BVI Health and Wellness Advisory Council

by HCC
BVI Health and Wellness Advisory Council
Commission Profile
Status as at June 2019Active
CountryBritish Virgin Islands
NameBVI National Health and Wellness Advisory Council
Date of establishmentNovember 2012
Date of first meetingJanuary 2013
Date of last meetingSeptember 27, 2016
Number of meetings over past 12 months6
Chairperson’s nameMr. Cromwell Smith
TitleOBE
Organisational affiliationPresident of BVI Diabetes Association

Summary of steps taken to establish the Commission

Specifically

Was there a planning group, (e.g. Task Force, Committee or other “precursor body”) that worked to establish the Commission?Yes, NCD Task Force was established in 2009
If so, does the group still exist?-
If it does, what is its relationship with the Commission?No
Are there recommended profiles or desired characteristics for Commission Chair and Commissioners?Yes
Were these applied in selecting the Chair and Commissioners?Yes
If yes, to what extent do the Chair and Commissioners satisfy them? Fully? To a large extent? To some extent?To a large extent. Effort was made to strengthen the council, using the 1st draft of the draft Framework for the Establishment and Strengthening of National NCD Commissions in the Caribbean –Towards a More Effective Multisectoral Response to NCDs Part II by The Commonwealth Secretariat and Healthy Caribbean Coalition
Legal authority/referenceCabinet decision approved by House of Assembly, September 2011.
Location(sector/entity)Ministry of Health and Social Development
Mandate/Scope of workNCDs and NCD Risk Factors Prevention and Control
Terms of referenceAdvises the Minister of Health on NCD matters; Coordinates and monitors the implementation of NCD Prevention Strategy; Advocates for NCDs programmes, and policies ; Assists in mobilizing resources ; Coordinates an All-of-Society response to NCDs; Presides over an annual forum which will provide interaction for various stakeholders and the general public
Conflict of interest policyPersons involved in tobacco and alcohol enterprises will not be selected as members of the Council, Interdepartmental Technical Working Group or subcommittees. No donation or sponsorship will be accepted from businesses or persons that will be in conflict of the work of Council
Code of ethicsTo be developed
Standard operating proceduresTo be developed
NNCDC strategic plan/plan of actionYes
Decision-making process (consensus, majority, other)Consensus
Government sector membership and level of representationGovernment sector, Interdepartmental Technical working Group: Ministries of Education, Communication and Works (Transportation and Infrastructure), Labour and Natural Resources (Occupation Safety and Health, Agriculture and Fisheries, Climate Change), Finance (Department of Trade and Commerce), Health (Social Security Board, Public Health and Health Services); Physical Activity and Physical Literacy; lead Health/Sport, Police Force, Department of Sport, Town and Country Planning, Natural Park Trust, and Recreation Trust. Heads of Departments, Deputy Heads of Departments and Statutory bodies. Chairman of the working group is a Junior Minister and he was appointed by the Minister of Health
Civil society membership and level of representationH. Lavity Stout Community College, faith-based, youth, teachers’ union, health NGOs, women, community health advocate, health professional associations, sports organisations, and construction industry Community arm of the Council has not been developed as yet. The aim of the Community Councils (which have not been developed fully) is to promote active community participation and to ensure that community members have an institutionalized avenue to be involved in the healthy development of communities.
Private sector membership and level of representationFood retailer and media, BVI Chamber Of Commerce and Hotel Association – experienced senior representatives from their respective companies.
Ex officio membersChief Medical Officer, Director Medical Services, BVI Health Service Authority, Coordinator of Health Promotion Services. The Coordinator of Health Promotion Services also serves as the national focal point for NCDs.
Secretariat exists? If so, please give date of establishmentYes, 2008
Full-time human resources/functionsNo
Part-time human resources/functionsHealth Promotion Unit, Ministry of Health, serves as the Secretariat. Provides administration and technical support to the Council, Interdepartmental Technical Working Group and the subcommittees. Roles include development of programmes and projects; policy development; information, education and communication(IEC); capacity building; monitoring implementation of programmes; and resource mobilisation.
Main functions (advisory, accountability, strategic planning, project/programme implementation, other)Advisory and accountability - advocacy, advise on policy/ legislation and programmes, monitor implementation of 10-year NCD Prevention Strategy “Toward A Healthier Virgin Islands”
