Adolescent health in the Caribbean region: insights from the Jamaican experience

2016 ◽  
Vol 28 (3) ◽  
pp. 327-332
Author(s):  
Abigail Harrison ◽  
Joi Chambers ◽  
Sheila Campbell-Forrester
Keyword(s):  
Service Delivery ◽  
Adolescent Health ◽  
Historical Perspective ◽  
Healthcare Services ◽  
Youth Participation ◽  
Caribbean Region ◽  
The Past ◽  
English Speaking ◽  
The Caribbean ◽  
And Training

Abstract Adolescent health in Jamaica and the wider English-speaking Caribbean has over the past three decades advanced in achieving improved healthcare services for adolescents. The path taken to achieve success thus far is reviewed – including a historical perspective on the services offered, revision of the relevant policy and legislation frameworks, improved service delivery through education and training of relevant stakeholders and providers, improved youth participation, and sustained involvement of advocates.

General Introduction

2019 ◽  
pp. 1-42
Keyword(s):  
Climate Change ◽  
Local Food ◽  
Integrated Model ◽  
Small Island ◽  
Caribbean Region ◽  
General Introduction ◽  
The Past ◽  
Policy Interventions ◽  
Agricultural Diversification ◽  
The Caribbean

There are myriad issues facing traditional farming in the Caribbean region. Despite various policy interventions and implementation of concepts over the past five decades for agricultural diversification in the region to increase local food production, the region is still grappling with finding an appropriate model to solve major issues. The issues are now exacerbated by the impacts of climate change, and major shifts in the approach to solving the issues have not yet proved fruitful. Against the setback of issues, controversies, and problems of farming in the Caribbean and the St. Kitts-Nevis example of a small island developing state (SID), the justification will be made for a diversified-integrated model that can account for the setbacks by optimizing farm and non-farm waste to build productivity, competitiveness, flexibility, and sustainability which are categorically the factors of successful farming.

Continuity in care and training

2009 ◽  
Vol 91 (10) ◽  
pp. 332-333
Author(s):  
Ben Cresswell
Keyword(s):  
Service Delivery ◽  
Patient Care ◽  
The Past ◽  
Market Driven ◽  
And Training

There have been many advances in patient care over the past 15 years. Some have been driven by changes in technology, some by pharmaceuticals and a better understanding of disease processes, and some by changes to service delivery. The patient remains at the heart of the process, however, and expectations have not stood still. Patients are now better informed and have access to a wealth of information relating both to their condition and its treatment and also to the clinicians who are delivering their care. The NHS has shifted to a market-driven model, in which services and resources are put out to tender and units must function within budgetary constraints.

The Social Relations of Bereavement in the Caribbean

2008 ◽  
Vol 57 (1) ◽  
pp. 21-34 ◽  
Author(s):  
Ronald Marshall ◽  
Patsy Sutherland
Keyword(s):  
Social Relations ◽  
Caribbean Region ◽  
Religious Groups ◽  
Cultural Traditions ◽  
Caribbean Islands ◽  
The Social ◽  
Before And After ◽  
English Speaking ◽  
The Caribbean ◽  
Mainstream Society

The objectives of this article are to discuss the various types of behaviors associated with grief and bereavement, and to examine the relationships, consequences, and outcomes of bereavement practices among the various religious and ethnic groups in the English-speaking Caribbean Islands of Jamaica, Trinidad, Grenada, and Barbados. The rituals associated with death and grief differs across cultures and is greatly influenced by religious beliefs and traditions. How these rituals are played out depend on the culture of origin and level of acculturation of the various groups into mainstream society. In the Caribbean region, expressions of grief represent religious and cultural traditions that may have a significant impact on social relations, particularly in multi-ethnic and multicultural societies. In the English-speaking Caribbean Islands of Jamaica, Trinidad, Grenada, and Barbados, mourning follows the patterns of traditional religious practices which have remained consistent over time. While families and friends may offer social support before and after burial or cremation, the social aspects of bereavement may also have implications for inter-group relations. Insights into bereavement practices and what it holds for ethnic and religious groups in contemporary Caribbean are presented.

