Snapshot of CARICOM NCD Frameworks

by HCC

Welcome to the HCC CARICOM NCD Frameworks Database. HCC has mapped existing CARICOM NCD Frameworks including National NCD Strategic Policies and Action Plans, NCD-specific and risk factor-specific policies and action plans and national NCD coordinating mechanisms. The primary objective of the Database is to provide a snapshot of the current NCD Frameworks covering the major NCDs (cardiovascular diseases, cancer, diabetes, and chronic respiratory diseases and mental health (suicide)) and risk factors (tobacco use, harmful use of alcohol, unhealthy diet, insufficient physical activity and air pollution) across CARICOM in order to better inform civil society advocacy and wider contributions to national NCD prevention and control efforts. We also hope that it will assist stakeholders in CARICOM Ministries of Health and other key health-influencing sectors in their NCD response.

The presence of a Framework or Mechanism is measured using traffic light system with green indicating present; red indicating absent and yellow indicating under development (for example commitments or draft documents). Where possible links to the supporting documents are included – either to the source website or to an HCC stored document. Importantly, please note that currently this mapping does not capture the implementation status of a Framework ie. implemented or enforced or the implementation status of a mechanism ie. active or dormant.

The information contained in this database reflects the best available information at the time of publication and has been compiled through online policy scans and consultation with CARICOM Ministries of Health. All Ministries of Health were invited to review and verify the information to help ensure its accuracy and completeness.

Where policy or legislative documents are publicly available or have been shared by the respective Ministry, links to those documents are provided. Where a document has been confirmed to exist but is not publicly available, the document is listed in the database, but no link is provided.

The database is updated quarterly and whenever new or revised information is received from governments or other verified sources.

While every effort has been made to ensure the accuracy and completeness of the information presented, errors or omissions may occur. If you identify any inaccuracies, omissions, or have updated information to share, please contact us at hcc@healthycaribbean.org so that the database can be corrected and updated as promptly as possible.

  Present   Under Development   Absent

Overarching
NCD Plan or Strategy

 

NCDs including MNSDs
Diabetes Absent

 

Cancer Absent

 

Cardiovascular Disease Absent

 

Respiratory Diseases Absent

 

Mental, neurological and substance abuse disorders National Mental Health Policy and Action Plan 2014 -2018

 

Risk Factors
Unhealthy Diets (ie. National school nutrition policies, national nutrition policies etc.) Absent

 

Tobacco Use Absent

 

Alcohol Use Absent

 

Physical Inactivity Anguilla National Sports Policy

 

Air Pollution Absent

 

National Coordinating Mechanism
National NCD Commission or Equivalent (present or absent) The Anguilla NNCDC

 

Other (ie. Mental Health Commission) Absent

 

Overarching
NCD Plan or Strategy

 

NCDs including MNSDs
Diabetes Absent

 

Cancer Implemented WHO's HPV manual

 

Cardiovascular Disease Absent

 

Respiratory Diseases

 

Mental, neurological and substance abuse disorders

 

Risk Factors
Unhealthy Diets (ie. National school nutrition policies, national nutrition policies etc.)

 

Tobacco Use Tobacco Control Act 2018
Alcohol Use Absent

 

Physical Inactivity Absent

 

Air Pollution Environmental Protection and Management Act 2019

 

National Coordinating Mechanism
National NCD Commission or Equivalent (present or absent) Ministry of Health Wellness and the Environment

 

Other (ie. Mental Health Commission) Absent

 

Overarching
NCD Plan or Strategy

 

NCDs including MNSDs
Diabetes Absent

 

Cancer Absent

 

Cardiovascular Disease Absent

 

Respiratory Diseases Absent

 

Mental, neurological and substance abuse disorders Mental Health Bill 2022

 

Risk Factors
Unhealthy Diets (ie. National school nutrition policies, national nutrition policies etc.)

 

Tobacco Use

 

Alcohol Use

 

Physical Inactivity Absent

 

Air Pollution Environmental Health Service Act 1987

 

National Coordinating Mechanism
National NCD Commission or Equivalent (present or absent) Healthy Bahamas Coalition

 

Other (ie. Mental Health Commission) The Ministry of Health and Wellness

 

Overarching
NCD Plan or Strategy

 

NCDs including MNSDs
Diabetes Absent

 

Cancer The National Cancer Control Plan for Barbados 2020

 

Cardiovascular Disease Absent

 

Respiratory Diseases Absent

 

Mental, neurological and substance abuse disorders National Anti - Drug Plan 2015-2020

 

Risk Factors
Unhealthy Diets (ie. National school nutrition policies, national nutrition policies etc.)

