WASHINGTON, CMC—The Pan American Health Organization (PAHO) says it has collaborated with the World Bank and the Inter-American Development Bank (IDB) to convene a two-day interactive event, the Caribbean Health Financing Forum, to explore avenues for strengthening health financing in the Caribbean.
On Wednesday, PAHO said that representatives from health and finance ministries across the Caribbean, including those from the Bahamas, Barbados, Belize, Dominica, Grenada, Jamaica, St. Lucia, and St. Vincent and the Grenadines, participated in the Forum at the World Bank Headquarters in Washington.
During the Forum, PAHO’s assistant director, Dr. Rhonda Sealey-Thomas, highlighted the region’s leadership in Primary Health Care and stressed the need for comprehensive health financing strategies.
PAHO said she outlined challenges in ensuring sustainable health financing, including the Caribbean’s dependence on global tourism revenue, increasing climate change-induced natural disasters, and the disproportionate impact of external economic shocks.
It said public health spending in the Caribbean is low (3.6 percent of gross domestic product—GDP), and out-of-pocket expenses are high (nearly 31 percent of current health spending).
“This places a significant burden on households and frequently leads to catastrophic health expenditure and impoverishment,” PAHO said.
However, according to the PAHO Assistant Director, “fiscal space analysis, domestic resource mobilization, enhanced financial risk protection, and improved efficiency and coordination in health financing” would enable the region to build resilient health systems anchored in Primary Health Care.
PAHO said the Caribbean Health Financing Forum covered various topics, including advancing health financing reforms, reversing declining financial protection for Universal Health Coverage (UHC), lessons learned from health insurance, and strategies for mobilizing, pooling, and allocating resources for UHC financing.
Furthermore, PAHO said attendees shared country-specific presentations and experiences, focusing on strategic purchasing, data utilization, and driving reforms in health financing at the primary care level.
PAHO said its deputy director, Mary Lou Valdez, underscored the critical need to improve the production and analysis of information that allows countries to identify individuals facing financial barriers to accessing health services and to understand the main drivers of out-of-pocket spending that may result in economic hardship in Caribbean populations.
“Let us then move forward and translate our discussions into action,” she said, reiterating PAHO’s commitment to collaborating with all countries, alongside the World Bank and the IDB, to continue the dialogue and provide support in implementing national strategies aimed at improving health and finance within each country.
A vital outcome of the Forum’s deliberations highlighted the urgent need for data generation, capacity building in health financing, and facilitating the exchange of experiences to advance health financing policies within the framework of universal health and robust primary healthcare-based resilient health systems in the Caribbean.
PAHO said the Alliance for Primary Health Care in the Americas, a collaboration between it, the IDB, and the World Bank, “aims to bolster investment, innovation, and implementation of policies and initiatives to transform health systems in the Americas, with a strong emphasis on primary health care.”
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