salmon

The Caribbean Context: Prelude to Regional Strategies: 

The Caribbean Context: Prelude to Regional Strategies Marla Salmon & Jean Yan

Purpose: The Caribbean region as the “unit of analysis”: 

Purpose: The Caribbean region as the “unit of analysis” Overview of context Collaboration in health and nursing The workforce picture The collaborative response: Managed Migration Next steps

Slide3: 

Caribbean Map Full View *Plus Surinam *

Common Ground: Key Themes: 

Common Ground: Key Themes Deep global connections Africa China & East Indies Former Colonial/Military/Economic Powers Small nation states Ranging from 6K to > 7 million Significant diversity in culture & languages Unique socio-economic & natural challenges “Caribbean-ness” & Global-ness

Common Ground: Regional Collaboration: 

Common Ground: Regional Collaboration PAHO-CPC (Pan American Health Organization – Office of Caribbean Program Coordination) CARIFTA (Caribbean Free Trade Area) CARICOM (Caribbean Community) CRDB (Caribbean Regional Development Bank) Commonwealth CSME (Caribbean Single Market Economy) UWI (University of the West Indies) Other

Common Ground: Caribbean Nursing Collaboration: 

Common Ground: Caribbean Nursing Collaboration PAHO-CPC RNB of the Council of Health and Social Development (COHSOD) CNO UWI Nursing leaders (many “returnees”) Collaboration beyond the Caribbean

Nursing in the Caribbean: A Few Facts (2003): 

Nursing in the Caribbean: A Few Facts (2003) Approximately 13,046 positions 3,332 vacant positions Approximately 900 nurses left in 2001-2003 Approximately 1,199 nurse produced during 2001-2003 Net gain of 299 nurses (enough to fill 36% of vacancies) HIV/AIDs has only just begun to compound the challenges

Nurses per 10,000 Population*(2004): Ranging from 8.6 to 53 : 

Nurses per 10,000 Population*(2004): Ranging from 8.6 to 53 Anguilla 31.3; Antigua & Barbuda 33.2 Bahamas 23.8 Barbados 51.2 Belize 12.3 Cayman 53 Dominica 41.6 Grenada 19.58 Guyana 8.6 *PAHO 2004 Jamaica 16.5 Montserrat 29.1 Kitts and Nevis 49.8 Lucia 22.6 Vincent & Grenadines 19.8 Suriname 22.8 Trinidad & Tobago 28.7 Turks and Caicos 19.3 Virgin Islands ( British) 33

Managed Migration: 

Managed Migration Nursing led collaborative response to protracted shortages Reflective of values, history & commitment to shared future Stage setting for other disciplines Potential model for other regions

Collaboration & Managed Migration:Six Critical Areas, Programs & Partners: 

Collaboration & Managed Migration: Six Critical Areas, Programs & Partners Terms & Conditions of Work (RNB, PAHO, ILO, UKDoH) The Convention on Nursing Training Program (Solve) Healthy Workplace Recruitment & Retention (RNB, CNO, PAHO, LCCIN, J&J, Health Canada, UWI, COMSEC) Caribbean Nursing Campaign Study on Training Capacity in Nursing Distance Education Program in Nursing (BSc & MS) Mentorship Program

Managed Migration, continued.: 

Managed Migration, continued. Value of Nursing (RNB, COMSEC, CNO, PAHO, UWI, J&J, UKDoH, Health Canada, LIAT) Social Marketing Caribbean Nursing Website Year of the Caribbean Nurse Utilization and Deployment (RNB, PAHO, BVI Dept. of Health Services and GRASP, Inc.) Workload Measurement System Management Practices (RNB, PAHO, ANCC, LCCIN, ICN) Magnet-like Recognition Pilot Leadership for Change Program

Managed Migration, continued.: 

Managed Migration, continued. Policy and Health Services Research (RNB, PAHO, CARICOM, LCCIN, Health Canada) Regional Managed Migration Program Plan RNB, PAHO, CARICOM Regional Negotiating Machinery Attachment & Exchange Programs

Selected Achievements: from Policy to Action: 

Selected Achievements: from Policy to Action St. Vincent: Nurses Training for Export Jamaica Nurses commuting to Miami Grenada/Antigua Partnership for training The Homecoming Program: Brain Gain Health and Tourism Model Caribbean Canadian Proposal

Next Steps: 

Next Steps Incorporation of Managed Migration into trade and other international cooperation agreements Engagement of nursing leadership in key global policy forums Advancing Managed Migration in countries and region Evaluating impact Other….