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KITTS TRINIDAD & TOBAGO JAMAICA SURINAM ST. VINCENTVZV)CHALLENGES IN PROVIDING SOCIAL PROTECTION**$THESE WERE NUMEROUS WITH MANY BEING COMMON TO THE VARIOUS COUNTRIES. AS SUCH, MOST WILL BE DEALT WITH COLLECTIVELY THOSE PECULIAR TO SPECIFIC COUNTRIES WILL BE HIGHLIGHTED SEPARATELY =8 CHALLENGES B Quality of carezSTANDARDISATION OF CARE  ESPECIALLY BETWEEN PUBLIC AND PRIVATE SECTOR DIFFICULTY PROVIDING HIGH QUALITY OF CARE AT ALL LEVELS DUE TO SHORTAGE OF EQUIPMENT, STAFF OR SPECIALISED SERVICES; Accessibility : CARE/FACILITIES: LOGISTICAL /DEMOGRAPHIC DIFFICULTIES TRANSPORTATION ISSUES FRAGMENTATION OF SERVICES ONE OR FEW REFERRAL HOSPITALS POOR SCHEDULING OF CLINICS; LEADS TO PATIENTS BEING TURNED AWAY BECAUSE  THE DAY AND THEIR COMPLAINT DID NOT COORDINATE . Z'$LEVELS OF CARE"POOR REFERRAL SYSTEMS LEADING TO LENGTHENED  WAIT TIME FOR CLINICS OR SPECIALIST CARE MANY LEVELS OF CARE THAT MAY CONFUSE OR FRUSTRATE A PATIENT WHO NEEDS OR DESIRES EMERGENCY OR SPECIALIST CARE LEVELS NOT ADEQUATELY FUNCTIONING CAUSING OVERCROWDING AT ANY SPECIFIC LEVELZ(%DATA COLLECTION /COMMUNICATION$FRAGMENTATION OF DATA COLLECTION AND POOR COLLABORATION AMONG VARIOUS RELEVANT AGENCIES COLLECTING INFORMATION POOR RECORD KEEPING LACK OF CAPACITY FOR CREATING AUTOMATED SYSTEMS2/IMPLEMENTATIONIMPLEMENTATION OF THE STRATEGIES OUTLINED IN THE STRATEGIC / NATIONAL PLANS FOR VARIOUS REASONS ; LACK OF FINANCE , TECHNICAL SKILLS AND ORGANISATIONAL ABILITY SUSTAINABILITY OF PROGRAMMES$INADEQUATE FUNDING INABILITY TO MAINTAIN PROJECTS/PROGRAMMES AFTER IMPLEMENTING AGENCY HAS LEFT DUE TO POOR LOCAL ORGANISATION IMBALANCE OF ALLOCATION OF FUNDS DUE TO INTER AND INTRA-SECTORAL COMPETITION  BUDGET * HAITI 30 COMPLIANCE|POOR PATIENT COMPLIANCE WITH TREATMENT, FOLLOW- UP VISITS ETC DUE TO ECONOMIC FACTORS, POOR EDUCATION OR LACK OF AWARENESS.}} COST OF HEALTH CARE MOST OF THE COUNTRIES HAD UNIVERSAL COVERAGE / FREE HEALTH CARE. (SUSTAINABILITY DUE TO POSS.ECON.DIFF) HOWEVER, SOME (HAITI, ST. KITTS) HAD FEES OR COSTS THAT PRECLUDED PATIENTS IN THE LOW SOCIO-ECONOMIC BRACKET FROM ACCESSING SERVICES. Z  ECONOMIC STATUS OF POPULATION$DETERMINES WHETHER PEOPLE VISIT THEIR HEALTH CARE FACILITIES. HAITI- CHOICES BETWEEN FOOD VS. HEALTH CARE CAN ARISE ST KITTS  OVERALL WELL BEING; NUTRITIONAL STATUS CAN BE DETERMINED BY FINANCIAL STABILITY  CLIMATE WITHIN THE COUNTRY$THIS IMPACTS ON HEALTH CARE PROVISION, POLICIES AND IMPLEMENTATION OF PROGRAMMES, AS WELL AS PATIENT S ABILITY TO AFFORD HEALTH CARE. SOCIAL , POLITICAL, ECONOMIC JAMAICA: CRIME RATE, UNEMPLOYMENT, SURINAM: