The Evaluation of the Port-of-Spain Declaration

Project Overview
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The POSDEVAL Project


    POSDEVAL {Port of Spain Declaration Evaluation} is the short monicker we have given this very extensive project aimed towards helping the region refine its approaches to reducing chronic non-communicable diseases (NCDs).

    In September 2007 the Heads of Government of the Caribbean Community (CARICOM) convened a summit in acknowledgement of the threat NCDs posed to to health and to social and economic development of the Caribbean. This summit concluded with the signing of the Port of Spain Declaration - a plan of action for reducing NCDs and their impact in the region.

    After this Declaration, and partly inspired by it, the United Nations General Assembly convened in 2011 a High Level Meeting on NCDs (UNHLM).


    This project aims to evaluate, seven years on, the implementation of the Port of Spain Declaration in order to learn lessons that will support and accelerate its further implementation throughtout the region. It is being conduction on behalf of CARICOM through a Canadian grant from the International Development Research Centre.

    The project is being lead by Prof. Nigel Unwin and Dr. Alafia Samuels of the University of the West Indies (UWI). Project collaboring centres include, CARICOM, Public Health Group @ UWI Cave Hill, Health Economic Unit and The Intitute of International Relations @ UWI St. Augstine, Department of Community Health and Psychiatry @ UWI Mona, G8 Group @ University of Toronto, Caribean Public Health Agency, and Health Caribbean Coalition.












    To determine the extent to which the 27 commitments in the Port of Spain Declaration are reported to have been implemented and the national and other characteristics associated with high levels of implementation within the 20 CARICOM countries and territories.



    Method:

    This will be carried out through review of the annual progress reports submitted by the NCD focal point within the Ministry of Health of each of the 20 Countries. This will be triangulated against a review of relevant national level policy documents.


    CARPHA Team

    Team Leader: Dr. James Hospedales - Executive Director, CARPHA

    Mrs. Renee Franklin-Peroune - Senior Project Officer

    Dr Glennis Andall-Brereton - Epidemiologist & Acting Head of NCDs and Life Course

    Ms. Marsha Ivey - Head, Health Information and Data Analysis

    Ms. Elizabeth Lloyd - Head, Monitoring & Evaluation

    Ms. Christine Bocage - Senior Technical Officer, Food Security and Nutrition

    Ms. Angela Hinds - Technical Officer, Health Information and Data Analysis

    University of Toronto Team



    Team Leader: Dr. John Kirton - Director of the G8 Research Group, U of T

    Ms. Madeline Koch - Managing Director

    Dr. Caroline Bracht - Senior Researcher

    Dr. Julia Kulik - Senior Researcher



    Undertaking in-depth case studies within 7 countries and territories in order to determine:

    • a. The agreement between reported implementation of the 27 commitments and substantive change (effective implementation)
    • b. The degree of use of multi-sectoral approaches including the engagement of civil society, the private sector and Government ministries and agencies in addition to Health
    • c .Factors associated with success and those associated with difficulties in achieving (a) and (b), including the political impact nationally
    • d. What evidence exists on the impact of the implementation on risk factors and health outcomes.


    • Method:

      Case studies will be developed for 7 CARICOM countries and territories, which will be purposively sampled to demonstrate a range of NCD response in the region. The data collection for each case study will include between 10 and 20 key informant interviews. Key informants will include: representatives of the government ministries, civil society organizations, and representatives of relevant private sector organizations.


      UWI Cave Hill Team

      Team Leader: Prof. Nigel Unwin - Principal Investigator

      Chair of Population Health Sciences
      Chronic Disease Research Centre, TMRI,

      The University of the West Indies, Cave Hill, Barbados






      CARPHA coordinates responses to public health crisis in the Caribbean by

      Undertaking in-depth case studies within 7 countries and territories in order to determine:

      • a. The agreement between reported implementation of the 27 commitments and substantive change (effective implementation)
      • b. The degree of use of multi-sectoral approaches including the engagement of civil society, the private sector and Government ministries and agencies in addition to Health
      • c .Factors associated with success and those associated with difficulties in achieving (a) and (b), including the political impact nationally
      • d. What evidence exists on the impact of the implementation on risk factors and health outcomes.


      • Method:

        Case studies will be developed for 7 CARICOM countries and territories, which will be purposively sampled to demonstrate a range of NCD response in the region. The data collection for each case study will include between 10 and 20 key informant interviews. Key informants will include: representatives of the government ministries, civil society organizations, and representatives of relevant private sector organizations.


        UWI Cave Hill Team

        Team Leader: Prof. Nigel Unwin - Principal Investigator

        Chair of Population Health Sciences
        Chronic Disease Research Centre, TMRI,

        The University of the West Indies, Cave Hill, Barbados





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