 2008 (the first of its kind in the Caribbean); the mapping of risk factors and disease prevalence with the implementation of a STEPS survey (2007); and participation in the development of a minimum data-set of indicators to monitor chronic diseases and their risk factors across the Caribbean region (CAREC, 2009). It is envisaged that these initiatives will be supported and strengthened by the development and implementation of the regional surveillance system for non-communicable disease, which will be financed by the Inter-American Development Bank.

Barbados is committed to reducing the levels of the modifiable risk factors for tobacco use, unhealthy diet and physical inactivity. The Government of Barbados ratified the WHO Framework Convention on Tobacco Control (FCTC) in 2005 and in 2010, enacted legislation to ban the sale of tobacco products by and to minors, and to prohibit smoking in public places. In addition, Barbados is pursuing an initiative in conjunction with other Caribbean countries to regulate and standardise the packaging and labelling of cigarettes in keeping with the FCTC.
Paragraphs: 28 Paragraphs VII Summit: -

Date:  6/21/2011 
Barbados recognises the importance of implementing the Global Strategy on the
Prevention and Control of Non-communicable Diseases (NCDs) and has committed to
executing the components of the CARlCOM Regional Plan of Action on Noncommunicable
Diseases which was an outcome of the Declaration of the Heads of State
and Governments of the Caribbean Community (CARl COM), Uniting to Stop the Epidemic of Chronic Non- Communicable Diseases, 2007.

In 2007, Barbados established a high-level National Chronic Diseases Commission to
plan, guide, monitor and evaluate the national policy on NCDs. The Commission has
developed a five-year plan for the prevention and control of non-communicable diseases.
Consultations were held with stakeholders in the private and public health care sectors
to chart the way forward in adopting the Chronic Care Model in the management of non-communicable diseases.

Initiatives to improve the surveillance of NCDs and their risk factors have commenced
with the establishment of the Barbados National Registry for Chronic Diseases in 2008
(the first of its kind in the Caribbean); the mapping of risk factors and disease prevalence
with the implementation of a STEPS survey (2007); and participation in the development of a minimum data-set of indicators to monitor chronic diseases and their risk factors across the Caribbean region (CAREC, 2009). It is envisaged that these initiatives will be supported and strengthened by the development and implementation of the regional surveillance system for non-communicable disease, which will be financed by the Inter-American Development Bank.
Paragraphs: 29 Paragraphs VII Summit: -

Date:  6/21/2011 
Measures are being taken to improve diet through the development and promulgation of National Food-based Dietary Guidelines (2009), including guidelines for reducing salt and sugar in foods fed to children in schools ("Nutritious and Healthy Foods in Schools: nutritional and Practical Guidelines for Barbados") and other educational institutions, as well as the launching of an initiative to chronicle levels and sources of dietary sodium. The National Chronic Diseases Commission in January 2011 convened a consultation
with local food producers and manufacturers to sensitise them to the initiative to reduce dietary salt intake, and to prepare a plan of action for the lowering of salt levels in locally manufactured foods.

A National Task Force on Physical Activity was established in 2008 to engage all strata of the society and all ages in increasing physical activity and to develop national guidelines on physical activity for healthy living.
Paragraphs: 32 Paragraphs VII Summit: -

Date:  6/21/2011 
Measures are being taken to improve diet through the development and promulgation of National Food-based Dietary Guidelines (2009), including guidelines for reducing salt and sugar in foods fed to children in schools ("Nutritious and Healthy Foods in Schools: nutritional and Practical Guidelines for Barbados") and other educational institutions, as well as the launching of an initiative to chronicle levels and sources of dietary sodium. The National Chronic Diseases Commission in January 2011 convened a consultation
with local food producers and manufacturers to sensitise them to the initiative to reduce dietary salt intake, and to prepare a plan of action for the lowering of salt levels in locally manufactured foods.
Paragraphs: 33 Paragraphs VII Summit: -

Date:  6/21/2011 
Barbados remains committed to the implementation of the International Health Regulations. In 2011, the Ministry of Health established a committee to review local legislation and to recommend changes consistent with Barbados' commitments under the International Health Regulations, as well as to review and develop protocols and standard operating procedures at the ports of entry.
Paragraphs: 26 Paragraphs VII Summit: -

Date:  6/21/2011 
Having developed a National Influenza Pandemic Preparedness Plan since 2006, Barbados has been revising and strengthening its national influenza surveillance capacity to prevent, detect and diagnose influenza virus infection. Particular attention has been paid to the integration of the virological and epidemiological components of the system and laboratory capacity was enhanced through training provided by the Caribbean Epidemiological Centre (CAREC).

As part of its pandemic preparedness, Barbados provides influenza vaccines to health care workers and to vulnerable population groups.
Paragraphs: 34 Paragraphs VII Summit: -

Date:  6/21/2011 
Halting and reversing the spread of HIV/AIDS

Barbados is currently implementing the second Government of Barbados/World Bank HIV/AIDS Project, which inter alia, focuses on improving access to most-at-risk populations (MARPS) and key vulnerable population groups. This Project seeks to deliver a package of services that meet the criteria for accessibility, acceptance, coverage, intensity, linkages and quality of data. The project also seeks to improve the use of all available media especially new media and social networking to effectively administer
behaviour change communication; to undertake research through which evidence-based interventions can be implemented; and to implement efficient and effective monitoring & evaluation mechanisms. Currently, the National HIV / AIDS Commission is conducting a behaviour change communication campaign that targets the elimination of stigma and discrimination against people living with HIV.

Antiretroviral therapy remains available and accessible to all persons meeting the
criteria for treatment.

Barbados remains committed to the reduction of the incidence of mother-to-child transmission of HIV to less than 5% by 2015 as well as maintaining the current transmission rate of less than 1%. The coverage data on the prevention of mother to child transmission (PMTCT) was determined in accordance with UNGASS indicator Number 5, which assesses the percentage of HIV infected pregnant women who received anti-retroviral therapy to reduce the risk of mother-to-child transmission. The PMTCT coverage was 91.4% in 2008, 82.1% in 2009 and 88.5% in 2010.

Barbados is scaling up its PMTCT programme to improve maternal and child survival by achieving universal access to comprehensive PMTCT services. The following are the key components of this programme:

1. Review and update the guidelines on treatment for the prevention of mother-to-child transmission to strengthen the treatment programme for HIV positive mothers;
2. Develop and implement a national training curriculum for PMTCT; and
3. Monitor the implementation of the national PMTCT Policy across the health sector of Barbados.
Paragraphs: 35 Paragraphs VII Summit: -

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