POLITICAL INSTABILTY, GOVERNMENTAL CHANGES AND PREFERENCESEDUCATION & AWARENESSPATIENT/POPULATION UNAWARE OF SERVICES OFFERED, DISEASE AND PROGRESSION/COMPLICATIONS- LATE VISITS TO HEALTH FACILITES: TERMINAL OR LATE STAGE DISEASE POOR ANTE, PRE ,POST NATAL CARE PATIENTS UNAWARE OF THEIR RIGHTS "BARRIERSbCULTURAL  HAITI* WOMEN WILL NOT LEAVE THEIR HOMES FOR AT LEAST 40 DAYS AFTER DELIVERY LANGUAGE  GUYANA; RECRUITING FOREIGN SPECIALISTS, MIGRATION OF NEIGHBORING PEOPLES MYTHS*# PATIENT PREFERENCEjST KITTS  ALTHOUGH TRAINED / EXPERIENCED NURSES ARE AVAILABLE, PATIENTS MAY PREFER TO GO TO A DOCTOR/ PRIVATE CARE FACILITY AND MAY DELAY OR NOT GO BECAUSE THEY CANNOT AFFORD SAMEACCOUNTABILITY  INAPPROPIATE MECHANISMS TO ADDRESS MATERNAL MORTALITY AT THE INSTITUTIONAL AND NATIONAL LEVEL INADEQUATE LEGAL FRAMEWORK TO ENSURE COMPLIANCE WITH STANDARDS 63 CHALLENGES:HUMAN RESOURCES Shortage of: Specialists (medical) Nurses/ midwives/ skilled or experienced nurses pharmacists Trained technicians/ technologists MIGRATION THIS FACTOR AFFECTED COUNTRIES IN 2 WAYS: LOSS OF SKILLED/TRAINED PERSONNEL INFLUX OF PERSONS FROM OTHER COUNTRIES WHO REQUIRED SPECIAL CARE OR NECESSITATED ADDITIONAL EXPENDITURE FROM BUDGET(DO YOU DENY THEM CARE?Z52 RECRUITMENT OF SKILLED PERSONNEL!!$JDIFFICULTIES DUE TO MIGRATION POOR INCENTIVES ESPECIALLY IN PUBLIC SECTOR FACILITIES:POPULATION RATIO$LIMITED FACILITIES; GENERAL OR SPECIALISED ( ICU, NICU, ULTRASOUND ETC) TO LARGE POPULATIONS OR SECTIONS OF POPULATIONS DECENTRALISATION RESULTING IN CHALLENGES WITH ACCESS  TRINIDAD  3 NICUs TO 5 REGIONSZ41INADEQUATE FACILITIESU THIS CAN LEAD TO OVERCROWDING IN INSTITUTIONS; PEAK DELIVERY PERIODS (CROP SEASON) %"GENERATION GAPbPOOR COMMUNICATION AND ACCEPTANCE BETWEEN  NEW AND OLD MEDICAL DOCTORS NEW CULTURAL INFLUENCES WITH STRONG SEXUAL MESSAGES THAT DIRECTLY THWART HEALTH MESSAGES. FOR EXAMPLE, MUSIC/DANCE THAT GLORIFY THE MACHO MALE OR SEXUAL PROCLIVITIES AS AGAINST A MESSAGE OF ABSTINANCE OR RESPONSIBLE SEXUAL BEHAVIOUR2P2 ST. KITTSANEMIA IN PREGNANCY SHORTAGE OF NURSES TRAINED IN IUCD TECHNIQUES POOR COMPLIANCE OF PATIENTS  CONTRACEPTIVES -DUE TO SIDE EFFECTS DIFFICULTY REACHING NEW PATIENTS WHO SHOULD BE SCREENED FOR CANCER PATIENTS FEAR OF INSTRUMENTATION AND PAIN  PAP SMEAR JAMAICAOUTDATED TECHNOLOGY AND FACILITIES DEFICIENT MIDDLE MANAGEMENT  SENIOR PERSONNEL AND INEXPERIENCED PERSONNEL  NO SUCCESSION PLANNING POOR HEALTH REFORMS   TOP HEAVY MANAGEMENT; COST RECOVERY PROGRAM EMPHASIS WHICH FORCES INCREASED OUT OF POCKET EXPENSES FOR WOMEN Z SURINAMESPECIALISTS NOT UNDERGOING PRACTICAL CMES