The Anguilla NNCDC

by HCC
ANGUILLA National NCD Commission
Status as at September 2023 Inactive
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Country Anguilla
Name The Anguilla NNCDC
Status as at September 2023 Inactive
Date of establishment -
Date of first meeting July 22nd 2015
Date of last meeting April 27th 2016
Number of meetings over past 12 months 2
Chairperson’s name Dr. Aisha Andrewin
Title Chief Medical Officer
Organisational affiliation Ministry of Health and Social Development
Duration of tenure 1 year to date
Legal authority/reference Approved by the Executive Council
Location(sector/entity) Ministry of Health
Mandate/Scope of work The 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 reference Yes as in mandate above
Conflict of interest policy No
Code of ethics No
Standard operating procedures Yes
NNCDC strategic plan/plan of action Yes
Decision-making process (consensus, majority, other) Consensus
Membership and Personnel 18 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 representation Private Physician
Ex officio members Permanent Secretary, PAHO County Representative
Secretariat exists? If so, please give date of establishment No
Resources None identified (currently representatives meet their targets through their organisation budgets/ donors)
Full-time human resources/functions No
Part-time human resources/functions No
Main functions (advisory, accountability, strategic planning, project/programme implementation, other) Refer to ToR
Main areas of interventions for NCDs and NCD risk factors The 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 addresses None
  • 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 areas None
Main source(s) of funding and approximate percentage of funding from each source Government 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 areas None
Mechanisms for sustainability To be developed
Status as at December 2021 Inactive (no information available)
Develop and implement a comprehensive mental health plan that complies with international human rights instruments,
includes allocated human and financial resources, and undergoes regular monitoring against indicators or targets for implementation
Decriminalize suicide, suicide attempts and other acts of self-harm -
Increase public awareness about mental health and how to stop discrimination through campaigns that involve
individuals living with mental disorders and psychosocial disabilities
Introduce brief interventions for hazardous substance use -
Advocate with other sectors such as housing, education, social welfare etc for the support of people with mental disorders
and psychosocial disabilities
Does the NNCDC structure include a position for a youth representative? -
Is the NNCDC connected to other organizations that prioritize youth engagement? -
Has the NNCDC utilized social media campaigns to target youth? -

Reduced affordability of tobacco products by increasing tobacco excise taxes and prices -
Protect people from tobacco smoke by creating, by law, implementing completely smoke-free environments in all indoor workplaces, public places, and public transport -
Warn individuals of the dangers of tobacco and tobacco smoke through effective health warnings and mass media campaigns -
Implement and enforce bans on all forms of tobacco advertising, promotion, and sponsorship -
Ban the sale of tobacco to minors -
Support plain packaging and pictorial health warnings on cigarette packages -
Implement measures to minimize illicit trade in tobacco products -
Assess the usage and impact of e-cigarettes, and develop appropriate control measures if indicated, including through legislation and regulations for tobacco control -
Raise public awareness of physical inactivity through mass media public spaces and other programmes -
Develop population-based, age-specific guidelines on physical activity. -
Advocate for the design of public spaces that are supportive of physical activity. -
Reduce salt intake and salt content of food -
Replace trans fats with unsaturated fat -
Raise public awareness of unhealthy diet through mass media and other programmes -
Place taxes on sugar sweetened beverages -
Implement nutritional labelling policies which promote consumption of healthier foods and beverages -
Develop and implement school policies which restrict the availability of unhealthy foods and beverages within schools and their surroundings -
Raise excise taxes on alcoholic beverages -
Regulate commercial and public availability of alcohol -
Enforce restrictions or bans on alcohol promotion and advertising -
Collaborate with NGOs and Ministry of Transport to educate the public on the harmful use of alcohol -
Advocate for the introduction of breathalyser testing -
Improve housing conditions and ensure access to clean energy sources for indoor cooking, heating and lighting -
Create awareness and develop appropriate strategies to reduce exposure to second-hand tobacco smoke in households -
Phase out health-harmful subsidies for fossil fuels and polluting industries and introduce penalties for polluters and/or taxes on pollution -
Include air quality measures in urban, rural and transport planning at city, regional and national level, including measures to encourage modal shift and active mobility, noting the additional benefits to health, wellbeing, and reduction of health inequalities -
Adopt and strictly enforce emissions standards for all pollutants in all relevant sectors, including industry, energy, transport, waste, and agricultures -