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Ministerials Paragraphs Related to the Theme Paragraphs VII Summit
Reports
Date:  1/21/2011 
Health Infrastructure Development

*Access to quality, comprehensive health care is being extended through the Ministry’s ambitious infrastructure programme. Under this programme, the Ministry will substantially upgrade the existing stock of hospitals and health centres, as well as construct new hospitals that will make health services more accessible to a wider cross section of the population. To complement the expansion of secondary care services, there are at present approximately one hundred and three (103) Primary Health facilities in Trinidad and Tobago. These primary care facilities are strategically cited to ensure that even the most remote areas can access these services.
Paragraphs: 26 Paragraphs VII Summit: -

Date:  1/21/2011 
Implementation of the Regional Strategy and Plan of Action for Neonatal Health

*The Ministry of Health continues to work towards improving outcomes in the area of neonatal and infant mortality, mortality in the under-five age group and maternal mortality. Strategies include reassessing the issues that contribute to mortality, updating equipment and technology in the health facilities and training. A Maternal and Child Health Manual was updated. This manual provides guidelines for health care personnel on procedures and processes in the area of maternal and child health. Input was provided by PAHO, the Nursing Council of T&T and other key stakeholders.
Paragraphs: 27 Paragraphs VII Summit: -

Date:  1/21/2011 
Reduction of the Burden of Chronic, Non-Communicable Diseases (CNCDs) through the Promotion of Preventive and Control Strategies

The Ministry of Health is addressing the burgeoning health problem of CNCDs through an approach that incorporates prevention, treatment and care. Some of the initiatives being pursued by the Ministry are as follows:

-CNCD Technical Advisory Committee
*The National CNCD Technical Advisory Committee is an inter-sectoral body comprising public sector, private sector and civil society representation that was established in September 2008 to advise on matters related to CNCD prevention, treatment and control. Specifically, the Technical Advisory Committee is responsible for making recommendations on:
*The development of a unified policy direction for national CNCD programmes, strategies and activities
*Fostering intra- and intersectoral collaboration in the promotion of healthy lifestyles
*Promoting coordination of efforts on health promotion, planning, service delivery, regulation, financing, resource mobilisation and research in relation to CNCD control.

-Health Promotion and Education
*Health promotion and education are preventive strategies aimed at reducing the risk factors for CNCDs such as Cardiovascular Disease, Diabetes Mellitus, Malignant Neoplasms (Cancer), Hypertensive Diseases and Cerebrovascular Disease. These risk factors include insufficient physical activity, inadequate diet and obesity, abuse of alcohol and tobacco use.

(For more information, please refer to pages 38-40 of Trinidad and Tobago's National Report)
Paragraphs: 28 Paragraphs VII Summit: -

Date:  1/21/2011 
National Alcohol and Drug Abuse Prevention Programme (NADAPP)

-The National Alcohol and Drug Abuse Prevention Programme (NADAPP) states its major objectives as being:
*To facilitate the development of Community Prevention Programmes to provide healthy alternatives for the population and to reduce those factors contributing to drug use;
*To promote and enhance Treatment and Rehabilitation services, including programmes for those addicts identified through the criminal justice system;
*To strengthen research to provide reliable information for policy and administrative decision making; and
*To ensure the efficient and effective development and conduct of programmes and projects aimed at reducing drug abuse

-Empowerment Centre
*The Piparo Empowerment Centre provides residential treatment and rehabilitation services for male drug addicts using the Therapeutic Community Model. The objectives of the programme are to provide clients with treatment and rehabilitation services towards their successful social rehabilitation and to provide a safe residential physical environment during clients’ recovery period.

Reducing Drug Abuse and Illicit Drug Use
The Ministry of Health is represented on a drug advisory committee led by the Ministry of National Security that seeks to reduce the prevalence of drug abuse and illicit drug use in the society. In addition, the Ministry of Health, through the RHAs, provides psychiatric care for patients including those that are subjected to substance abuse. The Ministry of Health also provides annual subventions to Non-Governmental Organizations (NGOs) that provide rehabilitative care to persons afflicted with drug abuse.

(For more information on Drug Abuse Control, please refer to pages 77-78 of Trinidad and Tobago's National Report)
Paragraphs: 30 Paragraphs VII Summit: -

Date:  1/21/2011 
Renewal of Primary Health Care and Access to Comprehensive Health Care:

The MOH established a Working Committee to review the Primary Health Care System in Trinidad and Tobago in April, 2007.

