1. MILLENNIUM DEVELOPMENT GOALS, NON- COMMUNICABLE BISEASES AND HUMAN DEVELOPMENT 9/14/20151

2. Millenniun Development Goals 1: To eradicate extreme poverty and hunger 2: To achieve universal primary education 3: To promote gender equality and empower women 4: To reduce child mortality rate 5: Improve maternal health 6: To combat HIV/AIDS, malaria, and other diseases 6: To combat HIV/AIDS, malaria, and other diseases 7: To ensure environmental sustainability 8: To develop a global partnership for development 9/14/20152

3. THE MDGs A vision for development in which HEALTH is squarely at the centre. Three of the eight goals, Nine of the eighteen targets, and Eighteen of the forty-eight 48 indicators Relate directly to HEALTH 9/14/20153

4. CARICOM welcomes the MDGs CARICOM SHARES THE VIEW THAT: The objective of development should be to create an enabling environment in which people can develop their full potential and lead productive, creative lives in concordance with their needs and their interests. 9/14/20154

5. Some Development Indicators of CARICOM States Human Dev. Index Rank, HDI / 182 Human Pov. Index Rank, HPI / 135 Life Expt’cy CARICOM Countries PopulationAvg. anul income US$ Antigua & Barbuda 85,63218,69147…… Bahamas307,55220,25352…73.2 Barbados284,58917,95637477 Belize307,8996,734937376 Dominica72,6607,89373…… Grenada90,7397,34474…75.3 Guyana952,94027821144866.5 Jamaica2,825,9286,0791005171.7 St. Lucia160,2679,786692673.6 St. Kitts & Nevis 40,13114,48162…… St.Vincent & Gr’dines 104,5747,69191…71.4 Suriname481,2677,813974668.8 Trinidad & Tobago 1,229,95323,507642769.2 6,944,131 9/14/20155

6. Some Comparative Indicators 9/14/20156

7. OECD Life Expt. CountriesPopulationAAI US$ HDI / 177 HPI-2 / 52 Norway4,700,00053,4331280.5 Australia20,900,00034,92321481.4 Canada32,900,00035,81241280.6 U S A308,700,00045,592112279.1 UK60,900,00035,13021 79.3 CARICOM6,944,13111,61637-1144-7372.27 9/14/20157

8. ASIA/PACIFIC Life Expt. CountriesPopulationAAI US$ HDI / 177HPI-2 / 52 Vietnam86,100,0002,6001155574.3 India1,164,700,0002,7531348863.4 Papua New Guinea 6,400,0002,55114412160.7 Bangladesh157,800,0001,24115011265.7 Nepal28,300,0001,0491449966.3 CARICOM6,944,13111,61637-1144-7372.27 9/14/20158

9. AFRICA Life Expt. CountriesPopulationAAI US$ HDI / 177HPI-2 / 52 Rwanda9,500,00087216710049.7 Cote d’Ivoire20,100,0002,82716311956.8 Central Afr. Repub.4,300,00099017712546.7 Mali12,400,0001,08618013348.1 Sierra Leone5,400,00085518012847.3 CARICOM6,944,13111,61637-1144-7372.27 9/14/20159

10. Challenges to Development of Effective Services (WHO) Inappropriate Laws Overcrowding of facilities Limitation of Human Resources Poor, attitudes and interests Lack of baseline data Over centralization & overspecialization Absence of sound policies 9/14/201510

11. POLICY QUESTIONS 1-5 (WHO) Does the policy promote the development of community-based care? Are services comprehensive and integrated into primary health care? Does the policy encourage partnership between individuals, families and health professionals? Does the policy promote the empowerment of individuals, families and communities? 9/14/201511

12. POLICY QUESTIONS 6-8 Does the policy create a system that respects, protects and fulfills the human rights of people with mental disorders? Are evidence-based practices utilized wherever possible? Is there an adequate supply of appropriately trained service providers to ensure that the policy can be implemented? 9/14/201512

13. POLICY QUESTIONS 9-11 Are the special needs of women, children and adolescents recognized? Is there parity between mental health services and other health services? Does the policy require the continuous monitoring and evaluation of services? 9/14/201513

14. POLICY QUESTIONS 12-14 Does the policy create a system that is responsive to the needs of underserved and vulnerable populations? Is adequate attention paid to strategies for prevention and promotion? Does the policy foster inter-sectoral links between the mental health and other sectors? 9/14/201514

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16. END THANK YOU FOR YOUR ATTENTION 9/14/201516