The Anguilla NNCDC

by HCC
The Anguilla NNCDC
Commission Profile
Status as at June 2019Active
NameThe Anguilla NNCDC
Date of first meetingJuly 22nd 2015
Date of last meetingApril 27th 2016
Number of meetings over past 12 months2
Chairperson’s nameDr. Aisha Andrewin
TitleChief Medical Officer
Organisational affiliationMinistry of Health and Social Development
Duration of tenure1 year to date
Legal authority/referenceApproved by the Executive Council
Location(sector/entity)Ministry of Health
Mandate/Scope of workThe role of the CNCD Commission can be summarized / encapsulated as follows:
  • Advise the Government of Anguilla on CNCD policies and legislation
  • Advocate for sectoral involvement in program implementation
  • Assist in mobilization of resources to facilitate implementation of programs
  • Recommend relevant research
  • Promote collaborations and partnerships
  • Monitor regional and international trends
  • Facilitate commissioning of audits /evaluation of CNCD programs
  • Recommend to the Government of Anguilla a framework that encourages and promotes behaviour change to prevent CNCDs
  • Support the implementation of the national NCD Action Plan
Terms of referenceYes as in mandate above
Conflict of interest policyNo
Code of ethicsNo
Standard operating proceduresYes
NNCDC strategic plan/plan of actionYes
Decision-making process (consensus, majority, other)Consensus
Membership and Personnel18 members 2 ex offico
Members of the Commission shall be appointed by the Chief Medical Officer and endorsed by Permanent Secretary of Health. The Commission may co-opt further members should it be required. Appointments to the Commission shall be for a period of up three years, which may be extended for further periods. However the termination of appointment is automatic if an individual no longer holds the substantive position that warranted their appointment. Likewise the reappointment to that post would be whoever individual takes that set position.
Government sector membership and level of representation
  • Chief Medical Officer (Chairperson)
  • Medical Doctor
  • Health Planner
  • Chief Nursing Officer/Director of Nursing Services
  • Quality Assurance Officer/Director of Medical Services
  • Director of Chronic Disease Unit
  • Director of Agriculture
  • Nutritionist
  • Senior Health Educator
  • Senior School Health Nurse
  • Representative Community Nursing
  • Representative Ministry of Finance (Economist)
Civil society membership and level of representation
  • Farmers Association
  • Representative Diabetes Association
  • Representative Faith Based Organisation
  • Representative Cancer Society
  • Representative Youth, Culture and Sports
Private sector membership and level of representationPrivate Physician
Ex officio membersPermanent Secretary, PAHO County Representative
Secretariat exists? If so, please give date of establishmentNo
ResourcesNone identified (currently representatives meet their targets through their organisation budgets/ donors)
Full-time human resources/functionsNo
Part-time human resources/functionsNo
Main functions (advisory, accountability, strategic planning, project/programme implementation, other)Refer to ToR
Main areas of interventions for NCDs and NCD risk factorsThe four major NCDs and their four related risk factors. (NCDs: Diabetes, Cancer, Cardiovascular Diseases, and Chronic Respiratory.) (Risk factors: Unhealthy diet, physical inactivity, tobacco exposure and alcohol abuse)
Other health issues that the NCD/Wellness Commission /Wellness Coordinating Mechanism addressesNone
  • 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?
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)
  • National Health Strategic Health Plan 2015-2020
  • National Plan of Action for the Prevention and Control of Chronic Non-Communicable Diseases 2015-2025
Focus of interventions (legislation, taxation, policy development, project/programme development, project/programme implementation, capacity building, surveillance, monitoring and evaluation, other)
  • Policy development
  • Programme/project development
  • Legislation
  • Taxation
  • Surveillance
  • Monitoring and evaluation
Work groups/subcommittees/task forces and their functions The committee does it work through members affiliated departments and association.
  • School Health Representative takes the led on school related initiatives via Department and Ministry of Education.
  • The Community Service Planner who has the responsibility for sports take the lead on physical activities and community projects/programmes
Accountability mechanisms (periodicity of monitoring, evaluation, reporting, and to whom; financial accountability mechanisms)A reporting template is being draft for the Commission Members to be submitted to the Coordinator of the Commission who will compile the reports into a progress report and submit to the Commission chair. The Commission will discuss this at a scheduled meeting and performance review.
Main successes
  • The completion and approval of The National Plan of Action for the Prevention and Control of Chronic Non-Communicable Diseases 2015-2025;
  • The completion of the STEPS Non-Communicable Diseases Adult Risk Factor Survey.
  • The completion of a second Global School Health Survey
  • The reflection of Health in the National Sports Policy
  • HPV vaccine in school girls 9-13;
  • Recognition of Caribbean Wellness Day
  • Implementation of Chronic Disease Self-Management Programme
(The implementation of several other activities in the CNCD plan of action)
Success factors
  • Commitment of leadership of Ministry of Health with the establishment of the Chronic Disease Unit
  • A relationship across boundaries which facilitate collaboration for the development of projects, programmes and for the reflection of health in all policies
  • Were there any successes due mainly to the participation of non-health sectors in the Commission?
  • If yes, please summarize, highlighting the role played by the non-health sector(s)
  • Diabetes Association: Facilitates a Diabetes Youth Camp Annually
  • Sport Department: Development of the Sports Policy and Implementation of a Workplace Physical Activity Programme.
  • Youth and Culture: Initiated the Fit Teen Programme
  • Education Sector: Introduction of the School Feeding Programme
  • Cancer Society: Mobilize resources to support cancer patients and screening for the population
Main challenges
  • There is no funding for the National NCD Commission
  • Due to the small population size members function in different capacities on the Commission
How were these challenges overcome? 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?
Partnerships, technical cooperation (TC) – please summarize partners and relevant TC areasNone
Main source(s) of funding and approximate percentage of funding from each sourceGovernment of Anguilla, 100%
Technical support and project funds for the Commission are provided out of the funds allocated to the various departments/sectors, or their own resource mobilization efforts.
Indicative annual budget (USD)None
Resource mobilisation, main areasNone
Mechanisms for sustainabilityTo be developed
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