GRANTS GIVEN PROVIDE ADVANCED FACILITIES EG EQUIPMENT , WHICH REQUIRE INCREASED COST OF MAINTENANCE PREGNANT WOMEN PAYING HIGHER PREMIUM IN INSURANCE SCHEME NO MONITORING AND REGULATION OF POLICY DEVELOPMENTZ@;BARRIERS < BARRIERSACCEPTANCE OF REFORM POLITICAL CHANGE/INSTABILITY POVERTY ECONOMIC INSTABILITY CULTURAL FACTORS LANGUAGE INABILITY TO SOURCE/TRAIN/RECRUIT PERSONNEL ADMINISTRATION/GOVERNING COMPOSITION  RE:UNDERSTANDING NEEDS AND ISSUES  AFFECTS DECISION MAKING ZBARRIERS CONT D RESISTANCE TO CHANGE DONOR AGENCIES DETERMINING WHERE FUNDING SHOULD BE DIRECTED  OVER ALLOCATION IN SOME AREAS EG HIV/AIDS A< OPPORTUNITIES< OPPORTUNITIES AVAILABLElFREE CARE IMPLEMENTATION OF NATIONAL INSURANCE PROGRAMMES GOV T - GOV T COLLABORATION- CUBA AND MANY CARIBBEAN COUNTRIES DONOR AGENCIES- FINANCIAL,DATA, TRAINING ETC  PAHO, USAID,   :TRAINING, RECRUITMENT PROGRAMMES NATIONALLY &INTERNATIONALLY EXPERTISE PROVIDED BY AGENCIES THAT FACILITATES PILOT PROJECTS  GUYANA* -GOOD RESULTS-DECREASED MATERNAL MORTALITY IN REGION 6 DUE TO ASSISTANCE FROM PAHO  IMPLEMENTATION OF PILOT PROGRAMME INVOLVING TRAINING AND EDUCATION.+' COLLABORATION WITH STAKEHOLDERS IN DEVELOPING HEALTH CARE PROGRAMMES THAT CAN ASSIST IN VARIOUS ASPECTS ; NGOS, FBOS ETC HEALTH PROMOTION ?:SUCCESSFUL STRATEGIES0 JAMAICAPATH- POVERTY ALLEVIATION THROUGH HEALTH EDUCATION- PROVIDES SERVICES FOR POOR/ MARGINALISED OR AGED MEMBERS OF THE POPULATION NATIONAL HEALTH FUND- PATIENTS CARE SUBSIDISED BY GOV T  THEY MUST HAVE 14 OR MORE SPECIFIC HEALTH CONDITIONSZ,,TRINIDADPRESCRIPTION FILLING AT ALL PHARMACIES INSPITE OF ORIGIN OF SAME  DECREASED WAIT TIME AND CONGESTION OF PARTICULAR PHARMACIES VISION AND HEARING SCREENING FOR ALL CHILDREN LIASON UNITS THAT BRIDGE GAPS BETWEEN PRIMARY AND SECONDARY CARE, MANAGE DEFAULTERS ON CHILDREN S ISSUES EMPOWERMENT PATIENTS CHARTER OF RIGHTS AND OBLIGATIONSPZP SURINAMESOCIAL SECURITY SCHEME INSURANCE SCHEME SYMPATHETIC MINISTER  FOCUSES ON PUBLIC HEALTH CARE >9RECOMMENDATIONS6 -)RECOMMENDATIONSEMBARK ON AGGRESSIVE HEALTH PROMOTION AND EDUCATION PROGRAMMES THAT INCLUDE; EDUCATION OF PATIENT- RIGHTS, TREATMENT OPTIONS, SERVICES AND FACILITIES AVAILABLE, ALL ASPECTS OF DISEASES; SIGNS, SYMPTOMS, IMPORTANCE OF HEALTH VISITS ETC BALANCED ALLOCATION OF FUNDS  NATIONALLY/BUDGET AND FROM DONOR AGENCIES. ALLOCATION SHOULD BE BASED ON NEEDS AND SOUND INVESTIGATION$rZK'74RECOMMENDATIONSDEVELOP A HUMAN RESOURCE STRATEGY THAT INCLUDES RECRUITMENT AND RETENTION, TRAINING AND RETRAINING OF STAFF, AS WELL AS DEPLOYMENT BASED ON SKILLS REQUIRED. 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