 

Tobacco Use

 

Alcohol Use Absent

 

Physical Inactivity National Plan of Action for Childhood Obesity Prevention and Control 2014 - 2018

 

Air Pollution Absent

 

National Coordinating Mechanism
National NCD Commission or Equivalent (present or absent) National Commission on CNCDs

 

Other (ie. Mental Health Commission) Mental Health Commission, Wellness Taskforce

 

Overarching
NCD Plan or Strategy

National Strategic Plan for the Prevention and Control of NCDs and Mental Health 2026-2030 (under development)

Belize National Plan of Action for the Prevention and Control of Non- Communicable Diseases 2013-2023

Belize Health Sector Strategic Plan 2025-2034

 

NCDs including MNSDs
Diabetes

Diabetes Primary Care Manual 2025 (under development)

NHI Diabetes Mellitus Guideline Review 2021

Managing Diabetes in Primary Care in Belize 2010

 

Cancer

Cervical Cancer Guidelines 2016

Under development

  • Comprehensive Cancer Control Strategic Plan 2026-2030
  • National Cervical Cancer Plan 2026-2030
  • Cervical Cancer Operational Guidelines 2026 
  • Breast Cancer Guidelines 2026 

 

Cardiovascular Disease

HEARTS Hypertension Clinical Pathway

Under development

  • MOHW Manual of Medical Therapeutics
  • Guidelines for the Management of Acute Ischaemic Strokes
  • Guidelines for the Management of Dyslipidemias
  • Guidelines for the Management of Acute Coronary Syndrome
  • Guidelines for the Management of Heart Failure

 

Respiratory Diseases

National Chronic Respiratory Disease Guidelines

 

Mental, neurological and substance abuse disorders

Belize National Suicide Prevention Plan 2024-2030

Belize National Mental Health Policy 2023-2028

Misuse of Drugs Amendment Bill 2021

EPDS Screening Tool and PMH SOPs

Under development

  • Guidelines for Response to Mental Health-Related Crisis Situations
  • Mental Health Act (Update)
  • Manual for Capacity Building Training of Police Personnel on Mental Health Response 

 

Risk Factors
Unhealthy Diets (ie. National school nutrition policies, national nutrition policies etc.)

 

Tobacco Use

 

Alcohol Use

Intoxicating Liquor Licensing Act

Alcohol Control Bill (draft under development)

 

Physical Inactivity

 

Air Pollution Environmental Protection Act

 

National Coordinating Mechanism
National NCD Commission or Equivalent (present or absent) Belize NCD Commission

 

Other (ie. Mental Health Commission)

The Mental Health Department in the Ministry of Health & Wellness

Nutrition Task Force 

Mental Health Act Review Committee 

Reproductive Tract Cancer Committee 

 

Overarching
NCD Plan or Strategy Bermuda Health Strategy 2022-2027 (NCD and Communicable disease strategy)

 

NCDs including MNSDs
Diabetes Guidelines for Diabetes Care in Bermuda 2009

 

Cancer

 

Cardiovascular Disease

 

Respiratory Diseases Absent

 

Mental, neurological and substance abuse disorders

 

Risk Factors
Unhealthy Diets (ie. National school nutrition policies, national nutrition policies etc.) Healthy School Nutrtion Policy

 

Tobacco Use Tobacco Control Act 2015

 

Alcohol Use Absent

 

Physical Inactivity Absent

 

Air Pollution Clean Air Act 1991

 

National Coordinating Mechanism
National NCD Commission or Equivalent (present or absent) Well Bermuda Partnership

 

Other (ie. Mental Health Commission) Absent

 

Overarching
NCD Plan or Strategy Absent

 

NCDs including MNSDs
Diabetes Absent

 

Cancer Absent

 

Cardiovascular Disease Absent

 

Respiratory Diseases Absent

 

Mental, neurological and substance abuse disorders Drug Prevention of Misuse Act 2020

 

Risk Factors
Unhealthy Diets (ie. National school nutrition policies, national nutrition policies etc.) Absent

 

Tobacco Use Tobacco Products Control Act 2006

 

Alcohol Use Absent

 

Physical Inactivity Absent

 

Air Pollution Absent

 

National Coordinating Mechanism
National NCD Commission or Equivalent (present or absent) BVI National Health and Wellness Advisory Council

 

Other (ie. Mental Health Commission) Absent

 

Overarching
NCD Plan or Strategy

 

NCDs including MNSDs
Diabetes Absent

 

Cancer Absent

 

Cardiovascular Disease Absent

 

Respiratory Diseases Absent

 

Mental, neurological and substance abuse disorders

 

Risk Factors
Unhealthy Diets (ie. National school nutrition policies, national nutrition policies etc.) Cayman Islands Public Schools: Standards for Food Provision

 

Tobacco Use Absent

 

Alcohol Use Absent

 

Physical Inactivity Absent

 

Air Pollution Absent

 

National Coordinating Mechanism
National NCD Commission or Equivalent (present or absent) Absent

 

Other (ie. Mental Health Commission) Absent

 

Overarching
NCD Plan or Strategy Absent

 

NCDs including MNSDs
Diabetes

 

Cancer Absent

 

Cardiovascular Disease HEARTS

 

Respiratory Diseases Absent

 

Mental, neurological and substance abuse disorders

 

Risk Factors
Unhealthy Diets (ie. National school nutrition policies, national nutrition policies etc.)