Water policy development and governance in the Caribbean: an overview of regional progress

Water Policy ◽  
2011 ◽  
Vol 14 (1) ◽  
pp. 14-30 ◽  
Author(s):  
Adrian C. Cashman
Keyword(s):  
Water Management ◽  
Policy Development ◽  
Water Policy ◽  
Caribbean Region ◽  
Colonial Era ◽  
English Speaking ◽  
Institutional Status ◽  
The Caribbean ◽  
Increasing Demand ◽  
Management Institutions

Water management institutions and arrangements in many Caribbean states have not, until recently, altered substantially for some sixty years with the current arrangements reflecting the predominant governance paradigm of a transitional colonial era. This is most obvious in the continuance of a sectoral approach to what might be referred to as the business of government. This, however, is beginning to change such that the water sector in the Caribbean region exhibits varying stages of institutional re-ordering as it seeks to respond to challenges of increasing demand on and for water. This paper reviews the institutional status of water management and water policy developments in the Caribbean through examples from fifteen English-speaking Caribbean states. The trends and influences that are contributing to policy change and governance responses are examined and critiqued, in order to explore where and what potential tensions the re-ordering might give rise to.

scholarly journals Healthy and Environmentally Sustainable Food Procurement and Foodservice in Australian Aged Care and Healthcare Services: A Scoping Review of Current Research and Training

2021 ◽  
Vol 13 (20) ◽  
pp. 11207
Author(s):  
Lena D Stephens ◽  
Judi Porter ◽  
Mark Lawrence
Keyword(s):  
Scoping Review ◽  
Food Systems ◽  
Healthcare Services ◽  
Aged Care ◽  
Sustainable Food Systems ◽  
Sustainable Food ◽  
Environmentally Sustainable ◽  
The Past ◽  
Food Procurement ◽  
And Training

Balancing the adoption of environmentally sustainable food systems in Australian healthcare and aged care settings whilst meeting nutritional requirements has never been more critical. This scoping review aimed to identify: the major authoritative reports/guidelines related to healthy and environmentally sustainable food procurement and foodservice in aged care and healthcare services released by international and Australian governments/organizations; and the scope of healthy and environmentally sustainable food procurement and foodservice research and training initiatives in aged care and healthcare services implemented in Australia over the past decade. A systematic search yielded n = 17 authoritative reports/guidelines and n = 20 publications describing Australian research and training initiatives. Implementation of healthy and sustainable food procurement and foodservices were limited by staff knowledge and self-efficacy, and unsupportive management. Further intervention and monitoring of healthy and sustainable food procurement and foodservice practices is needed. Whilst professionals working in and managing these services require upskilling to apply evidence-based approaches, no system-wide training programs are currently available. There is an urgent need to resolve the existing gap between recommendations to adopt environmentally sustainable practices and staff training across these sectors.

Candidatus Phytoplasma palmae (lethal yellowing (LY)).

2021 ◽  
Author(s):  
Nigel A Harrison
Keyword(s):  
Atlantic Coast ◽  
Caribbean Region ◽  
Southern Mexico ◽  
The Past ◽  
Lethal Yellowing ◽  
The Caribbean

Abstract The Atlantic tall, the most prevalent coconut ecotype throughout the Caribbean region and Atlantic coast of the Americas (Harries, 1978a), is highly susceptible to LY disease. During the past three decades, at least 50% of Florida's estimated one million coconut palms and over 80% of Jamaica's five million coconut palms have been eliminated by LY (McCoy et al., 1983). Similar epidemic losses of coconut to LY continued along the Atlantic coasts of southern Mexico and Honduras (Oropeza and Zizumbo, 1997). Although rarely affecting palms less than 5 years old, the disease prevents any re-establishment of highly susceptible coconut ecotypes in LY-endemic locations such as Florida and Jamaica.

NEMO in Caribbean archipelago

2021 ◽  
Author(s):  
Marion Bezaud ◽  
Julie Deshayes ◽  
Stéphane Pous ◽  
Julien Jouanno
Keyword(s):  
Storm Surges ◽  
Ocean Dynamics ◽  
Caribbean Region ◽  
Atmospheric Conditions ◽  
The Past ◽  
Mass Properties ◽  
Sensitivity Studies ◽  
The Caribbean ◽  
Local Impacts ◽  
Impacts Of Climate Change