-Chronic Disease Assistance Programme (CDAP)
*Through the CDAP programme, the population has increased access to a list of essential drugs to treat with chronic disease. The CDAP programme was started in 2003 with the primary aim of reducing the cost of health care of chronic disease patients by providing the population with free easily accessible medication to treat with chronic non-communicable diseases.
Paragraphs: 31 Paragraphs VII Summit: -

Date:  1/21/2011 
Implementing the PAHO Regional Strategy on Nutrition in Health and Development

The Ministry of Health is guided by the World Health Organization (WHO) Strategy on diet, physical activity and health as well as the PAHO Strategy on NCD Prevention and Control.

-Adequate Nutrition for Children Under Five and Other Vulnerable Groups
*The health centres in the public health sector provide nutrition services where the weight of children are screened and monitored for nutritional deficiencies. Parents are also provided with counselling and where nutrition deficiencies are detected, the child is referred to a Nutritionist or to the Paediatric Clinic. These children are then subjected to closer monitoring at the health centre.
Paragraphs: 32 Paragraphs VII Summit: -

Date:  1/21/2011 
Implementation of the International Health Regulations (IHR)
An implementation plan has been submitted to Cabinet to ensure compliance with the International Health Regulations (IHR). PAHO has been providing support and this plan is inter-sectoral, with input from the Ministry of Health and other agencies. Some aspects of the plan have already begun to be implemented, such as increased surveillance at airports.

This country has committed to following the mandates of International Health Regulations (IHR) developed by the WHO. The necessary systems and structures are being put in place to prevent, control and manage communicable diseases and diseases monitored by the IHR, including emerging or re-emerging diseases. The A H1N1 Influenza is an example of a new or emerging disease that is being monitored according to IHR protocols. Other diseases such as yellow fever and malaria are also monitored.

The Ministry’s surveillance capacity is also being developed and the Ministry has expressed its commitment to this. Surveillance has been heightened in view of the A H1N1 pandemic. The Ministry of Health has signed an MOU with the UK for a Health Information Management System, which would enhance surveillance and data management. Staff is being trained or re-tooled to deal with emerging and re-emerging diseases. Staff has been sensitized about the IHR 2005, which are the updated IHR).
Paragraphs: 34 Paragraphs VII Summit: -

Date:  1/21/2011 
Halting and Reversing the Spread of HIV/AIDS by 2015

One of the primary objectives of the MOH is to facilitate the reduction in the rate of HIV infection and the number of deaths from AIDS in Trinidad and Tobago. This is being achieved through the execution of programmes aimed at reducing the levels of mother to child transmission of HIV/AIDS, promoting safe and healthy sexual behaviours among the general population, mitigating the negative impacts of HIV/AIDS on persons infected and affected in Trinidad and Tobago, and integrating the treatment of HIV/AIDS into the health care system.

The following are examples of initiatives aimed at reducing the levels of Mother to child transmission of HIV/AIDS
*The Prevention of Mother-to-Child Transmission Programme occurs at all public sector antenatal clinics and there are Prevention of Mother-to-Child Transmission Coordinators available to monitor progress of the HIV exposed infants and mothers in all Regional Health Authorities
*All HIV exposed infants are treated at birth, (the number treated in 2008 was 170)
*Pregnant women enrolled in all public sector antenatal clinics are offered tests for HIV and free access to anti-retroviral treatment is available for all those that are HIV positive
*HIV infected babies are provided with replacement infant formula for a period of 24 months
*Dried Blood Spot Testing, a new screening strategy to determine the HIV status for HIV exposed infants was introduced in June 2008. The number of babies tested since was 98 with 7 positive cases.

In addition, the MOH aims to reduce the incidence of HIV infections through the development of a condom management plan, the development of an HIV plan for the prison services, the development of national Sexually Transmitted Infections (STI) Policy and Guidelines, the implementation of prevention intervention strategies among youths and the development of an integrated TB/HIV plan.
Paragraphs: 35 Paragraphs VII Summit: -

Related Resources
Ministry of Health of Trinidad and Tobago
Summit of the Americas - status report
TRINIDAD AND TOBAGO- NATIONAL REPORT ON THE IMPLEMENTATION OF THE MANDATES OUTLINED IN THE DECLARATION OF COMMITMENT OF PORT OF SPAIN