Excise Tax on Sugary Drinks 2015

Food and Nutrition Security Policy for the Commonwealth of Dominica 2013 Draft

 

Tobacco Use Absent

 

Alcohol Use Absent

 

Physical Inactivity Absent

 

Air Pollution Absent

 

National Coordinating Mechanism
National NCD Commission or Equivalent (present or absent) National Commission on Chronic Non-Communicable Disease

 

Other (ie. Mental Health Commission) Absent

 

Overarching
NCD Plan or Strategy

 

NCDs including MNSDs
Diabetes

Grenada uses the CARPHA guidelines for the management of Diabetes as its national guidelines.

 

Cancer Absent

 

Cardiovascular Disease

 

Respiratory Diseases Absent

 

Mental, neurological and substance abuse disorders

 

Risk Factors
Unhealthy Diets (ie. National school nutrition policies, national nutrition policies etc.)

National School Nutition Policy 2015

Grenada has a high tax on sugar sweetened beverages

National Childhood Obesity Policy and Action Plan For the State of Grenada 2024 (Draft).

Grenada Food based dietary guidelines 2020

 

Tobacco Use Absent

 

Alcohol Use Absent

 

Physical Inactivity

National Sports Policy on Sports and Physical Activity

National Sports Council Act 2012

Grenada is a signatory to the Caribbean Moves initiative launched as Grenada shifts in 2023. To be rebranded and revitalized as Grenada Moves in 2026

 

 

Air Pollution Absent

 

National Coordinating Mechanism
National NCD Commission or Equivalent (present or absent)

 

Other (ie. Mental Health Commission) Ministry of Mental Health, Wellness and Religious Affairs

 

Overarching
NCD Plan or Strategy

 

NCDs including MNSDs
Diabetes Guyana Diabetes Care Project, WDF 14 -862

 

Cancer Absent

 

Cardiovascular Disease

 

Respiratory Diseases Absent

 

Mental, neurological and substance abuse disorders

 

Risk Factors
Unhealthy Diets (ie. National school nutrition policies, national nutrition policies etc.) Food and Nutrition Security Strategy 2011-2020

 

Tobacco Use The National Tobacco Control Act 2017

 

Alcohol Use Absent

 

Physical Inactivity Absent

 

Air Pollution Absent

 

National Coordinating Mechanism
National NCD Commission or Equivalent (present or absent) Presidential Commission for the Prevention and Control of NCDs

 

Other (ie. Mental Health Commission) Mental Health Unit

 

Overarching
NCD Plan or Strategy Absent

 

NCDs including MNSDs
Diabetes Absent

 

Cancer Absent

 

Cardiovascular Disease Absent

 

Respiratory Diseases Absent

 

Mental, neurological and substance abuse disorders Absent

 

Risk Factors
Unhealthy Diets (ie. National school nutrition policies, national nutrition policies etc.) Strategic Nutrition Plan 2013 -2018

 

Tobacco Use Absent

 

Alcohol Use Absent

 

Physical Inactivity Absent

 

Air Pollution Absent

 

National Coordinating Mechanism
National NCD Commission or Equivalent (present or absent) Absent

 

Other (ie. Mental Health Commission) Absent

 

Overarching
NCD Plan or Strategy National Strategic Plan for the Prevention and Control of Non - Communicable Diseases in Jamaica 2013 - 2018

 

NCDs including MNSDs
Diabetes The National Diabetes Prevention Programme (an adopted prevention programme created by the CDC), 2021

 

Cancer

 

Cardiovascular Disease Absent

 

Respiratory Diseases Absent

 

Mental, neurological and substance abuse disorders The Mental Health Act 2013

 

Risk Factors
Unhealthy Diets (ie. National school nutrition policies, national nutrition policies etc.) Food and Nurtrition Security Policy 2013 and Ban of Sugary drinks in School

 

Tobacco Use The Public Health (Tobacco) Regulation 2013

 

Alcohol Use Absent

 

Physical Inactivity Jamaica Moves Programme

 

Air Pollution Absent

 

National Coordinating Mechanism
National NCD Commission or Equivalent (present or absent) Jamaica National Committee on Non-Communicable Diseases

 

Other (ie. Mental Health Commission) Mental Health Unit

 

