The CARICOM political declaration on non‐communicable diseases, seven years on: An evaluation to accelerate further multi‐sectoral implementation

GA-CDRC Investigators:

T. Alafia Samuels, Nigel Unwin (Principal Investigators)

Other UWI Investigators:

Madhuvanti Murphy, Faculty of Medical Sciences, Cave Hill campus; Karl Theodore, Health Economics Unit, St Augustine Campus; Andy Knight, Institute for International Relations, St Augustine Campus; Michelle Harris, Faculty of Medical Sciences, Mona Campus; Sir George Alleyne, Chancellors Office, UWI

External Investigators:

James Hospedales, Caribbean Public Health Agency; John Kirton, G8 Group, University of Toronto; Rudy Cummings, Caribbean Community Secretariat; Trevor Hassell, Healthy Caribbean Coalition; Godfrey Xuereb, Pan American Health Organization, Eastern Caribbean Office.

Funding Obtained:

949,800 Canadian Dollars, from the Canadian International Development Research Centre

Start Date:

April 2014

End Date:

September 2017



The Caribbean Community (CARICOM) of 20 countries and territories led the world in holding the first Heads of Government Summit on Non Communicable Disease (NCD) prevention and control in September 2007. The Port of Spain Declaration, “Uniting to Stop the Epidemic of NCDs” led the way to the United Nations High Level Meeting (UMHLM) in 2011. The overarching objective is to evaluate, seven years on, the implementation of the CARICOM NCD Summit Political Declaration in order to learn lessons that will support and accelerate its further implementation and will inform the attainment of the UNHLM NCD commitments. This overarching objective is broken down into 6 research objectives, which will add knowledge on national and regional implementation and impact, plus two objectives that will use and communicate the knowledge gained to help build capacity to improve the policy responses to NCDs in CARICOM member states.


A mixture of methods is being used for the 6 research objectives, including: quantitative assessment of trends in risk factors for NCDs and NCD mortality; statistical modelling of predictors of reported policy implementation; qualitative in?depth stakeholder interviews to investigate factors promoting and hindering policy implementation, both at a national and regional level; economic modelling to investigate the potential to generate income for NCD prevention from taxes on tobacco and alcohol; and media content analysis to investigate the impact of Caribbean Wellness Day celebrations.

Main Results:

The Evidence Briefs from the Evaluation and the recommendations from the workshop can be found at:
A funded extension from April to September 2017 has been granted which include actions around the July 2017 CARICOM Heads of Government meeting, which will mark the 10th Anniversary of their POS NCD Summit Declaration and the publication of a PAHO Journal issue with peer reviewed manuscripts from the POS Evaluation.

Expected Impact:

The rationale for this whole project is that it will provide a basis for substantially increasing the policy response to the prevention and control of NCDs within the Caribbean: over the next 5 to 10 years it should therefore have a substantial impact on policy within the Caribbean. It addition it is intended to contribute to understanding the determinants successful policy development and implementation within a middle income region.

Next Steps / Future Plans:

It is anticipated that this project will provide the basis for further work around guiding and evaluating policy interventions in the Caribbean. Exactly what the nature of that work will be contingent to a large extent on the decisions taken by CARICOM Chief Medical Officers, Ministers and Heads of Government as a results of this project. However, it is likely to involve further development of tools to assist in policy option appraisal, and in the development and application of methods to better understand the health impact of policies.

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