<p>Recently, the ocean dynamics of the Caribbean region has seen growing interest due the societal consequences of Sargassum beaching and storm surges, among other occasional extreme phenomena. Understanding the hydrodynamics in this area (mean currents and water mass properties, and mechanisms of variability) becomes urgent, to support operational developments forecasting the occurrence of such extreme phenomena, and also before one can foresee the local impacts of climate change. Building from an existing regional configuration at 1/12º (~10km), we implemented version 4.0.5 of NEMO to study the ocean dynamics of the Caribbean archipelago. This preliminary configuration is used to support sensitivity studies to atmospheric conditions, over the past 20 years. It also hosts AGRIF zooms to refine grid resolution up to 1km in the vicinity of the French islands, to enable a better understanding of the local dynamics.</p>

The disintegration of the state model in the English speaking Caribbean

2011 ◽  
Vol 73 (7) ◽  
pp. 553-572 ◽  
Author(s):  
Juliette Storr
Keyword(s):  
Public Service ◽  
Digital Technology ◽  
Paradigm Shift ◽  
Caribbean Region ◽  
Small States ◽  
The Bahamas ◽  
Public Service Broadcasting ◽  
English Speaking ◽  
The Caribbean ◽  
British Colonies

Public service broadcasting evolved in the small states of the English speaking Caribbean as state broadcasting. As such, state broadcasting has been forced to change to compete with private broadcasters, cable, satellite and the internet. This article assesses the paradigm shift in public service broadcasting within the former British colonies of the Caribbean, with particular emphasis on Jamaica, the Bahamas, Barbados, and Trinidad and Tobago. Then the article discusses the changes in state broadcasting in the Caribbean region in recent decades in relation to market sector, audiences and digital technology. This is followed by a discussion on the policy directions, programming and mission of newly minted public service broadcasting (PSB) in the English speaking Caribbean with questions of the future of PSB in these small states.

The Concept of the Caribbean in the Latin American Policy of the United States

1973 ◽  
Vol 15 (3) ◽  
pp. 285-308
Author(s):  
Harold Molineu
Keyword(s):  
United States ◽  
Latin America ◽  
Latin American ◽  
The United States ◽  
Caribbean Region ◽  
The Past ◽  
Caribbean Area ◽  
The Caribbean ◽  
Armed Intervention ◽  
Special Region

During the past twenty years, the United States has been involved in three cases of armed intervention in Latin America: Guatemala in 1954, Cuba in 1961, and the Dominican Republic in 1965. In addition, there was the naval blockade and possibility of intervention in Cuba in 1962 during the missile crisis. Each of these episodes occurred in the Caribbean region (defined as including those areas either in or adjacent to the Caribbean Sea). There were no similar armed interventions elsewhere in Latin America during this period, and in fact, all of the incidents of United States armed intervention in the Twentieth Century have taken place in the Caribbean area. Therefore, in its actions in Latin America, the United States appears to distinguish between the Caribbean area and the rest of the continent. The Caribbean is treated as a special region where military intervention is apparently more justifiable than elsewhere in Latin America. Only in the area outside the Caribbean has Washington found it possible to abide by its inter-American treaty commitments to nonintervention.

scholarly journals Complexity Science as a Frame for Understanding the Management and Delivery of High Quality and Safer Care

2020 ◽  
pp. 375-391
Author(s):  
Jeffrey Braithwaite ◽  
Louise A. Ellis ◽  
Kate Churruca ◽  
Janet C. Long ◽  
Peter Hibbert ◽  
...  
Keyword(s):  
Service Delivery ◽  
Complexity Theory ◽  
Wicked Problems ◽  
Healthcare Services ◽  
Complexity Science ◽  
Healthcare Organisation ◽  
Quality And Safety ◽  
High Quality ◽  
The Past ◽  
Multi Agent

AbstractOver the past two decades, prominent researchers such as Greenhalgh [1], Plsek [2], Leykum [3], Lanham [4], Petticrew [5] and Hawe [6, 7] and their colleagues and teams have promoted using complexity theory to describe and analyse the various dimensions of healthcare organisation [8–12]. Internationally, in parallel, governments have recognised the need to ‘think differently’ about healthcare policy and service delivery, but without much traction on how that might be done and what it might mean. Nevertheless, it has now become more common—but by no means universal—to apply a complexity lens to understanding healthcare services and to improving them. This involves greater appreciation of elaborate, intricate, multi-faceted care networks, healthcare ecosystems, layered parts in composite settings, contextual differences across care settings, clinical cultures, multi-agent environments, and the convoluted, challenging, wicked problems [13] these systems throw up. However, with some relatively limited exceptions, the quality and safety fields’ interest in complexity has, to date, been largely superficial, both theoretically and empirically [1].

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