Overarching
NCD Plan or Strategy National Policy and Plan for Non - Communicable Diseases Prevention and Control 2013-2017

 

NCDs including MNSDs
Diabetes

 

Cancer Absent

 

Cardiovascular Disease Absent

 

Respiratory Diseases Absent

 

Mental, neurological and substance abuse disorders Absent

 

Risk Factors
Unhealthy Diets (ie. National school nutrition policies, national nutrition policies etc.) St. Kitts and Nevis Food and Nutrition Security Policy 2019

 

Tobacco Use Absent

 

Alcohol Use Absent

 

Physical Inactivity Absent

 

Air Pollution Absent

 

National Coordinating Mechanism
National NCD Commission or Equivalent (present or absent) The Alliance for Healh Actions (AHA)

 

Other (ie. Mental Health Commission) Absent

 

Overarching
NCD Plan or Strategy Absent

 

NCDs including MNSDs
Diabetes

 

Cancer Absent

 

Cardiovascular Disease

 

Respiratory Diseases Absent

 

Mental, neurological and substance abuse disorders National Mental Health Policy Draft 2017

 

Risk Factors
Unhealthy Diets (ie. National school nutrition policies, national nutrition policies etc.) School Nutrition Policy (Draft) Food and Nutrition Security Action Plan 2013

 

Tobacco Use Public Health (Tobacco) Regulation 2020

 

Alcohol Use Absent

 

Physical Inactivity Absent

 

Air Pollution Absent

 

National Coordinating Mechanism
National NCD Commission or Equivalent (present or absent) National Commission on Chronic Non-Communicable Disease

 

Other (ie. Mental Health Commission) Absent

 

Overarching
NCD Plan or Strategy

 

NCDs including MNSDs
Diabetes

 

Cancer Absent

 

Cardiovascular Disease Absent

 

Respiratory Diseases Absent

 

Mental, neurological and substance abuse disorders Absent

 

Risk Factors
Unhealthy Diets (ie. National school nutrition policies, national nutrition policies etc.) Excise Tax 2010

 

Tobacco Use Absent

 

Alcohol Use Absent

 

Physical Inactivity Physical inactivity program to be implemented

 

Air Pollution Absent

 

National Coordinating Mechanism
National NCD Commission or Equivalent (present or absent) National Health and Wellness Commission

 

Other (ie. Mental Health Commission) Absent

 

Overarching
NCD Plan or Strategy National Action Plan for the Prevention and Control of Noncommunicable Diseases 2015-2020

 

NCDs including MNSDs
Diabetes Absent

 

Cancer National Cancer Control Plan 2019-2028

 

Cardiovascular Disease

 

Respiratory Diseases Absent

 

Mental, neurological and substance abuse disorders

 

Risk Factors
Unhealthy Diets (ie. National school nutrition policies, national nutrition policies etc.) Absent

 

Tobacco Use Tobacco Control Act 2013

 

Alcohol Use

 

Physical Inactivity Absent

 

Air Pollution Absent

 

National Coordinating Mechanism
National NCD Commission or Equivalent (present or absent) Absent

 

Other (ie. Mental Health Commission) Absent

 

Overarching
NCD Plan or Strategy National Strategic Plan for the Prevention and Control of Non Communicable Diseases: Trinidad and Tobago 2017 - 2021

 

NCDs including MNSDs
Diabetes Diabetes Mellitus and Pregnancy - Clinical Guidelines 2018

 

Cancer Absent

 

Cardiovascular Disease Absent

 

Respiratory Diseases Absent

 

Mental, neurological and substance abuse disorders

 

Risk Factors
Unhealthy Diets (ie. National school nutrition policies, national nutrition policies etc.) National School Health Policy 2015

 

Tobacco Use Tobacco Regulation Act 2013

 

Alcohol Use Absent

 

Physical Inactivity PSI Core Youth Movement

 

Air Pollution

 

National Coordinating Mechanism
National NCD Commission or Equivalent (present or absent) Trinidad & Tobago Partners Forum for Chronic NonCommunicable Diseases

 

Other (ie. Mental Health Commission) Mental Health Unit

 

Overarching
NCD Plan or Strategy

 

NCDs including MNSDs
Diabetes Absent

 

Cancer Absent

 

Cardiovascular Disease Absent

 

Respiratory Diseases Absent

 

Mental, neurological and substance abuse disorders

 

Risk Factors
Unhealthy Diets (ie. National school nutrition policies, national nutrition policies etc.) Absent

 

Tobacco Use Tobacco Control Regulations 2017

 

Alcohol Use Absent

 

Physical Inactivity Absent

 

Air Pollution Absent

 

National Coordinating Mechanism
National NCD Commission or Equivalent (present or absent) Absent

 

Other (ie. Mental Health Commission) Department of Mental Health and Substance Dependence

 

Share this