Ministry of Health

Caribbean Public Health Agency (CARPHA)

Presented by Senator the Honourable Jerry Narace Minister of Health

BACKGROUND

• 2002 - CARICOM Heads

mandated review of RHIs

• July 2007- Integration of 5 RHIs

into one Caribbean Public Health Agency

•PAHO-cost effectiveness

analysis

•September 2007-analysis

presented to Ministers’ Caucus

•Steering Committee and Project

management team

CARPHA - Vision

A Caribbean in which the health of the people is promoted and protected from disease, injury and disability, thereby fostering the wellness revolution enunciated in the Port of Spain Declaration

CARPHA-Mission

• To provide strategic direction, in

analyzing, defining and responding to public health priorities of CARICOM, in order to prevent disease, promote health and to respond to public health emergencies.

• To support solidarity in health, as one

of the principal pillars of functional cooperation, in the Caribbean Community.

Ministry of Health

Proposed Structure CARPHA

ADMINISTRATION

• Budget & Finance • Human Resources • General Services – IT/IS

ADMINISTRATION (cont’d)

• Procurement &

Materials Management

• Emergency &

Preparedness

• Strategic Planning and

Resource mobilization

SURVEILLANCE & RISK ASSESSMENT Laboratory Support Services

• Microbiology – Virology – Bacteriology,

Parasitology and Entomology

• Molecular Biology

SURVEILLANCE & RISK ASSESSMENT (cont’d)

• Quality Management

Biosafety & Support Services

• Environmental Health • Drug Testing

SURVEILLANCE & RISK ASSESSMENT (cont’d)

• Epidemiology – Non-communicable

diseases

– Communicable diseases – Environmental health – Climate change – Bio-statistics

RESEARCH & EVALUATION

• Research Support -disease prevention and control • Monitoring & Evaluation -develop methods for health impact assessment • Policy Development -Research agenda -Sharing of scientific outputs

INFORMATION, EDUCATION & COMMUNICATION UNIT

• Public Information &

Communication

• Documentation &

Dissemination

• Information Systems • Training and

Development

ADVANTAGES

• Higher levels of

specialization

• Development of

synergies

• Effective trans-

organizational coordination and collaboration

ADVANTAGES (cont’d)

• Sharing of policies

and programmes

• Dissemination of

information

• HR development • Monitoring and

evaluation.

CAMPUS STRUCTURE

PROPOSED CAMPUS SITE CENTENO

TT CARPHA PROPOSALS

• Financing model brief • Functional model brief • Business plan brief

FINANCIAL BRIEF

• Construction and Equipment - GORTT to source funding for construction • Funding from donor countries & agencies • Soft loans • General financing - Construction Methodology - Design/Build/Equip - Special Purpose vehicle to develop the project

FINANCIAL BRIEF

• Mortgage

Repayment/Operational Expenses

- PAHO Assistance - GORTT Business Plan for presentation at next meeting

BUSINESS MODEL BRIEF

• Centre for Tropical Disease

Control

– Generate revenue & international participation • Services to countries and

private sector

– Agriculture – Tourism/Health Tourism – Indoor Air Quality – Training & Development – Consultancy Services – Attraction Of Funding

BUSINESS MODEL BRIEF

• Development of small

OECS countries

– Infrastructure – Lab expertise – Training & Development • CARPHA Lab – Public Health – Food Safety – International Standards & Accreditation

Ministry of Health

CARPHA Functional Brief

PROGRAMME AREAS

• Connected • Catalytic

• Mutually supportable

Food and Drug Safety & Nutritional Services Tropical / Infectious Disease • Surveillance • Monitoring • Testing • Analysis • Identification

ENVIRONMENTAL HEALTH

• Ground water and surface

water quality

• Water supply/ wastewater

management

• Air quality surveillance

(indoors and outdoor)

• Solid waste management and

disposal monitoring

ENVIRONMENTAL HEALTH

• Hazardous waste

assessment and management

• Medical waste management • Environmental toxicology • Insect disease vector

identification and control

• Health risk identification,

assessment

TROPICAL AND INFECTIOUS DISEASE

• State-of-the-art detection

tools to prevent disease and death through

- sexually-transmitted - blood-borne - vector-borne - water-borne - respiratory diseases • Assist in regional disease

surveillance

• Analyze, interpret and

disseminate information

FOOD, DRUG SAFETY AND NUTRITION

•

Drug Safety

• Technical Guidance: Detection, testing, surveillance • Training Programmes in consumer safety • Expertise - Sampling design - Media selection - Collection & diagnostic - Monitoring samples - Data interpretation - Risk assessment/communication/recommendation - Compliance

ORGANIZATIONAL STRUCTURE

Laboratory Services Pathogen Detection Laboratories Chemical Laboratories Administration Technical Services Quality Assurance Rapid & Field Diagnostics Detection

TECHNICAL SUPPORT

TECHNICAL PROGRAMS RAPID FIELD DIAGNOSTICS DETECTION

Environmental Health Media Shipping Tropical Infectious Disease Food, Drug Safety & Quality Assurance Training for sample collection Loaning of specialized sampling tools Specialized field items Vector Control Epidemiology & Health Informatics Veterinary Public Health

LABORATORY SERVICES: PATHOGEN DETECTION – Environmental Health

• Identifying

environmental pathogens responsible for disease outbreaks

• Identification and

genotyping methods for microbiological, viral and bacterial infections

• Vector-borne diseases/

entomology

LABORATORY SERVICES: PATHOGEN DETECTION – Human Respirator y Diseases HIV, TB, and STDs Bacteriology Laboratories DNA/RNA PCR Suites Cell culture Vector borne Enteric Diseases Fungal and Microbiology

LABORATORY SERVICES: PATHOGEN DETECTION – Food & Veterinary

• Identify/quantify

quality indicators, pathogens (bacteria, viruses, and fungi), and bacterial toxins

– In food – In animals • Food-borne illness

investigations

LABORATORY SERVICES: Chemical

• Identify/quantify pesticide, antibiotic, and

toxic residues; detrimental heavy metals; radioisotopes present

– In the Environment – In Food • Food Assurance – Analyze foods for physical characteristics – Confirming compliance to packaging

standards

– Analyze nutrient content

LABORATORY SERVICES

CAMPUS STRUCTURE

QUESTIONS?

Thank you!