Main areas of interventions for NCDs and NCD risk factorsChronic care, treatment and management diabetes and hypertension, tobacco, alcohol, physical activity, healthy eating, and healthy weight
Other health issues that the NCD/Wellness Commission addressesSchool health, occupational health and safety, physical literacy, and the built environment
  • Is there integration – structural or functional, with other health-related Commissions, such as HIV Commissions?
  • If so, to what extent? Fully? To a large extent? To some extent?
N/A
Framework(s) of reference (national policy, strategy or plan; international plans/strategies)Declaration of Port-of-Spain: Uniting to Stop the Epidemic of Chronic NCDs, 2007; Recommendations from United Nations High-Level Meeting on NCDs; Framework Convention on Tobacco Control; WHO Global NCD Action Plan 2013-2020; PAHO NCD Regional Action Plan 2013-2019; Caribbean Cooperation in Health Phase IV (CCHIV, 2016-2025) and the National NCD Prevention Strategy 2011-2022
Focus of interventions (legislation, taxation, policy development, project/programme development, project/programme implementation, capacity building, surveillance, monitoring and evaluation, otherLegislation, taxation, policy development, programme and project development, capacity building, monitoring and evaluation
Work groups/subcommittees/task forces and their functionsTechnical Working Group does most of its work through 5 working subcommittees- Healthy Schools, led by Ministry of Education; Healthy Spaces and Places led by Town and Country Planning; Alcohol and Tobacco Prevention and Control, led by the Ministry of Health and Social Development, Healthy Workplaces led by Department of Labour, Chronic Services, Ministry of Health and BVI Health Services Authority; Physical Activity and Physical Literacy led by Department of Youth Affairs and Sport and Ministry of Health. Subcommittees are made up of representatives from government, NGOs, private sector and civil society. Food and Nutrition is coordinated by BVI Food and Nutrition Council
Accountability mechanisms (periodicity of monitoring, evaluation, reporting, and to whom; financial accountability mechanisms)An annual report is prepared; Ministry of Health participates in regional and international monitoring; internal reporting and reviews are held regularly.
Main successesParticipated in the formulation of MOU between the Ministry of Health and Ministry of Education, to improve academic and Health in school age children; Implementation of Healthy School Programme promoting nutrition and physical education in 15 primary public schools in the territory; Integration of health and wellness into occupational health and safety; Development of 3-year Chronic Care Action Plan 2016-2019 to improve care and treatment of diabetes and hypertension in primary care of BVI Health Services Authority; Introduced 10,000 Steps Walking Programme to promote more physical activity in adult population aged 25-64 years
Success factorsBuilt strong relationships with others sectors; developed an intersectoral structure which facilitated collaboration across sectors; sought to develop projects and programmes that had win/win for other sectors focused on risk factors and social determinants of health; promoted the All-of-Society Health Policy
Specifically
Were there any successes due mainly to the participation of non-health sectors in the CommissionYes
If yes, please summarize, highlighting the role played by the non-health sector(s) Chairpersons of subcommittees are from non-health sectors with the exception of Chronic Care subcommitteeChairpersons of subcommittees are from non-health sectors with the exception of Chronic Care subcommittee
Main challengesResources: mobilizing, costing; moving from awareness-raising toward behaviour change in the IEC activities; NCDs seen as a health care issue; research and evaluation
How were these challenges overcome?We are still grappling with these challenges
Specifically
  • Did changes in administration disrupt the Commission’s functioning?
  • If yes, what were these changes and their effects?
  • If no, how was continuity of function maintained? What steps were taken?
No
Partnerships, technical cooperation (TC) – summarize partners and relevant TC areasPhysical Literacy - Canadian Sport for Life, Canadian Olympic Committee, Caribbean Olympic Association, and BVI Olympic Committee; using physical literacy to improve physical activity in the whole population
Healthy School Programme - Caribbean Public Health Agency
Childhood Obesity - Stanford University
Self-Management Programme for persons living with chronic diseases - PAHO /WHO
Main source(s) of funding and approximate percentage of funding from each sourceGovernment 50%, international source 35% , and regional source 15%
Indicative annual budget (USD)Moving toward having budgets for programmes and projects integrated in the relevant ministries’ budgets
Resource mobilisation, main areasPhysical activity, nutrition, chronic care
Mechanisms for sustainabilityIn the process of developing Health in All Policies Framework in 2017
Additional information/commentsNone
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