Details of the Evaluation

Petri Dish Non-communicable diseases, such as cancer, diabetes, and stroke, are the main causes of death in the Caribbean region.

In 2007, CARICOM leaders signed the ground-breaking Port of Spain Declaration aimed at uniting to stop the epidemic of NCDs.  Now this Declaration is being evaluated by a team of top regional and international experts. Read more

Are the Declaration’s 27 ambitious commitments being met? What are the successes and challenges?

The evaluation will answer these critical questions and chart the way forward.

The project involves all 20 CARICOM members, with in-depth case studies in seven countries: Antigua, Belize, British Virgin Islands, Grenada, Jamaica, Saint Kitts and Nevis, and Trinidad and Tobago. Read more

Who is conducting the evaluation?

The project is coordinated by the University of the West Indies, on behalf of CARICOM and the Pan American Health Organization, and is funded by the International Development Research Centre.

The team’s expertise is broad and is drawn from:

  • The Public Health Group, University of the West Indies (UWI), Cave Hill
  • The Chronic Disease Research Centre, (UWI)
  • The Health Economics Unit, (UWI), St. Augustine
  • The Institute of International Relations, (UWI), St. Augustine
  • The G8 Research Group, University of Toronto
  • The Caribbean Public Health Agency

CARICOM leaders: Breakthrough in the fight against NCDs in the region

Petri Dish

The push for a healthier Caribbean received a considerable boost as the leaders at the 38th CARICOM Heads of Government Conference in Grenada made new commitments to tackle the epidemic of chronic diseases, which is costing the region, dear in terms of health and development. 

In a session devoted to action against NCDs (non-communicable diseases), the leaders discussed a raft of measures to declare the Caribbean a tobacco-free zone by 2022 in accordance with the Framework Convention on Tobacco Control, which 13/14 full members of CARICOM have signed and ratified but which they have been slow to implement. Full story here.

 

What do the detailed objectives explore?

Six research objectives assess the impact of the Declaration within CARICOM nations and examine its regional and international impact. Two further objectives set out to accelerate its implementation through a major regional gathering and sharing evaluation results.  Read more

Did You Know?

Petri Dish *NCD mortality in the Caribbean is the highest in the Americas;

*Our diabetes prevalence is double global rates;

*In some countries over 50% of the population has high blood pressure; and

*Less than a third of school children aged 13-15 years get the recommended level of physical activity.

Click on our facts, figures and implementation ideas page to get up to the minute information on the NCD epidemic in the Caribbean and ways to accelerate action. Visit the More Facts Figures and Implementation Ideas page or read The NCD Problem Fact sheet for more information.

Best practices

Petri DishThe evaluation will also examine the NCD response on the ground and look at best practices, such as a creative CARPHA-sponsored initiative to give primary school children in the British Virgin Islands a healthier start in life through raising their level of nutrition and physical activity. Read more

Sugar Shocker

Petri Dish

At the 38th CARICOM Heads of Government Conference one of the main attractions in the meeting area was a ‘sugar display’ constructed by the George Alleyne Chronic Disease Research Centre . 

A number of people who saw the display expressed real surprise and concern about the amount of sugar we’re consuming. They included the Prime Minister of Grenada, Dr the Rt Hon. Keith Mitchell, current CARICOM Chair and Dr. the Hon. Timothy Harris, Prime Minister of St Kitts and Nevis and CARICOM’s lead spokesperson on human resource, health and HIV.

This shows exactly how much sugar is in popular foods and drinks, many of which our children enjoy. See here.

 

Let’s protect the sugary drinks tax in Barbados

It is critically important that “we all work together to protect the tax on carbonated beverages” in Barbados, says a top regional official of the Pan American Health Organisation/World Health Organisation.

 

Dr Godfrey Xuereb, PAHO/WHO Representative for Barbados, told a packed public lecture held at the University of the West Indies Cave Hill Campus that research institutions such as the Chronic Disease Research Centre (CDRC), civil society organisations and PAHO/WHO itself need to be vocal in support of the 10% excise tax implemented in September 2015 by the Ministry of Finance in Barbados. It was also necessary to challenge attempts by the drinks industry to lobby the government to scrap the tax; a move which has been resisted.

He added that the media also has a key role to play, with “a responsibility to ensure that evidence…is transmitted factually to the public and the public gets to know why the tax has been imposed…This is a tax to influence our health, to influence our children’s behaviour.”

The Caribbean is leading the world in sugary drink consumption, with almost two drinks per person per day. This is resulting in a rise in obesity, which is increasingly affecting children and young people. According to Dr Jean Adams, a Senior Research Fellow from the University of Cambridge who also spoke at the lecture, an increase of one serving of sugary drinks each day was associated with an overall increased risk of diabetes of 18%.

Dr Xuereb contended that the 10% tax on sugary drinks in Barbados should result in an estimated 6 to 16% per cent reduction in consumption. However, things may not be so straightforward, he argued, given that there was evidence that manufacturers were absorbing some of the price increase and not passing it on to consumers.

In her presentation, Miriam Alvarado, a PhD candidate from the University of Cambridge, reinforced this finding. Part of a team at CDRC charged with evaluating the tax so far, Ms Alvarado noted that the price rise associated with the tax is just over 6%. Manufacturers and retailers are indeed not passing on the full 10% to the consumer. This could slow reduction in consumption.

By contrast, in Mexico, where a 10% tax has also been implemented, and fully passed on to consumers, research shows that the price of sugar-sweetened beverages was increased by more than the tax and that consumption has fallen by 6%.

Ms Alvarado highlighted the fact that advocacy may have played a significant role in effecting this change. “In Mexico, they had a mass media campaign led by advocacy groups with messages like: “Would you drink 12 tablespoons of sugar? Sodas are sweet, diabetes isn’t.” It seems that the other interventions that have been successful had a mixture of advocacy and publicity to share with the public the health connections between sugary drinks and diabetes.” The authorities have also provided water coolers and promoted drinking water as a healthy alternative to sugar-sweetened beverages.

All three speakers agreed that although the sugary drinks tax was a necessary component in reducing obesity and non-communicable diseases, it was not a “silver bullet”.  According to Dr Adams, “This kind of tax can make an important difference but if we’re really going to address these problems of diabetes and chronic disease, we need to see it as an important component of a much wider multipronged strategy.”

The public meeting was hosted by the University of the West Indies/CDRC and chaired by Dr Alafia Samuels, CDRC Director.  The evaluation of the Barbados sugar-sweetened beverages tax is part of a wider evaluation of the 2007 CARICOM Port of Spain Declaration on non-communicable diseases, led by the Chronic Disease Research Centre, which is celebrating its 25th anniversary this year.