Trinidad & Tobago Partners Forum for Chronic NonCommunicable Diseases (PAFCNCD)

by HCC
Trinidad & Tobago Partners Forum for Chronic NonCommunicable Diseases (PAFCNCD)
Commission Profile
Status as at June 2019Inactive
CountryTrinidad & Tobago
NameTrinidad & Tobago Partners Forum for Chronic NonCommunicable Diseases (PAFCNCD)
Date of first meetingSeptember 2011
Date of last meetingMay 2013; The Partners Forum completed its term and a new PF has not yet been appointed
Number of meetings over past 12 monthsMeetings are held monthly. Members are not paid a stipend
Chairperson’s nameNone at present
Title-
Organisational affiliation-
Duration of tenure-
Legal authority/reference-
Location(sector/entity)-
Mandate/Scope of workAdvocacy, advise on policy / legislation / programmes, implementation of programmes, monitoring and evaluation. There is no explicit mandate for research or resource mobilization or for review of quality of hospital NCD services.
Terms of referenceNo
Conflict of interest policyNo
Code of ethicsNo
Standard operating proceduresNo
NNCDC strategic plan/plan of actionYes
Decision-making process (consensus, majority, other)-
Membership and Personnel2 ex-officio and 20 members
Government sector membership and level of representationBureau of Standards, Ministries of Consumer Affairs, Trade, Agriculture and Education.
Civil society membership and level of representationUniversity of the West Indies, Women’s groups, Sports groups, Faith-based organizations, Trade Union, Health NGOs.
Private sector membership and level of representationPrivate health sector, Health insurance, Employers Consultative Assoc.
Ex officio membersNCD Focal Point and the Health Promotion Officer.
Secretariat exists? If so, please give date of establishmentNo
Resources
    The PAFNCD receives professional and administrative support from the Ministry of Health and budgetary support through a Ministry of Health earmarked line item
Full-time human resources/functionsNo
Part-time human resources/functionsNo
Main functions (advisory, accountability, strategic planning, project/programme implementation, other)-
Main areas of interventions for NCDs and NCD risk factors-
Other health issues that the NCD/Wellness Commission /Wellness Coordinating Mechanism addresses-
  • 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?
It has indirect relations with mental health and HIV/AIDS through the Ministry of Health
Framework(s) of reference (national policy, strategy or plan; international plans/strategies)-
Focus of interventions (legislation, taxation, policy development, project/programme development, project/programme implementation, capacity building, surveillance, monitoring and evaluation, other)-
Work groups/subcommittees/task forces and their functions-
Accountability mechanisms (periodicity of monitoring, evaluation, reporting, and to whom; financial accountability mechanisms)The PAFNCD has produced an annual report and sub-committees report quarterly
Main successes
  • High level of involvement with celebrations of Caribbean Wellness Day. Insurance companies, banks and oil and gas industry also organized celebrations. Funding provided by the Ministry of Health, supplemented by private corporations
  • Getting the Ministry of Trade to adopt labelling guidelines
  • Successful national workshop with food and beverage manufacturers
  • Completion and publication of the STEPS Non-communicable Diseases Risk Factor Survey
Success factors-
Specifically
  • 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)
-
Main challenges
  • ‘Trying to do too much for too many’. Some of the sub committees not very action oriented
  • racking of NCD activities by other agencies
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 sourceNone
Indicative annual budget (USD)None
Resource mobilisation, main areasNone
Mechanisms for sustainabilityNone

The Partners Forum for NCDs (analogous body to NCD Commission) received personnel and budgetary support from the Ministry of Health and has its own strategic plan. Trinidad & Tobago is a relatively large (1.2 million) high-income country yet their Partners Forum has had several challenges in seeking to become established as a sustainable mechanism for effecting multisectoral action. Several sub-committees have been established to report to the Partners Forum and the view has been expressed that these subcommittees are not sufficiently action oriented, are possibly ‘trying to do too much for too many’ and need to have greater focus and direction. Recent reports indicate that the Forum has not been officially constituted for the past 2 years but many of the issues prioritised by the Forum when it was officially functioning are nevertheless being carried out.

Despite the absence of an officially functioning Forum (analogous body to NCD Commission), two activities aimed at promoting healthy lifestyles have been recognised: Caribbean Wellness Day and Ciclovia/Streets for Wellness.

There is a high level of involvement with celebrations of Caribbean Wellness Day carried out annually in Trinidad & Tobago. Insurance companies, banks and the oil and gas industry also organize celebrations. Funding is provided by the Ministry of Health and supplemented by private corporations.

From 2008 to present, a private Sports Goods retailer has led a community-based initiative every Sunday from 6am to 9am, blocking streets to facilitate physical activity. It is a truly multisectoral initiative: led by private sector champions; sponsored by private health insurance company; provided with logistics by the Police and ambulance services; and generally supported by Ministry of Sports and the Ministry of Health.

Two kilometres of the Diego Martin Highway are blocked to vehicular traffic each Sunday morning, to allow the community to use the highway to walk, ride, skate, and includes a Physical Activity class. Research has shown that knowledge of the Ciclovia and having ever participated was positively associated with achieving the recommended amount of physical activity per week. Community members give favourable account of the resulting community cohesion, and its positive impact on their own physical fitness and mental health.

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