O-110 Innovating health promotion in the Caribbean: a multisectoral, whole-of-society approach to the Caribbean moves initiative

Methods: A qualitative participatory approach was employed across four CARICOM Member States (Jamaica, Barbados, St. Lucia, Trinidad and Tobago) selected for population size, geographic location, ethnic composition, and technical roles. Data collection included desk reviews of existing national “Moves” programmes, SWOT and PESTLE analyses, focus group discussions with government ministries, civil society and community organisations (8–10 participants per group), and key informant interviews with NCD focal points, Ministers of Health, and Permanent Secretaries. Thematic analysis with inductive and deductive inquiry was applied by two independent analysts.

Results: The consultative process informed development of the Caribbean Moves Model comprising five pillars: (1) Clinical Practice/Service Delivery, integrating the Socio-Ecological Model with the Expanded Chronic Care Model; (2) Behaviour Change Communication, applying COM-B, Transtheoretical Model, Social Learning Theory, and Diffusion of Innovation Theory; (3) Governance, featuring dual regional-national architecture with COHSOD oversight and CARPHA as Secretariat; (4) Monitoring and Evaluation, with indicators aligned to Port of Spain Declaration and Caribbean Cooperation in Health IV commitments; and (5) Financing and Resource Mobilisation with sustainability planning.

Conclusion: The Caribbean Moves Initiative provides a comprehensive, adaptable model combining multisectoral engagement, whole-of-society participation, and evidence-based behaviour change strategies. This framework addresses critical gaps in regional health promotion and can serve as a template for other low- and middle-income countries addressing the non-communicable disease epidemic.